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3730 Drexel CtPERMIT City of Eagan Permit Type:Building Permit Number:EA128784 Date Issued:12/04/2014 Permit Category:ePermit Site Address: 3730 Drexel Ct Lot:10 Block: 3 Addition: Drexel Heights PID:10-21500-03-100 Use: Description: Sub Type: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 - Todd A Kremer 3730 Drexel Ct Eagan MN 55123--109 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096876 Date Issued: 11/05/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3730 Drexel Ct Lot: 10 Block: 3 Addition: Drexel Heiahts PID:10-21500-100-03 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: J Carver Construction Todd A Kremer 134 Schletti St 3730 Drexel Ct St. Paul MN 55117 Eagan MN 55123--109 (651) 645-488 I hereby aeknowledae 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 Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Espn, MN 55121 PHONE: 4548100 BUILDING PERMIT t. a.... A &- t-;G/GAR $105,000 N,0- 9820 Receipt # Site Address 7 J'1 Erect Q Occupancy Lot Block Sec/Sub Remodel ? Zoning _ . Repair ? Type of Const. Parcel No. Enlarge ? No. Stories W Name Move ? ? Length h Address j' Demolish ? Dept F S Grade q. t. City Phone ? Install ? 22? Name u? Addn F Cltv Phone Address Phone Assessment Water b Sew. Police Fire Eno. 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 APC State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Parmittee i Permit Surcharge Plan Review. SAC - Water Conn. s Water Meter Road Unit 3 - I Parks Total A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Pwmh No. Permit Holdw Data Telephone # Plumbing 5 1 C _ (,v1 rr? I C `? !L - ?'G? r^ H.VA.C. t l t l U Electric Y7 -),q I Y d / /19 Softener Inspection Date Insp. Other Footings Foundation Framing Roofing Rough Plbg. Rough HVAC Insulation Final Plbg. Final HVAC Final C ?/ ! Cart/Ooe. Water Describe Location: Well Sewer N. Diap. CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIVED FROM %, - AMOUNT $ ? CASH ? CHECK FOR A FUND CODE AMOUNT // Than You' 1 i?J BY G? 4 ?(eD X? 48r White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN F P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RscarvED FROM AMOUNT DOLLARS 100 CASH CHECK FOR -- - ? ?' - i BY _.,./ ,e,4 White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN 1 3 7 31 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt 1 To be used for Est Value Date JUNE ' ,19 Site Address 5730 DREXEL CMRT Lot ' .- Block Sec/Sub. Parcel No. DREXEL HTS Name ` W z Address City Phone .O z?- 0Q City On Site Sewage MWCC System On Site Well City Water Occupancy Zoning Type of Const (Actual) (Allowable) * of Stories Length S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn, Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC _ Treatment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Perm ittee TOTAL A Building Permit is Issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. L-iti ?- 9• Ls *re- ..,1..Xe Deck Frmg. f r ff 9Z--47- Well Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee- Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 4 2. Installation Cost 3. Job Address J ?A Lot -81k. Tract 4. Owner • 5 . u 5. Contractor Phone } `> 6. Address 7 S 7. City State Zip 8. Building Type: Residential In Commercial ? Institutional ? 9. Work Description: New 19 Add ? Alter ? Repair ? 10. Describe Fuel Type -- "1,4 T 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454.8100 CITY OF EAGAN 5v /7F99 I Fill in numbered spaces S/C Type or Print legibly _ Tot. i 1. Date 2. Installation Cost 3. Job Address1 % c Lot BIk. Tract"' I r Y 4. Owner ,? .F /? G G L 5. Contractor moo; L Z z a z? -9jPhone 6. Address 7. City State / Zip S? ?' 8. Building Type: Residential ? Commercial ? Institutional ? 1 9. Work Description: New 0- Add ? 1 10. Describe 1 11. Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ?- -- Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all prdinances and codes governing this type of work. Signed : Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks - Addition DREXEL HEIGHTS Lot 10 BIk 3 Parcel- 21500 100 0.3 Owner / Street 3730 Drexel Court State Eagan- IVIN Gao Improvement Date Amount v Annual Years n 1.4 Payment r rp Receipt Date STREET SyFff -3,y-l- 1976 876.16 87.62 10 525.72 A007462 2-28-79 STREET RESTOR. v GRADING 440 44 0 7 STREET TMP- 1 - * '1 / , SAN SEW TRUNK 1971 2U4.UL) 10.23 20 14.S3 A007462 2-28-79 * SEWERLATERAL 1976 3249.95 216.67 15 2383.31 A007462 2-28-79 Street 1985 3511.13 390.14 9 3511.13 0009914 11-15-84 WATERMAIN * WATER LATERAL 1976 WATER AREA 1972 202-40) 10.12 20 121.44 A007462 2-28-79 * STORM SEW TRK 1976 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 2 WATER CONN. 470.00 ++ ++ BUILDING PER. 9820 SAC +' ++ PARK ITY OF EAGAN 10 Pilo. Knob Road 0. Box 21199 Eagan, MN 55121 No.. to "as* w1a Na city of sown WATER SERVICE PERMIT DCOAAM rJf%. WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Dote Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road i r e E P. 0. Box 21199 PERMIT NO.: - Eagan, MN 5512] DATE; - Zoning R1 No. of Units: i . Sri-Mi- Const Owner: Address: Site Address: Drexel Cotirt I.1r) B? Dr?-re1 jIgts Plumber: G a Ryan 6 -l/-04 4d d p- to 11 01114y with Me City of /paw Ordinances. i ` By Dote of I nsp.: Insp.. TY OF EAGAN 30 Pilot Knob Road 0. Box 21199 gan, MN 55121 Conrnctlon Charge: - 425 00 yd Account Deposit: 15-00 pd- Permit Foe: ' Surcharge: p Misc. Charges: Total: Dote Paid: 3117/ k5 -W.. - (TEMPORARY) - PER CHANGES ON REVERSE S Trrtifirate of (Orr pastry Ctp of (lagan Mrvartmmt of Wuilbwo . Prtion nis Certificate issued pursuant to the requirements of Section 306 of the Uniform Building For the following: 4 Uae Cleeeificetio SF n GAR Bldg. Permit Na_ 4'3'3 0-ptmcy Type R3 - Zoning District R2 __ Type Corot- y Ow rofBuilding DOUG OLSON CONSTAddt 315 W STATE ST-CANNON FALLS Date: POST IN A CONSPICUOUS PLACE _. _ 1. Frost footings for front & rear decks to be installed 2. Baseme nt walls and riff joists to be insulated. -' jyY. ?.?[ .. ?}T A. .'•.11r ilytl,c +?, ',11? ?-? 3??. Yes ?` ? :? •?• •- ? r ; ???? 46 REQUEST FOR ELECTRICAL INSPECTION' / ' See instructions for completiai this form on back of Yellow copy- !O 4879 "X"- Below Work Covered by This Request o MaJAddi Rep. Jvoe of Building Aeolis ncea Wired Equipment Mired Water Bulk Mi p Fee Service Entrance Sine tt Fee Feeders rSubteeders # Fee Circuits 0 to 200 Am - 0 to 30 Amps (E! ,25 ` 0 to 30 Ag? Above 200 Amps 31 to 100 Amps 31 to 100 Ar%ts Swimming Pool Above 100_Amps _ Above I00_Amps Transformers Irrigation Booms 6 Partial-'Other Fee rrerks Signs Special Inspection sj__5" TAfFE „ / Rough-in Date th e Electrical Inspector. hereby * certity that the bove Final 'J 6 1 6 4 - pectin has been s t ' 1 P . en .. ?w lequesh teN,B monum from k CITY OF EAGAN N0- 9820 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 Receipt ?j _G /f BUILDING PERMIT l? V. v .....t s.. SF DWG/GAR Fst_ Value $105,000 Date DECEMBER 27_. Iq 84 SlteAddress 3730 DREXEL CT Lot 1_ Block 3 Sec/Sub. DREXEL FITS Parcel No. W Name BRI-MIK CONST Address 5718 113TH AVE NO City CRAMPLINphone 425-2052 SAME G Name S? Address City tw ?W Name 13 Address W City Erect W Occupancy K3 Remodel ? Zoning Rl Repair ? Type of Const. V Enlarge ? No. Move 1:1 Lengtth ngth Le Demolish ? Depth Grade ? Sq. Ft. Install ? Approvals fees Assessment _ Water d Sew. Police Fire Eng. Planner Council Permit T Surcharge S9 ?0 Plan Review 7 7- 7 5 SAC 595 f10 Water Conn. -A-7? 0 Water Meter--6 3 0 Road Unit 2691 0 I hereby acknowledge that I hove read this appfication and state that Bldg. Off. 12/26/8414141 Parks the information is correct and agree to comply with all applicable APC 1 Total $2-,-0-3 T.-7 5 State of Minnesoto Statutes and City of Eagan Ordinances.. Var. Date Signature of Permitteej ? .r?..,..?32 A Building Permit Is issued to: BRI-MIK CONST on the express condition that all work shall be done in occors once-ri h all opplifsMe-Slate of Minnesota Statutes and Gy of Eagan Ordinances. Building Official ° CITY OF EAGAN N_ 13 7 31 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt* 7Y3 S. To be used for 3-SEASON PORCH Est. Value $6,300 Date JUNE 5 .1987 Site Address Lot 10 I Parcel No. _ 3730 DREXEL COURT 3 Sec/Sub. DREXEL HTS a: Name EDWARD KREHL 3 Address SAME O City Phone 454-9790 x Name PANELCRAFT INC O co Address 3118 SNELLING SO 04 City MPLS Phone----721-6628 Name City OFFICE USE ONLY On Site Sewage Occupancy MWCC System _ Zoning On Site Well - Type of Const City Water (Actuaq (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments Water/Sewer Police Fire Engr. Planner Council I hereby acknowledge that I have read this application and state I Bldg. Off. that the information is correct and agree to comply wi allapplicable APC State of Minnesota Statutes and City of E 4a a ,5. Variance Signature of Permitt A Building Permit is is d to: ELCRAFT INC all work shall be do in accordance with all applicab to of Minnesot tatu Building Official FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies TOTAL $72.50 $ _ on the express condition that and City of Eagan Ordinances. void 7G -'? Kx 41q /g5 q15.(06 Now ? Will Notity. Insaec- tor When Ready LicansCd Electrical Contractor 1 hereby rag uest inspection at above ner electrical work installed at: Street Address, Box or Route No. City ?q Section No. I Township Na a or No. Range No. County, y Occupant (PRIN ) Phone No. n ` Rower Supplier Address j? ST Electrical Contractor (COrapai Name) Cpntrac?r's Li sp No, Mailing Address (C racmr or Owner Making 1 tailation) i ?. -??* U 5 S ?t Z Authori Signature (Contracor, ner Making Installs ignl Phone Number ; q 2- 4 THIS INSPECTION REOOFST WILL NOT MINNESOTA STATE BOARD ELECTRICITY IO BOARD Griggs-Midway Bldg. -Room N-191 BE L SS P EqOP BY THE STATE 1821 University Ave., St. Paul, MN 55104 UNLESS PROP INSPECTION FEE 6 Ph. - 16121 29721/1 ENCLOSED. • ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN - fl4ad INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: &,A/ I1DWG Valuation: Date: /z Site Address: 3 no 105,000 ' • • LotBlock: 3 Sect/Sub: ,,, :, ( Erect: Parcel #: Owner: 2 Address: City/Zip Code: Phone #: Contractor: • '; _ ?((; isT Address: ?-A kY, City/Zip Code: ,t?-S -7jl Phone #: yZ5 - ?[jS 2- Arch. /Eng:/L% o4 /yorwyi Address: City/Zip Code: r phn".*- -X? S-??l Remodel: Repair: Enlarge: Move: Demolish: Grade: X Occupancy: R 3 _ Zoning: 1 Type Of Const: # Stories: Length: _ Depth: 40 Sq. Ft.: APPROVALS Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council- Bldg. Off.: APC: Variance: Permit: 445. Surcharge: 52.- Plan Rev.: 222 7= SAC : SZS. °° Water Conn : 4-10.22° Water Meter (0'3.99 Road Unit: Parks: p.e a03?,7,- I ?3 x 2C? 4(? 6 x 5q 2 5 Z_`7 2 2cox ZC? _ ??? x 54 3(?So¢ ?-to 2Z 57Zx (? = 62gZ 2 (o K 3? 0E?4 x 4 z44 104-?, (2- C.R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS Tel. 645-36,6 1301 EUSTIS ST, ST. PAUL, MINN. 55108 CERTIFICATE OF SURVEY For: Bri-Mik Construction 4 , \/ ?:r / ?6 `.i J x11 Cj M A ce> -1-J?9ge //0 ?o ,r/ono Proposed 3t1 Slope c ? 2o?se r SCALE: 1"=30' EAGAN R IE`, ED eY DATE Lot 10, Block 3, DREXEL HEIGHTS ADDITION, Dakota County, Minnesota. nl 5qh ? -f-/-- a r .'n oar lop of Ice 61e y. 85.9 (Dec./9/98'/) S 7t R2 E' ??s R9.30 , H s s?¢E f 9 Z6 Edge of WA to ?, gJ -- o Denotes Wood Stake o Denotes Iron Monument Bearings are Assumed 2 Foot Contour Interval on Assumed Datum BENCH MARK: Top of Hydrant accross from Lot 10. Assumed Elevation: 100.00 Te. Denotes Top of Curb xtt9?' Denotes Spot Elevation /070) Denotes Proposed Elevation ?- Denotes Direction of Proposed Surface Drainage WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. ' Dated this i6{'day of D°-Cernlw1 A.D. 1981!- C. R. WINDEN & ASSOCIATES, INC. a 1 Xvc ?i w ?? / ,?<` I EXTERIOR ENVELOPE THERY,AL TRA.NSKITTANCE PAGE I STANDARD WORKSHEET Site Address owner 77 i?^?07 1 Contractor 6) Ruildina Tvne (check one) (L/f One and Two Family Dwelling Other Assembly (Describe type from Table 3 or Area (A) U-Valve U x A show calculations on Pane 2) 5 Ft) ?` i 5 O Insulated Area ri Framing Area w 0 jjvhts, Type I o. _ Other describe t, Other (describe) ?b d x*?t,ti ? ) Totals 2 Average alue?UxA)/(A) from Line 1 t-v*** 3 Reouired U-Val_u_e Prom text)-_ y Insulated Area 22 0 ,0 5 Framino Area - F- ^ S 5.2, a 6 os&Wn 6YJ 7 4ti-idows Tvve t o 1 0 Doors Tv e , i t Rim Joist Area Fireplace Nall " D ? Foundation Wall above rode v e c 3 o Foundation Windows TyR 6 Other [describe) (( y? (/.??e1 7 Other describe ;I e Other (describe) 7 4 Totals 5 Averaoe U-Value, (UxA)/(A) from Line 4 6 Reouired U-Value (from text) If Line 2 is greater than Line 3, or Line 5 greater than Lire 6, complete the following to determine alternative 11-Value for total exterior envelo e. t' 0 7 Area (Line 1) + Area (Line 4). + 8 UxA (Line 1) + UxA(Line 4), o 9 Area (Line 1) x U-Valve. (Line 3) x 11 "Budget", Line 9 + Line 10 ****v I2 Allnrnatfve U--Value, Line 11/1-In', 7 ****** Ia Line 8 is greater than Line 11, alrer assemblies as required so Line 8 ? does not exceed Line 11. . •• .• ... k):Tkh!(1K kii1:.LL,Pk S'rr,:,:?.,:,,, L...?...:.i ....,k C 1 ssembly ?- - -- ;sedr+l? ib thickness ue ribe thickness i T d R-Va ue e material descr a esc ?tE;r -n1- ;r ry -6.2 01 0 Z- C6 1 Lall,- ?r;lz , q Fl ' L, ?7 i tr wd - T 2 bl 2 T bl e a Interior f -Value see a e nter?or f-Value see l See Table ? V l i f e Exterior f-aiue see Tab _ u_e _. or - xter Total !ssembly Thermal Resistance 2.i' otal Assembly Thermal Resistance 3 l 10 U-Value see TablE 4) bl e Assembly U-Value (see Tab ssem y Enter on Page 1 lJ,C`? C Enter on Page 1 l et y7 ssembly/ ( n in Thic•ness R-Value b d ssembly 5, o itaterSal describe 0 Thickness R-Value e escri faterial 12 2 - 1Z,r 67 ll.lnSe ??iav a.sory; Z7 -XT, jV r-dwl 0,6 ble 2 T Interior f-Value see Table 2 a Interior f-Value sce_ ;able 21 f-Value see i :xterior f-Value sec. Table [ t i __ . or _ Exter Total P:ssembly Thermal Resistance 3 ance s total Assembly 'hernial Res lue {see Table 4 V bl L' Assembly U-Value (see Table 4) a y - tssr_; Enter on Pace i ?+0 Enter on Pane 1 S - s nbly L-; t^?? c {lam l1 lue R V assembly ° 0? r Material describe , ThicKness R-Value 4aterial describe Thickness J, r - a d.Y ~hr 7? it i m 1 u:y` f ?" s d" iS'ac> / 3 i' c / S ? sA L to /6. 7 5- F x ?. Ai - 1 , 64, r lrri l 2 6I 01, Interior f-Value see Table 2 e lnterior f -Values e _Tab 2 bl T Exterior f-Value {see Table 2 n i 21 21 e a Exterior f-Value isee Total Assembly Thernal Resistance 23 Qc) ce sta Total Assembl Thermal Res Eable 4 V l ! . Assembly U-Value see Table 4 ue see a Assembly U- C1?3 Enter on Paqe I .Enter on Paqe i -vs S-emlil ess Material describe Thicln R-Aa1ue ssembly Material describe Thickness R-Value _ C) 0 T„st . Eyti I , RT 67 1 i F . tl,V l?n . 27 Interior f-Value see Table 2 Interior f--Value see fable 2 ble2 A 'l1 l bl i a Exterior f Value sre a e lic see Exterior f-Vr Total Asseuhly Thrrmmil Resistance Total. Assemb? I_hermal R sistance - T.,?,l" 4? G.? Y1 Assembly U "aloe cc Table 4? E 1. 13731 1987 BUILDING PERMTT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 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 - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER' 1 SET OF ENERGY CALCULATIONS CK?1v!;•i??LNt:1? RENTAL UNITS FOR SALE UNITS OF SURVEY - CHECK WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, o $2,000 LANDSCAPE BOND To Be Used For: S <'--'s- ?Iluation: Date: Site Address Lot t) Block 13 Parcel/Sub ^'I J `` o Owner CEO Y L ( ?V U-/?? Address City/Zip Code pr7,?1 ?.? Phone ?7 v i 190 Contractor _/?Wcf Address City/Zip Code _-?T?/,?j j ??'iJfo r7 r 6 . ' Phone -/- .- -- t/r-') (/ 0 ;? Arch./Engr. Address City/Zip Code On Site Sewage Occupancy MWCC System Zoning On Site Well Type of Const' City Water (Actual) (Allowable) of Stories Length Depth S.F. Total Footprint S.F. 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S ? - iL ` 1W r. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 :t '-? 6.C) 6 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas Remodel/Repair Requirements 2 copies of plan CEfide Ike Onlu Gedgf Suruey Recd -Y N. (20. maximum lot coverage allowed) 1 set of Energy Calculations for heated additions DeeRes?Ito Recd y N. 2 espies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree pies f*puad _tY N 1 set of Energy Calculations Addition - indicate if onsife septic system Onstie Seplic.Syslem _iY W. N_ 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Sys Construction Cost l i Z Z _ n Site Address 37 3v // lC x e( G Z' Unit/Ste # G Description of Work Ta /6c a )' f Air / Oa c S' n 9 a `got' Y _ N-- Multi-Family Bldg _ Fireplace(s) _ 0 _ -1-,_ 2 / Property Owner s X /C114 / k e r Telephone # ((rj ) Contractor y 2 n t` ?.6? awf S irc(? t c^ li -7 Address B? ??Y S9 37 / City O"rd dl/d" /hn 3-T"Uo State /4?, t`YI K t s. i Zip 9 0-3 Telephone # Q.2, ) P y Q- l/ O r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the inforn that the work will be in conformance with the ordinances and codes of the City is COmnlete and MN Statutes; 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. N If so, 257o plan review Applicant' Printed Wine Applica Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) - Final/No C.O. _ Footings (addition) - Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco - Stone - Brick _ Fireplace _ R.I. _ Air Test - Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector L /0 BL CITY USE ONLY RECEIPT#: / a L'S S _l ! p yn d/' 9 5 SUBD. RECEIPT DATE: ?d T J? 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF KAGAN 3830 PILOT KNOB RD F.AGAN, HN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot a 3.00 x iter Heat 3.00 x Floor Drain 3.00 x Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under construction 5.00 x = Water Softener ` for existing dwelling 20.00 x = . . U.G. Sprinkler `fordwelling under const. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 Alterations ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC Iic. 75.00 = (new and refurbished systems) _ Private Disposal Systems' Abandonment 20.00 - RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL - ------ -- - ----- --- -- --- --- 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. umes no liability for any damages caused by the City during its f E agan It is the applicant's responsibility to notify the_property owner that the.Citv_o ass normal operational and maim KREHL, RHONDA this permit within City property/right-of-way(easement. 3730 DREXEL COURT SITE ADDRESS: EAGAN, MN 55123 (612) 454-9245 OWNER NAME: INSTAiLLER NAME: IV OM uom K=LV-i g,IM6 TELEPHONE A 7 -X33 - STREET ADDRESS: Zq ! 6S 60 rg-F(?Lx; c -S J M / Q STATE: NIhJ- ZIP: ,t CE1DOLaS (1?1 CITY: OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 CITY USE ONLY ?j J? LOT 1 BL 3 PERMIT #: 4 I I O y o? SUBD. h VrtXti Hewhis RECEIPT #: I -5 O CT a RECEIPT DATE: - I - 0 0 2000 MECHANICAL PERMIT (RESIDENTIAL,) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN HN 55122 Date: JUhB I 100 651-681-4675 Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section only if you are remodeling. adding to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. X New _ Alteration _ Repair _ Furnace Dom. Air exchanger RECEIVED JUN D 1 2000 Reminder: Call for inspections Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 SITE ADDRESS: 3 ?J ?U r e2 1 ('O r L I ,r/ ?) OWNER NAME: M,5L r L4 S rr i - n PHONE #: SG I ^ CODE) INSTALLER NAME: PHONE #: (AREA (AREA STREET ADDRESS: OEl CITY: STATE: ZIP: S A &OFPERMITTEE L BL SUBD. CITY USE ONLY APPROVED BY: INSPECTOR PERMIT RECEIPT#: . RECEIPT DATE: 2000 MECHANICAL PERMIT (CObMRCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? ' Y • N.' NAME: INSTALLER: ADDRESS: PHONE #: (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE , C C? CITY OF EAGAN 2/84 (! APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP= ADDRESS: LEGAL D =PTIm p .( 3 (LAt/Block/Subdivision or Tax Parcel .9- Number) ' = .=;, STRUCPTE, DATE OF ORT_GuIAL E ILDL-IG _ _ST ISStA.`: - PF_°S= :: `IiZy'-/PROPOSED USE: R-1 SINGLE FAMILY ? R-2 DUPLE:{ (Thy LNITS) ? R-3 TC%NHCUSE (TI?=- + L 'NITS) ! WITS) ? R-} AP ?2T/C_3?C SIP1 ( UNITS) ? C9T,1EERCL7\L/RL AIL,/OFFICE ? L%DUSi4-r ? LVSTITLTIONAL/GGVENL=T 2) APPLIC`-.?Tr (PLEASE PRINT) NAME : ADDRESS: CITY, STATE, ZIP: PHONE: 3) n = (PLEASE PRINT) FOR CITY USE ONLY NAME: ADDRESS: _ QB % PLUM RS LICENSE: / L Active CITY, STATE, ZIP: Q S 7/i9Dd T 19/XU S c?J ? B Expired p / ? PHONE: 023- /t/S/ PLUMBER LICENSE l1 KAJ I BE. IO K7?/ Recgrd Not f-P att mina 4) L,L;,:iJ?idl'P/C?'it[.i2 IYLLASL YN1NI) NAME. ADDRESS. CITY, STATE, ZIP: PHONE:_ J e 7?1$ ^ ?o ?a 5) INDIMTE WHICH P LIT IS BEING REQUESTED: NNECTION TO CITY SEWER COCTNECPION TO CITY WATER ? TFR (PLEASE DESCRIBE) ? PLEASE HOLD APPROVED PERMIT FOR PICT:-UP BY ONE OF ABOVE ? PLEASE MIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE n? (Circle one) g 7) SIC:,Tt:RE: ??? v? ? DATE: °?C? S ?! R Ail?iRr•JY! i Q lig? i i Ati:riy?;i •/ i t ri?i:i a i a?r?r?rr:,fa in !! r? isFigr ? r F O R C I T Y U S E O N L Y PERMIT u ISSUED FEES: $ gyp, "G SEWER PEn%T_T (I`ICLUDE SURCHARGE) $ <G. S O WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER. TAP (INCLUDE CORPORATION STOP) $ SEWER TAP S /Sl < ACCOUN T DEPOSIT - WATER WAC S SAC S TRUNK WATER ASSESSMENT S TRUNK SEWER ASSESSMENT $ LATERA L BENEFIT/TRUNK SEWER $ LATERA L BENEFIT/TRUNK WATER $ OTHER S TOTAL ? r_c S r a7 0 ?? AMOUNT PAID/RECEIPT 4 s? S / DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: c>c_?df-0 TITLE:.?/f ,? C? DATE: 1iio b riim RR RwRrfw ME= R w R rR Rfo RrRwR win MAN R4W REM WWJFN "Li MEW R WPM Ri PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA094822 Date Issued: 07/07/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 3730 Drexel Ct Lot: 10 Block: 3 Addition: Drexel Heights PID:10-21500-100-03 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Ace Garage Door Companc5 Todd A Kremer 3709 County Road 42 West 3730 Drexel Ct Burnsville MN 55306 Eagan MN 55123--109 (952) 890-728 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 Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink r For Office Use f ~a aPermit 0 7O't~ 5 City o 3830 Pilot Knob Road I Permit Fee: I Eagan MN 55122 I I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 I Staff: L -----------------1 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: Tenant: ~j~ Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: 3; 7-7 Name: ~&*U ~~G~~/~J L ens#: CONTRACTOR Address: City: State: l~L Zip: Phone: Contact: ~/~7/ Email: New Replacement Additional Alteration Demolitiop 1 TYPE OF WORK Description of work: ~~C9 a ~l?o/-/v 11-2 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL l Furnace New Construction _ Interior Improvement PERMIT TYPE -Air Conditioner Install Piping Processed - Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) 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) _ $ 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 14/ x Applicant's Printe ame licant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink r For Office Use I ~i~ /--'7~O~ I City E of Ea ; Permit#. I I~ I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: - - - - - - - - - - - - - 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Y 7 3® Tenant: / Sullte RESIDENT /OWNER Name: ri G Cil kj~ Phone: (J~( `l ~k 6 1 7~ Address /City /Zip: -?730 L e'I~t Name: License CONTRACTOR Address: 0/'//) City: :;6- IG--7 State: X1141 Zip: 5-5- 5~7Z Phone: Contact: Sa% ~~rn Z-✓ Email: sic l j a . Sri/ ~n~l TYPE OF WORK -New /K Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: %c~C~YJ~'- RESIDENTIAL Water Heater Water Softener PERMIT TYPE Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 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 $ 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.-goi)herstateonecall.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 ?f plans. Applicant's Printed Name A icant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK 1nk e r For Office Use • D n I Permit#: City of EaEd I Permit Fee: (U 3830 Pilot Knob Road I Eagan MN 55122 r Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I oa 2012 RESIDENTIAL BUILDING PERMIT APPLICATION S Date: Site Address: O eX-e- re v/' Unit Name: 1 B r~ kj~4 Z°1-27-Cr Phone: RESIDENT / OWNER Address / City / Zip: -a 7 32 , /n0& /i I r1/l rC Applicant is: Owner Contractor 1/ TYPE OF WORK Description of work: i 7-~/9 +°h `read/~z >75vI~rJ~ Ra- wi 0(4~ ~ Gt) i i1.GFO Construction Cost: 41 ~ Multi-Family Building: (Yes / No Company: 1Z~ za / ~/-;767~- YIG. Contact: mph /z_° 2ng CONTRACTOR Address: 7,5- -,7--\T3 S7- City: 4/0'0- 4a re k~,7 State: Zip: Phone: % ~2 ,2 - 3~ 3 License Lead Certificate Iva _7L ' f -2- _2 1,3-7-/ 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 4No If yes, date and address of master plan: J / Licensed Plumber: ~50 [er1,4 kW k-7-I,2 ~J °nQ V/tl/,--.rj,,Phone: to / 2- 276- 01 ° Mechanical Contractor: __50t,-rw /'27r-yoPo ii °L Hr'a77'r; /Phone: U `f~~ J 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.clopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x 0,974 n P x Applicant's Printed Name Applicant's Si nature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES 3-) 3C> Q rC-f _ Foundation Fireplace _ Porch (3-Season) Storm Damage Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* - Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair _ Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation t Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation 4~ 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 T Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee _ Surcharge Plan Review MCES SAC City SAC v) O L) Utility Connection Charge ~ S&W Permit & Surcharge Treatment Plant Copies 7 1,0~ o-~ TOTAL t J OD Page 2 of 3 41,1#' City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 11155/ Permit Fee: Q J 5 Date Received: -3 / 5/13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: H J' 1 Site Address: 3 3 0 Th Unit #: Resident/ Owner Name: o Z. `R.6.M CR- Phone: Address / City / Zip: 3 3o b 0 r=.( (L Cr' - Applicant is: Owner X Contractor T e of Work Yp �1 0 Description of work: N Li")i� 4. ` Construction Cost: t.0,00 Multi -Family Building: (Yes / No ) Contractor Company: .1.'Net PP. \ k--lAmothi'(Y,A,r,1 D S -Contact: -, 0 -')Ark alge Address: 1 k/ 09 I 711 ON) 6-,$ City: 8 j/i,kriv3 j% ill t State: 1\1\i\) Zip: �6 3 3 2 Phone: q -- -" )..01- ,-.9.:5 t,3 License #: IJ C. l03 LC/ 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA has the City of Eagan yes, date and address of ONLY IF CONSTRUCTING A NEW BUILDING issued a permit for a similar plan based on a master plan? master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.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 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 Co days of permit issuance. x ,„,s9/1/6. Applicant's Printed Name st be completed within 180 nt's Signature Page 1 of 3