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4363 Dunrovin Lane CITY of EAGAN BUILDING PERMIT Owner .. ...5. ... 1z-A........../v-.O.e..1.. ...1/1•x............. Address (present) 9-2.7 . ...........' rIal Builder ...................... ......................................................... Address .............................................................................................. DESCRIPTION 3859 3795 Pilot Knob Road Eagan, Minnesota 55122 454.8100 Date.j`,2.1-2Z.._ ............... $toriee To Be Used For Front Depth Heigh! Est. Cos! ermi! F% Remarks - ,nod 6735 7o I ?{ 99,Zoo X25 ? This permit does not authorise 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. THIS PERMIT MUST BE PT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. / J This is to certify, that...y?V2.......dim-B.. J?.................. has permission to erect a._... ... ................. _.._upon an, the above described premise subject to the provisions of all applicable Ordinanus for the Citgadin .......... ...... (.....__f?../..Z.. ........................ --- Per ..'. ?.J .. ... .._................... Mayor Ieu actor CITY OF EAGAN Addition !I&emu State Fagg, MN 55123 10 84353 080 05 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 1971 $16-4-96 $8.16 20 v? 3 7k- SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA P-%4ti with water r-ebnupr-tion 1/76 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 2546 3-24-76 BUILDING PER. SAC $450.00 2546 - - PARK p? CITY USE ONLY PERMIT #:? RECEIPT DATE: 2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION crrY OF Emm 3830 PILOT KNOB RD KAGM MK 5512E 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 1 1- ? -(''1 L SITE ADDRESS: Li 3 6"') ?D S?2 ti t2 O v i ,..N V?n ?j C OWNER NAME: (milIL(QL-AN1? tvc)?, TELEPHONE #: 6 SI 115 Z- '-f37Z INSTALLER NAME: TELEPHONE #: r STREET ADDRESS: 1815 F'aSt 4181ASVee , S'Ite A. CITY: (812) 724-1899 STATE: I P: Qv 0 CULL Place a check mark next to the permit work type Add-on, modification or alteration to existing dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other L Nature of work: _?, L P u c- c.. t cI, r c c- a A- / c?D O ATV. 6NNOX $(7`O 88, cN X F4bY.A o3? Z•?or-+ t5 5c.c--z -A-c State Surcharge $ .50 TOtal $ . 5 a G*e ? SI ATURE FPERMITTEE 1/02 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2008 COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF KAGM 3930 PILOT KNOB RD KAGM, MN 55122 651-691-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank' Processed Piping Specify Nature of Work When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = mumnum fee Contract price: $ x 1% = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL S SIGNATURE OF PERMITTEE Updated 1/02 RESIDENTIAL BUILDING PERMIT APPLICATION 5 3 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 / 851-681-4675 New Construction Reaulremente RemodeyReoalr Reoulremems 3 registered site surveys showing sq. ft. of K sq. ft. of house; and #I roofed areas • 2 copies of plan (20%mvtlmumlot coverage allowed) • Iset of Energy Calculations for heated additions 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for etledor additions & decks 1 set of Energy Calculations • Indicate r home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bogs with 3 or less units) DATE VALUATION C ?33, 85 x/3(3 u AJ (2 uu r 1J L ?J MULTI-FAMILY BLDG - Y 1-`1N o P "PC-0arr_ FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT C(r&evtCQrJ'u-l4Llf9 CaAS(/'acTaVr STREET ADDRESS 192-'Q Nwcl(1,0114"e CffY60"llf" STATE A!LP-- ZIP 6V'--3 TELEPHONE # 961-907•D' CELL PHONE FAX # 1`4-' M-L T,YJ'tVl PROPERTY OWNER ? Sai/? `tllGlC?a?slo/ TELEPHONE# ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR •%NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category I Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Fee: $90.00 1E SEP 12, 2002 !1' Ll ,J Phone # By I 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 Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 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-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storrs Damage ? 06 04-plex ? 12 12-plex Plbgyour_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. 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 _ Fireplace _ R.I. _ Air Test - Final _ _ _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN CJ + ?- I 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft of house: and all roofed areas (20`yo maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes, poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after MW • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE TYPE OF FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS IS-:=- a1S = AU?W- N. CITY?14 ? STATE n\1i 3 TELEPHONE # 3-tg3•145 I4OCxELL PHONE # FAX # PROPERTY OWNER 1, tY kQ_f\dQ r TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNt SOTA RULES 7670 C:VITGORY 1 _ NIINNF.SCYl'_A RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Suba • Energy Envelope Calculations Submitted „r, I Plumbing Contractor: ---- _____------ ------------- Phonc Plumbing system includes: Water Softener _ Iawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths By_ Mechanical Contractor: mech>utical System includes: Sewer/Water Contractor: RemodellRepair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for extenor additions & decks • Indicate if home served by septic system for additions VALUATION 4,?5 T 3 Air Conditioning Heat Recover' System Phone # Phone # Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the i ormation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or Inances. Signature of Applicant --------- - ---- - ----- - -------------------------------- - ----------------- - - ------- - ---------------- - ------------------------------------------- - - ----- - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 SITE ADDRESS LA-6 03 Dt?.V1?AV.(V ?ati$ MULTI-FAMILY BLDG _Y X? N IbFME USE ONLY ? 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-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or- N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 • Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water' SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbrr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.0 - Footings (deck) FinalNo C.O. - Footings (addition) _ _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ lee & Water _ Final - Pool _ Figs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone Fireplace - R.I. -Air Test - Final - Windows (new/replacement) Insulation - Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total Pella Windows & Doors - Twin Cities, Inc. June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: - ?Wd9C l C ARP auli pOAIMs 15300 25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 763/745-1400 WATS 1-800462-5359 PAX 763r745-,1401 Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors - Twin Cities, Inc. Please allow their representative to provide that service for us in Eagan. This authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. 1 request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, 1 can be contacted at 763-745-1432. Your iimnediate attention to this matter is appreciated. cerely, --• iEnEW? Bryan . May Replacement Sales Manager ?yaeNSUOn6m?bs fAWOs cc: Kara -Elder Jones Q Ct/e {"" " Deana KraBy - Replacement Sales Process Coordinator Windows, Doors, & Skylights 7AAR OVTTT' VTIIT- UJ b]bT Cbl VTO V a !T]CT TWa TOlOO/On "TTY O '-A{,AN CASHIER: IS TERMINAL NQ 731) DAGg 10/it/99 "Mu 09:09:15 EE „ ' NAv'_g PERK= I-OK: DESIV 010 0001 L363 CtIr,.TUVIN L C121- 2155 9001 403 DJNTIVIN ' 1.5., 1 I TvLU Kzoipi Ano nV 6C 7° C007957 HSTR ED. WAN }Y't;>F?:;it„>,:);S}SM's;9i:ld:t:.tid Nkdt?ri>tn 6'/7iTM}/r:h",#Y::j`}I'7nM"f.;{7k 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF 3830 PILOT KNOB RDN 55122 L 0 -? 5 651.681-4675 C? 1 G - . Q I New Construction Reauiremenh Remodel/Repair Reauiremenls D 3 registered site surveys showing sq. H. of lot, sq. H. of house 2 copies of plan and g)I roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions a 2 copies of plans (show beam a window sizes; poured fnd. design; etc.) 1 site survey for exterior additions a decks D 1 set of energy calculations D 3 copies of tree preservation plan C lot platted after 7/1/93 DATE:. /a °S:?Z DESCRIPTION OF I STREET ADDRESS: CONSTRUCTION COST: 1 :2,7-S-0 LOi:-?a- BLOCK: E?_ SUBD./P.LD. #: PROPERTY OWNER CONTRACTOR ARCHIT ECT/ ENGINEER Name: 6-Ale } W IC,)c (p of e c Phone #: 6S7 c/S'-2 q-`?-73 Last First Street Address• 4363 T)Urr ,CcThf5J LdZA City EFCTf4f ?' State: m h • Zip: 5S/2 Z Company: f G ? / 4 mF ?_ s ?9eJ Phone le/2 ?'V9'Cr/"7 ? (area code) Street Address: 2-16) 42?177 )/r? CF.2 /Ua27ri Ucense # Exp. City d?o?S?„ ??? : State: .W al Zip: S'g01 h Company: Sh-i-*r- /PZ i?rE? Name: Telephone #: area code ( ) Street City State: Sewer & water licensed plumber (required for new construction only Penalty applies when address change and lot change Is requested once permit Is issued. Zip: thereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Yes No Yes No Not Required Registration #: I. - V OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex R, 18 Deck ? 23 Porch (screened) ? 04 2-plex . ? 09 7-plex ? 14 Apartments J ?? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Tenant Impr ? 39 Move Bldg. ? 40 Demolish Bldg.* ? 41 Demolish (Interior) ? 42 * Give PCA handout to appl Gas Line Only ? 43 Siding/Soffits/Fascia Gas Insert ? 44 Windows/Doors Wood Stove ? 45 Fire Repair Reroof cant for demolition permit Const. (Actual) Basement sq. ft. Census Code L (Allowable) Main level sq. ft. SAC Code G' I UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs f? # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MC/ES SAC , City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ? i 1 i v No??c E T. i ?P?e ry LINE t. TY Q • w I L - 1 - r Q 1 W i ?1 ?76 -3 Puvket IN Z4AJ.i-7 LOT BLack S I b FRoNT'-_PRoPFIZTY ..Lf-NE -PLOT -4 LAN I? I ?i a DI I , ??E.e rv LINE DI t?E/1i2 ARoOERTY LNE LZ D avcE )/?4 I k? 3 .5- W xw.?,a AnaA&J4 ?u zkj 3 b6ewp-oo, y3? LOT 13Lack s I row- ?-? rRon1T_?RcsPF_fZTY._ LING ?I -PLOT PLNN Cities Digital ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. TMERIOR ENVELOPE SPACE "U" COMPUTATION (To be submitted with building permit application) One a o, dwelling Owner All other Site Address @,.?,!_?1, rt ; f , ?. Contractor 'ft _.c r•-? - Date Phone LINEAL FT. OF EXPOSED WALL Llj- t?-Lt L t + y_zfft, above grade- 4, j d 4.:J TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: "U" value X area f: '' `ffun n- z sq. ft. (U) null x sq. ft. (U) (? Detail reference fruit x sq. ft. (U) (A from {i.,. nun ,, x sq. ft, a; t 4; (U) 0 attached sheets fruit Z eq. ft, (U) 0 fruit x sqo ft. (U) 0 "u,, Z sq. ft. (D) 0 WINDOWS : "U" VALUE X titea ft. ft. ft. ft. ft, ft. ft. !fake & type ??.?? . t r d ,, "d, 'Uff -r z sq. ft. 1 z r J7, 4 . (U) 1 ,f ft 2'.? • ?+ tai d r-• .c?F.v.; fluff sq. ft. ? ? ..? ? "' '• ? ) (? "D" .-n Z sq. ft. ?,. r . r4 A (U) 0 E= f "U" ''i'w x sq. ft. f. <q (U) a DOORS: "U" value ! area take & type ,: ?: , ; • _? , fluff := z eq. ft. (U) (A w to .J.: fluff z sq. ft. `" - (ti) (i p to flu" x sq, ft. (U) (A trust o``o:-•, Z sq. ft. ZL._? (U) Q TOTAL (U) (A) VALUES k (f^ f 1 C TOTALS FS.`S Cv . sq. ft. ? '. , , `•_+ (U)1 DIVIDED BY TOTAL WALL AREA AVG. ' • fU" AVERAGE 'b" .17 or less for 1 & 2 family dwellings .22 or lees for all other buildings HOO MEMING: TOTAL AREA: sq ft. Detail reference "U'f ,.r")''•rx sq. ft, a=. ,:.. (U) (A from 'fu'f x sq. ft. (U) (? attached sheets "U" x sq. ft, (U) (A Describe openings "u" x sq. ft, (II) (A in roof v" x sq, ft. (U) (A TOTAL (U) (A) VALUES ?? a; 1 1•. - TOTALS sq. ft. (U) (A DIVIDED BY TOTAL ROOF/ r W> ', OEILING AREA = -1 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. AVERAGE "U" ,05 for ventialAted roofs .10 for all other construction ROOF/CEILING: R- value 2. >v 5. i .. 6. 14 P CONSTRUCTION FRAMING: R- value 1, 3. 4?p' NOTE: If average "U" values as calculated above do not meet the Energy Code requirements, the "Alternate Envelope Design" as outlined in SEC 6006 (g) may be used. Additional sheets may be used to show calculations. fl MASTER CARD LOCATION ER STRUCTURE AND 4.3 f;% - A./. _ Permit No Issued Issued To Contractor Owner BUILDING - _! PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date - Remarks Distance From Well FOOTING tt SEPTIC FOUNDATION CESSPOOL FRAMING FINAL ELECTRICAL yy-x TILE FIELD FT. HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER •( Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED REINSPECTION DATE OF REINSPECTION CE RTIF I CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED DATE s. q3 g o3 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675' FAX # 651-675-5694 New Construction Requirements 3 registered she surveys showing sq. ft of lot sq. fl. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan Slot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation forth Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate R on-sde septic system OHlce°iTs6`Onl`v Celt ofSui3':l' _,N -,?^- Tree,PMPla,r r Recdr,' 6?,_Y;= "ly tt hie 4v' ?,,. _?TMT,.^ h3,N Tree P'res}?egu_-uad;?,--.w... =1 ?.-._, . N Onsit_e'Septic SystemX"-, Date S l -2 G l Construction Cost as (,(J Site Address 411 F?U7 h U h ?VI Unit/Ste # Description of Work Kr CZl? f/1 ly ly l rya Multi-Family Bldg - Y Y N Fireplace(s) - 0 A l - 2 Property Owner kls ry ., -t-.Sara I, %Ck(C h r Telephone # (651 )4LA 37 Contractor 3ar- at, Address city ?R !,I in State S / Telephone # (/rsl) X5.1 -? 7 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 in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: ?l (' ! l h I I'I Licensed Plumber Telephone # Mechanical Contractor it JUN 0 5 00 Telephone #( JI Sewer/Water Contractor I•>. _ I Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 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. Sa ina,A J, 1 A &k 1 t ndtoz- A? a Applicant's Printed name Applicant's Si ure DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition * 33 Alteration ? 34 Replacement ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 MultiMisc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation U l9 O Occupancy MCES System Plan Review 100% or- 25% Census Code L11 S Y Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width - Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. -Air Test -Final Insulation Approved By: REQUIRED INSPECTIONS Sheetrock Final/C.O. Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 00M 5 U-? 4-S 7 rY?, J/ 0o, C 13q 4 0 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 6D 1 21 I _ Site Street Address 413(03 Dun20ueyt Unit# S•xm zr UJ cku).y-,A P.r Telephone # (f?jt) r/SZ 4 72 Property Owner ,n Contractor C`?YUL?in.?LrP U P/ t)w1?LvsD? Telephone # (6SI ) Address city ? aNy) State MPJ Zip Z?V1?3 The Applicant is: - Owner Contractor -Other New _ Refurbished Submit 2 sets of plans and MPC license Septic System Ifee - 00.00 Per as-built 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or wate heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. -Septic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) Other: 'h ,-Ven as t t 'fir _ Water Softener -Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ -5-0 I hereby apply for a Residential Plumbing Permit and acKnowieage tear the mformauon is uumpicrc and ac;cuia,o, Ma, <,,_ work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. r Applicant's Printed Name Applgnature OCT-2-2008 12:47P FROM: TO:6516755694 P:212 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 I Permit: ?C'(?/55r3 Permit Fee:"/(/' V y 7 1 Date Received; I I SWIf: -----Lr-?- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: wl0 Site Address: Tenant: Suite 0: 2Aw Ph &2 - ;&Z RESIDENT / OWNER - one: Name: Address / City 1 Zip: - ya Applicant is: Owner Contractor _ °' mot 11 ? TYPE OF WORK 14.*1_ , Description of work; Construction Cost: ?/V Multi. Family Building: (Yes.__INo -2(j CONTRACTOR Name: _ Kline Corp. _ License ft- S DEN Practicat R o Address oad .-- Oak 43428 Shady 55343 city: _ Hopkins. MN State: _ Zip: .,,_ 952-933-1868n ? Phone:_ uontact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 Minnesota Rules 7670 Category 1 _ Energy Code • Residerim Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted N submission type) • Energy Envelope Cak ulaoons 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 8 Water Contractor Phone: NOM Plants andStyPpertirpg,docwnents"t[rattYousubmifareconsideredtobeptWiG'ieftn afion_ podFo"tic Vi e fnformatyon maybe classlfled, ss nompubflc N you provide spectift reasons "Ebel wo+dd peir:Mlf.t" CRYto' •'. - `'- - a6rrchide that ffievare Trade secrets: I hereby acknowledge that this information is complete and accurate: that the work win oe in conformance with the otdnances and codes of the Oty of Eagan, that I urxfnrstand the is not a Pormlt, but only an application for a permit, and work is not to start without a pomlit; that the vnxk Will be in accor rnm approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Appli t SI re Page 1 of 3 - ---------------- Fgr6Nice1;s6 8 73 3? j Permit #: I ?I I Pernik Fee: 9?, I I I l/-7 I I Date Received: I I I Staff: i I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: IJQ V - -7- 0 9 Site Address: `f Lk 3 DU ,..Q 120 /?n>4 ?Enf A,J M r0 SS 123 Tenant: DERRY Wic 'I AabEfZ Suite #: 2 Phone: (651) y52- -V3LZ ) KE L , RESIDENT/OWNER 1cy Name: o2?Y („ )1lr Ar_ Address/City/Zip: 43 (a _ lDL4 -;,I,oS ?LNEaR ,Afo IM1? ??IZ-j Applicant is: -Owner -OLContractor TYPE OF WORK Description of work: AR 0 fl_ 511,oty I l rJ ?/ 5_ t 0 NOnS? Construction Cost: 93 11 o o Multi-Family Building: (Yes No T CONTRACTOR Name: TNc Cn STKC GTI O^? License #: Address: Z3 MCCc.FI LA,_[) 5T N. State: M N Zip: J J f 5T- PA City: &% Phonel (o 5-1) 7 ?- Z0392- Contact Person: --5-r,1'1 r`-) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 _ Energy Code . Residential Ventilation Category I Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of . the information maybe classified as non-public if you provide specific reasons ttiat would permit the City to conclude that the are trade secrets: I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ?o' (1rz, l /?IZIA,J x \If?? Applicant's Printed Name Appp?cant's Sign re Page 1 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA073522 Eagan, MN 55122 . Date Issued: 05/26/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4363 Dunrovin Lane Lot: 8 Block: 5 Addition: Wilderness Run 4th PID 10-84353-080-05 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: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 11201 80th Street Suite 211 Bloomington, MN 55420 952-345-6047 sarah@elderjone s.com Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Surcharge - Based on Valuation $2K $1.00 9001.2195 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Pella Windows & Doors Turnkey Sales Kerry Wicklander 15300 25th Ave N #100 4363 Dunrovin Lane Plymouth MN 55447 Eagan MN 55123 (763) 745-1400 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: EA087030 Eagan, MN 55122 . Date Issued: 10/22/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4363 Dunrovin Lane Lot: 8 Block: 5 Addition: Wilderness Run 4th PID 10-84353-080-05 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: Pella Windows & Doors Turnkey Sales Kerry Wicklander 15300 25th Ave N #100 4363 Dunrovin Lane Plymouth MN 55447 Eagan MN 55123 (763) 745-1400 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 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use r I Permit City of Eap I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Z" I Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L -----------------I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 4?) ak v1 f'`b uLn ( 4kl 'C Tenant: i~ ff Suite RESIDENT / OWNER Name: k-t-te']< I.G~~t( Crr` Phone: Address / City / Zip: Name: ( kmte-de'lc w," License 15 ' CONTRACTOR Address: c !%I )2 ~2 k ~U t14 t~cl~P City: State: Zip: Phone: fr~(e 6!2(i 1 ~ Contact:/ C Email: New -K Replacement -Repair -Rebuild -ModitySpace -Work in R.O.W. I TYPE OF WORK - Description of work: RESIDENTIAL Water Heater Water Softener PERMIT TYPE Lawn Irrigation RPZ / - PVB) Add Plumbing Fixtures Main / -Lower Level) Septic System I _ 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 $ 6,n 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 ;Cat C Yk ,r L4` L-4 -n x JO 't, Applicant's Prin ed Name Ap nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final AGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By:Q D Misc. Charges: Date of In Total: Insp.: cy~r Date Paid: VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to compI wh Village of Eagan Surcharge: Ordinances. ~ Misc. Charges: By , - 3a l j ~ Total: Date of Insp.: Date Paid: - Insp.: Use BLUE or BLACK Ink F----------------~ For Office Use City of Ea Permit ~3 I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: p) (Ctmac( 'C_ Phone: i Resident/ Owner Address / City / Zip: D o Y) Ca Applicant is: Owner Contractor Type of Work - Description of work: r 7 b n, Construction Cost: ` d cyV Multi-Family Building: (Yes / No x ) Company: C~p K U✓\_ 5--~qontact: kVy L Contractor Address: /JS-a7 E IA- ke 1 t4"yf_ 51 City: 0- 1 va V-\ C-) State: MVJ Zip: ~~'S3a 8' Phone: G ~a -ao-?O^ 37 License #:e PE~23 c Lead Certificate #~3~'"yS-~~-t t . 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: .......e ~a, _ . . 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. LI - 1111.1-1" 11 11 1 - 111-1--1--_"-__-- . I I ' 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.popherstateonecall.orp 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 S e B ilding Code mu be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink 1 For Office Use L� City T1Permft# 3 ofEaQali Permit Fee: (00o, 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651)675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /— //'��7 Site Address: 4''3 63 4 OV" Tenant: / Suite#: Resident/Omer Name: Q� ®) Li/i e�`/ �/( Phone: 1 S/ VY Address!City/Zip: 9/`� � 7 (lie)v1 � Name: 3DC'_v4c4� Pk O/44191A,S Z+►C. License#: 4)C..6(7 33 C Contractor Address: (C 1 LID t>e City: $ b( Lh k -c State:J114 Zip: S 5 7 7 2— Phone: '152-- 44C/0 -- /71-2— Contact: Sere— Email: bOC--t/c.A. d t I"eS • A C. Type of Work —New • -cement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of a /vela -7-01.4,/, ,4414/ �'OYc�, �c�w d�.At ! /X RESIDENTIAL Water Heater Water Softener Lawn Irrigation L_RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main!_ Lower Level) Septic System New Water Tumaround 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 3!4"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. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 stag 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. xgOt--- x lL---- Applicant's Printed Name A licant's Signature FOR OFFICE USE Reviewed By Date: Required inspections: Under Ground Rough to _Air Test ,1 Gas Test. Flnal Meter Related Items: Meter Size Radio Read Manometer Sof 411,11 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 #: 1 1 1. L) Lp Permit Fee: 1 )-74. t0 7 Date Received: • 1. 1 (C5 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Feb 7, 2017 site address: 4363 Dunrovin Lane Unit #: Resident) Owner Name: Kerry & Sarah Wicklander Address / City / Zip: 4363 Dunrovin Lane Applicant is: Owner X Contractor Phone: 651-494-2614 Type of Work Description of work: Remodel Master Bath Construction Cost: 10,000 Multi -Family Building: (Yes / No X ) Contractor Company: Country Creek Builders Inc Contact: Dan Drenckhahn Address: 23885 Beard AveCity: Lakeville State: MN Zip: 55044 Phone: 952-484-9812 Email: Dan@countrycreekbuilders.com License #: BC636393 Lead Certificate #: NATOF109138-1 If the project is exempt from lead certification, please explain why: Remove all sheet rock, new sheet rock. new plumbing fixures (same location) Tile shower 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 X No If yes, date and address of master plan: Licensed Plumber: BoeVaag Plumbing Phone: 612-270-6872 Mechanical Contractor: Sewer & Water Contractor: Fire Suppression 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 t 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.qooherstateonecall.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 Code must be completed within 180 days of permit issuance. xDan Drenckhahn Applicant's Printed Name A • I' ant's Signature Page 1 of 3 A DO NOT WRITE BELOW THIS LINE igio?-40 SUB TYPES Foundation Fireplace I` Single Family Garage Multi Deck 01 of Plex Lower Level WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% !/ ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill — Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eaaall 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 7 For Office Use Permit #: Permit Fee: Date Received: Staff: Us 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7- 7—/7 Site Address: 93 63 Tenant: 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 Numbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Tumaround (add $280.00 if a 3/4" meter Is required) $115.00 Septic System New (includes County fee and State Surcharge) J / Phone: Suite #: Name: Mee/Py -� _ra?4, �J 4""t"""'Phone: G � �/� / 9-Z6/ Address / City / Zip: 9,1 Name: ktfto pltMbtri' ,lc _ License #: pc (/ 33/5 Address: po bad / 251 City: ?Ct 4 ( Ct,1 C . State: (i4 Zip: s537 2- Phone: 4YZZ 5/tld � 3 7' Contact: ,, &t... Email: New »eplacement Repair Rebuild Modify Space Work In R.O.W. Description of work: /44// ,S.rC. /C5 j//9ef� RESIDENTIAL Water Heater Lawn Irrigation (, RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (. Main / Lower Level) Water Turnaround TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali 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.gopherstateonecail.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 penult; that the work will be In accordance with the approved plan In the case of work which requires a review and approval of plans. Applicant's Printed Name 'OFFICEU ica t'a Signature EOR