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
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L -
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LOT BLack S I
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FRoNT'-_PRoPFIZTY ..Lf-NE
-PLOT -4 LAN
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I
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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
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