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4305 Eagle Crest Dr Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use I _ v Permit#: City of Ear I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Zd IC' Site Address: x/-30 5 G~ 6e-S- L-C Tenant: Suite RESIDENT/OWNER Name: PAK ( $ Ant ~ra s~as Phone: 497-Z4(-7 33 7Q Address/ City/ Zip: ` a) ~cs~ D Applicant is: _X_ Owner Contractor TYPE OF WORK Description of work: F~er~oo-c If ~CGI~ k~~ KCp L-,,, &C Construction CoJ kk Multi-Family Building: (Yes / No ) CONTRACTOR Name: N to License M Address: City: State: Zip: Phone: Contact: Email: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 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 of plans. x c ym_. vS x 1A AN, Applicant's Printed Name App ' n s Signature Page 1 of 2 q-306 G~ DO NOT WRITE BELOW THIS LINE I SUB TYPES _ 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 C7 Occupancy rhl& MCES System Plan Review Code Edition Owk,,~ 2007 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) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Cl Final? No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC l Utility Connection Charge / S C-) S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 C. ft. 6NDEN & ASSOCIATES, INC. C LAND SURVEYORS td 643-3646 1301- RUSTIS ST., ST. PAULO l~atlc N. 05108 FOR: GRAND OAKS DEVELOPMENT C'1 NOTE o Denotes Wooden Stake Scale: 10-30' Proposed Garage Floor E1. =9/7D a Denotes Iron (914.7) Denotes Proposed Monument Finished Ground El. Bearings Are Assumed Denotes Direction of Surface Drainage Vertical Datum - N.G.V.D. 1929 R ~ « 912.4 E.~ x 0 w th T 1O preps s a d I House- n o a i u ~ a r' 1` r I 4r~ I© C\i to t~\ ~JrN 6730' 23" VV 3 Lot 151 Block 2 r SUN CLIFF FOURTH ADDITION, Dakota County, Minnesota. WE HERESY CERTIFY THAT THIS IS A TRUE AND COMtICT REI3RESEWATION OF A SURVEY OF THE DOUNDARIES OF THE IAND A3OVj D SCRIIIfiD AND OF THE tOCAT101'4 OF ALL OUIZDINGS, If ANY, THEREON, AND ALL ` ISIALE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND 4 C. R. W NDEN I ASSOCIATES, INC. survey r, him*as®to 106istraliem No -272,6- CITY OF EAGAN Addition SM 121-1FR R211RZ4 Lot 15 Blk 2 Parcel 1?^7 ?S158 X12 ? Owner Street 4?0 Eagle Crest Drive State -Eagan, MN 5122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 19 5 303.92 20.2 15 f3 '6'(e e7 - -2 STREETRESTOR. le,3? 1986 1622.20 324.44 5 - (j /u i7-8? GRADING D 3 1986 502.58 100.52 5 50a.5k 0- /0 95-;)L --P SAN SEW TRUNK 1970 .52 .70 25 /.5, ,3 .2 (,-/096.1/ - SEWER LATERAL i2b5 218.5b ,'7 ?? L Y. ? ? 198 582.46 116.49 ±±5 - $a, y -1095a JD -7 AY WATERMAIN 1985 57.95 3.87 15 6-1. o WATER LATERAL . WATER AREA --1773- 58-78 3.93 15 s C'- / o o- ar 5 1971 185.27 •27 0 !f lo. 3 7 STORM SEW TRK ?Aq 1985 .03 6.41 5 Az & 3 STORM SEW LAT 1985 78-08 5.20 15 a, Py- 1986 739.56 147.91 5 9"5-4 0-/6 A ./0-/ 7 - CURB & GUTTER SIDEWALK STREET LIGHT /03 529.15 105.83 5 / -/O `/ U-/ - 715 Road Unit 280.00 1 7/10/85 WATER CONN. 500.00 IT BUILDING PER. 10533 it SAC S95 on n n PARK CASH RECEIPT CITY OF EAGAN _ P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 R<CKI V KD -r - FROM AMOUNT $ _ do DOLLARS 100 ? CASH ? CHECK FOR".. - .-'FUND CODE AJAOUNT Thank You '' 'rr a3 f {` Ai t y , l White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt PLUMBING PERMIT CITY OF EAGAN Permit No. Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date i 2. Installation Cost st 3. Job Address ! Lot ` Blk. ? Tract 4. Owner , l 5. Contractor Phone 6. Address . 7. City ,r _f State zip ` - 1 8. Building Type: Residential] Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures ool /Draintield Cess Bath tubs p Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Drinking Ftn. t Slop Sink 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 : i/.ti, =T- for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee - i _ L ' f!// In nw»bernd staacw $/C Type or PNnt ft&V Tot. - 1 1. Data 2. Installation Cost 3, Job Addres:l ?t` s ` Lot BIk. Tract 4. Owner _%f` i i 5. Contractor 1 i.->+ ; i? {'r Phone 8. Address 7. City 1 11 I i state i I P? Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: Now, El Add ? Alter ? Repair ? 10. Describe f' Fuel Type j,_ i 1 11. NNo I Equipment BTU - M. Ea. Forced Air No. Equipment CFM Will. Air Handling: Boiler 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 odes 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 4648100 BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 To be used for - DViC?,?"GA, Est. Value Site Address Lot = ' Block Sec/Sub. t' Parcel No. at Name Address City Phone _ Name Address City Phone _ GW Name ?W Address V O 3 Z. City Phone _ I hereby acknowledge that I have read this application and state the information Is correct and agree to comply with all applies State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittm A Building Permit Is issued to: all work shall be done in occo?donce with all Building Official State Receipt Erect U Remodel ? Repair ? Addition ? Move ? Demolish ? Int Imps ? 10533 Occupancy Zoning Type of Const. No. Stories Length Depth Sq. Ft Assessment Permit 1 • y V Water b Sew. Surcharge E 'j o Police Plan Review Fire i SAC Eng. Water Conn. Planner Water Meter Council Road Unit j Bldg. Off. Tr. PI. APC Parks Var. Date ies Co p Total on the express condition that inesota Statutes and City of Eagan Ordinances. Permit No. Parmh Holder Data Telephone Plumbing ` 1 / Lt, s HNA.C. C r/a 5 = ? / L Electric Softener Inspection Date Insp. Other Footings 1 7 Footings 11 Foundation Framing Roofing Rough Plbg. y Rough Htg. / ; 3s' ?/ r r S vc .?A Insul. Fireplace Final Htg. h Final Plbg. ?,2* Final Cert/Occ. 12, A Water Describe Location: Well Sewer Pr. Dlsp. CITY OF EAGAN 3830 Pilot Knob Road V. O. Box 21199 Eagan, MN 55121 Zoning: Owner: Address: Site Address: %l `?_'S , • L IS Plurnber: t . , ~i I amme to eserply with the CRY of Iowa Ordirroeees. By Dote of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Connection Charge: Account Deposit: Pam* Fee: Surcharge: _ Misc. Charges: _ Total: _ Data Paid: WATER SERVICE PERMIT Pilot Knob Road Box 21199 PERMIT NO.: 1, MN 55121 DATE: 0: No, of Units: Address: No.: No.. !e eaoply with the City of BMW. Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Chorgas: Total: By Date of Insp.: Daft Paid: CITY OF E' GAN 383C^ilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO : Eagan, MN `55121 . DATE: Zoning: Owner: Aar1d 75-11-S No No. of Units: Address: Site Address: ? , zrn^ l i f f lumber: Meter No.: ?: ri /d t Si Si - Connection Charge: o 0.0 -Do - ar ze: ze: Account Deposit: 1 5.0 : t Reader No.. -/ ,:Aemnit Fee: 1 ogrsa to eoarply with the City of Eeame 4*.11 r.- By _ Date CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILCING PERMIT PHONE: 454.8100 Receipt # _ Site Address 4305 EAGLE CREST DR Lot 15 Biock 2 S c/Sub. SUN CLIFF 4TH Parcel No. 5 Name GRAND OAKS DEVELOP CO Address 1881 SUNRISE CT City EAGAN Phone 452-8934 ff Name SAME Address City Phone Name 13 Address <W City Phone I hereby acknowledge that I have mod this application and state that the information is correct and agree to comply with all applicable State of Minnesota S tutee and Ci of Eagan Or irwnces. Signature of Permi ' A Building Permit is issued to: GRAND OA DEV all work sholl be done in accoklonall with all a b ao Building Official 000 No X053 53s%s Erect ® Occupancy R3 Remodel ? Zoning R1 Repair ? Type of Const. V Addition ? No. Stories Move ? Length 46 Demolish ? Depth 40 Int Impr. ? Sq. Ft. Instal O Apyruvofs Faas Assessment Permit 301.50 Water S Sew. Surcharge 28.00 Police Plan Review 150.50 Fire SAC 525.00 Eng. Water Conn. 500.00 Planner Water Meter 63.00 Council Road Unit 280.00 Bldg.Off. 7/9/85 Tr. Pi. 132.00 APC Parks Var. Date Copies Total r 979.50 CO an the express condition liner ;40oQo Statutes and City of Eagan Ordinonces. This request void ?6?1.1,5'zqa, ?AA? Ala. use RegdBst Oa %C 7 J 'Fire No. Ro -fnslwciion urred? , ' ?geatlv NowXl Wiil Notify Insnec- ///??? for When Read Yes ?No y Licensed Electrical Contractor y 1 hereby oast inspection of above Owner electrica Lework installed at: Street Address, Be. or Route No. City r7? / '? rl D f Section T,Io. Township Nqjeo or No. Range No. County 6 Oc anI (PRINT) ?K'sw C'/ 0,1-4 Phone No. 9?j 1) Y %3 Power Supplier q D Address E A k `emu c Elect - I Contra [or t o M N I Contractor* s License No_ Mailing Address (Contractor or Orvrrer Making Instailation) Ig s - Authorized Signator (Contractor fO. r Making Imullation) Pho? Number MINNESOTA STA7E.J1D RD OF ELECTRICITY THIS INSPECTION BEQUEST WILL NOT iaQrigga-Midway Bld§ Ibvn N•791 OY// BE ACCEPTED BY THE STATE BOARD 821 University Ave.. SL Paul. MN 591 UNLESS fYIOPFA INSPECTION FEE IS hone 4612129721111 ENCLOSED. U ttEQUEST FOR ELECTRICAL INSPECTION E]31-00001 -04 See inst.tions.for completing this form on hack of yellow copy. q5 JH Q -56 -,x-- Relow Work covered by This Request dd Rep. Tvoe of Bui Wino Atmtianem Wired Equipment Wired 1 Water Heater S fee Service Entrance Siza tl Foe Feeders?SUbfeeders S FQ Circuits 0to 200 Alp, 010 30A 2z 0to 30Amps Above 200 Am 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Arnps Above 100___AnIps Transtonlters lirigation Booms 6a 'Other Fee, ' Signs Special Inspection 'S TOTAL FFX / Rertarks Rough-in / Date //(,, dre Elechiral hereby cart' ty /y [hat the above that Final ?te ,_ pection h.. been "_/7r "l7L made. TINS request void IS Months from o• 301-00+ 28-00+ 150.50+ 525.00+ 500.00+ 63-00+ 280.00+ 132-00+ 1 r 979.50 * 5,P - ?- pil 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN j3 3 3 INCLUDE 2 SETS OF PLANS l 3 CERTIFICATES OF SURVEY 1`S,ET OF ENERGY CALCULATIONS To Be Used For: ?Valuation: 1l U Date: Site Address: tz,OFFICE USE ONLY Lot: Block Sect/Sub rE ect Occupancy R-3 Remodel Zoning -I Parcel # Repair Type of Const -ST A n Enlarge # of Stories Owner A le Move Length 4<1 Demolish Depth 40 Address Grade Sq Ft City/Zip Code Phone Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # APPROVALS Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council d Unit Bldg Off Parks APC Treatment Pl Variance TOTAL 30l I. °-° 150. 5Z5. a 500. °? 2 8v. "-° ?j ,L e ?' S V b? , • L ' p EXTERIOR ENVELOPE AVERAGE COMPUTATION GRAND OAKS DEVELOPMENT COMPANY MODEL N2 AREA U U X AREA REQUIRED 1. TOTAL WALL AREA 1600 X .11 176 2. TOTAL ROOF AREA 924 X.026 24.024 ACHIEVED AREA U U X AREA A. WINDOW AREA 123.77 .}S 41.CMO B. DOOR AREA 39.8 .077 3.0646 C. SLIDE GLASS AREA 13.44 .48 6.4512 D. FIREPLACE AREA. 0 0 0 E. WALL FRAME AREA 160 .041 6.56 F. NET WALL AREA 1070.99 .049 52.47851 0. Rim JOIST ,SSA 106.24 .043G 4.63-'A?04 H. FOUND WINDOW AREA O 0 0 1. FOUND ABOVE GRADE 85.76 .135 11.5776 . 3. TOTAL WALL AREA 1600 146.6490 J. SKYLITE 0 O O K. ROOF FRAME 92.4 .032 2.9568 L. NET ROOF AREA 831.6 .025 20.79 4. TOTAL ROOF AREA 924 23.7468 SUM 1.+2. 200.024 SUM 3.+4. 170.3958 i 36 6 ``.? i 2/84 X? j CITY OF EAGAN EE ?iti1 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP= ADDRESS: 1-6d s ? O ?; / q r?i L rc r, r? e ®® LEG.=,L DErsi.IPTICV: t a 5 U7 `o c S clf i r??" 2{rh _ . (Lvt/Block/SL;aivisicn or Tat Parcel I.D- NL.-.-er) IF E;;IS=-.G ST'auc^ 7z' DAi_. OF CZTGML L `UIT=L"G : ?; T ZSS ?\C PPES=._ ^.:i.cyP?OFOS^? USE: 10 P-1 SL``-.v.-" i.:. -'. ? R-2 CL^r-.i (T,iO L^IZTS) ? R-3 TCi•HMSE (T%=- L'•I-:.c) I T?II"SJ + ? R-4 ti .^T r/CC:?t.lr lr-r. ( L'.% s Or _ icz ? ZNC::Si^tiZ:.L ? =STI7=1Z?.: L?i,i C-iv'-'??1•tt'??n 2) P?PL j (PLEAT E PRiUi) NA-IE: V r??_1 d 6 CG S ACDRESS: 50A Y? P "f CITY, SATE, ZIP: v\ Iryl?, PHONE: y 3) PLL?; -- NAB (PLE"A VPRINT) ? FOR CIi USE ONLY l b9 ADDRESS. to PLOP .S LICENSE: Active CITY, „STATE, ZIP: ?T r y O? •----?-? Q Expir • PHONE: PLUMBER LICENSE # i o of Record •?Z:331 4) OCCTPAI`TT/Cr.;T?M (PLEASE PRINT) NA ?: ADDRESS; CITY, STATE, ZIP: PHONE: 5) INDICTTE 'gHICH PER-UT IS BEING REQUESTED: a CC'.I,IP.CTION TO CITY SMER Q CC--T,% LTIC:I TO CITY STATER ? Cr"TEER (PLEASE DESCRIBE) 6) ZZDIUT-. C: ? Pl-"%SE I!OLD APPROVED) PERMIT FOR PICK-UP BY ONE OF ABOVE PIE`-SE :'AIL APPROVED P T TO 1, 2,? -4 AW;VE (Cir le one) 7) SIGn'IL?2r..: '?l_?? ? tiLt? n?•rc- °7/? / ??S ? w Q:RiR/Y?a ? Or fi la:Yfu ? s 1!? to ?Yi N i4 s iia"i :a a s s acarsra?? ? s s i i siiij? F O R C I T Y U S E O N L Y PEP%ITT E ISSiJED FEES: $ A) $ $ ?3 on S $ $ $ on $ ?JG.pO $ Sac'. yo $ $ c? SEr:'c°, nE?`IIT (I`:CL::DE SURC ARGE) WATER PEFUTIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE-,'l-ER TAP ACCOUNT D-POSIT - WATER WAC SAC TRUNK WATER ASSESS-:ENT TRUNK SET.-7---R 'ISSESS:4ENT LATERAL BENEFIT/TRUNK SE::ER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AM='T PAID/RECEIPT R DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERh1IT 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: TITLE: DATE : 7- ?/ /zy wil+w?pw wmi"Mlm"a Ejw w=W BMW ww?m wmglumw-W wmiwv ww w:s www" WiA ws w:s wl wls w= CITY USE ONLY PERMIT #: 1'4' to RECEIPT DATE: RESIDEMUL MECHANICAL PERMIT APPLICATION crrY OF EAeAN 3830 PILOT KNOB RD iEAGM NON SS18E 651-681-4675 Please complete for. ? single family dwellings townhomes and condos when permits are required for each unit Date: 0 -1I ?s I i () \ SITE ADDRESS: r- V 1 ?1 ' OWNER NAME: TELEPHONE #: ?o I _ _467_6q? n (? (AREA CODE) / INSTALLER NAME: ?? Q?di? Iv?.? W L k ?rt n TELEPHONE #: cg i 32;?_-ez (AREA CODE) STREET ADDRESS: _D1d? rn-) I I (51'h 5v - Cjj • G ' Lec.5_5 - CITY: ??rC r\Q? _r?i STATE: rf'\N_? ZIP: ,_?S-04?S S Place a check mark next to the permit work tvoe New residential dwelling unit under constructionand not ownerloccupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exch n er • it conditioner • other Nature of work: State Surcharge a n 2 rl $ .50 Total 11, IC 11 U LS I $ JUL 3 1 [00? ? ? Reminder. Call for inspections. U OF PERMITTEE Updated 1/01 -r ?vL-j w" * 0 a & 0/ 9", FOR: GRAND OAKS DEVELOPMENT NOTE: O Denotes Wooden Stake Proposed Garage Floor E1.=9/70 (916.7) Denotes Proposed Finished Ground El. --o- Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1929 C. A. WINDIN i ASSOCIATES, INC. LAND SURVEYORS Tel $48.3646 L301 EUSTIIS,I$7, ST. PAULV MINN. O010S Scales 1'-301 e Denotes Iron Monument Bearings Are Assumed I Droii?p? ? U1i%i1t? EasPrnBril 9?? bl o m e ??? • N ( ;125.001 90 IO 92, _y 58 f s. ^ , 22 4a ? a .?._ r N ? ? to . (9U ? l l9\Z Prope, Sed Nouse -)2S.oc ° N 9703012.9" W 2 ? I O N -] ?D ?Z1 w ON 00 q i0o' Lot 15, Block 2, SUN CLIFF FOURTH ADDITION, Dakota County, Minnesota. W C 0 LO W LL U J Q W WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT AEPRISE14TATION Of A SURVEY Of THE BOUNDARIES OF THE LAND ASOVE DESCRIBED AND OF THE LOCATION Of ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doled Mi12'? do, of i ulyA.0. 1985 C. R. W NJ, DEN & ASSOCIATES, INC. by Sur.oFer, Minaeseto Reeiureli" He 772G Nra 1, *360 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office U/se~ Permit#: j Seo ~r City of Ea Rd I I / Permit Fee: 1 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 ( Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q-5- 1 Site Address: q30':; (g_ Cre4 bh'X Tenant: Suite M RESIDENT/OWNER Name: Fd U_ j "Cl )q °l 1-P_ IcrOS kaS Phone: 4s1-50,7-3-75L1 Address / City / Zip: q,305 a dl ~C t h r,W Applicant is: ✓ Owner Contractor TYPE OF WORK Description of work: R00-f lr.G'l S / d /)lq 6n Y64 O~ hortLL-- 0Y1ly Construction Cost: 5o~c~ Multi-Family Building: (Yes / No ) CONTRACTOR Name: License M Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci 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 ~~~1✓ ~r~S~LJ x e Applicant's Printed Name Applicant's Signature Page 1 of 2 Use BLUE or BLACK Ink I I For Office Use Permit City of EaRd I Permit Fee: CC- 3830 Pilot Knob Road I 11 Eagan MN 55122 Date Received: 1 Z Phone: (651) 675-5675 I I I Staff: Av~ Fax: (651) 675-5694 L 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: AC C./~ir ~S~r+ / 'N z 2 Tenant: Suite Name: (u c~ -vS Phone:60- 11 q 7r RESIDENT ! OWNER Address / City / Zip: ~o C.~ cS f !~ri N SAS^~ 2 2 Name: / License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email TYPE OF WORK - New Replacement - Repair - Rebuild - Modify Space - Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener PERMIT Lawn Irrigation RPZ / - PVB) TYPE 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 $166.00 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.aopherstateonecall.orci 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 pertAppl acanfes'Srig to start With permit; that the work will be in accord c with 7 a ap ro d pla in the case of work which requires a review anx J-, - s - 4 Applicant's Pr inted Name ture FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink I I For Office Use Permit f Ea~d City ''11of j Per mit Fee: VV u~-- 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff: l L-----------------I 2012 MECHANICAL PERMIT APPLICATION /1~►n 1 Date: U l "y ✓ I Site Address:) ~'SSGC ~rSGtn , 1 Jam'~~07~ Tenant: /Suite RESIDENT / OWNER Name: at, 60 Phone: 6(/-OC7y7°- 33-?b ~r r / I Address / City / Zip: `"f s C rc~5 F D,- 2 Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email New ✓ Replacement Additional Alteration Demolition TYPE OF WORK Description of work: 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 v Furnace New Construction Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank L_ 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 $10,010411,010 Permit Fee requires a$ 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.ciopherstateonecall.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 Eaga t I undershis is not a permit, but only an application for a permit, and work is not to start without pe , at the work will be in accordance with a pproved p7el, he c se o f work which requires a review and approval of x V1'e , I 7 Applicant's Printed Name Applican i nature 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 City Eanon Ol Permit I I CY' I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: i I Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3(~ Site Address: 305 E %t _ 6a sl- V r_ Unit Name: eA-k Phone: (o L1. OZ)~ Resident/ Owner Address /City /Zip: F-446- LI t1:,+ IS5122- Applicant is: Owner _2~ontractor Type of Work Description of work: (12~00 Construction Cost: Multi-Family Building: (Yes / No1V ,e c" Contact: A),A Company: LQi(_t16~ 6C`, F- Contractor Address: q-1 tj City: ~~lofw~rto State: MA Zip: J 5112 L Phone: S Z-75-5 y ~~,O License G G Od Q I Li Lead Certificate /UAIF- T- I y~ -?°7 -l 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: .amp NOTE: Plans and supporting documents that you submit are considered to be public information. Portion..s oaf 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.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 ) ~ A) x Applicant' Printed Name Applicant's Signature Page 1 of 3