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4771 Cypress Pt May 26 2010 5.26AM O'Connor's One Hour 651-437-5943 p.2 Use BLUE or nk I Peimitll: t~/~ , City . i City of Satan Permit Fee: 3630 Pilot Knob Road I I Eagan MN 55122 I Date Received: 1 Phone: (651) 675.5675 i j . Fax: 651 675-5694 Staff _ I 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: ✓ Suite N: RESIDENT I OWNER Name: d S Phone: Address ! City / Zip: CONTRACTOR Name: 01(on n IU4 21 WA! 19111 cA It ~ Ir^t erase Address: 19 b b'i i 1 I I 0YI nv: State: MVI Zip: 5S?,?Z~ Phone: ' Contact: ElttaiL" TYPE OF WORK New 4 Replacement Additional Alteration Demolition Description of work: ~J!ALQCtu RESIDENTIAL COMMERCIAL PERMIT TYPE /~Furr►ece New Construction _ Interior Improvement -5 if Conditioner Install Piping Processed Air Exchanger Gas ! Exterior HVAC Unit Heat Pump Under / Above ground Tank Install 1 - Remove) when insiallinglremoving tank(s), call for Inspection by Fire other Marshal and Plumbing Inspector RESIDENTIAL FEES 60.50 Minimum Add-on or alteration to an existing unit includes $.50 State Surcharge) $ 90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTALFEE $ $ COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit ftg is less than $1,000, surcharge is $-50- - If Permit egg is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e, a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE CALL BEFORE YOU € IG. 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. harstotsgnecalwirg I hereby acknowledge s rmation is co to and aecuraft; that the work will be in conrormanGo with the ordinances and codes of the City of Eagan; that I understand this is n permit, b an application for a permit, and work is not to start without a permit; that the work will be in accordance proved plan in the a work lhielres a review and approval of plans. % x Appi ranted Name Appilcanes S14Waiture ~ l i i Address 4771 !ypREss Polrrr Zip 5512 3 Lot' ' 6 Blk z Sub FAIHIaAY EM.LS 41H THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECfION. Date; 9?O ?? Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) ? Pennanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and [he shut-off of water supply to the oulside lawn fauce[ before freeze potenlial exisis. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ? x i' • i ? 44? ! W"tificate nf cccupaUc? ?? ? Wasim of srmixg axm«rioK !*, This Certificate issued pursvant to the rrequirements of the Uniform Building Code certifying that at the tvne of issnance this structure was in compliance with the various orrlinances of the City reguGzting building construction or use. For the following: g' D{,G 2118q use classiricaaon• Bwg_ ra.m? xa R3/MI R! vN 7 o? ? s ??JNAia l'YFR ? ? ?5 4 WES'T ? IR, EAGAN B . . ? 4n L ? Fr ?tY , , ?; Date: , Bmldios ffidal POST IN A CONSPICISOUS PLACE -,C!'TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: : 1 NI:fAY !I 1 1 I', q I H PERMIT SUBTYPE: PECTION iCURD PERMIT TYPE: Permit Number: Date Issued: filitir1 iNi, N" ! i+14 0 U. f 1. ! / 9 'i APPLICANT: r -- ? 339- -71 st CW) .f?r;ct TYPE OF WORK: III i 1-if II,Iw iINI , ( r N:,r u hu I 1 nt 1< INSPECTION D. . „ r•iHi itFh1/11rM'. '.&LJ (;IlIVi1tA1 111Ir , 'A l'AkA1t 1 1 1- 1 ikir A! , 1't ilhliiNb. & N[vfiANl('A1 vt ItMI I'. kt'Utifkfll ? , ;? ?- ' _ - . _ -- • " { `_.• . _ - • , j<. _,?: ? - ? ? - ? ? PeRnit No. Permit Molder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commenta Footings I Foundation Framing Rooflng Rough Plbg. 7?. Rough Htg. `7/_V // Isul. 19, Frep'ece -Z 6-9 3 ? Fnal Htg. ! Orsat Test Fnal Plbg. Plbg. Inspector- Notify Plumher Const. Meter Engr.lPlan Bldg. Fnal 92p ?? ? 9 Deck Ftg. Dedc Final Well Pr. Dlsp. Z?/- 0 CITY OF EAGAN 3830 Pilot Knob Road , Eagan, Minnesota 55122-1897 (612) 6$1-4675 ? SITE ADDRESS: ? 3 t'•. I i!;7i ?{ i . I i IPERMIT SUBTYPE: I s I o fi 1 1 !'4 fil r sPECTio y? s ?? ? , n v r? tc i ?, ? r APPLICANT: rr.ll QI TYPE OF 1NORK: I 1 NAI ? l? ;coRD PERMIT TYPE: Permit Number: Date Issued: 1/N fZ11iFl11P?iE? t???ra,•',? Ir ?r w Permit No. Permit Hoider Oate Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTiNGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FtREPLACE FIREFLACE AIA TEST FINAL PLBG FINAL HTG QRSAT TEST BLDG FINAL BSMT R.I. BSMT FINAI DECK FTG - -- 7 2 - ._?'Z_?D ?. - - -- - DECK FIIVAL iZlZ? /, _ i i ? ? lv.10,8"/ 6 :-,Z8 . ? 00 , ? ate Flre No. Rough-in 1 edion l-., ?,J qeatly Now yp Will Nolily Inspector G-7 7- Fequired. `6G?'es F_ N. / ` When Ready? . ! licensed contrador '] owner hereby request inspection oi above electrical work at L ??ty ? Atltlress SheeL Box or RoWe Na.l Name No. _ 3 Licensa Na. ,?? r Mai9nq Adtlress ICOnlremor Owner Meking Instflllxlion7 ne N Aulhorrze, S,gna O?Vacbr/ wnB? Me o In5t911eti n) PM utfibar THIS INSPEGTION REQUEST W ILL NOT MINNES A STPT O D OF ELECTHICITV ? BE AGCEPTEO 6Y THE STNTE BOARD Griggs-MlOway BI .- Room 5473 UNLESS PROPER INSPECTION PEE IS 1821 University Ave.. SL Paul. MN 55106 ENCLOSED. Phone (812) 642-08D0 / 6?xcsyp REQUESTrOR ELECTRICAL INSPECTION /QEB-Dop'9e ? I? See mstmctions Por campleting this lorm on back o( yellow copy} ? G; ? II 7 Q X" Below Work Covered by This Request °o - "I `,j ` ? I " ApplianceSWired EquiPmentWired New Atld Rep. TypeofBUilding 7emporary Service Home Range Electric Heafing lex Du Water Heater p ecif ) S th Apt. Building Dryer y er ( p O trial Jl d Fumace n us Comm Farm Air Conditioner OIDer (syecify) Cont2ctor's Ramarks. Compufe Inspection Fee Below: u Other Fee # ServiceEniranceSize Fe # Cirwits/Feeders Swimming Pool ?lli 0 to 200 Amps liall 0 ta 100 Amps Transformers Above200-Amps Above100-Amps Signs Inspector§ Use Only. TOTAL 5 ? Irrigetlon Baoms Special Inspection Alarm/Communication THIS INSTALLATION MAY-BE D NNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. hereby the Electrical Inspector, I Pough-in , certify that the above inspection has F,,,ai - been made. OFFICE IISE ONLY This reQUesi voitl 18 monihs Irom L CIT'f Or EAGAN 'C'3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: CROOS?rg BUILpING 021189 @6/11/93 SITE ADDRESS: P.I.N.: 10-25603-060-02 4771 CYPRESS P7 LOT: 6 BLOCK: 2 FAIRWAY HILLS 4TH DESCRIPTION: UNLICENSED BUILDER Building??Permit Type SF DWG Building Work Type NEW i'UBC Occupancy\ R-3 M-1 Construction Type VN Zoning L-, R-1 Building Length ? 70 Builciing Width ? 33 \? 1 ? r ?; REMARKS: S&W CONTRACTOR - _ 3EPRRATE ELECTRICAL PLUMBING & MECHANICAL PERMITS REQUIRED FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge sac SAC % SAC Units Subtotal $811.00 $527.15 $74.50 $750.00 100 $2,162.65 $149,000 MISC FEES $1,744.50 Total Fee $3,907.15 CONTRACTOR: ? OWNER: - APPlicant - MEYER RONALD 9741 WEST WIND TR EAGAN MM 55122 (612)452-3170 I hereby acknowledge that I have read this infqrmation is correct and agree tq comply Statutes and C3ty of Eagan Ordinances. PPLICANT/PERMITEE NATURE appl3cation and state that the with all appliceble State of Mn. ISSUEO B . SIGNA RE ? y- ? ? KtAlIlYRlt PE_P,MIT ? LI 1 T Vr GM%7iilr 1993 BUILDING PERM T APPLICATION 3 7, /.? 6111-46751,/6 ?V! .OA J SINGLE 8 MULTI-WILY 2 sets of plans, 3 registered site surve s, copy of energ calcs. '? .---- COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ) / GyP3 Valuation of work S i t e A d d r eG'z PR E S S r ? tG G? v 57REET SUITE # 19W271 Tenant Name: (commercial only) IAT BIACK 2 SIIBD. c ? P.I.D. N ' ?escri tion of work: S , ihe appl i cant i s: U Owner p Contractor O Other <oe.or;ee> Name o'V?4C O Phone fs Z-3i 70 ? Property O LAsT FIRST 3, 9 - ?. s1 ? ? wner ? ?aru?- Address S'7Yl GvE sT '7`2 STREET ?N S7E I City _ ?'?IG.eaJ 1;?'/ti State ? Zip S.S'/2 Z Company Phone 5'sz- 3i ?a Contractor Address 5?7y1 GvESrur?D 7k License rExp fi'R City F4G4A,1 State .,'77 t-/ Z i p S7?i 2F-- Company ahone Architect/ Engtneer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. 1? Signature of Applicant: VIl OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Coimn./Ind. O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Jeck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBr, Occupancy 2oning # of Stories Length _?- Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS Building Yariance MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments Y ?ZES /o/ ? i ' t? I ti? / ? Site O Footing 0 Framing ? Insulation ? Wallboard ? Final ? Draintile O Fireplace Permi t Fee I wwot;on: $ / y%000 ? Surcharge Plan Review G.an. 31'x 32.: lvos License 3'/zxIt= (y2) MWCC SAC /° k L City SAC Water Conn. - ' water Meter gs,y?T , 7S6 X/6 = l2 b?f G Acct. Deposit S/W Permit 36x 26= 985 X /?_ ly?Za S/W Surcharge ? Treatment Pl. Isr FL,,an ? Road Un i t ------ Park Ded. Bs-A-f_ Trails Ded. topies Other Zx2x 8= 3z Total: - iziq x sy 82b SAC % /Op SAC Units ( 2 rvD?z.u?r.. _ p 6 P la3o ?[S4% ' V- N Basement sq. ft. ' lst F1. sq. ft. I-I 2nd Fl. sq. ft. R -1 total Sq. Ft : Footprint Sq. ft. 77- 70 On-site well - 3311z' On-site sewage / cf8) 3 62. LOT BURVEY CHECRLIBT FOR RESIDENTIAL ? BUILDI?PERMIT APPLICATION m ? m 57 $ROPERTY LEGAL: IL Date of Burvey: DOCUMENT BTANDARDS 00?0 D • Registered Land Surveyor signature and company 2-?0 0 • Building Permit Applicant @' ? ? • Legal description ? 8? 0 Address 0'?? bo? 0 • North arrow and bar scale 0 0 • House type (rambler, walkout, split w/o, split lookout, etc.) ?_? • Directional drainage arrows with slope/gradient $. a" 9' O • Proposed/existing sewer and water services B? 0 ? • Street name .B' ? 0 • Driveway ELEVATIONB Exiatinq ? 0'0 ' • Sewer service 0 K ? • Lot corners v 0 • Top of curb at the driveway ? • Elevations of any existing adjacent homes ProuoaeQ ? 0 ? • Garage floor 13 0 • First floor ? ? 0 • Lowest exposed elevation (walkout/window) 0 ? • Property corners C? ? 0 • Front and rear of home at the foundation PONDING AREAS (if acnlicnble) ? E"? ? • Easement line [) C3"' ? • NWL ? Er ? • HWL 0 CT ? • Pond # designation 0 0'- 0 • Emergency Overflow Elevation DIMEN8ION8 ? 0 0 d ? o ? 0, 11 ? • pr ? ? • 0'0 ? • 13 0? ? • October 1992 entry, Lot lines Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e.. all structures requiring permanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed structure and setback of adjacent existg Retaiin regwi'rements, if any / •, JUN 62 '93 15:25 COUNTRY I,?QMEER,0I'8, /1VI'?IZACL °U" GUM11"A" jVTw P.1 8A1AAiv$• ';+.,: •? ,.' (To bs aubmLtCed wtth Uuilding permf t nppllsuRtion) ei?ing PROJISCA' ??? ? i ?•` ? ?z' ,.: One,_or two.faailly d?r -_A?-- Jpf3 NO. rI774. All othsr : RUMDrH MTS . : .. ., CONTRACTOR ? H ?? ??s_....M` ?'? ? - + a.F, (Frame 'xeg .? , . LINPlAL FT. OP +---+-*?-- x ,l('1'. (Bsmt. wi * . . : ...r ._.? ._ EXPOSED WALL + +^+-.-t gQ. FT.. .= ?? AI. L?JCPOS1iDY ALL??SA ' OPAPUE'MALL a0?WflUWMN: "U" valus x flrsp (U) (A) s & r',a (U){A1 ai nUn _n-? x e.f. ry..;:. ,.'. , --?--•?.-- YFZ ?'a?? a '+.jz, l5 , ,•? Det911 Referenae trora - st-4? s.2?. x -?- . _ Attiuchsd x ------ p r - f . X Sheets ? , .. ' . . , `.9YINDOWSs '#U" ro91ne. s sren ,lvis ..L X (v)(A) Aft ?n::, - .X ?_ . . p . : . MBICO ???k!? ii..? 7[ . .?--- '`' •", 5?1?' ?: .. & ^-• 7? ? ? __ _ . I + ' t TypD ? ?. . DOOlt9t "U" volu• x dtea nUn (U)(A) .. Malca x n ^& a ? . . Type ? ? . (U) TO,ALS ? CODE r .... , YAI.tPRB y._Ir TOTA L (U)(A) A U. n.Un ;d'?;•> ,;;??<: ?.; ?----- 061 --• DIVIDED BY RALL ARS?I1 1 ? ::. • . '.rtf?,`.'?[ :: :?..?'.I. ? .?. . ,. $?S?• ToTnL narn ROOF/CSILIII@t aU?? viue. x erea (11)(AFI T- r yry _. * nUo , ; Yo x ?l?.c. e. . rl.?'?..'?'?? • ?? t• p 110p i • x TI'Oill ° --------------- r-.S ;.,'5::. . ` • ' x _ ____ " ,-?•; ? Atbeahed =. 3heeCe '-'? • TOT74I.S ?.?i?e.?. (U) . =? ?.• ? .•.?,?.:,'r1 ? ? ' . TarAw (U) (A) vai.oes Z.=,7J? }--'-? vc."u" STOO CODE DIVID£A BY CL(i. AliEA ?s::J Lo21 ? ,,:. ,.,. . teaL ? :J.''. ?r ?: c;' `: ,•, ` ES?? ? S - • ?'• : H7IXIMUM COi1e Si'U LA" ? ? e .%-'i ?i •(i5`; z.az-i e:r. orA4M WLL nT •?e? ? s.f.. CEILING AT Z- ?T` ? •?..: ? ? IZ?--s.f. CI.G: t7lNHp!'SD ° . '?''' ': . /:o .. k / ??? . . .` •±.. O ? , .'.. '. . .? ' .. ... ... ._.... _. . . .. . ?' ? ?. . . . .. . , ' . ?.i Post-u'• brend kax trauismiM+lawmo 7671 s er y.ys. . 3 ? ••. .r.k ?Dt •? rr ar ... PERMIT .? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Datelssued: SITE ADDRESS: 4771 CYPRESS PT LOT: 6 BLOCK: 2 FAIRWAY HILLS 4TH P.I.N.: 10-25603-060-02 DESCRIPTION: EiGildiitg;?Permit Type DECK ?'Buzlding I?vrk Type NEW r? Census Code 434 ALT. RESIDENTIAL ? 5ddn SP'+ y 6 y?? ' TA+ f ? .??bf?' 6E j?;,M,?r? ? ?l REMARKS: Coe0555702 ??a3/9G BUILDING 027336 64/22J96 FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 I:VIV I FfHI; I VFf: OWNER: - Applicant - MEYER RONALD 4772 CYPRESS P7 EAGAN MN (612)452-3170 ? I T hei^eby acknowYedge that T have read Chis?applYcation-and?state thaGthe-,' ° infiormation is correct and agreQ to comply with all applicable State of Mn. Statutes an& City- crf Eaqan DrdinanOe,s.,. L APPLICANT/PERMITEE SIGNATt15?T? ISSUED : SIGNATURE J? 3830 PILI T KNOB RD - 55122 ?y 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) . 681-4675 New Construdian Reouiremenls RemodeUReoair Reavirements ?'// Z Z_ ? ? 3 registered aRe surveys ? 2 coples of plan ? 2 coples ot ptens (indude beam 3 window sizes; poured fnd. dealgn; etc.) ? 2 site surveys (exterior edditions & decks) ? 1 energy celeulationa ? 1 energy ealwlations tor heated add'Rfona ? 3 eopies of tree preservetion plan K lot platled after 7/7R3 requlred: _ Yes No DATE: Y -,/./ - 9e::? CONSTRUCTION COST: DESCRIPTION OF WORK: LL^ STREET ADDRESS: q7 71 Ci Pfl-?3S QJ LOT ? BLOCK Z SUBD./P.I.D. #: `?k? PROPERTY Name: ???'f G C? ft d N,92 ? Phone #: `/ SZ -3/ 7 0 OWNER „"°T Street Address• ?' 7 7/ Y?2?53 City: z/9 G,4- sU State: 4y/Av Zip• CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECTI Company: /V D OU ? Phone #- ENGINEER Name: Registration #: Street Address• City: Sewer 8 water ticensed plumber: change are requested once permit is issued. State: Zip: Penalty epplies when address change and lot I hereby acknowiedge that I have read this applicaHon and state that the information is corcect and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 0ina "t'a OFFICE USE ONLY Certificates of Survey Received Tree PreservaGon Plan Received _ Yes _ No _ Yes _ No ??????EW APR 9 i 4996 --------------- ?,? d t I i?? :a ?, "'?? ` City of Eapn 3830 Pilot Knob Raad Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? -------------- i For oftice lJs i j Permit #: ? i Permit Fee: ? ? Date Received: ?/ I I Staif: I i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: L07I C; P 2? s 5 PD I nJ j_ Tenant: Suite #: RESIDENT/OWNER Name: MFv?Cf?-- Phone: ?.,12,'S?l-?O372 Address / City / Zip: LI-7 -] ? CrPfZFis 5 C a?I ? Applicant is: ?Owner ? Contractor TYPE OF WORK Description of work (Z6 Construction Cost: ?L{,'000 Multi-Famity Building: (Yes_/ No x) CONTRACTOR Name: &)1L04L5 License#: Address: City: rACnq?j State: (•I\Zip: Phone: L5Sf'353-OS0o ContactPerson: 1&S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CBIBQOfy Su6mined Submitted (4 submisslon type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a sfmilar 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 cons/dered to be public informatlon. Portions of the Information may be classifled as non-public il you provide specil/c reasons that would perm/t the Ciry to conclude that the are trade secreis. I hereby acknowledge that ihis information is complete and accurate; ihat the work will be in conlormance with the ordinances and codes oi the City of Eagan; that I understand ihis is not a permit, but only an application for a perrnit, and work is not to stad withoul a permit that the work will be in accordance with the approved plan in the case of work which requires a review and appmval of olans. x_ 1?o5S G (L,-t'34v,? ? x (?- Applicant's Printed Name Applicant's Page 1 of 3 >? RESIDENTIAL 750b 1s4L-9 BUILDINC PERMIT APPLICATION CITY OF EAGAN 5 3 y 7 3830 PILOT Kg68RD, 1-qE679 N MN 55122 ? 651 New Conatructian Reauiremanb . 7 registerea site surveys showirg sq. ft. of lot, sq. %, of house; and all roofed areas 120% maximum lot coverage allowed) • ? copies of plan showing Ceam 3 window s¢es; poured (omM design, elc.) • 1 szt of Energy Calculations • 3 copies of Tree Preservation Plan iF lot platted after 711193 • Rim Joist Detail Oplbns selection sheet (bidgs with 3 or less unAS) DATE 9- 17- - C)? P-?. -;!T /57. C?? s RemoAeUReoair Reauirements • 2 wpies of plan • 1 set of Energy Calculations for heated atlditions • lsitesurveyforexterioraaditions&decks • Indiwte if home served 6y septic syslem for additions S veI iinrinN ! (_0 I y' . ? CD SITE ADDRE35 SS? MULTI-FAMILY BLDG _ Y ? N TYPE OF WORK__V?9c..ti fiREPLACE(S) _ 0_ 1_ 2 APPLICANT `..b?Vl STREET ADDRESS?aS 'r1 ??QJV'Yiv^?c-Q 17, '1?a? ? CITYoti STATII'I? ZIP S ) D. l TELEPHONE #651,?U'$a Jcla,?X CELL PHONE # FAX'fk (051? y5a I.VCT2,?S (`? PROPERtYOWNERJ???- M.SU-1-?. TELEPHOIN?#6St4SO 31'i ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINVF.SO'1'.1 RULES 7670 C:\"I'1:GOR1' I MIY\LSO"1':\ RCLL:S 7672 (v su0mission rype) . Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet SubmiCec • Energy Envelope Calwlations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor: Mcchamic.ll scstcm includcs: Sewer/Water Conhactor: :1ir Condiuoning -- I-icac Rccovcq' Systcin Pce: $90.00 Pcc: )%0.00 Phone # i' 2 2002 ,? ---------------------------------------------------------------------------------------------- .................... I hereby acknowledge that I have read this application, state th the information ' cor ect, and agree to comply with all applicable State of Minnesota Sfatutes and City of Ea n dinances. Slgnature of Applica OFFICE USE ONLY _ Water Softencr 4Vater Hcater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 City of EapIl 3830 Pilot Knoh Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -?oi46mC------------- j Parmit tt: V? I ? PertnitFee: j Date Received: j I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMITPPLICATION Date: aoi? siteaddress: Z'13- I C'IP-C SS I Tenant: Suite #: `o a(5?s ci ? - RESIDENT/OWNER Name: . Yy,Y L.Q Phone: \ v'e S S Address / City / Zip: ?'J Applicantis: _Owner Contractor TYPE OF WORK Description of work: ftl?j )( J_,?_ Construction Cost 1 21CJC 0 • o 0 Multi-Family Building: (Yes_/ No? - CONTRACTOR Name: =L_y'C'_('-? C_(`Xlsl1 LY?hQ,(L_License#: 2b2- 8'1155 Z ? Address: 'TDV % ?I 16/1-L Tp?- M In ? J ` ?f2 r N 11V ^ W / ?`e Zip: City: State: `A - 1!1V a ) ' Phone: 16Jl J? 7-,IJJ5 ContactPerson: C6ahG COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Subminetl Submitted (4 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? I _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ;r- NOTE plans and supporiing documen;s that you submlt are conside"red to be pubhc mformatlon?+`P, orflons of:_ ?r? „the lnfarmahon ma be clas"s Ifle? as non°publlc H yoo p lde specfffc reasons that would permii fhe Clty to ' ro?v ?y ? ? ?, conclude[hatlhe ,are:trade`s'ecrets; I hereby acknowledge that this intormation is complete and accurate; Ihat the work will be in confortnance with the ordinances and codes of the Ciry of Eagan; ihat 1 understand Ihis is not a permi[, but only an application for a permit, and work's? ot to start without it; that the work will be in accordance with the?appwved plan in the?work which requires a rev" :proval of lad .- ` X u oX Ap nYs Printed Name Appl anYs Signatu rlli Page 1 of 3 0 0 r , . ? 14 °a O H a 51GMA 3URVEYINQ SERVICES INC. 19,11 SenecaNnad -Swle E - ?, M612-3077 RON & JANICE MEYER osAwAo[ AMS unurr [uIw[Mit uu fNftM i1N1o1 I jtL-- MINIS _- L_J 6 r[R tM w?oiH vrtlfl orNlAwqL NOICAi[O.ANO AOJOWI40 l0T lIM[f ANO LW[f AlfNOMMONTN[lL?TNClTIIL[T ? ??sE i Scale : ("=30' P I ? 0 o ? ?- ybk ? / /nyMO ti / / ? `'? 10 q 8,u? r.s ? \ .\ x A0T s? ? 5 3>, 0? 1048 ? ) o j Y J04 y ?`,'•,\ '?`.•,+ b ?. j? k ,a • - Q I ? I ? zt ? N I 0 ? ? ?431:f s I?- N 89 °58' Zs" t.? -LEGEND- o Denotes Iron Monument o Denotes Wood Hub Set F10'{3.0 Denotes Existing Spot Elevation fxb48-11 Oenotes Proposed Spot Elevation .---! Denotes Drainage Direction -PROPERTY DESCRIPTION- Lot 6, Block 2, FAIRWAY NILLS 4TH ADDITION, according to the recorded plat thereof, Dakota County, Mirlnesota ° I * C,,3z\??. I / I I i - - - - - - ? 5 I r I68 8 v ? `o5p:3 Kl?f ? "o- r o N / th ]UC3AN =NGiIN'YYRIN T PROPOSED f,ARAGE FLOOR ELEVATION= ??? PROPOSED TOP OF BLOCK ELEVATION= I G40'0- PROPOSED BASEMENT fL00R ELEVATION= 161l'0 *NOTE: Verify all Bldg. Dimensions and Floor Heights with Final Nouse Plans. -SURVEYOR$ CERTIFICATION- I hereby certify that this survey, plan or report was prepared hy me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date: 6I?fI`13 Wayne D. Cordes, Minn. Reg. No. 146J5 ? 010 mUYBi U3REildUATS gVRB SIGMA 3URVEYINCi SERVICES INC. f9'i l Seneca Ra3d. •Swie E• Ea7en, MWbeota 55172 ararw: (e12) asx•son H a H a oe?w?st ?we vriurr [Af[atwn ui[ {MOWM ?1MI{? J Q t_. o --i---' ?-{--- 0trw s r[[i u1 wioTM wntst orw?rnc NDK?T[0? 4M0 AOdOW IIIO l0T LUI[f ?MO ? wts TisnorNaiiNi'pr?1i"rNe fTRt[r U ? \?o , W / "-V' 4 mi' > Sca{e 11 ("=30' RON & JANICE MEYER A? ?s s / P ? 0 ? p Q 0 a Di ? ? ? ? 1 M ? 3 N Q` ? e 0 Z I .. (e? i '-, 1.L S/,? ?p CS ?b / .?•o? ' i ?r 'yc >S ? . / +..?., ? ?\? ? .. , sE1 ti ? `91 IobrSA ro ? I x A0 z1041.1- ? l .., ., o 1 Gar 1 1 I. ?? a v? 10yS 3 . ,. , N ? ?o ( ?k 1o'?#Z'? ? I Lor to I I I ,a?----------- a31 ? s I `- N8405-917,5-11W -LEGEND- o Denotes Iron Monument o Denotes Wood Hub Set xW3.0 Denotes Existing Spot Elevation (004811) Denotes Proposed Spot Elevation `--? Denotes Drainage Direction -PROPERTY DESCRIPTION- Lot 6, Block 2, FAIRWAY HILLS 4TH ADDITION, according to the recorded plat thereof, Dakota County,,;?»M?in'nb'W,ta. ? ? - - -- - - - ?s 168.9 m qod `oy0 ? x b Gata9? Uf ? O? r o ;_nr vi 7 1 ??? }ZWC?TRTI!l3RIId ? PROPOSED GARAGE FLODR ELEVATION= ??? PROPOSED TOP OF BLOCK ELEVATION= 1GL9•0 PROPOSED BASEMENT FLOOR ELEVATION= W`FIX *NOTE: Verify all Bldg. Dimensions and Floor Heights with final House Plans. -SURVEYORS CERTIFICATION- I hereby certify that this survey, plan or report was prepared by me or under my direct supervi5ion and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. I 2- Date: 6`f43 Wayne D. Cordes, Minn. Reg. No. 14675 -.d \ Use BLUE or BLACK Ink I I For Office Use f~ ~ Permit#: ~ I City of Eanan I d~ o I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: PERMIT APPLICATION / 2012 MECHANICAL Date: ( 2 Site Address: 7 s-S Tenant: ~CQ rS Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: \ c Name: om r ~tq License CONTRACTOR Address: l t 7df-~~ City: a State: Zip: Phone: Contact: Email New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: O ,ra G !r u - I ~r NOTE: Roof mounted and ground moun ed mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Nwmgm j a'te`, t *e *+er New Construction Interior Improvement PERMIT TYPE -Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump 1 Under / Above ground Tank Install Remove) Other D r / Ca l~ wL 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.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 roved plan in the case of work which requires a review and approval of plans. x apej) ha, x 90-~ Applicant's Printed Name Applican s Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink r For Office Use I I Permit a tj~t I City of Ea~a~ I I I _ I I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: z°~2 I I Phone: (651) 675-5675 I Staff: Fax: 651 675-5694 L 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 1771 7 Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: 11 - License vii 7~(~ f Address: City: c Lek CONTRACTOR State: 41/t Zip: Phone: Contact: Wes? artc~11v6ruu Email: TYPE OF WORK le- New Replacement Repair _ Rebuild Modify Space - Work i`n R.O.(W(. \~~1YJ Description of work: kv-c RESIDENTIAL Water Heater Water Softener PERMIT TYPE Lawn Irrigation RPZ PVB) - - Septic System TAdd Plumbing Fixtures ( -Main Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.dopherstateonecall.orci nces and codes of the City of I hereby acknowledge that this information is complete and accurate; that the work will be iFr Eagan; that I understand this is not a permit, but only an application for a permit, and wermit; that the work will be in accord a a with the approved plan in the case of work which requires a review and approva x -tom x Applicant's Printed Name A scant' na re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink r For Office Use G~ non Permit City of EaRd I q Permit Fee: 3830 Pilot Knob Road RECEIVED I Eagan MN 55122 I Date Received: Z' I Phone: (651) 675-5675 Fax: (651) 675-5694 MAy o 3 201 i Staff: A-i 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: zy- Ip~ Phone: 6 9?d 7_ 73V7 RESIDENT / OWNER Address / City / Zip: ~17 Cy/~iQ ~S S 0"! 4/ 7_ Applicant is: Owner Contractor Description of work: /?loD kl~ L eft tl W f,46 TYPE OF WORK .0p Construction Cost: Multi-Family Building: (Yes / No ) Company: ('U AL/7- ~&V K Contact: AOQ ~w/M1 ' 5./C/ ~ CONTRACTOR Address: 1OA,S e&X f l F~0 47, City: ~r"/,OV L 1 / State: M'V Zip: 3 z- Phone: 76 3 7.5y- ~V i License ea 03 C1 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 19f3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (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. Exterior work authorized by a building permit issued in accordance with the Minnesota Building Code m st completed within 180 days of permit issuance. xPQAF/2T x Applicant's Printed Name Applicant's Signature Page 1 of 3 l--f DO NOT WRITE BELOW THIS LINE /'K w SUB TYPES - Foundation Fireplace Porch (3-Season) - Storm Damage Single Family Garage Porch (4-Season) - Exterior Alteration (Single Family) Multi Deck Multi Porch (Screen/Gazebo/Pergola) Exterior Alteration 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 ~j Occupancy MCES System Plan Review Code Edition 7 SAC Units (25% 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) 'K Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough in -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES f' .t Base Fee Surcharge(,/ L°'` ✓ Plan Review MCES SAC ` ~i ',A r 4 City SAC yf Utility Connection Charge S&W Permit & Surcharge" Treatment Plant Copies VVj TOTAL Page 2 of 3 Use BLUE or BLACK Ink For Office Use 1 I~~ 1 city r w n I Permit i I Ea I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite Resident/Owner Name: 'CIO" I Phone: ~oj- 1:,aa /V Address / City / Zip: 1 Name: Wenzel-Plymouth Plumbing, LLC License 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email: cmichels@wppmn.com Type of Work - New _ Replacement _ Repair _Rebuild _ Modify Space -Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Water Softener Lawn Irrigation C_ RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ N/A 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.gor)herstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work'is not to start without a permit; that the work will be in accordance with the approved plan in the case of worts which requires a review and approval of pla x Carl Michels x Applicant's Printed Name Ap ' ant's 'gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test -Final City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office UseQ' Permit#: t (`oVrrU3 (10 Permit Fee: ,, Date Received: i4 ( (I 113 Staff: l 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6--/F3 Site Address: .41-1 oPre.4s Tenant: 1 J Suite #: Name: Phone: c;2 •- ��` `��157 Address / City / Zip: LI 71 f 6. -,(fir &ss po;; .tk itAn Z"Z- Name: -KP-4:0 PIO,,.��n k'4"" License #: PC IUId. i (o Address: 1 (toe 'ec-4- tAJ Sri City: State: PAA Zip: S5 31 1 Phone: C014- c)i).)- Soo 1 Contact: e^sc\ Email: -"&e-r4 @ Ifo New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater M Lawn Irrigation (_ RPZ / 1 PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ Gc? c,J CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x �✓+.�u� Applicant's Printed Name x Applicant's S' nature