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
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t TypD
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DOOlt9t "U" volu• x dtea nUn (U)(A)
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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
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'.rtf?,`.'?[ :: :?..?'.I. ? .?. . ,. $?S?•
ToTnL narn
ROOF/CSILIII@t aU?? viue. x erea (11)(AFI
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Yo x ?l?.c. e. .
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TarAw (U) (A) vai.oes Z.=,7J? }--'-? vc."u" STOO CODE
DIVID£A BY CL(i. AliEA ?s::J Lo21 ?
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s.f.. CEILING AT Z- ?T` ?
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... 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
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I Staff: I
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2008 RESIDENTIAL BUILDING PERMITPPLICATION
Date: aoi? siteaddress: Z'13- I C'IP-C SS I
Tenant:
Suite #:
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RESIDENT/OWNER Name: . Yy,Y
L.Q Phone:
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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
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Zip:
City:
State:
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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 '
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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 .- `
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Ap nYs Printed Name Appl anYs Signatu rlli Page 1 of 3
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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
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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
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3URVEYINCi
SERVICES INC.
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Ea7en, MWbeota 55172
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-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.
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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