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3946 Clippers Rd Use BLUE or BLACK Ink For Office Use City of Eap Permit I Permit Fee: y 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: J' 7-1 Site Address: Tenant: Suite RESIDENT / OWNER Name: 7 TO y ~O /'j ~YL Phone: Address / City/ Zip: CONTRACTOR Name: G ` goo d ,LAL~ License 1~~~/10 ,_3 Address: Jr w City: State: ~ Zip: J !D~ Phone: g- 7 s3~43" Contact:,fe /GL / once- y? Email: • TYPE OF WORK New Replacement Additional Alteration Demolition 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. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire _ Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ 5_5 6 00 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 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.aoaherstateonecall.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 A' k- ,/<g,r,,&rL x~,t Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In' Air Test -Gas Service Test -in-floor Heat -Final _ Exterior HVAC Screening,lnspecbon - - - - - - - - INSPECTIQN RECURD 7Control No. Q 2 4 5 '•• CITY OF EACAN ?,•rtv? ?t ?-r+/3q,?,43 PERMIT TYPE: H u i i t) t Nii 3830 Pilot Knob Road H!dpM W04QMT-687-M tq ' Permit Number: •'?`'?`f' Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOTo 16 PLQCk 3946 Cl.IPPfRS RO aNERta0U47 U(iWNS ? PERMIT? UBTYPE: APPLICANT: Mtl.i.EH tiaMEs JGSEPN (612) 464-4663 TYPE OF WORK: Meu INSPECTION Fiois i i r1k, .. . FRAMtNH . fNSL11A1 !f?N FiNA! 1 i'pl' PL Al:f. I REMARKS i bl CUHTHACiqR - AEN?-(tYAN P(-B8 ___.? Permk No. Permtt Moklar Date Teiaphors # S!W I PLl1MBING .- HVAC d3 -j/A ELECTRI ELECTRIC , Inspection Date Insp. CommerKs Footings I ?-2$ 9, ? Fourtdatbn Framing Roofing Rougn P?ag. Rough Fimplazo Fnel Htg. Orsat Teot Final Plbg. Plbg. IneQector- Noti(y Plumber Const. Me1er EngrJPlan Bldg. Final Deck Ftg. Dedt Fnal Vlrell ?? ,r-- Pr. Disp. ?? MACPiVAIL? PM DlM-4/30/93 MM 3QQIST-b87-M lo (gerti#irafit of (?rrupanry titp of eagan ?r?t,?tti uf sufilbittg itts.prrtbmt Tliis Cerafrcate issued pursuant ro the riequirements of Section 306 of the Uniforni BuiJding Code certifying that at the time of issuance this structure was in compliance wrlh the variorrs ordinancesof the CYty regulaling building construction or use. For the following.SF DWG 266 Use Qamficaaoo BWg. }lrmit No. V-N 0-upa7 TYD? ?? 11F1VtsTUN?-JOE Qwev of Bmldio6 Address f f Buildioa Addreu 1.acaGty AUG 18, 1992 Dale: ewkwg officw POST IN A CONSPICUOUS PLACE Address: 3946 CLIPPERS RD Lot16 Blk 1 Sec/Sub SHERWOOD DOWNS These items were/were not complete at the time of the f1na1 inspection. Date: AUG 18 1992 Yes No Final grade (6" from siding) ? Permanent steps - garage Permanent steps - main entry Permanent driveway Perrnanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify With the builder the removal of roof test caps from the pltuabiag system and the shut-off of water supply to the outsida lawn faucet before freeze potential exists. & pCCrttFO MRII Wt?ite - City copy Yellow - Resident copy Pink - Contractor copy ios?o3 ?? 2 5 f 9 Requesl Oate t Flre Na Rough-in Inspedion ^? 2? n ? r' q n K V lr 92 e? 7 ? PeatlY Now B"?T Pactor IR ' - No en eatly I[.IA<ensed contractor ] owner hereby request inspection of a6ove electrical work at Job Adtlreea (SVeet Bor or Roule No ) pry 3946 Mppeab f2oad £¢g¢n Section No Township Name or No Range No Counry D¢kota Occupant(PRINT) Phone No aoe I7iLQelz fComQh 454-4663 Power Supphar Atltlress [7¢kota £Lect2ic t¢2minyton,('(N. 55024 Eleclncal Contraclor (Company Neme) Cont[aclor's Lmense N. (Udiand Uectuc 049690 Mading Address fCOnvacror or Owner MaWng InslallalionJ 9711 u?,ikQQ lJay L¢kevi2ie,l7N 55044 AuO? Siqnat COn adonOwnar M kinq Insallation) Phone Number Z 89Z-9444 MIN TA STATE 80ARD LECTRIpTY Gnggs-MiEway Bltlg - qo 173 1821 Umvenity Ave , St Paul, N 55104 Phone (612) 6E2-0800 THIS MSPECTION RWUEST WILL NOT BE ACCEPTED BY THE STATE BOARp UNLE55 PROPER INSPECTION FEE IS ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ellow aa f m on b k l L m f ,Lf? q]ll(,?/J ? 4923? py or ng is aa a y ? See inshucoaos for comp a ??? 7.?8Y . X " Below Work Covered by This Request New Add? Rep TypeofBUtlding App6ancesWired EqmpmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt eutlding Dryer Other(Specify) Comm/Industnal urnaca Farm Av Condihoner other (speciy) GonVactor§ Remerks Compute Inspechon Fee 8elow # Other Fee # ServiceEntrance5¢e Fee # Cirwits/Feeders Fee . Swimmmq Pool 0 to 200 Amps 5 ` 0 to 100 Amps N T Transformers Above 200 _ Amps Abo _ Amps Signs lnspectar§ use oniy c ? ?? 707ALp Ch Irrigatwn Booms J ?/ • ?V Special Inspection Alarm/COmmumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTMS. I, the Electrical Inspector, herehy n Rough-i Date ? J' certify that the above mspection has been made F,nai ' Date ? OFFICE USE JNLV This request voitl 18 monNS from ''. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number: Date Issued: BUILDINO @00266 04/16J92 SITE ADDRE55: 3946 CLIPPERS RO LOT: 16 BLOCK: 1 SHERWOOD pOWNS DESCRIPTION: 8uilding Permit Type 8uilding CJprk Type `118G Oeaupancy, ConetrucCion T'ype Zaning Building Length Building diidth SF DWG NEW R-3 M-1 V-N R-1 46 . 48 "V? REMARKS S& W CONTRACTOR - GENZ-RYAN PLBG FEE SUMMARY: 8ase Fee Plan Review Surcharge 3AC SAC 8 5AC Units Subtotal VAIUATION $612.60 $398.13 $47.00 $700.00 100 $1,757.63 $94,e00 MYSCELLANEOUS 51.610.50 Total Fee $9,368.13 CONTRACTOR: - ApplicanC - ST. LIC. pWNER: MILLER HOMES JOSEPH 14544663 0002431 JOE MILLER HOMES 3459 WASHINGTON OR 3469 WASHINGTON OR 201 EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 1 hereby acknowledge that I h.ave read this,applteatibn and stete theC the information 3s correct and agree to comply•with all apql3caGl.e State ofi Mn. Stetutes and City of Eagan Ordinarices. ,n`? o.i?. ? 11?11 ?8Y' SIGNAT RE /fAPPLICANT/PERMITEE SIGNATURE ISSUE?r Control No. 0245 VERMIT d 14(t CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 4 QR 0 8 REm SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy catcs. Penalty appties when typing of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date Valuation of work-?-` Site Address: 3 94? o-a-k STREE STE i Tenant Name• LOT BLOCK ? SUBp. P.I.D. 8 Descri tion of work: The applicant is: ? Owner Contractor ? Other (oes«sne) Name Phone Property LAST FIRST Owner Address STREET ' STE t City State Zip Company ' Phone 115-q-1(063 COt1tf8Ct0r Address 18133CEDARAVE.SO. Lfcense # Exp.3--?? l10002431 City State Zip Company. P.hone Architect/ , Engineer Name Registration # Address City State • Zip Processing time for Sewer & water licensed plumber . , sewer & water permits is two days on area s been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al] applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: • urriut uat UnLr BUILDING PERMiT TYPE ? 01 Foundation ? OS Apt. Bldg ? 09 Basement Finish 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool O 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comn./Ind. WORK TYPE 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move ? 37 Demalish ? 99 Undefined GENERAL INFORMATION Const. (Actual (A1Towable? UBC Occupancy Zoning 8 of Stories Length Depth APPROVAL3 Planning Engineering REQUIRED INSPECTIONS ? Site O Wallboard V-rJ Basement sq. ft. v»N lst Fl. sq. ft. •1 2nd F1. sq. ft. ? Sq. Ft. total Footprint Sq. ft. ? On-site well g On-site sewage Building Y-/39?05. Variance s-zr-90 0 Footing ? Final CI Framing ? Draintile O Insulation ? Fireplace Permit Fee 602.50 v.imcia,: s2 `I, 000 - Surcharge yn,oo C74RAGE: zzxz2= y8 1f '$C?f?-'?"1 yL( Plan Review ,3q? . 13 ,. • • ? , , License LiSMT? 3yx24= MWCC SAC pv. o o y y /2 City SAC Mater Conn. oo. o o ? , p o f2 X26 = 31? Water Meter Acct. Deposit qS, o v 30 .oP !S = /176X ! ? ,-6q0 S/W Permit 30,00 I(?(. S/W Surcharge o ?/z xlpya_ Treatment P1. 3Q? ? ?^ Road Unit Park Ded 380, oo l?9z xs3=? 3 ,1-7 4. . Trails Ded. Copies Other 7ata1: ?- . ---r-' . . . _ .. .°? ` SAC % ! a? . . ,. ? ? "? • ? ? 13 Public Fac. ? 14 Agricultural ? 15 Miscellaneous MWCC System Ye5 City Water `CC"5 PRY Required Booster Pump Fire 5prinkler Census Code a 1 SAC Code ? Assessments SAC Units _I ?, ?. ?L uuat,uluu llL''PAII'flll;ul r' t?ZJ" ?•• /'J ' ?:x7LUivii ?:ii"v?;i,oiu nv?:i?nur ??u?? ootarucn•rivu ?' ' (fia bo oubiu:i:ELad. wilh Uuildi»g permiE upplioativn) o'or TvwFaially llwalliug ,_?.: G pf?uer l ol•tior t3iEe Addrenn LoT 16,'81.oc.K I, • 11 11 !1-,uotor,_ A'?'??1???1 ??'ll?/t•??`? ?•=-d/?/?7/r Uato Yliono ?_ ?IEAL FEE'r 1'OGEU 97ALL N.[t• aboVe gtade n' ??z--. ? . . '1'v7.'1W EXF08EU I4ALL Al1F:A eq. E"1'. . ' ty, • 'AqUE YIALL Co115'1:IlUUTIoII t olUll Value x Areu 7-??- x7C (O) (A) • ICoCeltOe l.f? L1(l.. F'C Z. fv111 -?'4W ? npu r x, Ht?. $"1'. 7 n S0) (A) tcaoi?aa °u" K eq. Fx. = i?)(n) x ba. FT. _ (111(A) xSQ. n°T, tI (U) (n) inuotivsi "u" vaa.ua x nx•aa • nico IIe Tylro X 9R. F"1'. (A) (11) li11 il x ? 6R. F"C. , (t?1(n) ?? upu x 8n. F'T. y ??????? n u II u II X sRr F'??•_ ( / l . a \U) \A7 00 113 t IIUII Vuluo x Acac% «ho & TYPo iiuii-?X ga. n u uijil x 8q, u n npn x pQ. u n npn • x 8Q. ., , Fm. c.? ? Co1(P tu)(n) F'??. • '? A? k'T, n M(A) FT. ? (U) (A) k"T. Ds (u-) (n) ? . nvF.nnuE liul? 'o'lAL (U) (A) YAI,UU,y 1IVIUEU UY To'PAI;={7? L niirnZ???j?(? iVE11hl1E ??Ut .1) ?dr leoe [or 1&2 famlly tvellilirgre , ' . . ioOF/UF.ILIIIUI 1 • , :0'PAL' AIIEA 1 / )otailramtereiwe iiju 7 (U) (?)(A) ittucha4 shoeto. upn, x 6tli F1. • ? (U)(A) Jauci•,?be oi?euluGs ' nU?? X:14?. 1"'f. ' n U A Ln root. npn X SR. .Pr).'. _ O(A) U 'ro'rn?, (U)(A) VALUES UIVIllGU DY ? ib7 7U'hG`"?9g.rr Z5501-(q\) ' tt 7'o'1'AL 1100F/CEiLItIU?NtEA A4EIiAUE llU11 ;025 tor v9ubllatod rofio:? ?_Jj , . . • .. ? 1 ??S ?? ,- ? ; ?j?Q?? , ?.a'J x I c.?'' = ? Orl, ? 'Z?I .., 'I1I? z ` Z-2vX:?cv= H.?oxl? I`?'+o . l11 Z- zq-Wc2=L 2z 15???? ( 3- zA.Xc?? = 411-16?t z- 21-X v)ca = ? ? IC, . , . ? IZ1 I8 ?' _...? ,iu.?j ,tiiiIi) an4 vuuu, llloal[ ? . ? ?tUVP'/U?ILIIIQ , Il AI?U i.) Ii1lnrl.orAir Yilm o.61 , 2.) 5/011 (IYC• nd. - ?56 3.) Iueulakion ` ?`?.c17 . 5.j Exkarior Air F11m . ,61 ' lU'C1LL)' • , . • I?p?? n 1/Il? rOZ? 1UT1W (Il)d iul.7g ? i. ? . PIALL li Y1lLU 6.) InEorior 11ir f'ilnq o,Gp 7,1 P •"yl,. u(1. : h5 ' U. ) I.uaula6znu ?j. dd „ 9• ) 1???t:1"-I'-nE= Z.n•I• 1o.) .Ilaaouibe tlldiug .67 11.) Exterior Air E'ilm .17 ' 1 y ?. liull q I/IIti ? 674,7J? T0'rAL ?- • 11 VAIJU 12.) Ilstorior Rir Filia v.6U . (Rh 13s) InuulaCivu 19•00 " 111.) 2" Fir IIlIn JoipE • 1.00 . 150 1>vu.r-Pi1G . . z,oq. . • 160) llunouibe BiQiua .67 17:) Exterior Air !'i1ro ?17 IIpIl a 1/11ti ,pr?.p 1'UIPAL . ? (10e FDUtIbATlOlI • t Il YALU 10.).Intorivr Air tilm' o.6U 19.1 •' zo: ) P4 y rklP1ub ' 21.) 12" Uonatela Dlools 1.20 22.) : 23.),Exlerior Air F11m ,.17 nUn „ 1/110 ?070 IVTl?I, ?- (11) n • . ?? ' . . . , ' ....., . . , . . , , • i.. ' . - , ? ?. l ,, ---J?.... `7V? • ?_------= '• .?------ ? ?-------?_ 1.. . - u I 1+1 "L 'I I,IILIIIU • \ I IIAUlI1G .' ' , . , i,,. ' • . nll. ?llm U.GI ,. ?_?a,G?_,-__ ?. ? •:OO • ? ? ' 7 , p liisutal{on , . . • ? , ? /`.??- Jolst , .' - IV? ? • i: , ??P. . c?i?,??y . . )_,___-. • . , ' , 4 =_? Alr f I lw ?-- , ? L.?}I ?o?a1 u _ ? rl . • , . . ?oZ3 u=n . . :.-_----- ? ? ? ? . •. ? t?nt uuar l)Il CAIIIEUI??I CE1L1110 n,?n?ti? . ? 1? V51tie CEILlI1G ' f IIAI IIIIG ? . • ; . Inside a?Y lllw U.GI 1 ? • U.G --- •-- C?: I 1 1 n •--------- J o I s L? s[ ii J j .. . •-------? InsulatloU '=---.'-"_ A I r s p a c? • •----`--- ? Iluut Jeckll?9 ' . t__- --------- 111m U,11 :. ? UutslJe 611- . • Iotat -------, i U ? . ,. ? IlnJod I??I IllrSllun 5 cln?Illne?l laut of crack I'l l I I lliu"i o . ; ,• . , lesl Jcill 161, d0?'JuIn[ l,liiflllrollo4 1 11.USC(m/ l i n c a l (ootoalt erocY,l cda YcqulremenE ?? . ;luu-IeslJenll.or a .A1';n z.l . , .. ?1b 1'2d toncrelc block i1o Insulntlon . 2G Il 7.U ' ?. . . ? , l6 ?21 tunn•ele black lnsulaled cores , r iJZ It 3.1 .' . ' ' . Jb• ?ly"t•"cl?Pub IlIocY. ? dI12 Il 11yhl?iclylit ?luck IItsUleled` cur?s .'I . . ?.. • . glass = l.l]{ tillh StOll" lillldo"'I .54 . , , . 1 dou??l@ glass ° .55 .. • .:," • , • ) lr1111c glass - .41 ? ,. . ...' • ? , , ?. ?crin mDX. f ? • ? 111 ?XLpI'I0?' NaIIS aii?) cel?lnys ?u?ls? `wve A v1lior barrler tU.IU l ; ? ' japor I?arrler musl l,e on ll,a 1iislde (hoaleJ s Je? of rralI i ;,' . •. lapol' Larrlers o? lhe p?IYeU?elene thln f Ilu?.haJ? uo Il volue. 1 , ,; , . I . • . . ' . 1 . ,? • ' • ? , ? • ' " . ? . . , 1 ? , . . , ? ?. .. ? .'.', . .,.< . ? ? , CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # -? DATE: 5 It?S?ll#E?1'?`,I??Sy:2 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS b TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ----------------------- ---- ------------------°------------°-`'---------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ? ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: I O _ KITCHEN SINK 3.00 ' ? ' ??DRY TRAY 3.00 0 I 1 ?i? ? 1 SITE ADDRESS: J = HOT TUB/SPA 3.0 / WATER R 3.00 JC.Q.rt LOT:/ te OCK I Si1BD. wrYirrJ? OCX? _ FIAOR DRAIN 3.00 ' GAS PIPING OUT. INSTALLER: _ (MINIMUM - 1) 3.00 l ROUGH OPENINGS 1.50 ? O ep C OTHER ADDRES S: WATER SOFTENER 5.00 CITY: ZIP: _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 $ y?n ONE & v( ?JYJ I SUBTOTAL ?CJV ? . m 1,?! ?? ST. SURCHARGE .50 S /7? SIGNATURE OF PERMITTEE TOTAL: ?1f J ?Q?111HRGiAL;INDT,fSTRIAL:: PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND _? ..... , MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: uwdnR NAriE: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF' GONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) REACTIVATE.? PERMIT ?l kU4 REc; EWEU CITY OF EAGAN APR `L 9 1993 993 BUILDING PERMIT APPLICATION 681-4675 --------------- SINGIE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calts. COMMERCIAL 2 sets of architectural & structural plans, 1 set of I 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 Ll/ Valuation of work Site Address: 3W6 CIbDel`S ICG CC?G /1 ??1 n ? lac?. STREET SUITE # Tenant Name: (commercial only) IAT Cs] BLOCK ? SUSD???CCCJ P.I.D. * Descri tion of work: The appl i cant i s: 13 Owner ? Contractor ? Other (Deseribe) Phone el Name Property LAST FIRST Owner Address 394('0 Giopem Rc) STREET STE M City 8aGQYI State M11 ZiP `551a2 Company Phone Contractor Address License # Exp. City State ZiP Company Phone Architect/ Engineer 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. Signature of Applicant: L l` 1 CTI'Y OF EAGAN B ?i MECHANICAL PF.RMIT SUBD. o&-wyA4 (612) 681-4675 RESIDENTIAL xEcEtPT #/o s c y Z DATE `f'22?yz. PLEASE COMPLEi'E UPPER PORTION ONLY FOR SINGLE FAMII.Y DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS R'AEN SEPARATE PERMTfS ARE REQiJIRED FOR EACH DWELLRVG UNIT. OVINER- JOE MILLER HOMES FEFS SI1'E ADDRESS: 3 9 q(p ADD ONlREMODEI, (E7KISTING CONS7'RUCTION ONLl) $ 15.00 INSTALLER: GENZ- YAN HEATING HVAC: 0.100 M BTU 24.00 PHONE #' 423-1144 ADDI1'IONAL SO M BTU 6.00 ADDRESS: 14745 South Robert Trail GAS OLiTLE15 - MWIMUM 1@ $3 EA. 912 C1TY: Rosemount ZIP: 55068 SURCHARGE $ .SO SIGNATURE: TOTAL: $33 ':?- COMMERCIAL PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCWIINDUSTRIAL BUILDINGS. ALSO COMPLEfE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR EACH DR'ELIdNG UNIT. R'ORK DFSCRIP110N: CONTRACT PRICE 196 OF CONTRACT FEE. FEFS STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMTf FEE. $ PROCFSSED PIPING - $25.00 MRIIMU?d FEE - $=`."..3 $ ORNER TOTAL: $ SI1'E ADDRESS: TENANT: , SUI1'E #: INSTALLER: ..: . .. .. .. .... . . . . ..... . ADDRESS: CT1T: ZIP: , .. PHONE #: C17'Y SIGNATURE: SIGNATURE. CIT7f OF EAGAN • ' 3830 PIIAT &NOB HOAD EAG/?N. MN 55122 PSONE: (612) 454-8100 maa amm .. .................., . ?« .??? FO& CITY IISE ONLY PERMIT # RECEIPT 0 76 -.5 DATE: q qL PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ' FAMILY TOWNHOMES/CONDOS WHEN pggMlTg pgg ggQQ=RED FOR EACH DNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME; JOE MILLER CONSTRUCTION C0. INC. SITE ADDRESS:v'40 lCe-? IAT: I? BLOCK I SUBD. ?atLJ-a?_ &y p.czJyt,,_7 INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. aDDRESS: 14745 South Robert Trail DWELLINGS COMPLETE T1iE FOLLOWING: N0. FIXTUItES EA. TOTAI ADD-ON MINIMUM 15.00 ? SHOWER 3.00 ? WATER CIASET 3.00 3 "O ,L BATH TITB 3.00 ?ca L IAVATORY 3.00 KITCHEN SINK 3.00 077- ? IAUNDRY 1RAY 3.00 3 ?D HOT T[)B/SPA 3.00 ? WATER HEATER 3.00 ? FLOOR DRAIN 3.00 ? 4e fA-q pIPINC OUT. ? (MINIMUM - 1) 3.00 ?3 °B ROUGH OPENINGS 1.50 .? oTxEtt _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL S J/ ST. SURCHARGE ,50 TOTAL: ? S J?? ' ,. PLEASE COMPLETE TfiIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND • ?,?,:..,ma ?,?,..,a,??...,.?,.? MtJLTI-FAMILY BIIILDINGS WFIEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLING i1NIT. ___--__--_---_-_--------------------------------------------------------------- __ CONTRACT PRICE: OWNER NA,'fE: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER; ADDRESS: CITSC: PHONE FOR: ZIP: FEES 18 ,OF CONTCcFiC-L FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATORE) CSTY OF EAGAN CITY: Rosemount, MN ZIP: 55068 ?c * * * PIONEEF! uHO suaVEroRS • * engineering LAND PLANNERS . uN * * ? * 2422 Enterprise Drive Mendoto Heights, MN 55120 612) 681-1914•Fax 681-9488 625 H(ghway 10 Northeast Blaine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey for: JOSeph M. Miller Construction, CO. House Address: 3946 Clippers Road, Eagan. MN Model Name: Edinboro 1 I ` ? N 03'22'28' W ? I ss ? I 25 ?eoos 99.54 qo?,z•?' ? O ?AO I ? ? _---) S ---------- I sms I ? ? I ? D ? i ? 8qb.? esas xg?"1(? ? I O ? Ln ? ? 0 D6X ?/? ? V/ ? D I a' ° 95' W !31 ? 2D s? N 00'33'08" E I r S3 I 44 95•1 I W N I3 34.00 io ( I N ? I 12.0 893' Ia ? I PROPOSED HOUSE W I ---j aTH LEVEL BASEMENt n I M Z I ? I > ? ? I - - N 10.87 I Ay I ? ? r I I GARAGE o - w12.83 ? K I I I 10 I 5 26 22 34 ? O 1 I 13 2"? I _ . ?`zo . J . ?B9' p ? L9 i ? M4.9 894. DRIVEWAY ?I,C? o 892.2 89z,?----- ? i ooo L=11.9 59.07 9 - J g L,y ? I oA = 02'56'07" S 00'33'08" W ? / I R = 233.09 ---- J`_------ ----- - ? CLIPPERS ROAD ? , , , __-- ------- ---- ,- PROPOSED HOUSE ELEVATION . 900.0 Denotes Existing Elevation 3rd Level Floor Elevation:894.45 x soa.o Denotes Proposed Elevation 4th Level Floor Elevation:889.55 - Denotes Drainage & Utility Easement Denotes Drainage Flow Direction Top of Block Elevation:897.66 -o-- Denotes Monument Garage Slab Elevation:897.33 -s Denotes Offset Hub Bearings shown are assumed LOT 16, BLOCK 1 SHERWOOD DOWNS DAKOTA COUNTY, MINNESOTA 1 hereby certify that this survey, plan or report was repered by me or under my direct sup?erv-i?sion and that I am duly Registered Land Surveyor under the laws ol the State ot Minnesote. Dated this S'VD day of P«'l L q,D. 19-1--. AddIFVS, Scale: lLnch=30feet qOBE TB.S L.S.REG.N0.14B91 279 90206.,5 r.uw T ?- ? . * PIONEEFI LANO SURVEYIXiS . * eng neEr ng wuo PLaHHeaS -Cnn 'k * ** 2422 Enterprlse Drive Mendota Heighte. MN 55720 812) 687-1314-Fax 681-9488 625 Highway 10 Northeast 81olne, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey fnr: JoSepI'I M. Miller COf15tt"UCtlOfl. CO. House Address: 3946 Cli)pers Road. Eac?an. MN fvtadel Name: Edinboro 1 ? N 03'22126" W ? g9.54 ? 25 1 ZS ? ?- N ? - -- ^- .- - - - - -" g I r I I > ? ? II I ? W I ? ? > F- a9B.5 Kea?.? I p I 1 0 ? I ? 0 Of ? 20 ?? rv 00'33'OB° E I 37 ! J ? µ- ?5?1 34.IX1 0 ? 1 13.19 I ?1 ' ,z.o ? n PROVO5E0 HOUSf ' I m 41N LE?EL BASEMENT m a I ? ? .?. -? m 10.93 °' ooI ? m ' r { 1 , 1 GARAGE ? m1293 ? I ? I +o ?g?1y1 0 s?y $ ° sz I I ? , 2g _. ' .- 22.34 13.19 - ? I ? l x89Y,q ? ? ? I I ?? es. ? - -- _ J f ---- ,. DRIVEWAY C '0> pO? L=1 1.9 g93,4 o ? ' z38qko"p = 02'56'07" g R? 233.09--- ? W 01.5 1'o il ?;1qs 0 M ? 2 8q3,L4 92. 9t.b?----- a9z.???? V? CLI Pf"l ?F? • " Da ? _- ___----?--?T- - - ? ? ? ? . eoo.o Denotes Existing Elevation •G?.7 Denotas Proposed Elevation - Denotes Drainage & Utili#y Easement - penotes Drainage Flow Direction • --q- Denotes Monument B._ Denotes Offsat Hub Beqrings shown iEItTGIRTEERTATC3 DEPT PROP05ED HOUSE ELEVATIDN 3rd Level Floor Elevation:894.h5 4th Level Floor Elevcttion:889.55 Top of Block Elevation_ 897.66 Garoge Slob Elevation_897.33 are ossumed LOT 16, BLOCK 1 SHERWOOD DOWNS DAKO7A COUNTY. MINNESOTA 1 he.eby cerKfy ehe< this mrvey, plan or report wes repared by me nr under my direct sup?eryv-i?clon and thac 1 am tluiy RegistErW W nd SutVSYOr under the laws of the Stace oi Minnesoxe, Detetl Mhis 3?? day of A.D. i0?. ReJ. N•7-,t2: Add X;PVS, S li V I C. 1 IhChc3O!.!!a1 R06C B. L5. REG. NO. 14891 0 59.07 7? sozas.is m?.v, RS' S??C .6'6?2 Dc?°?9r7?T ?FG???'r or ts- z? Yo Use BLUE or BLACK Ink r----------------- I For Office Use y Permit ! j City of EaRd I Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: l Z Phone: (651) 675-5675 I~ I Fax: (651) 675-5694 1 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ) 0- % ) Site Address: ~r Unit Name: T/'O j 7 NSc'.v Phone: '26 3 YE 3 0& Y 3 RESIDENT / OWNER Address / City / Zip: 3 C/ V/6 ,?T r l Applicant is: Owner Contractor TYPE OF WORK Description of work: 91 C r Construction Cost: i7 o v Multi-Family Building: (Yes No Company: Contact: / Qrd h r c Address: 1331 City:CONTRACTOR State: kh v, Zip: S 1' / 1 C Phone: 3 410 )FF-2 I /C License -CA G 3 r't ),$2 Lead Certificate GVA 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: 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.orca 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 J A u~ ~ r.) t 4 x Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r For Office Use Permit #: __� O '1 \ `� Permit Fee: 1 LOG Date Received: 1— al --1 Staff: 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3/ �G C�;��I 14 Unit #: Name: I' o y )oI r6 ' Phone: 22S os -3 Resident/ Owner Address / City / Zip: 3 (cy `1f,. L l ( S' Fl --' Type of Work Contractor Applicant is: Owner A Contractor Description of work: Ale . w W1 rs�ru✓ s Construction Cost: 17 s�v j C Company: Multi -Family Building: (Yes / No ?( ) LI Address: / 3 3 2 T., Y17 i State: dt jA Zip: c' -i'/ 1- I CK License #: , 3P( 3( Contact: 6u/ /9/1660 City: � /- Phone: Phone: k r( 310 , 2 y r Lead Certificate #: tv i4 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) O Ji/ AP--- 0'78 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 1 x p��,v( QhOL-IA Applicants--Rrinted-Nam x plicant's-Signator Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108606 Date Issued:12/20/2012 Permit Category:ePermit Site Address: 3946 Clippers Rd Lot:16 Block: 1 Addition: Sherwood Downs PID:10-67670-01-160 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Renae Freinwald 2200 Hwy 13 W Burnsville, MN 55337 952-767-1870 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Troy A Johnson 3946 Clippers Rd Eagan MN 55122--380 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature