3485 Coachman Rd
Use BLUE or BLACK Ink
For Office Use 1
1 Permit
City of Ea
Ell 1
l Permit Fee: C l~ J t~ I
3830 Pilot Knob Road JUN 1 I
Eagan MN 55122 1 Date Received: 1
Phone: (651)675-5675
1 Staff:
Fax: (651) 675-5694 1
2010 RESIDENTIAL PLUMBING PERMIT
APPLICATION
Date I3 t Site Address ~~~~a
Tenant: Suite M
RESIDENT I OWNER Name: -Tl iyl Phone: (&S: I 331a 12S"
Address ! City / Zip:
CONTRACTOR Name: " l " 1 f' c"i License* 01, 1 . -rd
Address: - s
I a City: Jc` t t' l
State: tfi, `-A°Zip: Phone: LIP IQ Loa 0.
Contact: CA-( M Email:
TYPE OF WORK New _ Replacement Repair _ Rebuild ` Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
4- Lawn Irrigation Add Plumbing Fixtures
L_ RPZ / / °~PVB) Main - Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 if a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the C y of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is of to start without a permit; that the work will to in
accordance with the approved plan in the case of warts which requires a review and approval ns.
x -ao', x Applicant's Printed Name iicant' ignsture
FOR OFFICE USE Review By: Date:
Required Inspections: Under Ground Rough-in _Air Test _Gas Test Final
BUILDING PERMIT
Receipt #
N2 13046
A-Y ? t ti
SF DWG/GAR $67,000 vECEt+1BER 30
86
To be usedbr Eat Va1ue Date 19
Site Address 3485 COACHMAN RD Erec j ..:.:upancy R 3
Lot 13 Block ? SeciSub. HAMPTON fITS Remodel ? Zoning R1
Parcel No.
Repair
?
Type of Const-3Ar
Addition ? No. Sto?ies
Z Name FkOivTIFR COMPANIES Move
i ?
? Length 50
4 Q
3 9 0 8 S I BLEY A'LM HWY sh
Demol Depth
;
O Address
r...?... Ar • nAftft Int. Impr. ?
- Sq. Ft
Z o Name-qAN4?. APProvi
?°, ? Address Assessment
~ City Phone Water & Sew.
F W Name -
u ? Address
i W City _
,.
CITY OF EAGAN
3830 Plloi Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
and aqree to
Police
Fire
Planner
Council
ahatthe gld Of
State of 9'
APC_
Var. Dati
Permit 4 3i4• u V ?
Surcharge 33.50
Plan Review 167 . UO
SAC 575.00
Water Conn. 500,00
Water Meter 63 • 50
Road Unit 190. 00
Tr. PI. 156. 00
Parks
Copies
Totai $ 2 .119 . 0 0
A Building Permit is issued to_ r"rtVrJ'1'1LX t;ViKYHtv 1 1:t? on the express conditlon thet
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Pwm11 No. PermH Mddx Dale Tdephone #
°--
H.V.A.C.
ENeMe /? , ? ?,?/"? .> ? •?-? ? ?? ? ??
Sofbner
InspscUon Dab Insp. Commenb
Foodnysl J?
FooGngs II
Foundatlon
Framinq
RooNnq
Rough Plby. ?$7 yb ,? A•-a
Rouph Hty. j -r
Insul.
Fireplacs
Final Htq. pp
Flnal Plby.
Bldy. FInN
Cort. Oee.
Oock Ftp.
Deek Frmy.
Well
Pr. Disp.
PERMIT #
PLUMBING PERMIT
RECEIPT f1
CfTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot_1.? Block c'2' Sec/Sub
`r f? /; ) Res. New ?
m Name 't4?- Mult Rdd-on
Add?ess -? a 0 Comm. Repair
c
I
?
c City Phone 5? •
-'
' ? Other
O
AL
!
4 NO FiXTURES T
T
_
l
.
.
Name 00 $
Water Closet -$3
c Address ! r ? ? i t i ri w' .
/ Bath Tubs -$3.00
p City AJ Phone 5 - ? _tLavatory - $3.00 3 , , -
Shower - $3.00
?-
Kitchen Sink - $3.00 ? • '` '
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM
RESIDENTIAL FEE
$10
00
Urinal/Bidet - $3.00
?undry Tray -$3.00
--
-
-
. Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20•00 TWater Heater -$1.50 ,=? <!
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
-
(ADD $.50 S/C IF PERMIT PRICE GOES TGas Piping Outlets -$1.50 '
BEYOND $1,000.00) Soitener - $5.00
Well - $10.00
? Private Disp. - $10.00
/? • h Openings - $1
Rou
50
?r
, .
g
..
_
31GNATURE OF PEAMfTTEE FEE
STATE 3/C:
D TOTAL• ? y• -'?
GRA
FOR: CITY OF EAGAN N
?,t'' ?-.. ? ? „ •i. ' -.
. PERMIT # •
MECHANICAL PERMIT RECEIPT #
CfTY OF EAGAN 3 li?,, r3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
4CT PRICE: ° PHONE: 454-8100
Site
Lot.
m Name _
? Address
c City _
Name rronciex Lou
c Address 3908 Sibley
0 City
TYPE OF WORK
Forced Air 80, 000 M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping OuUets #
Other
BLDC. TYPE WORK DESCRIPTION
N
R
es.
ew
M
lt Add
u
-on
C
R
i
5 ti 5 r
omm.
epa
Oth
er
FEES
FiES. HVAC 0-100 M BTU -$24.00
33 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
. 00 ADQITIDNAL 6 M BTU
GAS OUTLETS
COMM/IND FEE - 1% OF CONTRACT FEE - 6.00
- 1.50 EA.
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
, BEYOND $1,000.00)
FEE
S/C:
TOTAL•
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # F MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
? Name r,? ?-
1
?g
Address
7
7
j c City Phone (• . _
f
?
-
?
Name fl' r
?
? c Address
i 0 City Phone
ed Air M BTU $_
'r
M BTU $
Heater M BTU $?
:ond. M BTU $
• CFM $_
Piping Outlets # $_
BLOG. TYPE ,
Ftes. ?•
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMin - 1.50 EA. l
COMM/IND FEE - i% OF CONTRACT FEE i
i
APT. BLDGS. - COMM. RATE APPUES I
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES '
MINIMUM RESIDENTIAL FEE - ALL ADa-ON &
REMODELS - 12.00 d
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
OF EAGAN
arir oF MaN WATER SERVIPE PERMIT
3830 Pilot Knob Road ' j j 26
P.O. Box 21199 PERMIT NQ.:
Eagan, MN 55121 DATE:
Zoning: Fl , No. of Uniis:
ro `
Owner:
Address:
M
Site Addess:
Plumber. -
Meter No.: ?
No.:
to comply wiM the
- , Total:
Date
of insp.:
? ? -
Charge:
F??a}?c• ? ?
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Roatf -, . ; .
P.O. Box 21199 PERMIT NO.: '
Eagan, MN 55121 DATE:
Zoning: No. of Units: ?
rant: 4er J.??,;?=? ?-
Owner.
Addr65S: ?
?4f??5 Caachai. n :Poa?. - ,;?rnnt0;1 ??1
f. : . ,_. ?. [;. S
SiteAddess:
StgT P um nn,
Plumber:
P
Meter No.: ? Connection Charge:
Size: Account Deposit: ? _ ?
Reader Na.: Permit Fee:
I agree to comply with the City oi Eagan Surcharge:
<<
Ordinances. Misc. Charges:
_ -
r.. .'.i; eT
Total:
gy Date
Date of Insp.: Insp.
Rosd pERMIT NO. 9477
Front fer Midwest No. ot Units:
of insp.: Total:
5urcnarge: -
Misc. Charges:
1.
z.
a.
b.
c.
e.
f.
4•
h.
i.
J•
Page 1 of 4
EXTERIOR ENYELC3PE AYER/?GE "lt" COMPiITA7I0N G0 2C>
Total exposed foundation area= GG.
k. Total foundation window area..
1. iotal net foundation area above.grade,,,,,,,,, G
Determine "u" value of each wall segment
(e.g. ?vindow, door, each separate wa11 section)
a. t 37 • X 9s =
.
;
b. X 45 =33
C. p z X.,u„ . 4
d ._ X „ul, '3_!_=_
.
e. X„u,f .00 = t?'. 2 3
f._ c ? X _
.
9._ x„?„ _ o 3?t• ?S
n. X .,u„
_
i, X fluff _
?• X
x• X
? . (o r. z
3. .............................
owrrER
SITE ADDRESS:
?C?ueG wa?- ?
.. nnTr ----?".? s"?5
CONTRACTOR: Fr-O)?.ME?
,
PiiQNE :
? ° `.
Determine working square footage of each
.:
Tota1 exposed wall area.....;q, ft
Total roof/ceiling area,.... (? d sq, ft
Total exposed wall area al)ove Floor
X
x. 026 = Z 7, 09
- -
11a4
Total wall windo?;r ar•ea.........
Total door area...... ....... ..................................
Total sliding glass door area..
Total flreplace wall area..........
Total wall framing area (average 10a).
Total rim joist area.... • ..........................
net wall area above floor,2jc.Al
,,,,
wall area above floor...... ..........................
wall area a6ove floor..
frame wall area a-t founclation ...................................
',y _
Ilu
„u„ _
„u„
. . . Total = 1'??_ Crj
.
If item 13 is the'sam
as, or 1 ess than`i tem
#1, you have-inet{;the`;
intent of SBC,.60061; •C
Y?? a
; , EXtV-c±or rnvololjc+ Avnrngu "u" Coinput,,ition
., , .
r - • '
• : .
Pago 2 of 4 Total cxposed roof/cailing araa e C3 4C7
m. 7bta1 skylight area ............................
n. Tota1 roof/ccilin, framinq arca (averagc lOt)... CJ
o. Total net insulated rvof/cciling area........... ?
. Determine "U" valuc for each roof/ccilinq seqment
?
M. }{ uUa
. ??
n. d a„U,- ,O Z _ a
.
0. ? Yi uUo ?07, a . . G vr
4 ........................... 'POtdl *. ?1 ZZ .
If total of #9 is the same as, or less than #2, you have met the intent of
SHC 6006 (c) ?. .
Alternatc Buildin Enve].ope Desiqn 2b ualize the total envelop2 'system method, the values established by the s:un of
itens 13 and #4 shall not be qreater than the sum of itens #1 and #2.' . 1. 2?? •4 9 + 2:.
3. + q.
?? • Z,z = ????7j•
.,
. • . :._...??
. ' .?
... _ . r:
BLDG. PERMI'T NO.
. • ' % ?
01-3210 '"Bldg. Permi't '
01-3422 Plan Check ' " -? - i"o
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC `
20-3865 Water Conn. ` - -
20-3868 Water Trmt. ` ?='
20-3716 Water Meter --
20-2252 Acct. Dep. -?
20-3713 Water Permit
20-3743 Sewer Permit ? ''-
79-3866 Sewer Conn.
11-3855 Park Ded.
.,
TOTAL
CITY 4F EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
weceIvso
rROM
AMOUNT $ I ? OOLLARS
?oo
?
? GASH ? CHECK
l
roR
. •1
4
Thank You
6 75 61 J
BY
White-PaYers CopY
Yellow-Posting CoPY
Pink-File CoPY
1'? ?? ? ?? •
i: v.a t IF..
A,C A?yM
-
?
?
?
•''
r '?•- ?c?
y P a 'c .
,
q
s
' • , 1,, ,,,-t. -..,, , . ... ., . .
,
.
4,38
00
T
? _
? .
:s.c A??..._ A1.w?,.. _ .. .... ..
.. . . . 746 t
G. }:r,lt-rior_nh 1 i;!u
'•??,? ? ,? i?- ? ;, Z1 .
?" . It1l'rr1n?• liP :iim
z.
3
a . 2kit C?v.__....
s
6. Fxc:or ior• 7i t' t i l?i.'?S ..
'1'uGa 1 .L1.411
clz •03
. )ii
t,rvic+r air
fil?a h•C,?1
2. __---?
_
- ___..
3. _1Trl???!tl.._ ?!? _ _..-•
--_.._? A'Qo
--
6 , yxt!?ri.c%r e i r i i 1 m
i0f
I ?
:1 z 1' 7
t.-Cocox. M
13 ? r • ? ?
{1.f,l1
1. inti-i i•,E ,i1 r 1.41
? . _.M+???_ ". -
3. _.. 4. S. ...---------_..--•--
G. ]::tlci'it•t: .1ir ? i!i? ?U.17
'I'OLA • ? ?
t"'? ; " . i 45
G. !3
I ?• `' ' , ?
• ? ?
G • .__
? . .; . ? .
H c;1t1?u?
?
F1G. 04 '
??I / ? ? • `? • . • • Ir? • ? ~ ? • `. !
??rr. . ' ? • ? ?` ' ;??
? } • . • ` :=- ??r
?rc ? ' '' //! l r
/?! -- ??' r'' •_ ?
. .?
i;i.i•:rn?•ti;. ;?f ii::.il.?:in:i.
I
WAl.L
?...-.,?..,.• .?..
?5t %1I* tI7?1W` 1.1.111 nl't`.1 jJt'
F. u^il
fr:lm: r.c.nr.t ruci lun •
s request void
months from
I Conlractor
STpTE BOARD OF ELECTAICITY
sy Bldp. - qoom N•197
o ity Avs.. St. hul, MN 651 04
1W /?'will Notiry Insaec-I
tor When Ready
L] Owner I bereby request inspection of ebove
electrical work installed at:
?;/,"'Sj?7 7 REQUEST FOR ELECTRICAL INSPECTION aA es-00001-06
? See InstructiOns fo? ro?plotina thi< }........., ti__.. _' _ _.. ?i ?? "7i P-7i
, , r.?or/c?iLi?c
ConstrUCtion A-Valuc
l. Intcrior air film ? . . 0.61 ..?
2. -? F3D , SR
3. ! SuL . • 44 •Oa
4. Extcrior ai: filn (still 0. G.L
vEzrz
.?
In;.ed
f.._..T .
lieac f loW .-
.. FIG. ?5 ,
. ? .? ..
?
?
?
r -
E . • • . .
? 1?ezz tlov up • , . 1•vented
. ,.F=G_ ?6...- ' • . . ? . ..':
- _. .. . . _- -- • - - - - -
v
' `J ? ' `', ?. .?' . •
• $Q:t- rS?.'?.,D .. • ? , • .
_'. ,?. .
-? •• • .
' . HeaL
. ti • tlov up • ?
, ,. .? • . .. .
1*zr_ f7 ? . • . i'
Total 2 45?0
? ? •?= ,o?
F?+?'? ?= • • • .
1. Intcrior air film 0.61
.
2. SD
3. f c. U L 38.35 .
4. I:xtetic?: rir Lilra (still)
•ti
. ?. TotaL (z Q. 1:5'0,.
.
. . .. . . c.? _ . oz4?.
COA. Ss2 ?CT/ o?? ' ,' •
1. Insidc air fil:n 0.61
2. .
3.
4. '
5. outsidc air film 0•17
Total
1. 7nsidc air tilm 0=61
2. . .
3.
4.
$. QutSidc air Film 0.17 .
. . . Total . .
?,. . .:. . •
Inside air film _ . . .
0.61
2- . .
.
3. " '
4.
5. Outsidc air film 0.17
Total
. .:. . .
' .•
•
.. . .
• .
.
.
. .
Note: Use additior?.Zl sheets i
0 ' ? .
L` more spaco i:
sseedecl for details snd calculztivns.
.
.
. ? . . •
.
.
' . ; . _
.
?
,.?^'-s-'--------
->?? z.. / _ .
,
?
01tx#ifirate of Orrupanry
titp of (fagan
]pPpwbwt[t Df iinatuo iitH,pPt1tIICt
This Certifrcate issued pwrsuaw to the requiremenu ojSertion 306 of the Urriform Building
Code certifyfng that at the time of lssuance this structure waas in rnmpliance with tlte various
ordinances of the Cuy regrdating building corlstruction or use. For tlre following:
c. crmr?eoo SE I6G/CAR e4 pk:?, No. 13046
O-w--r TYv? ? Zonin nW;cc R 1 T?jx ComoL t'NI
Owmro[ewlaine FRLITM CCWANiPS ...? Zc0R ¢rn a,Cv ia-M_ v,.+..,
BuOdM ,?= -Y40D t.uRxr'.AN ic[7AI) L-;ty L13. ffi. HK'r= HU=
a,ft: NAY 8. 1981
POST IN A CON5PICWUS PLACE
"?? / i_ sd 6 ye
1986 BOILDI?G PSRMIT 9PPLICATIOH - CITY OF E9G9N
NOTE: ALL CANTRACTOES MOST BS LICENSSD 1iITH THE CITY OF EAGAN
SI9GLE FAlQLY DWffi.LII7GS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DSiELLINGS - BFSIDEN'PIAL REdTAL D9ITS FOR SALS DNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHEC[ iiITH BLDG• DSPT.9
1 SET OF BNERGY CALCULATIONS
COHMRCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For Valuation: Date: IZi-
Site Address 3y? ?C'?P7o°?yy±zs ??
Lot 1a Bloek Z'
Parcel/Sub 7?f//?'?,?
,r,?T
Ownere?C'_I-{CLY- Pil4UEP,
Address /b tB0915yCity/Zip Code 'ly /0 ll.?
Phone
Contraetor
'rIER caA.aParviEs
Address?C!^ eiI r?1cY bi.`9ft70YlA! HiaFm,.,, _
tagzn, M,N 55122
City/Zip Code
Phone
Areh./En
Address
City/Zip
Phone 0
Assessments Permit ?5"5c?'?/=-
Water/Sewer Surcharge ?
Police Plan Review
Fire SAC
Engr Water Conn sD0
Planner
Water Meter ?
E,s s
Council Road Unit
Bldg Off1L •2g-gg Treatment Pl / SF °"
APC Parks
Varianee Copies
iOTAL ?
NOTE: ADDEESSES FOR CORNER LOTS - CONTRACTOR/HO!lEOHNER MQST DESIGNAYE WHICH ADDRESS
IS DESIRED. NO CHANGE4 WILL BE ALLONED ONCE Bl1I[,DING PERMIT IS ISSIIED.
4.,
;
1
rf y ?
Assessment
Water 8 Sew.
Police
Fire
CITY OF EAGAN 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 1 046
PHOI?,E: 454-8100 ?
BUILDING PERMIT Receiptp
Tobeusedior SF DWG/GAR Estvalue $67,000 Date DECEMBER 30 19 86
SiteAddress 3485 COACHMAN RD Erect R3
fJ Occupancy
Loc 13 eiock 2 secisub. HAMPTON HTS Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const I7N
Addition ? No. Stories
J3;Address FRONTIER COMPANIES Move ? Length 50
Demolish ? Dapth 4n
3908 SIBLEY MEM HWY
EAGAN phone 454-0433 IInt. nstampr. ?? Sq.Ft.
=o Name .r+AMF.
? ? Address
? City Phone
?a
F W Name
, 3 Address
s W City Phone
I hereby acknowledgethat I have read this application and statethatthe
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City o( Ea n Ordinanc s.-
SignatureofPermittee ?/•??%u _j O?_
A Buildin9 Permit is issued to: FRONTIER COMPANIES
all work shall be done in accordance with all applicable te of Minn so?
Buildmg Official-
Planner
Council
aldg. Off. 12 /2 9 /8
Var.
Permit +;? 334.UU1
Surcharge 33.50
Plan fieview 167 . 00
snC 575.00
water Conn. 500.00
Water Meter-6-3-.50
Road Unit 290. 00
7r.Pl. 156_00
Copies
7otal 52.119.00
on the express contlition that
and City of Eagan Ordinances.
unll nren Ioi•
` lz?m•; co?u:lructlu? .
, . ? .
•---_. •
i ?
IC ?il. ?I •-? r???
rrc..ai TiniF,a oF.
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a'
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-
i. llilt•L?:'?.?t1r, ti?m Il
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6. fi:w
> U.17 .
:,.,:....+;
--------.__._..... . •.1'ut??l?.?__?.Z$' ' "
U= .3<v :. . - .
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1.
2.
3.
a.
5.
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1.
2.
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13?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
ease
___;
*AT?': PAYWTTP OF FFE AT TINIE OF
r,nPLIcrTIoN aoES Nar aoNszzWM
APPROVAL OF PII2NIIT.
aasrDCrioN oF sENM arm/at WMM
ITtSi'AT.7ATTONS WII.L IxYP BE SQ'IFD-
ULFD UNTII, PII2MIT HAS BEF1V
APPIiDVID.
IF F.}ISTING STRCCIL?RE, DATE OF ORIGINAL BLIILDING PERMIT ISSL'ANCE: .
Nbn Year)
PRESEBTr ZONING/PROPOSID LSE:
? CONPIERCIAL/RETAZL/OFE'ZCE ? R-1 SINGLE FAMILY
r-7 IbIDC'STRIAL ? R-2 DL'PLEX ('i+ao Onits )
? INSTITL'TIQNAL/G?7r ? R-3 ZOWNh30USE (Three + Units) ( Lnits)
? R-4 APARTMNT/CObIDOMIDIILfi! ( Units)
2)
• ?
NAME:
ADDRFSS:
CZTY, STATE, ZIP:
PAONE:
FRONTIER MIDWEST HOMES CORPORATION
3908 Sibley Memorial Highway Bldg. E
Eagan, MN. 55122
454-0433
3) For City Lse .
NP,PE: STAR PLUMBING Pliunbers License:
ADDRFSS: 1018 Mound Springs Terrace Ac
ti?
?
ncpiSed
? CITY, STATE, 2IP: Bloomington', MN. 55420 Not reCOx'ded
PHONE: 884-4149 MASTER 7,ICENSE# 3329 St?Ini al
4) ?•. •;.? ?..ni?:
idt`,NE:
_ ADDRFSS:
CITY, STATE, ZIP:
PEiONE: -
5) ?'? ?• ?• •r• :a • ? - ??
Q CONNECTION TO CITY SEFIEE2 ? CON6EXTION Tq CITY WATER OTdM •- .
6) "•'- ??• ? PLFASE HOLD APPROVID PERNIIT FOR PICK-UP BY ONE OF ABOVE -' --- --
C3 PLFASE MAIL APPRO/E9 PERMIT TO 1, 2, 3r q. pBOV$ .
(Circle one) '
7) r n a• ?^?`???7/?"i-??it..- ''?` •--Ff-
Pl?
e
/
FOR CITY USE ONLY
PERMIT # ISSDED
q3 z,6?
Pd w/Bldg, Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
S I/ (? $ WATER PERMIT (INCLUDE SORCHARGE)
$ _ ?P,7S d $ WATER METER/COPPERHORN/O(;TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ?S?U O $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ Jr0 0 $ WAC
$ $ SAC
$ _ $ TRQNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
S
_ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ f 7J ?I S- S? $ TOTAL
57,S
RECEIPT RECEIPT
DOES (7TILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS A CONDI
IO
. T
N.
SUBJECT TO THE FOLLOWING CONDITIONS: .
APPROVED BY: •
TITLE:
DATE: / Z- ??
FEB=17-09 02:08PM FROM-Rastoration Professionals
411110 ? 0? ?alll
3630 P"ilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fex: (651) 675h694
651-379-1981 T-372 P.002/011 F-498
-----------------??
? FnrOXfie Usa 1 ?
5S2- 36 - ?;
S5
? Pemdt Fea:
I
? Date ReutlveA:
, staff:_
- I'
? ----'------------i:
2009 RESIDENTIAL BUfLDING PERMIT APPLICATION d?? t?
Date: 2.?7•ocl SbeAWdress: ?985 LokckK%an ?Zpnc{
Tenant• -t
Suite #:
RESIDENTlOWNER Name: -T"t?x A6bS Phone:?l? ?36- Iri?l
Address / City / Zp= MS CGkCI1waa 2nad -
,
APPlicant is: _ C)wner _X_ CorRraclor
7YPEOFWORK oesaiptionotworic: ?P a,nGfi?lcfa/? -lo Wa-f2f^dGIkaG)d
?
Build'mg: (Ves _/ No X? ?
Construclion Cost: ?QQQ Multi-Family
CoNTRACTOR Name: '?ns1o a? ON (?ra fess?z,?u 1 s ucense al: Z031b 1 y'7 _ I
?Vo W ?
nddress: 505 M'r+?nvJnA?G?
_
CitY 54, paw? State: Nl{I Zip: 61101 _
ContactPerson: ?JOSDM1 Le
Ph
vne:
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE1A1 BUILDING ?
Minnesota Rteles 767U Cateoorv i Minnesota Rules 7672
FJ18Y9y riOdE J- . Residentl9l VErfildli9n C2lagory 7 WdlGheat • New Ercer9Y f:ode Wolksheel ?
Catygpry SuhmMed St"miMCd ,
(J,?bmws" type) . Energy ErnebpO CelCUlalions Submitted ;
In the Last 12 moMhs, Ims the Clty of Eagan dssued a permi[ far a similar plan 6ased on amaster Pbn? ,
Yes No ff yes, date and address ol mas[er pian: !
UCCfISed PIl1mbBr• PhOrIC'
AAechanlcal Contracror. PhO11e'
.
Sewe? & Water ConkaCtar. Phone'
NOTE. P/ans and stipportin9 dawrrtents ihat you sudmlt a?e co?de?ed to be puWic iMarmatlon. Porflons of
}
8ee irifortnaSon +naY be cl?ih'ed as non-ptnblic ifYou Pvovide specific ressuns Hrat wouW peRn?t die Gty m
' txurclude fhat they are t?adB SeCrets.
I hereW ackrrowledge N9t ihis iMommYwn Is carpiete and exuraM; d+al the vroAc wlll ba in eonlormiance wilh the adnerwes mia r.oces m us ?ry uI
F.aggn; Mal I uMeffitarW tlds Is not a pertnil. Wt atly an applaalfon for a permi4 and wak is rat ta witlwut a permit: tAat the wdk will be in
aem,dance wlth the appioved plan in the easa d vrork which requites a feviaw and approve? p?ens- ,
x saki Gu (e x ,
ApplicanYs PHn[ed Name APP wCs signarhve ?
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex D Accessory Building ? Pool
lp Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Detk ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish 8uilding*
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ?d Water Damage
" Demolition (entire building) -g ive PCA handout to applicant
DESCRIPTION:
Valuation DO. ? Occupancy 11?2G-1 MCESSystem
Plan Review Code Edition Z0,0 'I SAC Units
(25%_ 100%? Zoning pp City Water
Z?./
Census Code ? J( Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Consk Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size :
Footings (deck) Final/C .O.
Footings (additian) Final/N o C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _ Final
? Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _ AirTest _Final Windows
? Insulation _ Retaini ng Wall
Reviewed By: , Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total '
Page 2 of 3
!
SIOMA
yGA L E : ??.40?
suavevin?o
SEI?VICES
3908 Sibley Memorial Highway
Eagan. Minnesota 55122
Phone: (612) 452•3077
? x899,0
r ?(
pRAIhIAG? ` --
o
? ??A51`qt'?. xt 0oM
i ? 0aa'
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_ ??. CNARLGS `P._LqCr=
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e ?
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oz.% 51.9+ L' .933 7 Z9'?. ?_------'?
tj
(4?
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S
x
?510 ?
eouse Certificate For:
ibMf BUILDEA5
(.ANO OEVflLOPERB
REAI.TOPS
ELR COM PANIES
?'• CANGOAC
XSYG.O1•
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M?... ?
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s ?
?n3ww
5'90
5r'O•J!?
L01 ? q
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`oa
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,4A'%^' t q
t3.o O??ti' ?p XSN
j
- 0 Xga?.t?o
=zp 1 ?
;
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7.a A'vGa9?g% N
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/o , ?.
qt.0? v
? X $40?3
V
(
WAYNE D.
CORDES
-LEGEND"
O Qgnotes Iron 1lawrrent
m Lksnotes Wad Htb Set
x 9yW'0 Qenates Existirg Spot Elevatian
(„y°NI Llerwfes Proposed Spot Efevation
,?Denotes Dra i nage D i recfi i on
_PAOPERTI' DESCRIPfILW-
LOT L . BLGYK I
4AMP7oN 4EIC1HT5
accordirg to the recorded plat thereof,
DAKO?p County, Mimesota
%Ut - 14675 -
PROPOSED GARAGE FLOOR ELEVATION= 94"
p({pPOSEO Top of Block ELEVATfON= 844'3
PROPOSED BASEMENT FLOOR ELEVAiION- Sy 1-3
NOTE. Verify all ftoor heights with fina! House Plens•
tai?Y9R5 CERTrFICAi?-
f hereby certity thet this surveY. Plan or repa't
wes prepsn+d by me or u'der my direct supervisim
and thnt 1 sm a dulY Re9istered Lerd SurveYa'
urdLrthe laws_of the Ststa of lfimesota.
Wsyne ,p1 Conies, Mirn. Reg. No1.' 14575 /
RPJ..SPd : 12r8'?a f L`'^`?`c ?euiSG M"^"'0
Use BLUE or BLACK Ink
(� For Office Use)� �//
City O
Eaaafi Permit#: fo lO? /
3830 Pilot Knob Road Permit Fee: Q
Eagan MN 55122
Phone: (651)675-5675 Nov / 82016 Date Received: 1I- 'i iio
Fax: (651)675-5694
Staff:
L
2016 MECHANICAL PERMIT APPLICATION
1— Please submit two(2)sets of plans with all com ercial applications.
mate: //f .- Site Address: .3 Cji S �DiA C�/ill q it),� M
Tenant: Suite#:
g; 4fj
Name: 1 Vi't f 0-2A-it'll � .) Phone: CSS l 5
eside' n weer i _
s Address/city/zip: Ir� Cvft k/f7 /r�A.i ,,\ 640
/r
Name: y L�%�l ► �, LicenseC.O. #:
r L
Address: 60Cit
--lam 7
Statd I Zip: ���d e� Phone: �j�(a
/ •
: YL/ContactEmail: / / � ,e-2,' %i
New eplacement Additional Demolition
1- a oWork Description of work: Wicp 4 PG/rtkillL Ill) / IsT7/71./L----''"-A°Z)'&4), E0 0:
CDT rofmourttesindwu ntimountelmectrariccalegbrpmedesesecrbrd •tbereenedbyity
Cade -I'1ea ontactothe Vfectraru al=fns edtm ferimfcrn tion ngaerm►tteti creenir�etmeithotis
i 2t leA
1 4 k _� / RESIDENTIAL x COMMERCIAL
fYi f rzzb yw � ? i ,t/Furnace
� � � „� t New Construction Interior improvement
—
; f Su ee4y'Q'k's—&3�'' a � 3 �p
ffititrir Air Conditioner Y£ Install Piping Processed,Ifti
t, w i li Air Exchanger Gas Exterior HVAC Unit
_� ' a **� i
d, a Pu,4 —Heat Pump
g
�� ��, ��� _Under/Above ground Tank ( Install/_Remove)
lAt'' : ,.' •�,; £ ,.: . r —Other
i
i RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ �65, TOTAL FEE
3.
t
COMMERCIAL FEES Contract Value $ x.01
s $60.00 Permit Fee Minimum t
$70.00 Underground tank installation/removal =$ Permit Fee
I =$ Surcharge
Surcharge= Contract Value x$0.0005
t If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes •f 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 wor will $ accordance
with the approved plan in the c se of work which requires a review and approval of plans, a,,---" 7
i i
x x — _..---- --/".7' /
Applicants Printed Name Applicants Signature
ORIOFFICE,USE ,,
Requiredtnspections • Reviewed=By: "Date:
_Undergr..ound Rough in Air Test Gas ServiceTest • ,tn-floor'Heat Final ` HVAC Screening