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3522 Coachman RdCITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for i'Ec '" Est. Value $1 , odC Date ?i- Site Address 3522 (?AGKMAt. RD ' Lot '! 1? Block i Sec/Sub. WAMI"11111_ HprGHTq ? Parcel No. W Name t)AVID & JUDY t1ART ? Address 1322 GQACUNA.f: RD ° Ciry i;AIGAN Phone 667-8299 ! I Name _ Address City - Name _ Address Phone Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State o1 Minnesota Statutes and City of Eagan Ordinances. Signature of Pertnitee A Building Permit is issued to: ')AY I'' "'7' JUUY ? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official . 19 +19 Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site well MWCC System Ciry Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY -2AV 14' Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S,'W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEES 26.00 . 5t) l.M 2T.5G Permit No. Permit Holde? Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Mspectlon Date Insp. Comments Footings I Faundation Framing Raofing Rough Plbg. Rough Htg. Isul. ' Fireplace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. ? ! ? ' • ' Deck Final t j3 fl " w•/? z. Well Pr. Disp- 3830 Pilot Knob Road, P.O. Box 21-191 PHONE: 454-8100 BUILDING PERMIT SP DWC/GAR Estvalue $64,000 Site Address .3? Lot14.- Block 1 Sec/Sub. I'1}1i1P7'0;+3 1'ITS Parcel No. W Name FROI+ITIER COMFANIES 3 Address 390$ =IBLEY MEM HWY ? City Phone Q 54 -0433 o Name Z 0 a Address Assessment ? City Phone Water & Sew. ? Q F uuJ Name Police Fire Z ? a z Address Eng. i W City Phone Pianner Council I hereby acknowledge that I have read this appiication and state that the Off. 1? ?/ 2 y/? B?dg information is correct and agree to comply with aJl applicable State of . ' Minnesota Statutes and City of Eag3a Ordins - APC ? ' Var. Date Signature of Permittee ••-•-•- -- - -- - FRONTIRR CU[KPANIFS : Permit $ 325.90 Surcharge 32.00 Plan Review 162.50 SAC 575.00 WaterConn, 500.00 Water Meter t5 3. 5 0 Road Unit 290.00 I Tr. PI. 15 6. U 0 I Copies ' Total • 0 0 A Building Permit is issued to: ? on the express condition that all work shall be done in accordance with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Building :agan, MN 55121 r R'? a 1305J Receipt # Erect LX Occupancy ={ 3 Remodel ? Zaning 31 Repair ? Type of Const -V{q. Addition ? No. Stories Move ? Length 40 Demolish ? Depth d 7 Int. Impr. ? Sq. Ft Install ? A pprov ats Fees ' Permit No. PermR Holder Date TNephone # PlumWny H.V.A.C.' Eleetrle 'Oo,/ J CC? Soltensr Inspectbn Oate Insp. Commenb Footinga I Footings 11 Foundation Framiny ? e Roofing Rough Plbg. ?4 Rough Nty. Insui. ` Flreplace Final Htg. Final Plbg. 81dg. Final Cert. Oec. Dsck Fty. Deck Frmg. We4f Pr, Disp. - -{f?,;?;' . .. .J.. . , . . , • j. ,. ,_ . , -?-. .'y:i^ . PERMIT # PLUMBING PERMIT RECEIPT # ?. qTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: m Name ' N N I'/rL . Address d E' e e D(Z. c City Phone Name C, c Address % `? -3 r 0 3 City A, I() Phone S FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMJM - 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) FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. ? New ? Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL _L,Water Closet - $3.00 S-. ?• f' c Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 =Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Tray - $3.00 Laundry " `Y , Floor Drains - $1.50 ` Water Heater - $1.50 r Whirlpool - $3.00 = Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 $1 h O i 50 R ? . pen ngs - . oug ._ FEE: STATE S/C: GRANDTOTAL• ? ?t? G 5 ...°-'r .:??.- .. . . -? ? •jb r? ,. E??? ?..t - ?`.. - , rxr .??, .. . . . PERMIT # ? MECHANICAL PERMIT RECEIPT # 711 ? I CITY OF EAGAN , - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: :T PRICE'' j boo' `??' PHONE: 454-8100 ss 5.- = oac man . , BLDG. TYPE WORK DESCRIPTION Res. xx New Name WEtv'ZEL "'ECHa..?iICAL °-' 3600 Ke_a_:,!bk,c :,rive Mult Add-on - Address ? Comm. Repair _ c City }:?gar Phone ,?, Other Name r=onLier 4omrj<i c Address 3908 Sibley Ye p3 City ?ag« 1' Phone TYPE OF WORK Forced Air L? iltili M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other FEE: S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 O 3,.3 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 24, '06 GAS OUTLETS - 1.50 EA. COMM/INQ FEE - 1%OF CONTRACT FEE 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 $1,004.00) SIGNATURE OF PERMITTEE $2b. (l0 11 FOR: CITY OF EAGAN .--?-? • . . INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3$30 Pilot Knob Raad Permit Number: ? Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .. Permit No. Permit Holder Date Telephone 8 S/W PLUMBING HVAC ELECTRI 5( ' ELECTRIC inspection Datc Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. ?•- Orsat Test Fnal Pibg. Plhg. Inspec[or - Notify Piumber Const. Me1er Engr./Plan 81dg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN WATER SERVICE PERMIT 3630 Pilot 16ob Road , 8331 P.O.aox 21199 ' PERMIT NO.: -r-.? Eagan, MN 55121 DATE: Zoning: Pl No. of Units: 1 Frontier 'Midwest Owner. Address: Site Addess: Plumber. - -`- - -?- •- --° 500 . OOpd Meter No.: _ 37? G s c'on Charge: Size: ..??`? Roclt ?eposit: 15. Odpd ,.,. , v?ur Ir1[!f,'$ . -)upu I ayree to oomply with iheTwo"pg? EL r r?? 1 S 6. OOpd TP ordinances. REQUIREDT?? 63.5 te ; By :,?, ; ,j oate ai : ; Date oi Ir??p.: o?r3 J? ?? Insp.: i_ -- - -- CITY OF EAGAN WATER SERVICE PERMIT 3830 Piloi Knob Road P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: I-2--87 Zoning: PI No. of Units: I F'rontier `•tfdwest Owner . Address: SiteAddess: 3522 CoaCsungin Poa d L14 91 Iiasrton 17_eig}its Plumber: StAr plumbirm Meter No.: - Connection Charge: 5 00.00ad Size: Account Deposit: ? ?0pd Reader No.: Permit Fee: 10. 00nd_ I agree to eomply wRh the City of Eagan Surcharge: - Slaud ' Ordinances. P Misa Charges: 156.00Fe! I Total: .-ero,• By Date Paid: Date of Insp.: Insp.: Pllot Knob Rosd -- -- -- - --- - - - n4 v'-'2 Box 21199 PERMIT NO.: -Tz m, MN 55121 DATE: ng: P-1 No. of Units: Frontier ".idwest ayres to comply with the City of Eayan of Insp.: Connection Charge: 4 1 ? - uune Account Deposit; ? 4 - tltl;.cl- = Permit Fee: 10 - o0Td Surcharge: - 5 Misc. Charges: Total: Date Paid: ., Construction R-Val?ic J v^'?rr ? N?` ? ? . =r?ted flea[ flow . . uP IIG. 15. 1. Intcrior air film ? . . . 0.61 * 2. =1f '- InYY F3U . sR 3. 1WSUL. 44.00 4. Extcri.or air fi2n (still) 07 TataLl rz 4S8o ti . ' O= 'OZ 1. Interior air film 0.61 2 - 3. ? ? rusuL 38, 3? . 4. F:xt?rir_ E?ir L] in .-?._?.---- I'otst 02? - q 0. /.,5-, c o?t. sr?t 'v c ri m?1 ... ? 1_ Insidc air filsn 0.61 2. • 3. , ' d_ S. Cutsidc .: ir Fil:n 0.17 To ta 1 L@ L@ ?- • • . . • d HcL= tlov up • , , s•vented • • _ ,FIG_ f 6.. . _ . • . ' '. ' -. .' ' : --..... _ -- • ----• - 1 0 ? v . `? ? .' , ?? .. .`. . . • ? bTQ:7-V'': .*.':? • ? • • . _. ? ' . • . _ . ?icn= ? • • ilou up ? . ? • . . , , • ., • . .. _ 1'Ir_ ti 7 ? . • .. e' 1_ Ynsidc air Pilin 0:51 3. ' • ' 4. 5. Outsidc air filtn 0.17 , To tal . ,Y.nsidc air film 0.61 2_ • . 3. . . . . a_ 5. GZit?i.cfa ai.r filtn TO 0.17 ta 1 . ? .. . . , . , , 1Cotc: Use additional sheets if morc spaca i: Aeedesl for cletails a.nd calculatians. . ? ' ' ? . ; .. 1 :? .. :Wn U r,r.r,?lloil , , .?. U.:r+;;of iI ur, w,tll nroA for .irc,m., cvr1lili'4iCl,iun ----c? I ? . ° F1C.?:N1 ??ICId ? ? ' TGl'VIF:iJ OF r FSU?tlt: 1?I?G1?? 1 ' ----. . ?? I ? ' •' ? • ??1 r i .j? .. ? ,. .... 1 • ?. ?. ? ,: u ? ?; ;. ,, R' , ' . ? : 11) .y ? ? _ ?; , , ? ? . . ? _? ?•, ? ;' . . :; G. 13 ,?? . • ?,. .. : . = ` ??`• t?. C'(,ii_triict ion f;_V,)_t>>.. .:?.. 4, s. G. 1. 2. 3. a. s. G. 1. 2. 3. 4. 5. 6. . ? r ..?trrE. ..$_?c4c 8M ??,N .. ?. .t.l? " , . , . .. . . lo •? ; -- ._. . , . , }:r.lvri??r .._ ._ . . - M - U. !7 - • ' .. ----- -- - ...J't)C?i1 z??s „ - -? , 'a ------ ?--?--.._... . - -- --___.?.-?-- -- (}.C,11 ------._- - f? , . ,1'ut.al -- )nt.criur air film --------..._.._.... . _. -•--:., . . , }:xt?,rl.c+r nir fifm ' k1.)..1 1. tn[eii"It .,_Ir llt-:! 0.6n , 2. . . S _. _?. __..__...... -- • •_.._ •-•--••-_ -- '? 4. ._. --..._..__._.._.......__.__..._.---•-_••....__:.?_ G. t::cl?:ri??? .?ir :?i ?i•? U. i'1 .? ___. _._---- ..... . ..._ -,t.al:t 1 w ?--? St.nt,_Or1_ c_iNUr•_ . . , '. , C? Fic.. 114 I It I'1'C : • ' ':s - ;; .., . ... : A•. • ? 11. ? ?. . . '' ? . . ..__. .r • ?r?? ? s ? • :?f ?i? r?: _.., ? ? ? --- -?-??--- ? . - P. InifiCnt.i; tyr,c, "!?" vzlutir 'cloptti • of in::ii ,??.?*h k .? . , ' k? i ? ? o?? _ _ S? _?.w.+,;:.,r•. . y . .. . ! . . - 1 ?? ' i 1 fttr#ifiratit u# (IDrrupanry Citp of (leagan appl'tt[Ft[f Of lltdbt" 311BpPt't101't ' This CertifrcaJe issued pursuant to the requirenrents of Section 306 of the Unifarm BuiJding ? R Code certrfyrng that at tlie liine of issuance this structure weas in compliance with 1he vamus ? ordirrances of the City regulautng building construction or use. For the foUowrng.• t ux cb.&.oo. SF Df?1GIGAit ?. ? r.. 13055_ . .r.. ? comc VN ooc„puxy .ryam R3 yoni% paukt R 1 TYvW ._ . , . Page 1 of 4 ., ;'- ?'• •?? ,, EXTCRIQR CNVELOPL' ItURl1Gr COhlrnTnT rarv ? ?,? ---- - - - - - - . . ' ? ?aT???P?+?t? h? C? W?D , ?.,. ? OWHER: nn-rr :__._3.--ZS --i . SITE ADDRESS: f'IfONc : CQNTRACTOR: Fer. ?y`='t'teR. Determine working square footage af each 1. Tatal exposed wal i a rea ..... sq. ft, x.1: 2. Total roof/ceiliny area..... sc;. ft. x .026 -..`..? - Total exposed wall area Zbove floor=__ cre-4. ? a. Tatai wall window area..........., b. Tatal door area .................................,.............. . c. Total sliding glass iloor arca.....,,... d. Total fireplace wall area ........................................ e. Total wall framing area (average 10%) ............. . . . f. Total rim joist area. .,,.,,, ??????? """" g. net wal l area above floor. .Z ?? 4? G??-T?':?, ?-'-- h • w a l l area a bove f loor.......... . . . . . ?. wall area a6ove floor..... . . . . . . . . j frame wall area at foundation .....................??. ? 1. Total net foundation area above grade ............. r? e J DeLermine "u" value of each w411 seg,ncr,C (e.g. window, door, each separate Ylall sectian) Total exposed foundation area= ;?s k, Total foundation windoFr irea ....... a. X _ Ll-- b x U„ e. ?- ? x ',U„ d x ot u?? _ e. (-r1 Co,14S X$lu„ v8 f. I-2o rU„ 9? Ir 0;:-2 xu„ 0 3 =,? ,??L n. X „ul. _ i . X ,iU,l _ J- X "U" x "U" p ? X ? ., ,?S = 75 ................................. Total If item #3 is the'sarr as, or less than-itea You have met,-the", inLent of S6C,..600?'`?c y. ?i BLDG. 01-3210 01-3422 OI-3445 01-3446 01-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 ?RMI'r No. / - ?- , '?:> ?_?? -? ???L ? ? •??y??? ---t? • -1 ! Bldg. Permit l Plan Check 1 Surch./Adm. , SAC/Adm. Surcharge ? Road Unit SAC Water Cann. c, '? ;. J I Water Trmt, , Water Meter Acct. Dep. I Water Permit Sewer Permit Sewer Conn. Park Ded. TOT-?_ CASH RECEIPT ? . - -- ? 'i CITY OF EAGAN - 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 ? RECEIVlD - ' i FROM -: , . . AMOUNT $ I ? & DOLLARS ?oo ? CASH El CNECK FQR 6954? White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You ;`'? B„ ? 1 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN q 3830 PILOT KNOB RD, EAGAN MN 55122 ?O l ?o ?0 851-881-4875 New Conetructlon BeaulremeMs • 3 registared site surveys showing sq. R of lot, sq. M. of house; and II rooled areas (20% ma)dmum bt mverage albwetl) • 2 copies of plan shaxing beam & wlndow sizes; poure0 found Gesign, etc.) • 1 set of Energy Calalatbns • 3 copleS of Tree PfBServatbn Plan B IOt platled etter 7/1/93 • Rim Joist Deteil Optlons selectbn sheet (bldgs wAh 3 or less units) DATE LJ -30-O?L RemodeVRepalr HeaulremeMa . 2 coPies of plan • 7setofEneyyCakulatansforheatedaddNlons • 1sNesurveyloraxterioradd'dbns&decks • Indicate'rf tame Served by septic syslem for addBbns VALUATION / 'Al LD - SZ) SITE ADDRESS 3-:> 5__7 ZCcl? MULTI-FAMILY BLDG _ Y aPl TYPE OF WORK IC ,_?tOt, n FIREPLACE(SP---'? 1_ 2 APPLICANT Ca STREET ADDRESS L`-EZJ'* TELEPHONE # ?QS I- ?4-<}9?g CELL PHONE # )/ll?e STATE-MKIIP FAx# tg2 -4263- PROPERNOWNER " V t\-\ ? -7V_vr-_`\(_Q- TELEPHONE#1oF;7I-49-LF-t •------ ---------------- --------------- ------- --------- -------- ----- - COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI,ES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: SewedWater Conhactor: _ Air Conditioning _ Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 Phone # I hereby acknowledge that I have read this applicatlon, state that fhe information is correct, and agree to comply wiTh all applicable State of Minnesota Statutes and City of Eagan Ordin es- ?. ? Signalure of App nf, --- - OFFICE USE ONLY i i MAY 3 O 2002 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Softener _ _ Water Heater _ _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 31 Ext. Att- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Poroh/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 06 04plex O 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addftion 0 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration 0 37 Demolish (Bldg)' ? 43 Raroof ? 46 WindowsJDoors ? 34 Replacement •Demolkion (EMire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wa71 Approved By , Building Inspector Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT ? CIT,Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 5 7 0 (612) 681-4675 Date Issued: 11 / 2 2/ 9 3 SITE ADDRESS: O 3522 COACHMAN Rp 3p LOT: 14 BLOCK: 1 ? Il?l 1q3 .? P.I.N.: 10-31900-140-01 HAMPTON HEIGH75 DESCRIPTION: (GAS) Bwilding;Permit Type FIREPLACE B'uilding tJa,rk Type NEW ? \ ?I y V cl / ,`\\ tl 1J' `il t ?? \_J Lr ?J `?.. l_ ? # 1 ??_71J ? ± i ??? ? REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - APplxcant - sT. Lzc. OWNER: HEAT-N-GLO FIREPLACES 18900758 0002960 RINpLISBACHEN BARB 3850 W HWY 13 3522 COACHMAN RD BURNSVILLE MN 55337 EAGAN MN 55122 (612) 890-0758 (612)683-0374 I hereby acknowledge that I heve read this application and state that the information is correct and agree Co comply with a11 appliceble State nf Mn. Statutes and CiCy of Eagan Ordinances. L -noa n R kik I Yh?f APPLICANT/PERMITEE SIGNATURE ISSUED B: SI NATUR INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuxLoiNG 3830 Pilot Knob Road Permit Number: 022570 Eagan, Minnesota 55123 Date Issued: 11 / 22 / 93 (612) 681-4675 SITE ADDRESS: Lor : 14 8 L 0 C K: 1 APPLICANT: 3522 COACHMAN RD HEAT-N-GLO FIREPIflCES HAMP70N HEIGHTS (612) 890-0758 ??. . IL ?,? ----- - PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW OESCRIPTION (GAS) REACTIVATE _ PERMIT i al 2.6 10 CITY OF EAGAN 1993 BUILDiNG PERMIT APPUCATION 681-0675 - .? - INGLE & MUL7I-fAMILY 2 sets of plans, 3 registered site surveys. 1 copy of energy calcs. , COMMERCIAL - L 2 sets of architectural 6 structural ptans, 1 set of specifications, I 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 1s issued. Date / / ? Valuation of work 2 Site Address: 3SZ2 &Gi1{'Y14vYl 12d - LT0.EET fUlTE 0 Tenant Name: (commercia'i oniy) IAT 14 I BLOCK SUBD.,??nl P.I.D. M Descri tion of work: l}?l? qt_A?' The appl icant i s: ? Owner ff Contractor ? Other co«o?iee> Name Phone (3 - 3? Property LAST FIRS, Owner pddress 3saa & .t?a,,u SiREET n iTE 0 City State ZiP _11&rZz Company 777 771", Phone COt1tr8CtOf Address f?v%l P License # t/09 Exp. City State Zip Company Phone Architect/ Name Registration N Engineer Address City State ZiP Sewer 5 water licensed plumber . Processing time for sewer 8 water permits is two days once area fias been approved. I hereby acknowledge that 1 have read this application and state that the information is licable State of Minnesota Statutes and City of ll ith l app a y w correct and agree to com Eagan Ordinances. ?U - Signature of Applicant. u- r . ? ???3a.s? -1986 BQZLDING PENIIY APPLICATIOH - CITY OF EAGAN NOYE: ALL CONTRACTOHS M[JSR BS LZCSNSED iiITH THS CITY OF EAG6N 3IBGLE FAlIILY DWELLIliGS INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY;CALCULATIONS MUI,TIPLS DAELLIAG3 - RESIDENTSAL INCLUDE 2 SETS OF PLANS, CE8' 1 SET OE ENERGY CALCULATIONS RENTAL DBITS FOH;SALS ONITS .; E OF SORV6Y - CHEC[ iiITH BLDG. DEPT.0 ? INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Site Address ?5_S Lot ? Bloek 4 Parcel Owner Addres & STRUCTURAL PLANS, SET OF ? Valuation: Date: City/Zip Code .//C,4 'T Phone Contraexor 70r? . ;!"" ^`=`?/1?RP?lES dyU8 BIdE g. Address F.dgdfi, PVIIV 55122 City/Zip Code Phone Mch./En Address City/Zip Phone # Erect Remodel Repair Addltion Move Demolish Int.Impr. Install Oecupancy Zoning Type of Const # of Stories Length Depth Sq Ft APPROVALS FEFS Assessments Permit ? Water/Sewer Sureharge ??. °d Police Plan Review 76 z -: Fire SAC Engr Water Conn 15561r) Planner Water Meter l3 = Council Road Unit Z90 Bldg Off 2.1 - Treatment Pl lsb °? APC Parks Varianee Copies 20T9L 0 SOtE: ADDEESSES FOR CORNEB LOTS - CONTRACTOR/HOHEOiiNEB MDST DS3IGHATE AHICH ADDRESS IS DESIRSD. NO CHANGES iiILL BE ALLOiIED ONCE BQILDIAG PERMIT IS ISSQED. 't•.? . . , Y. , -. .. ? ? ? . 3830 Pilot Knob Road! P.O. Box 2G-n1 9, Eagan, MN 55121N2 13055 • PHONE:454-8100 ?1? BUILDING PERMIT ' Aeceipts Tobeusedior SF DWG/GAR EstValue $64,000 pate DECEMBER 30 1 SiteAddress 3522 COACFIMAN RD Erect LX Occupancy R3 Lot.14 Block 1. Sec/Sub. HAMPTON HTS Remodel ? Zoning R 1 Parcel No. Repair ? Type of Const W] Addition ? No. Stories FRONTIER COMPANIES Move ? Length 40 W Name 3908 SIBLEY MEM HWY Demolisn ? Depth 47 o Address Int. Impr. ? Sq. FL Ciry EAGAN phone 454-0433 Install ? ¢ ..,...., Aeorovala Fees io Name_ $ a Address ? W W ?i x? U I Q W Ci ty Phone Name AddreSs City Phone Assessment _ Water & Sew. Police - Fire Eng. Planner- Council- Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bld9 Qff. 12/2 9 /8f information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinap APC Signature o1 Permittee Var. D ?- A Building Permit is issued to: CI'RONTIER COMP?'NTE all work shall be done in accordance with all applicableBtete of Minn sota tute Permit $ 325.?0 Surcharge 32.00 Plan Review 162.50 SAC 575.00 Water Conn. 500. 00 water Meter 63, 50 Road Unit 290. 00 Tr.PI. 156_00 Copies--!R,, p Total on the ezpress condition that and City of Eagan Ordinances. Building OPoCial [:ridz 1:nvclopo Avcrngc "U" Comput:ieion • Pngo 2 of 4 ; Totul exl)ojed root/cciling area o./ b .. m. 1btn1 skyli.ght area ............................ .. n. Total rooP/cciling framing arce (nvcragc 102)... ? OI?CO o. Total net insulated roof/cciling area........... . Determine "U" value for each roof/cciling segment ' m X .1u„ n. ? O f• Co x.'u„ o. X.1u.. 4 ........................... 7bta1 ° L 7 If total ot 1E9 is the same as, or less t:han 112, you have meL- L-he intent ot Sbr 601,16 (c) 1. Altern3tc Suildinq Bnve]one Desiqn 1b utilize the total envelooe'system method, the values estzblished by the s:un of i.tems t3 and 49 shall not be 9reater L-han tlie sum of items #l and 1112. ?. ZI(fl.09 +?. ZG, -4I = 247-1 S 3. _1(017i C'_/-1 + 4. Z-C,), 73 _ ???, tP , ? 7 REQUEST FOR ELECTRICAL INSVECTION ee-ooooi-as JIM II, Sea inatmcliena lor completinB Ihis form on back of yellow copy. 71 ((? Q/i CA j) "R" Below Work Covered bv This Renijesi tine `eea. iyaa ot auiie;na aaouanee. wi.oa enuiun,ant wir ea Home Range Temporary Service Duplez Water Heater heny Fixtures Apt. BwIAin9 Dryer Electnc Heatm Commeraal Bldg. Pumace Silo Unloader Industrial Bidg. Art Condinoner Bulk Milk Tank FBRp Otber peci y t?ryr (Spncify) ? ? UC?? Y thCr Othl'! om nu? e Ins nartin? Cea n..i,.... k Fee 'ServiceEmranceSize n iae FeaCara/Subfeeders # Fxa Crtcuits 0 to 200 qm s 0 to 30 qm s 0 tn 30 Am s Above 2_qmi?y 31 to 700 Ainps 31 to 100 A s Swinunin Paol A6ove 100_Amps Above 100_.Am s Transtormers Irrigation Booms PerLal."Other Fee Signs Special InspecLOn r roqueet This reques[ void 18 mon[hs (rom Q 8 46 A n?;?,2? I, the EIecYl Inspectar. hereby cerldY that the above 1e insoeetion hes Eeen maa. = e?. FIre No.i/ ? FouPn-in pemio. ` ? - ? ???] R¢quir ?qeady Now ?'1WRoLly Insoec- ? es ?N tor When R dy V? ?."•••"• `°?",""°' I hereby reQuest inspectwn of ebove ? Owner elecbical woFk inatnuwd or. Shee[ Atld ess Box or H No. a ? C„Y ,v- 0,¢? ect?on o. Townshi0 Name or No. T R.n gt No. Coonry O uan[ INTI Phon No. ?? O Po er Dlier Address r 4 Electncal Contracto. ICompany Namel - W P Cnnvamor" License No. Maili r A 1ac ner akln I 14540 PENNOVK iAO"' Authoriz?bffi3?tTh o o ng n) rrLl+ Phone Number ? Mlnnt50TA STATE BOARD OF ELECTXICITY THIS INSVECTION REQUEST WILI NOT Grippe-Midwey Bldp. - Room N-181 BE ACCEPTED BY THE STqTE BOAND 1871 Universitv Ave.. 6f. Paul. MN fi6104 UNLESS PqOPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSEO. ? . i ".up• ':i:n " . .. . ? ' iln1.?, r.lo?,"?,? ?114? ?.. Urr JSt uf (Tamin vnll nrcA ftir ft.inrv: r.(.w.trvcllvn <.:^? t:??:•?_.?? : v,il,?.. ?.,..s ,=' ? ?-----LI? t. ul?r: •? (a\C ?L?'1 . .. - -- ?.?il? , _? ?. S? ?• c?y ? a ?? . . . _ . .. . .?a.s 7I ? -?-(? a, . t++ e la?qd?a 7. t.?L1 ? ? • ' _,--4 ?;. ?.Ln??j . A1.wn... . .. .. . . ?l?r I 3:C 1:,:1c ri t,r iii iL;•r .. ^. ? _...•---'_-- . _.. . ....._.. .....__._... ?.?? 1L1.' -?__-yy/ 'i•?i ?i! r ?. L? FIG. ql TOPVIFtJ OF FIWt}i Wn1.L . InLrr;ur nir 'llm Q.GR . ? • . _._.1,.±4 rs_-,. ..3. ?l? -- ----._ ? 3k.uG7 . h.l'! FIC. 112 i? ? - - i --T ?- ,i ir A !A i • ?,. . , , . ? ? ?l• ? A ? ).kTICl! : ?. . A ...°_/i. i . c•??•. • ' .? O ??1•? ' ' cy •r• ? ,(•n --' l -?` • . ., -? ?----? -l?? I?----- ---{?J' .l ? .. . J --------- /? t) 2. ?,_.9l/_h. Q. 5. L'?_{rfeeYf.1?-??V_lN(?,--- -- •----'-5:1? (?. }:KYCCIO: nlt' I l lm ._ .__ .. . ._ ' ' l i).1?1 ....???.p..?.Q_?.. p i nl:? C. 1• 7 q X'.d's 1. int,ii?i? ?Ii OLo .. . .. ... ?. :.U...- •--- n. kiPc?.E4CR........_.._._.. ---- L. ....--- -- ---.-..... ---°-------•-' - -?'J . 'I'ulni • ?• I Sf.Alk (lpl 41tA1)li Y •. ? ?!) ^ (r? ? ,.. ? • . ? • + ' ?._? --- o . <<_ ? ??? . . , • /?? i ? ? , • -- -? , Y • ' / r?? Flt:. 114 ` ? • • . ' / ? ? /f( ??? 4 ' •) ` ??? % . i,r i i, .. J/./1GC'. 1 ir aa 597 _ 4 /,? equest Date Fire No Rough-in Inspection R mratl' NOTICE: You Must Call Elecmcal Inspeclor It A Rough-In Inspectwn 1 I_ _?? 1 Ves ? No Is Feqvrtetl I t?l licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Bm or Roule No ) ?, c:ad CitY Secbon No Township Name or No Range No Coun\ry Occupant (PRINT) 0 PM1OneiJo o +- - PawerSuppber Addrass Elecincal ConVactor (Com eny Name) oIL ir`f Cu,f Dn -1`vu.C-f1on `nD. Conlractors L¢ense N. C,?ooyDlv Malinq Address (COntrector or Ouvner Maykin?.g- ,Installa4on) ?!1-7 ? Authonretl Signamre (Conlracbr/Owner Makm A??? Ins[allatron) Phone Number MINNESOTA STATE BOAPO OF ELECTRIdTV THIS INSPECTION RWUEST WILL NOT Gnggs-Midway Bldg. - Roam BE ACCEPTED BY THE STATE 90ARD 1821 Univereity Ave., St. Peul, MN 55104 11.. '^' /y {.? UNLE55 PflOPER INSPECTION FEE IS Phane (612) 642-O800 ENGLOSED REQUEST FOR ELECTRICAL INSPECTION ee-00001-0e ? See insiwcuons tor compleLng t'is farm on back ol yellow copy ? 4597 "X" delow Work Covered by This Request ew Add Rep ? TypeofBmldmg AppliancesWired EqmpmentWued HomB Ranqe Temporary Service Duplex Water Heater Eleanc Heatmg Apt. Bwldmg Dryer Loatl Management Comm /lndustrial Furnace Other (Specdy) Farm Air Gonditioner ? Other(specdy) ConUaclor5 Remarks p Compute Inspection Fee 8elow: k Other Fee # ServiceEntranceSrze Fee # CirwitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 _ P.mps 51 Jns Inspector's Use Only TOTAL C Jo ?' ( ? ?j ? J • Irrigation Booms ? Special Inspection NNECTED IF NOT Alarm/Communication THIS INSTALLATION MAY BE ORD ISCO COMPLETED WITHIN 18 MONTHS. Other Fee Date the Electrical Inspector, hereby I Rough-?n , certrfy that Ihe above mspection has pinal + oate y3 l been made. OFFICE USE ONLV This request witl 18 mmths from , „ . . . . PLAQ .? Lwe.4 L FT, EXposED W,4LL BLOL_f? ; !o S ? I 3 O , 1:--U L L( t- o lF? ?E+?L?C.? ; Cvp •? r?...?? 1Z1 M : ? i '?oo SdZ. ;:?-r, S?/,POosF=a wALL AzEA Q 5 x , S = 3 4Z .,5 . X 5 v i=vLL x 8= tto? - F, P, 42? t'3 Ca To-rA L_ SQ,?t .?K?oS?D GE? ?rUC? ? v Pt? _ ? W DWS 2 4 J 34 - 2o Ii'?TI o Df? ,?[ ; ??r j 44 ?4 . . { a - 1 1989 BiTII.DIBG PSBMTT bPPLICATION - CIYY OF EAGAN 3IIPGI.Ii F9HILY DWELLIHGS I `/ 3 15 INCLDDE 2 SETS OF PL6NS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCOL9TIONS b10TE: ADDH&SSES F09 CARNBR LOTS - CO1PfEACTOR/HOMBOflNEH MOST DESIGNATB WSICH 9DDHE,SS IS DESIRED. $0 CHANGE3 WILL SE ALLOiiED ONCE HUII.DIl1G Pfi64IT I3 I3SilED. MOLTIPLE DWELLINGS RENT9L ONITS FOE SALS OHIiS • OF QAIT3 INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF 3iTRqEY - CHECg WITS BLDG. DEPT.9 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLIIDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 To Be Dsed For: DEe K Site Address '? 5' Lot / Li Bloek I & STRUCTURAL PLANS, SET OF ENERGY CALCULATIONS Valuat3on: I 0 DO Date: 04 - 2-9 -?L7 !2on OFFICE DSE ONLY Pareel/Sub H&mP'iDN OEIGHfrs Pk'b'iiW. OwneQazuld 1-7 rJudv /?. Iyar'u Address 3_S Z 2 ?pa?l? rn4,? Pc( City/Zip Code 'G?cC,,. M? _ Phone 9 S?J - S2 U?? 0?8?, Contractor ?SEL(- Address 19? City/Zip Code N) Phone Areh./Engr. _ Address City/Zip Code Phone 0 Oecupancy Zoning Aetual Const Allowable 0 of storiea Length 20 ' Depth /H' S.F. Total Footprint S.F. On site sewage On site tirell _ MWCC System _ City xater _ PRV required _ Booster Pump _ APPROQALS Planner _ Council Bldg. Off. ?Q?27 Yariance FEE3 Bldg. Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aeet. Deposit S/W Permit S/W Sureharge Treatment P1. Road Unit Park Ded. Copies TOTAL 26,ao •so /. ? ?`•r NOTE: Sewer 6 Water Permit fees and account deposit fees xill be included in the building permit fee. Proeessing time for aever and vater permits ia tsto days oace a lioensed plumber has applied for a permit at City Hall. CITY OF EAGAN NQ 16373 3839 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727 PHONE: 454-8100 BUILDING PERMIT (2 ?5'5 Aeceipt # - Tobeusedfor DECK Est.Value $1,000 Date APR 2 8 , 1989 Site Address 3522 COACHMAN RD Lot 14 Block 1 Sec/Sub. IiAMPTON HEI HTS OFFICE USE ONLV PBfC@I NO. Occupancy - FEES Zoning Name DAVID &.TUDY HART (Aqual)Const Bld Permit 26.00 z o Address 3522 COACHMAN RD (nllowabie) - - q 5 City EAGAN Phone 667-8299 xotstones surcnarge . 0 ' Plan Re ew Length _2Q_ vi 0 Name SAME Depih 141 SAC C i , i1y ° Address S F. Total ¢ City Phone S.F. FootPrints _ SAC.MCWCC r On Site Sewage _ Water Conn W w Name on ste waii ?w - Water Meter x? AddfBSS MWCCSystem - p Acd De ostl < w City Phone CityWater _ p PRV Reqmred - SIW Permit I hereby acknowlege that I have reatl this application and s[ate that the BoosterPump - S,'W Sumharge mformation is correct and agree to comply wrth all apphca6le State of Mmnesota Stalutes and City oi Eagan Ordinances. Treaiment PI Signature of Permitee \? (? ??t. APPROVALS Road Una A Building Permit is issued to -11AVID`'DR JUDY HART Plw°ef - Park Ded on the ezpress condinon that all work shall be tlone in accordance wnh all Councn applwable State of M/in?nesota StaWtes and ity o C f Eagan Ordinances. gld9 pll Copies 1. 00 Yn - ? ) Bwlding 0iticiai T?,J?1 0m J? I I lJ Variance - 7pTqL 27.50 CITY OF 5AG;4N APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xx___;?x?x?F______________ NOTS: PAYMM' OF FEE AT 7ZME OF aPPLicrazoN noFS rOr oONsTTrJTE APPxovAL oF PERrsr. nNSPncriorr oF saWEx Arro/at MATx IN rsaTTONS, WIId, NpT BE S(IED- [A.ID tnNrII. PERMIT HAs Bmv aPPxavFn. P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF E7QSTING STRL'CIS.`RE, DATE OF ORIGINAL BLII,DING PERMIT ISSC,ANCE: - Mon Year) PRESENf ZANING/PROPQSID LTSE: [) C0MMERCIAL/REfAIL/OFFICE ? R-1 SINGI,E FAMILY Q jNOLSTRLZkL Q F-2 DL'P"LEX (i%oo Lnits) ? INSTIZUTIONAL/GOVIItiOENT rl R-3 7UWNHOL'SE (Three + Units) { Units) R-4 APARTMEN'P/COAIDOMINIUM Units ) 2) NAME: FRONTIER MIDWEST HOMES CORPORATION ADDRESS: 3908 Sibley Memorial Highway Bldg. E CITY, STATE, 2IP: Eagan, MN. 55122 PHONE: 454-0433 3) • u?: ?• NAME: STAR PLUMBING i P,DDRESS : CITY. STATE, ZIP: PHONE: 884-4149 MASTER LICIIdSE# 3329 rlumoers tacense: Active Expired Not recorded St?a ?7nitial 4) •?• • • i?- -NAME: ADDRESS: CITY, STATE. 2IP: PHONE: -5) ? ? v ? r. • ?• : ?t • a• - a?? CONNECTION 7V CITY SSMM ? CON[gX,TION TO CITY WATER OTHER '. 6) ? v • i• ? PLE'ASE HOLD APPROVPD PERMIT FY)R PIQC-UP BY ONE OF ABC)VE PLEASE MAIL APPROVID PERMIT TO 1, 2, 3. 4, AHUVE (Gircle one) 7) r. u• Tt?.t? r771-M /?1/-;IA 1018 Mound Springs Terrace Bloomington, MN. 55420 / FOR CITY USE ONLY , PERMIT # ISSUED ? ' 3l , Pd w/Bldg. Permit FEES: $ SEWER PERMIT (ZNCLUDE SURCHARGE) $ $ WATER PERMIT ( INCLIIDE SURCHARGE ) $ 63 S v $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ <<d `?7 $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ ?D a U $ WAC $ d ?SD ? $ SAC $_ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $_ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ S T , OTAL (O?5 Y'2 RECEIPT RECE IPT DOES IITILITY CONNEC TION REQUIRE EXCAVATION IN PUBLZC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PIIBLIC Q NO ROADWAY" MOST BE DIVZSION LIST ISSUED BY THE ENGINEERING AS A CONDI IO . T N. SOBJECT TO THE FOLLOWI[VG CONDITIONS: • APPROVED BY: TITLE: ` DATE: ?' ? Q , SIOMA 9UFtV SE 3908 Sible Eagan. Phone CAIE: 10=4? ? EYINO ` RVICEi'3 y Memorial Highw#y Minnesota 55122 : (6t 2) 452•3077 \ -? xv , p 4 or k01 o ? Oil 1?= ? YLO so 0 ?n -t1 _so ??? 5? vvAvriE D. CONDES 'i ---4??:i --- - EL GEND - O Aenotes Iron MonuNent ? Denotes Woai Nub Set ¦ 854•0 Qenotes Existing Spot Elevation (i Aenotes Proposed Spot Elevatian „?Denotes Drainage Directicn -PROPERIY DESCRIPI'IGMI- LOT ? `?' , &OCK 1 -}-1hNIPhl ?}EICaHTS accordirg to the rectrda? plat thereof, County, Minnesota lio?a&&ificate For; ? LANOGEvEIOPER6 araLmas ' ModeI ; STAFFmRO PROPOSED GARAGE FLOOR ELfVATfON= Syo PROPOSED Top of 8fock ELEVATION- 954.3 PROPOSED BASEMENT FLODR ELEVATION-, 851.3 NOTE: Verify afJ fJoor heights with finnl House P1sna. a?qicw? (E./?TIFICATILN- 1 hereby certify that this survey. Plan or repat was preps+ed bY "p or "er my direcf supervision ard thnt 1 am a duly Re9istered Laid Surveya' urd r the laws of the State of k+Mesota. ?, p, fe: 9 ro 86 Weyne D. Cordes, Minn. Reg. Na 14575 81GMA \ 1 SUFtVEYINO' SERVICES 3908 Sibley Memorial HighN+ay - Eagan, Minnesota 55122 Phone: (612) 452•3077 ' . " , ?? . 4 a vr 10\ Q;. ?. m " - tb . _?. IY^: ? ??.. £ ? 0 uN r ? x$s.°'o ??1 'tl For: STRF-FmRO WAYNE D. CORDES - 'E 4675 - -LEGEND_ PROPOSED 6ARA6E FLDOR ELEVATfON= Eq10 PROPOSED Top of Block ELEVATION-85Y1 O Lenotes fron Monwent • PROPOSED 8AS£MENT FLOOR ELEVAiION= 851.3 IV Denotes Wad Hub Set „ 85y0 Denotes Existirg Spot Elevation &TE yerify all tlaor heights with Finnl Nouse PlMS• Glerates Proposed Spot Elevation _,,?Denotes Drainage Direttian _alialFV(1RS CERTIfICATICrV- I hereby certify thet this surveY. P1an or rePa"t -PAWRTy DESCRIPrION- wes prepered by m a' trder nry dirett supervision ard thnt ! em a duly Registerod Lerd SurveYo? LOT ?`?' ,MLY'K 1 Ei ,f2 - urd r the laws of ihe State of Ninnesota. LHhN1P r0R ? GW actordirg to the retorded plat thereof, ? ?te: ??0 86 ilt, o4M4GTA. Camty. Mrnnesota / Wayne D. Cordes. Minn. Reg. No. 14575 City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink L For Office Use Permit #: Permit Fee: " 0 O Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 7-1(0-1(.+ Site Address: 35-? i lit Tenant: Resident/Owner Name:./ iiz�•0 E Address /City /Zip: Contractor Type of Work Name: IdS Phone: a� 4Ad,.vo i(3 Suite #: J-)-91-9 .- `7 Address: /3 (Y,3 LA ire , t/'/c.✓ State: ./) Zip: Contact: New Description of work: Phone: Email: License #: City: PaSf'�/ 6251--C6-/S"7v Replacement Additional Ji.rfd4/r-' Alteration Demolition 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 )( Furnace k Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Exterior HVAC Unit Gas Under/Above ground Tank ( Install /_ Remove) I RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum 1 $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 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 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. = $ TOTAL FEE Contract Value $ x .01 = $ Permit Fee =$ Surcharge x Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening Reviewed By: Date: