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1280 Deercliff Lane Use BLUE or BLACK Ink ~ i IMMMM City i Permit 7S of Eajan 1 I Perrot Fee: J 3830 Pilot Knob Road I Eagan MN 55122 RECEIVED i Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 SUN 2 3 2011 1 staff' I 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT/ OWNER Name: 4-11 Phone: 6! _k l '+Ud YO Address / City / Zip: 53 /A; Y CONTRACTOR Name: _MIL.BERT COMPANY INC.dba ttILUGAN WATER Address: 1801 50'm ST EAST City INVER GROVE HGTS State: Mri Zip: 55077 Phone: 651 .451-2241 Contact: BIL.L.Mtffll Email: TYPE OF WORK _ New \eQ placement _ Repair _ Rebuild _ Modify Space _ Work In,R.O.W. Description of work: - PERMIT TYPE RESIDENTIAL Water Heater ater Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / _ Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 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) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $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.oooherstateonecall.oro s 1 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; Mat 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 pproved plane in the case of work which requires a review and approval of plans. Applccant / GZr x s Printed Name Applica s.Signature ip FOR OFFICE USE~ry r Reviewed By Date ~ `rk"J;Y+~'$gZ .i t y~•~ ~ `F. Required Inspections tUnder_Groundz, ugh-ln~ Airiest Gas;Test nal; N Use BLUE or BLACK Ink I Eajan Permit 'Nm Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 I Date Reece ived: gt, 1 Fax: (651) 675-5694 staff: 2010 MECHANICAL PERMIT APPLICATION Date:- Site Address: Tenant: Sw-al ZA Suite RESIDENT / OWNER Name: Phone: Address /City / Zip: 1 ft "rlo a t a ] a a CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License Q I LX?/3 Address: 3451 W. Bumsvi e a way . ess: Cklltg 120 City. State: Zip"'Ift MN5 Phone: ~Z d (1c~c i Contact: Email: TYPE OF WORK New A Replacement Additional Alteration Demolition Description of work: :NOTE: Roo -rrtouhted axed prourtd tnouke l ttti l aqulptnatttae r t 01440 c y- r II' ,*de. Piaastbc bti ct the M4+rhanittA-(r;l or i`o~r.lnt+nrrita~utt t~ Witted a~'~ea`rii 'rrleifit~xig., PERMIT TYPE RESIDENTIAL COMMERCIAL i Fumace New Construction Interior Improvement - - - Air Conditioner _ Install Piping - Processed - Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump - Under / Above ground Tank L_ Install / _ Remove) When installing/removing tank(s), Other call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 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) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% Mini $50.R mum (includes State Surcharge) - If P Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases _ by $.50 for each - $ Surchar e $1,000 Permit Fee (i.e. a $1 _ g ,001-$2,000 Permit Fee requires a $1.00 surcharge). 0 ~0. TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecait org 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with a approved plan in the case of work which requires a review and approval of px tans. x i tft ~(Unjyvl App cant's Printed Name Applicants Signature FOP OFFICE USE Retr ,Gd By: Requlyd inapectlons: Winder Cxrozlnd Rough In Air Teat C Sraxvkie T&st viii-t#r HOW _1t Exferlor MVAC_&reert ' InSpedoti CITY OP EAGAN 3793 Pllot Nno6 Rmd Eogan, MN 55721 NO 7656 y ., ? PHONE: 454-8100 BUILDING PERMIT Receipt To 6a wee h. 1 of 4 PLEX FN Wi.'. 955_000 n,,.e November 1$ 1o82 Site Address lIov ueercliir Lane Lor 12 Block 3 Sec/Sub. Windcrest lst Parcel {p 10 84 460 120 03 W I Name Ditzlar-Tenold z Address-Z001lCaPe Cod Place ne? c n?nn p Nome _ ? ?U Address f r:... Name _ Addreas 1 here6y acknowledge thut I have rend this applicotion and stote tFwt the informotion is correcf and ogree to comply with all opplicable Sfote of Minnesoto Statutes and City of Eogon Ordirwnces. Signafure of Pertnikee A Building Permil Is issued to: DiC2J oll work sholl be done in accordonce wifh all Building Offlcial Erect g] Occuponcy R-3 Aller ? Zoning (PD) R-3 Repoir ? Fire Zona NA Enlarge ? Type ot Canst. - V Move ? # Stories Demolish p Length44 Gmde ? Depth 24 Sq. Ft- ADVrorals Fees Assessmenl Permi[ Woter&Sew. Surchorga 27•50 Palice Plon check 149.00 Fire SAC 525.00 Eng. Water Conn.420 .00 Pionner WaterMefer 60,00 Council Road Unit 240.Of1 Bidg. Off. APC TMOI $1719.50. on t he express tondition thao wfo-JUmutes ond Ciry of Eogan Ordinonces. CITY OF EAGAN • 3795 Pile} Rno6 Nood Eoeon, MN 55112 NO 7657 - • ' PHONE: 454-8100 BAJILDIkG PERMIT Receipt .# Te M wad 4er 1 of 4 PLEX Est, yalue $55.000 pere November 18 , 1982 Sire Address 1282 Deezcliff Isne erect KI occupancy R-3 Lot _1L Blxk 3 Sec/Sub. Wlndcrest 18t Alter ? Zoning (PD) R-3 Parcel # 10 84460 110 63 Repolr ? Fire Zone NA E l T f C V n arge ? ype o onst. w Name Ditzler-Tenold Move ? # Stories ; Addrest 2001 CSPB Cod Place Demolish ? Length 44 b ci Mtk.a. 55343 phone 546-6723 Grode p Depth24?Sq. Ft.- ? Name OwneY Avvrovab Fae. ... ?0 U Addreu Nome _ Address I hereby acknowledge thot 1 have read this applicotion cnd state that fhe intormotion is correct and agree fo wmply with oll applico6le $tofe of Minnesoto Statutes ond Ciry of Eogan Ordinonces. Signoture ot Pertnittee A Building Permif Is issued to: MtZ] oll work shall be done in accordance wifh all Assessment _ Water & Sew. Police - Fire Erg. Planner _ Council _ Bldg. Off. _ APC - Permit ?70.vu Surcharge 27•50 Plan check 149.00 SnC 525.00 Woter Conn.420.00 Woter Meter 60.00 Road Unit 240_()(1 _ rorol $1719.50 on the express condition thno Statutes and Ciry o4 Eagan Ordinancea. Buildlnp Officiol CITY OF EACaAN _ • t 3795 Plbf Knob Road Eayan, MN 55122 N? 7658 • • PHONE: 454-8100 BUILDING PERMIT Receipt # SiM Address iZ2f4 llBEtcliii LSIIE i.or 9 ei«k 3 sec/Sub. Windcrest lst Parcel {p 10 84460 090 03 W IName Ditzler-Tenold Z qddreu 2001 C8V2 COd P18C2 p Nome _ ?? Addreu ?- ?u.. Nome _ Address I hereby ackrwwledge thot I have read this applicofion ond stnte thut the information is correct and ogree to comply with all opplicable State of Minnesoto $fatutes and City of Eogan Ordinonces. Sipnature of Permittea A Building Permit Is issued to: Dit2l8I-TEIIOla oll work sholl be done in accordonce with oll applicab St te of Mir Buildinq Officiol ,, m /•C Ercct j] Occupancy R-3 Aiter ? Zoning (PD) R-3 Repuir ? Firc Zone NA Enlorge p Type of Const. V Move ? # Stories Demolish ? Length44_ Grode ? Depth-14- Sq. Ft.- AvVroveb iaes Assessment Woter & $ew. Police Ffro Enp. Vlonner Council Bldg. Off. APC Permif 17o. Vu Surcharge 27•50 Plan check 149.00 SAC 525.Q0 Woter Conn420.00 Water Meter 60.00 Road Unit 240.00 Torol S7719_50 on tha express condiTion thnv r of Enpan Ordirwntes. CITY OF EAGAN . • 4 ' 9795 Pllet Knob Roed Engan, MN 55121 NO 7659 .. BUILDING PERMIT PHONls 434-8100 Receipt ' - Te M mad hr 1 Of 4 PLE% Est. Value $55, 000 Dure NovembeY' 18_, lq_n_ Site Address 1286 Dee rcliff Igne Erect $7 Occuponcy R-3 Lor 10 Bl«k 3 Sec/Sub.Windcrest let qlrer ? zonin9 (PD) R-3 Porcel #10 84460 1 00 03 Repoir ? Fire Zone NA Enloroe ? Type oF Const. V W Name Ditzler-Tenold rnove ? # stories ? Addrcas 2001 CBpe COd Place Demolish ? Length " ci Mtlca. 55343 phoM 546-6723 Gmde ? Depth 24 Sq. Ft.- ? Approvnl! Fees rp Nome _ ?u Addrea 1- r:... Ncme 1 hereby ocknowledge thot I hava read this opDlicotion ond state ihat the inlormnfion is correct und ogree to comply with oli applicable Stote of Minnesotu Statutes and Ciry af Eogan Ordirances. Sipnature of Pertnittea A Building Permit is issued to: I oll work shall be done in occordance Buildlnp Ofticiol A55essment Permit G76.VV Water & Sew. Surcharge 27•$0 Police Plan check 149.00 Fire SAC $2$•00 Enp. Water Conn420.00 Plonner WaterMeter 60•00 Countll Road Unit 240.00 Bldg. Off. APC Totol $1719.50 on the express Cordition Ihnt svlSStatutes ond City of Eagan Ordinances. (0? ? i C:111' OF FAGAN &JII.DING PEFMT APPLICATION Zb Be Used For 10 F 4 P IF. X vaiuation ? 5s , o d o site Address lR-ad bEk r`c.l? FF- ?.4-?t ?- rAr. I Z siocx ?. sec./sub.(,0cndQ-E5\- Paroel #: _1() $4q1a0 tZd 03 Alter Repair ownerc D,-Az1Er - -CF_nol8- Enlar9e _ aaaress: zoo \ Ccp,?!L to d P 1?O_L ?i?sh City/zip Code: ?lVk?. SS 3"( 3 Grade _ Prione #: S??-(o7?3 ? Contractor: Ot-AD A. Prldress: City/Zip Code: Phone #: Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calciil.ations. Date I l -IS ^ $ 2 ' ClFFICE USE ONLY OccupanoY ? 3. - Zoni14. CP D?) 2 - 3 ^ Fire Zone N? _4ype of Const. # Stories - Front 44 ft. _ Depth a fta APPROVAIS FFFF.'ES Assessments Pezmit a`l 8' 1 o C? [aater/Sewer Surchaxge . a Police P1an lheck 9. o 0 Fire SPC SZ S, o 0 Eng. Water Conn. 4ZO? o0 Planner Water Meter (DO . oo Council Road Unit T O c a 6 Bldg. off.///T-Y-r.-- AFC Atd1./F71g. . Addzess: City%Zip Code: Phone #: ? I ? nrrAL Al'1 L4 ? so -7657 QTY OF F,P.GADI BUILDING PEI441P APPLICATION To se vsea For ) o Fq Pl EX vatuation -t ss, 0 0 0 site Pdaress LZSZ LarN£ i.ot l l siorak B. sec./sub.wx&dct_a?-1 ?t ? Paroel #: Iv S4qtO 1I0 03. Alter uepa; r _ awmer: b:kz.tLr - ?'enold ?large _ aaaress: zoo\ Cc??L ??c1 plae?. ?li5n city/ziP coae: M?-ka. SS 3q 3 cracle _ Prone #: Sq (0 -i07a2 3 Contractor: ?LA?' rL? Pddress: City/Zip Cocie: Phone #: Arc3i./F.ng. Address: City/Zip Cade: Phone #: include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date I l -IS - $ Z "OFFICE USE ONI,Y Occuparicy zonin4 CPb?) R- 3 Fire Zone N/? 7ype of Const. # Stories Fmnt4.. ft. _ pepth ay- ft. APPFtOVALS r'r:"ab Assessments Pernut a` l $ , ° b ?dater/Sewer Surcharge . a Police Plan Check q, o a Fire SAC SZS,o 0 Fhg. Water Conn. qZO- ob Planner Water Metes (OO , o C, Council Road Unit ; oL o b Bldg. Off. &-/g'• APC z+araL -A t70t , so I - - ,?,:_ .__._?..?...__....._.? _.._. . ._ . ._. . . - _ . . ._ _ • - -•:. . < . _ - .. - _ -_ CI'I.'Y OE EAGAN Include 2 sets of plans, ' ?? t'l 7VJ s O • '?i 1 site plan w/elevations & ? gIIILpING pEF44lT AppLICATION 1 set of energy calculations. 7.b Be'Used Fbr 1 o Fq Pk UK Valuation -t 55 , oo O Date j t-IS -$ 2. Site Pddress ? 2$ ?{ ? ?E c-Cl i ? ? ?? ? • OFFI(E USE ONLY Lot C( slock 3- sec./Sub. W ? ndcres? ? ?ect )? OccuAancX Parcel #: Iv `d'4q1v0 O40 03. - Alter Zoning CPD? 2-3 i Repair Fise Zone owner: D:?z\?r -?TEnold- En].arge _ ZYpe of Const. Address: .2-o01 Cc? E ?`o d p la?L ? MiD? Darolish # stories Fmnt ft. atY/ziP coae: NlVka, 55 3q 3 Grade DePth ? ft. Plione #: 5 4 (o-to7-2 3 Contractor: C) wyv @ C"- Pddress: City/Zip Code: Phone #: Arrh./Eng.. Addzess: City/Zip Code: Phone#: , APPR3VAIS ? S Assessmcnts Percctit a?l S', o C'> [aater/Sewer Surcharge . G Police Plan Check 141 oc? Fire SAC S2-S, C b gig. Water Conn. 4zo, ob Planner Water Meter (Oa c oo Council Road Unit ? oi o 6 Bldg. Off. ?g-, g-v APC ' mra?, -A l7 0( ? so CITY OE' EAGAN • Include 2 sets of plans, 1 site plan w/elevations & I (?{J BUILDING PERNIIT APPLICATION 1 set of energy calculations, zb Be 'used For 1 o F 4 P1 t7(- valuati.on VSs, od o Date i l-IS -$ Z sitePaaress tZ$(? ???j-j"?F 2aoi- - oFFzce usE ornY rAt 1C) Blocx ?a. Sec./sub. W L nd22--5r 1?ect L T occupancy P-'?. Parcel #: 10 164y (00 /0o p-a Alter ZonirxJ C-PD?) 2-3 Repair Fire Zone NA- Owner: Enlarge _ ZYle of Const. Address: .2-oo \ Ccti E ?o d p la??. I'1D? ? Derolish # stories Front 44 ft. City/Zip Code: kk-k4. 55 3(-( 3 Grade DePth a ft. Phone #: S?fo-(o7?3 Contractor. Oc.,DA-F- r'-' Address: City/Zip Code: Phone #: AZCi1./Fng• - Address: City/Zip Code: Pncne #: APPRO/AIS F g S Assessments Pesndt aR 8'+ e) C:> T4ater/Sewer Surcharge . c? Police Plan Check ? 9o 0 Fire SPG 52- S, c o gnq, water conn. 4zo , o ? Plaruier Water Meter (aU , o0 Council Fnad Unit R OL o b Bldg. Off. APC ' ' Tarpa, -A1714 , So •. ? . ? __ . _ . ?_. . .. . :>_........_? ? .•----:?_?..,:.::.:_:...°-'• -- . .. -,_. _ :....?. ... . .. , ._ . _ ?_ RESIDENTIAL BUILDING PERMIT APPLICATION ? ?Lp(?:3 y CITY OF EACAN 3830 PILOT KNOB RD - 55722 651-681-4675 NewConsWetion Reaufrements • 3 reg'slered site surveys showing sq. ft W bt, sq. R of house; an?ll roofed areas (20% mazimum bt coveroge alDwed) • 2 mpies ol plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calalations • 3 copies of Tree Presenafion PWn ff lol plaqed after 717193 • Rim Jast Detail ODbos sNecGOn sheet (bidgs wilh 3 or less units) DATE 9-1-7 JOB SITE ADDRESS 1a :? modeVReoairReauinmenls `.a I led d /O Q/ . 2 copies o( plan . 1 set of Eneigy Cakulations for heated add'Nons . t site survey for ezterior additions & dedcs • Indhate if tame served by septic system for edditions VALUNION a 750. a?' IF MULTI-FAMILY BUILDING, HO MANY UNITS? ? PROPERTY OWNER <ti?? 711? ?o'?? TYPE OF APPLICANT ADDRESS FIREPLACE(5) _ 0 _ 1 _ 2 _ PHONE# ZIPCODE fAX # PAGER # G/9 -573 2ro0e, 2 CELL PHONE # a9cP NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CA'I'EGORY 1 (check one) - Residendal Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULFS 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Conhactor: Mechanical System Includes: Sewer/Water Confraetor. _ Air Conditioning _ Heat Recovery System All above Infortnation must be submitted pAOr to processing of applicaUon. Fee: $90.00 Phone # Fee: $70.00 Phone # I hereby acknowledge ihat I have read this application, state ihat the information is correct, and agr e to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i' SlgnatureotApplleanf . ,? Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ ; Updated 1/01 _ Water Softener _ _ Water Heater _ _ No. of Baths Phone #: Iawn Sprinkler No. of R.I. Baths ...? : OFFICE U5E ONLY ? 01 Foundation ? 02 SF Dwelling O 03 01 of _ plex ? 04 02-plex ? 05 03-piex ? 06 04-plex ?# 31New ? 32 Addition ? 33 Alteration w 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) O 22 Porch/Addn. (4sea.) ? 23 Porch (screened) ? 24 Stortn Damage O 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding ? 36 . Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair 0 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors •Demoltdon (Entire Bldp only) - Give PCA handout to applicant Valuation Occupancy ?-3 MC/ES System Census Code r13 ? Zoning d" City Water SAC Units D? Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bidgs ? Length Fire Sprinklered Type of Const S= Width ? Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/rtplacement) Approved By . Building Inspector REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings (addition) Foundation Drain TIle Roof Ice & Water Final Framing- - Fireplace _ R.I. _ Air Test _ Final Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 73 16-plex ? OB 06-plex O 16 Fireplace ? 09 07-plex 0 77 Garage ? 10 08-plex ?' 78 Deck ? 11 10-plex O 19 LowerLevel 0 12 12-plex Pibg_Y or_ N FinaVC.O. Lb FinallNo C.O. _ Pl?bing HVAC ;b ; RESIDENTIAL 10 BUILDING PERMIT APPLICATION EAGA 3830 PILIOT KNOB RDN 55122 ? ?D.OD 651-687-4675 /+ A ./ ?J.1d 0/ l? ll?f New ConsWCtion RaouiremeMS RemodelfReoairReouiremeMs • 3 regis0ared site wrveys showing sq. ft ol lot, sq. fC M house; ert*ll roofed areas . 2 apies oT plan (20% maximum bt coverage albwed) . 1 set ot Energy Cekulatlons for heated add'Nons • 2 capies of plan shaxing beam & window stms; puured kund design, elc.) . 1 sM1e survey for exterior additlons 8 decks • 1 set of Energy CakuWtions . Indirate d home sened hy septic system for addNOns • 3 copfes of TRe Preservatbn PWn H bt platled after 7/1193 • Rim Jast Dehail Options selectlon sheet (bidgs wilh 3 a lass unis) g 7 SO, DATE / VALUAION , . JOB SITE ADDRESS / aSfl ?' csCHC ' W IF MULTI-FAMILY BUILDING, HOW MANY UNITS? % PROPERTY OWNER k)?tic? I?Pw2 /4? XlqC_ TYPE OF APPLICANT ADDRESS PHONE# G1;7-Sa9-9?43' ZIP CODE PAGER # G/a -,,?T9-0OG`I CELL PHONE # FAX #6,12 aS'22- SY10 L,'/, -H-- -?O l '?' a 0 3 53-- NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residentiai Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted r---- - _ MINNFSOTA RULES 7672 New Energy Code Worksheat Submitted Plumbing Conhador. _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water CoMractor. _ Air Conditioning _ Heat Recovery System All above infortnation must be submitted prior to processing of application. FIREPLACE(S) _ 0 _ 1 _ 2 Phone # Phone * T? YV 1 Fee: $70.00 I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. n Signature of Applfcanf f3 Certficates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/Ot _ Water Softener _ _ Water Heater _ _ No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths ? ,, OFFICE USE ONLY 0 01 Foundation ? 02 SF Dwelling 0 03 01 of _ plex ? 04 02-plex ? 05 03-plex O 06 D4-plex #k 31 New ? 32 Addition O 33 PJteration PQ 34 Replacement 16-plex Fireplace Garage Deck Lower Level Plbg_Y or_ N ? 20 Pool ? 21 Poroh (3-sea.) O 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi O 35 Int Improvement ? 38 Demolish (Interior) [3 44 Siding ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair 0 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors 'OemoliUon (Entire Bldg only) • Give PCA handout to applicant Valuation D d000 ? Occupancy Census Code ? Zoning SAC Units d/ Stories Nbr. of Units ? Sq. Ft. Nbr. of Bldgs ? Length Type of Const W idth Footings (new bldg) Footings (duk) Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing - _ Fireplace _ R.I. _ Air Test _ Final Insulatlon Other Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding Stucco Stone Windows (new/replacement) p,pproved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Pertnit Mechanical Permit License Search Copies Other Total ? ? 07 OSplex ? 13 ? OB 06-plex ? 16 ? 09 07-plex ? 17 O 10 08-plex PP18 ? 71 10-plex ? 79 ? 12 12-plex R -3 MC/ES System l0 "J City water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. J:?2 FinaUNo C.O. _ Plumbing _ HVAC A BUILDING PERMIT , Q 3795 Pikt MN sa1u Receipf 1e- F' p. t I, • nnFa Asseument Woter 3 Sew. Police Fire Enp. Plonner Counci I Bldg. Off. APC Slte Address Ercct ? Octupanty Lot Block Sec/$ub, 111ter p Zaninq parcel # Repoir 0 Fire Zone EnlaMe D TrPe of Const. og Name Move 0 # St ri T o es ress Demolish Length a,...,. Grode f-i I Denth Sa. Ft. $ Name 11 - u? /lddreu o?_-- I hereby ocknowledge that I hove reod this opplication ond stote thot the information is correct ond cgree to comply with all applicable 5tote of FAinnesorc Stotutes and City of Eagon Ordinances. Sipnature of Permittee A Building Permit Is issued to: oll work shell be done in accordonce with oll opplicable Stote of Bu?Idinq Officiot ? 7 07, Q Permit Surthorge Plon check SAC Woter Conn. Woter Meter Rood Unit Totol on the express condition that ond City oF Eayan Ordinances. Holder Well Wuter Disp. Sovmr Electric lnsp. Footings Foundation fl Insulation 42 r 4 Final Waftr Wwibe Location: YVell Sawer Pr. Disp. CITY OF EAGAN , 3795 Pilef Knob Raad Eeyan, MN 55122 PHONEs 454-8100 BUILDING PERMIT Recelpt # Site Address Lot Block Sec/Sub. Parcel # ac Nams W = g Addmss , o Nama 4? /lddress F- r:.., nL--- edge that I have read this opplicotion ond stcte that is correct and ogree to comply with all opplicable )to Stotutes ond Ciry of Engon Ordinances. Si9nature of Pe?mittee A Buliding Permit Is issued to: oll work sholl be done in occordonce with oll applicable Stai 8uildiny Officiol Erec[ 0 Occuponcy Aiter ? Zonlnq Repcir p Fire Zone Enlorpe ? Type of Co?ut. AAove O # Stories Demoush p Length Grode ? Depth Sq. Ft . Assessment WaTer & Sew. POlICB Firo Er+p. Plonner Council Bidp. Off. APC Permit Surcha rge Plan check Si1C Water Conn. Woter Meter Road Unif Totoi on the express conditlon thrn ond City of EoQan Ordinonces. Permit No. Permit Holdsr Misc. Permit No. Holder EHM.A.C. _ZZ -g3 Elect.,c A.?5,46 Ea tQ. EtF- p--1-?3 Intpection Date Insp. Othar Footingt p Foundation Framing ? 0 Rouyh Plby. Rouyh HVA Inwlation r Final Plby. - &I-a/ Final HVAC Final Wour Wscribe Loeation: YYell _ Sswer Pr. Disp. _ . CITY OP E/?GAN ' ' 3795 Pilet Keob Road Eayon, MN 55122 '. • ' PHONEs 464-8100 ' BUILDING PERMIT Recetpt # To be wed fer _ Est. Volue Dcte 19 Site /Wdrou , E t O rec ? tcuponcy Lot Block Sec/5ub. /11ter 0 Zoniny , Parcel # Repoir ? Fire Zone Enlorpa ? Type of Const. Name Mo # S i W ' ve 0 tor es ; ,;)i (;ape (u?: /lddross ? 1 ice Demolish p Length b Ciy, . 5536 ? Pho ne :i4 Grode ? Depih ' Sq. Ft. ? Nome _ 0 OU Address ? r?... Assessment _ Water 8 Sew. Police Fin Enp. Plonner Countil I hereby acknowledge that I hove read this application ond stote thot Bldy. Off. the information fs correct ond ogree to comply with oll applicoble - Stote of Minnesoto Statutes and City of Eo9on Ordinonces. ^PC Fees Permit Surcharye Plon check S11C Water Conn. Woter Meter Road Unit Total Sipncture of Pertniftee I l1 Bullding Permit Is issutd to: ' on the exprest tonditlon thnt all work shall be done in accordonce with oll oppliwble 5tate of Minnesota Statutes ond City of Eepen Ordinonces. Buildinq Officiof Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? ? ?$ p,4 n H.v.a.c. Dp ptn w.u Watsr DKp. Swwr Electrie }? ??J ?D 3? C ? G??'.• ?1 "?'D,7 Irnpeetion Date Inap. Other Footinyt - ?- Foundation Framinp ,. Rouyh Plbp. 4-!4 Rouph HVA ? Inwlation .. 03 Final Plbq. . ` ? Final HVAC ill6g All Final / Wour Oqeribe Loestion: Well - I Sorwr Pr. DbP. - 3795 Pilof Knob Raed Eayan, MN 551n ' PHONEs I54-8100 BUILDING PERMIT Recelpt # - Te be wmd foe Est. Value . Dote ? _ 19 Sit° Addnss Ered ? Ocwpancy? . lot Blotk Sec/Sub. /11ter ? Zoning i ? parcel # Repair 0 Flre Zone Enlnrpe [] Type of Const. W Name Move Q # 5tories ? Address Demolish p Length Ci phorw - Grode ? Depth Sq. Ft. Q N?e Approvals Fees ~ ?? Address Assessment Permit ~ Ci phone Water & Sew. P li Surcharfle Pl h k ?. NO^1° o ce an c ec W W Fire SAC F ?? ??? Enp. Water Conn. iW Ci pFwne Planner Woter Meter Council Road Unit I hereby ocknowledge that I hove read this opplication end stote that gldp. Off. the information is correct end ogree to comply with oll applicoble $fate of Minnesota Stotutes and City of Eegon Ordinances. APC Total Sipnoture of Pertnittes A Building Permit is iuued to: ' on ths express condition thnt oll work sholl be done in accordance with all opplitable State of Minnesoto Statutes ond City of EaQan Ordinonces. Buildinp Official Permit No. Permit Holdsr Misc. Permit No. Holder Plumbing ? ? A? 1 (p'r(??- ' H.V.A.C. L??pAo- E rD 22-? w.n Wat?r Sevwr Elect.ic ?}lsb3g EQ l?. ?[?s. ?? -1 ?3 Intpection Oate Insp. Othe? Footinys Foundation r? Fnminp ?. 1 Rouph Plbp. Rouyh HVA Inwlation ? FinalPlba Gv Finsl HVAC ` ? Final Water Wsaibe Location: - Well Sawer Pr. Dbp. Receipt MECHANICAL PERMIT Permit No. - CITY OF EAGAN Eee tL"- `- - - - Fill in numbered spaces S/C Type or Print legibly Tot. • 1. Date ? f - 2. Installation Cost - . >. . ? 3. JobAddressL?-0 ' LotBlk. ? Tract .. 4. Owner 5. Contractor Phone 6. Address _ • 7. City State Zip ' 8. Building Type: Residential ? Commercial ? Institutional 0 9. Work Description: New ? Add ? Alter ? Repair ? . , 10. Describe Fuel Type ` 11. No, Equinment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and co.des governing this type of work. Signed : for Rough f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in Permit No. - Fes ' S/C J Tot. ? i : • 1. Date 2. Installation Cost 3. Job Address ' Lot?Blk. -? Tract 4. Owner 5. Contractar Phone 6. Address 7. City State Zip ? 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New -0 Add O Alter ? Repair ? 10. Describe -• f l / -L l_/ Fuel Type ; 11. No. Eauioment STU - M. Ea. Forced Air , No. Ectuiament CFM A H Mfg. ir andling: Boilers Mfg. Mech. Exhaust Unit Heater Mtg. Other Air Cond. Mtg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type a# work. Signed : ? - for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. .-- CITY OF EAGAN Fse - Frl1 in numbered spaces S/C Type or Print /egib/y Tot. 1. Date '' - 2. Installation Cost 3. Job Address .ff k- Lot i7 z% Blk...;;5 Tract 4. Owner 5. Contractor ' • Phone 6. Address 7. City 5tate Zip $. Building Type: Residential ? Commercial 0 Institutional ? 9. Work Description: New ? Add O Alter ? Repair ? 10. Describe Fuel Type - 11. No. Eauioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r ng: an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. 7his is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt .? MECHANICAL PERMIT Parmit No, CITY OF EAGAN Fee Fill in numbered spaces S/C •' Type or Print legibly _ . , T ot. 1. Date 2. Installation Cost ? ? 12 - ?, 3. Job Address Lot r? Blk. ? Tract 4. Owner 5. Contractor? Phone 6. Address , 7. City State Zip -- 8. Building Type: Residential O Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type - 11 No. Equioment BTU - M. Ea. Forced Air ? • No. Equiament CFM Ai H dli Mfg. r ng: an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Qther Air Cond. Mfg. x Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and Codes goveming this type of wor_aC, Signed : for ` • Rougfi Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved - CITY OF EAGAN 454-8100 Raosipt • - PLUMBING PERMIT Permit No. CITY OF EAGAN ; Fse flll in numbered spaces S/C Type or Prini legibly Tot. . 1. Date 2. Installation Cost . 1. ? 3. Job Address ',`Lot ? Z Bik. 3 Tract L' +- ? 4. Owner 5. Contractor . Phone - 6. Address 7, CitY State Zip 8. Building Type: Residential Q•. Commercial O Institutional 0 9. Work Description: New ?1. Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner - Shower Well Kitchen Sink Urinal/Bidet p?er Laundry Tray Floor Drains ,.? ? Drinking Ftn. . _ Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 ? Receipt PLUMBINGPEAMIT PermitNo. CITY OF EAGAN . Fee ' Fill in numbered spaces S/C Type or Prini legib/y __Tot. ` . _ 1. Date 2. Installation Cost , 3. Job Address Lot Blk. -? Tract F Lf 4. Owner 5. Contractor 6. Address ? . ;. r.- I I 7. City - State Zip -? 8. Building Type: Residential ?? Cammercial ? Institutional ? 9. Work Description: New 0-- Add ? Alter 0 Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures ool/Drainfield Cess Bath tubs p Septic Tank lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above informatian is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4548100 Reoeipt PLUMBING PERMIT Permit No. - CITY OF EAGAN " - Fee Fill in numbered spaces S/C Type or Print /egibly Tft .._ . • 3. Job Address _ 4. Owner 5. Contractor _ 6. Address ' 7. City 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New 0 / Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Laundry Tray Other `. . Floor Drains . Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree ta comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Installation Cost ., + LotBlk. ? Tract f l% Receipt PLUMBING PERMIT Permit No. CFT`.' OF EAGAN ' Fee fi!l in numbered spaces S/C Type or Print /egibly 1. Date 3. Job Address Tot. installation Cost _ Lot Blk: Tract ? 4. Owner 5. Contractor Phone 6. Address 7. City State Zip $. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet N4. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Stop Sink Gas Piping Outlets 12. I hereby certify that the above informatian is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 CITY OF EAQAN Remarks Addition wrNnr.uEST ADDN. Lot 12 Blk 3 Parcel 10 84460 120 03 Owner street 1280 Deer Cliff Lane state Eagan, NW 55123 Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. 1983 944.59 188.92 5 566.77 A014388 8-8-84 STREET RESTOR. GRADING SAN SEW TRUNK 43.06 A014388 8-8-84 SEWER LATERAL 31.65 A014388 8-8-84 * 1 sV 1982 1675.29 335.06 S 670.14 A014388 8-8-84 WATERMAIN *WATER LATERAL 1982 S WATER AREA 1982 84.29 16.88 5 33.78 A014388 8-8-84 * e e 1982 5 STORM SEW TRK SS 1982 218.82 43.76 S 87.54 A014388 8-8-84 oicSTORM SEW LAT 1982 S CURB & GUTTER SIDEWALK STREET LIGHT 240.00 81+ I- -82 WATER CONN. 420.00 BUILDING PER. 7659 . SAC ' PAR K CITY OF EACAN Addition WTNDCRF.ST AnnN Lot >> elk ? Parcei 10 R446f) 110 03 Owner street 1282 Deer Cliff Lane s,te Eagan, MIId 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1983 944.59 188.92 5 566.77 A014397 8-9-8 ' STREET RESTOR. GRADING SAN SEW TRUNK AA 43.06 A014397 8-9-84 SEWER LATERAL ,' 31.65 A014397 8-9-84 * San Sew Lateral 9 . lii.96 -5 670.14 A014397 8-9-84 WATERMAIN WATER IATERAL WATER AREA 1982 54.29 16.88 5 78 014397 8-9-84 * Services 1982 5 STORM 5EW TRK y S 1982 218.82 43.76 5 87.54 A014397 8-9-84 I *STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT 240 0 4 11-19-82 WATER CONN, 420.00 BUILDIIAIG PER. SAC 0 PARK I 25 0 ? ? CITY OF EAGAN Remarks Addition WINDCREST ADDN. Lot 4 e1k 3 Parcel 10 84460 090 03 o,,,,ner street 1284 Deer Cliff Lane state Eagan, MN 55123 Improvement Date unt A mo Annual Years Payment Receipt Date STREETSURF. 1953 4.5 9 188.92 5 566.77 A014389 8-8-84 ? STREET RESTOR. E GRADING SAN SEW TRUNK „ 43.06 A014389 8-8-84 SEWERLATERAL 31.65 A014389 8-8-84 I * San Sew Lateral 1982 1675.29 335.06 5 670.14 A014389 8-8-84 WATERMAIN * WATER LATERAL 198 WATER AREA 5 1982 84.29 16.88 5- 33.78 A014389 8-8-84 * Services 1982 5 STORMSEW TRK 5 1982 218.82 43.76 5 87154 A014389 8-8-84 • STORM SEW LAT 19 2 CURB & GU7TER SIDEWALK STREET LIGHT 240.00 WATER CONN. 420.00 ?? 11 liUILDING PER. 76 SAC 56 525.00 ?? ' PARK CITY OF EAGAN Remarks Addition WINDCRES.T ADL1N. Lot 10 qik 3 Pe,cei 10 84460 100 03 Owner Street 1286 Deer Cliff Lane State Eagan, NW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. '1 1983 944.59 188.92 5 566.77 A014391 8-5-84 STR E ET R ESTOR. GRADING SAN SEW TRUNK 1973 107.62 5.38 20 43.06 A014391 8-5-84 SEWERLATERAL 31.65 A014391 8-8-84 * San Sew Lateral ? 1982 1675.29 335.06 670.14 A014341 8-8-84 WATERMAIN * WATER LATERAL 1982 WATER RREA -- 1982 84.29 16.88 5 78 A014391 8-8-84 * Services 1982 STOAM SEW TRK r5 1982 87.54 A014391 8-8-84 * STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT 4o.oo 33o84 .11-19-82 WATER CONN. 420.00 BUILOING PER. 7657 SAC n n PARK INSPECTIUN RECORD CITY OF EAGAN PERAAIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan; Minnesota 55122-1897 Date Issued: SITE ADDRESS: I t ANf ? PERMIT I I I - rlAl I ; flakK ", ! )Mo i lir,t . I ? . .. .. APPLICANT: TYPE OF WORK: " r: r'PA1Fr ., ••It3.CMGi/RUFt'1TJf-ASCtA' t i n i I 1 1 1.'fi4 i 1 iiI 1-1I 1,'F1f., l 1 i' I 10) {ll t k L( f F i 1{4 ? Pa?mit No. Permit Holder DaN Telephono #1 ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUNO FRAMING ROOFIN(3 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATINC3 Gas svc TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FAdAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL cirV o* rAaaN WATER SERVICE PERMIT cirY. o?-EAa*tt 3795 Phor Knob' Rood PERMIT NO.: 3795 pllat Kno6 "Rosd Eagan, MN 55122 DATE: Fagan, MN 55122 1 urttC 4- le; "r Zoning: No. of Units: P Zoning: Ownar: , Owner: Addresa: ?'?J1i"''`-•-?,? Addreu: `?ite Address: E&14AflT.!3 ?' ? ', ' Address: J r'' Plumber: mber: ? ? - y Meter N C,?or?nerrtion Charge: Meter,?N/o.: - ' 51ze: WCdc!lunt Deposit: Size: ?/-? Reode No.• 0 .3IL?; S?'S 0 I PeRnit Fee: - 10_(1tl nr? 1 yne [e eemply whh !he City of Eaqon Surtharge: 7 ,d Ordinenaa. Misc. Charpes: Total: By ? Dote Poid: Dote of I .. Insn.: Owner: ' 9.tz1.eT Teala.t,? Address: Slte Address: I.'.[Il r@erC1 ifF Plumber: 1 agroe to eomply wlth !he CMy of Eagan Connection Chorge: ?? f•?,'? j? `? Ordinanees. Account Deposit• By Date of fnsp.: I nsp.. Permit Fee: Surchnrge: Misc. Charges: Totnl: Date Poid: ¦ PERMIT NO.: ?I $2l DATE: -? No. af Units: No.: Q?I J Q 5 to eomply wbb t6e Cifp of Eayan of Connection Charge: '4Ac?ou'?t Deposit: _ Perrnit Fee: Surthorge: Misc. Chnrges: - Total: Dote Paid: S pllot Knob Reod PERMIT NO.: 59 -,-. in, MH 55122 DATE: ^g: No. of Units: •' ; t ?'.,? ;.'r er: ress: Address: '?ac"Z,iff ln ',: inscrest i ? -- ._----- r.,t_ to eamplp wiHh Hro Cihr of Eagan of Insp.: 1,11; , .-) , Connedlon Charoe:''' Z ` - n Account Deposlt; Permit Fee: Surcharpe: Misc. Chorges: Totol: CITY OF EAGAN 3795 Pilot Knob Rood go}pn, MN 55122 Zon3ng: ;. t z 1 er 1 °r: t Ownar. Address: ite Address: 2 e? umber: ter No • -r- ize: Reode- No.: '7 1 ogree to aomply will? fhe 76?-? Ordinenaa. r, A lJ lDate of cIrY aF F?GAH SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eogan. MN 55122 DATE: ,r•-• Zorvng: ? L.^. t . , .. . No. of Units: - Owner: ;_t 21 L r Address; 12?? 1`eer'cliff Site Address: ?.1'? 7;? Plumber: -::"ti::30=1 Pa.13" i , 1 asm M eomply wit6 t6a City of Eagon Connection Charge: Ordlnanees. Account Deposlt: Permtt Fee: ?- Surcharge: By Misc. Charges: Date of Insp.: Total: Inso.: Date Poid: WATER SERVICE PERMIT ClTX OF EAtAN PERMIT NO.: 3795 Pilot Knob Roed DATE: -`' Eagan, MN 55122 T No. of Units: Zoning: 4wner. -?j itz, ? ?Address: ?y , •? :. i i-: ,.. c r est T ite ?Address' -? fQ1`E Plum6er: - _ Conne'c?tion Chorge: tef No.: . ??qt Deposit: Sfze` _ Permit Fee: _ Reader No.: 4 -1?.L?- Surcharge: 1 s9roe to enmplr ?witL t1N Misc. Chorges: . " _ . Ordlnonea. I Total: _ Date Poid: BY 1_- . Date of In . 1 aaree to eeroply with the Gep of Eagan Connection Chorge: ?•l» ??' WATER SERVICE PEttMIT PERMIT NO.: -4 K? DATE: - ' `- 1 _ No. of Units: q LT-Inrirraaf 1 Charge: ?' ry 0• 00 - Permit Fee: -P Surchnrge: CrI-?-- Mise. Chnrges: pe ^?e.. -rotai: Date Poid: CIT'!r OF E;.GAN SEWER SERVICE PERMIT 9745 Pilot Knob Rood PERMfT NO.: Eogen, MN 55122 DATE: Zonirtp: No. of Units: dwner: Address: Slte Address: i `: ' ? T',_ ? < ? ? { T T c , • .? • ,, ? r T Plumber: 1111()/S2 33OF4 ?10.6+' Ordinpnees. Account Deposit: Permit Fee: Surcherye: By Misc. Charges: Date of Inap.: Tofnl: Insa.: Date Paid: ? ? - 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? ? 70) New Conslrudion Reauirements RemodelR2eoair Reauiremenls Office Use Onlv 3 registered sile surveys showing sq, ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Rerd _ Y N (20°k maximum lot coverege allowed) 1 set of Energy Calculatbns for heated additions Tree Pres Plan Recd _ Y_ N, 2 wpies of plan slrowing beam 8 window s¢es; poured found design, etc. 1 ske survey for additbns 8 decks T2e Pres Required„' ?.. _ Y_ N isetofEnergyCalculations Add'dion-indlcateifai,sifesep6csysfem OnsiteSepficSystem _Y _N 3 copies o( Tree Preservafion Plan if lot platled after 111/93 Rim Joist Depll Options selection sheet (buildings wRh 3 or less uniGa) Date -J(CL_ IQ,%_ l49 Ay` Construction Cost Y2 y 5. Site Address z-§, z- vap, CC..,4 zE LliM, UniUSte # Ell?Y? Description of Work 3go nI,IR-rtg ,(.?? ?i5'fAv ?c- -T' MuIH-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner (.)j I Aj R(` ?pg-t- r:m ky ,.? fAt?, ,X?%6o&.pV?phone # ( 95Z) aW ^427Z.. .% Contractor 45s C ??A"?Q Address 21?19"A CityF-04'..&J State Zip S:EL_)2Z Telephone#((,60 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilalion Calegory 1 Worksheet ? • New Energy Code Worksheet (J submission rype) Submitted Su6mitled • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #1 Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. ' 1,MUrL.krs 9` ? U?[l l!J? ?r r Applicant's Printed Name' Applica t's Signat e I I? I JUN 2 g Zpo !J OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 D&plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Mulli ? 03 01 of_ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ?" iy- ?? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex J ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alterafion ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Cv 69 J Occupancy MCES System Census Gode td Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) ? Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air TesC _ Final _ Insulation REQUIRED INSPECTIONS Final/C.O. ?C Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: i V , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total 06'aG ?_l?? ? 7o- .: ?_ . . , .. , .. .,. . ._ ? .. ..: ?. , . ?_... ... , . .,.. .. J bO QECr2\.?1?? O o ? 4\ --- 8B3 L: 4'2 g N? U, 0 7. I ,? 7 r-I b1.41 ozivEwKY I- I ORIJEViRY N r ? ,? ; ? z 7 23 3 co ? a ? ProPasec/Ga??ar.SicSE/ev.=885.0 ? ? SY? tj~ ? - J ? Prav?+ed icp af ,-'>?inda I':on ° 885.5 _ 3L N JS; 01? . "_ 97. 65?35 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 7a ° ° New ConsWCtlon Reauirements RemadeURwair ReauiremeMs 3 2gistered site surveys showing sq. ft M lot, sq. @ of hause; arnd all rooted ereas 2 wpfes of plan (20% rreximumIM coverage allwred) 7 set ot Energy Calculations for heated additions 2 cap'ies of plan showing 6eam & window s¢es; pou2d found design, etc. 1 site survey for additions & decks 1 set of Eneagy Calculations AddiUon- indicate if on-site septic system .. . 3 copies of T2e Preservatlon Plan fl bt platted afler 717193 Rim Joist Detail OpUons seleclion shcet (bldgs wBh 3 w less units Date 1 / r•2-1 / O y Construction Cost $ 700 . Q V SiteAddress /,;? $`-i -Deci-c f, Ff lrin2 Unit/Ste # Cn M -U 5?1?3 ?Ij Description of R'ork r V E,J dFCk ? rCdn i- Sl2e S Mulfi-Family Bidg X Y _ N Fireplace(s) _ 0 X 1 _ 2 Property Ownee 73 de I' k?fc heiF r?Gn?i It ?'fc kn F. r Telephone #((oS 8Y t?-? Contractor ??t Address 0 City State Zip Telephone #( qc-?)$$1- 8(0/ N COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Iviinnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy CAde Cffiegory . Residential VentilaGon Calegory 1 Worksheet • New Energy Code Worksheet (J submission type) Su6mitted : Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor pM ? M 0 dM JUL 2 7 2004 Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understaud tlus is not a pemut, 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. A)n M 4t , , ( c?ne,? Applicanfs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 OS-plex lp 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ?p 31 New ? 35 Int Improvemenl ? 36 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair O 33 Alteration ? 37 Demolish Building" ? 43 Reraof ? 46 Windows/Doors 0 34 ReplaCCment `Demolition (Entire Bidg) - Give PCA handout ta applicant Valuation ?I Occupancy rZ J_ MCES System Census Code 92 q Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const ? , Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ? Footings (deck) ? FinallNo C.O. _ Footings (addition) _ Plumbing Poundation HVAC Drain Tile Other Roof _ Ice & Water Final _ Pool Ftgs _ Air/Gas T ests Final _ _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: m-& --------------------------- ------ uilding Inspector ----------------- ----------- Base Fee 5urcharge Plan Review ) r` (r?}7 MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai ,"n: ,. ? - . .. ... Fl ?._?? 4.. ? ?.• ? ? . .. '?:!: ... ... O BBl' r ? O em3 ?. . L R: -?4•l _ ?6S 'D C3 zs.3 1-? .... ?? ?} ro 9 , M1? it 7 N N ?` Z4 in a7. 1 ?(p . Y . U I I_ I ORNEWnY in C. ?.cn ? L_~r ? I O ' U? N (A i P ? L?: 'rp ! q V i [q C' N 24.. I 21? . i k e :.!'•+ , i U+ O , • ? PIaPOJ[L? ?INhelOt J-/. d F?hi? 885.0 I T •?` " f:oF•?.•?a Tp nF Foua 4f-i?d = 885.5 ' .' .."_ . -"7t.d.3? _ . . .. ? . _ . . . .J ? ? -. ' . .. ? , . . ?' . , ' ; • ? ? ' ^ ' , ' . . . ' ? . _ . . . . , .. ? :_ , i. ?' . p ' . . . .. . . , .-.. . - ? - ., ? ? - ' .f. ..:i. . . ' . .. ' . , • • , ? /?/?f+?jr? D /?///??/./ ? . . . . . 4i??'?? .?J.? • .. ? . . .. 88=.3 . ., .. . , ... ;? ... ? .r. , .. ... I...?.?, .. . . . .. . . . ..... . ..?. ?r?: . , ....._.?... J ? • 4 'LLI , ' ,. ?.'.il??ial. ..... c1 J...\/:y for ?. ??r : :la Of 1.048 ._ Dw:COC:. L.1:vj I 6Q ?_ pEER??I?? o 601''' ? I ? O ggi.l N I I ? i i b?.4t z I I I pRtJEWPY I? 1 r - ? 0 P/opesed Ga?nyr S/a1 E/ v. ` e O?I ? Fropo•ed Top of foundu.fmn ? 5? I - 52.a ? 1?'r\ ?I U N ? ,y o ? v 1 58.SD .10? B?k? ZiO?? az. oeivewnY b' U. ry S? L ? 23.3 e. e y? ? 1? ? WI J.o-^?gyeMen??,5 '1 _ 71.4'S? 01°-Z..i Z2 E rUS^.. ..? , ,•..r. _..t .?..? . r.- ?.r- -. •L: , "ie? _,. . e '.. . , - -t d ?,.? y . ._oC.ti r .. . r ? „ .. ? l- lu ..'1:.? .... .1'. . . _ . ? o .? ..1 _ ., . .. . i :. ' . . ?^.:[',: ?l?i - 4' ? ?/ `? ? . Ir??? :er C:?,i•;.o . Ccfl:.- ..- ?< ? 452 - I RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Hew ConsWction Reaui2ments RemodeUReoair Reauirements 3 registered site surveys showing sq. fi. W lot, sq. ft. of house; and all roofed areas 2 copies of plan (20°h maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showmg beam & window sizes; poured found design, etc i site survey for addilions & decks 1 set of Energy Calculafions AddRion - indicete i(oo-s8e septic system 3 copies of Tree Preservation Plan if bl plaried afler 7l1/93 Rim Joist Detail Optlons selectbn sheet (bldgs witli 3 or less units ?4 ? D.ea zce l Q3 Offce Use Onlv CertMSurveyRecd _Y _N Tree Pres Plan Recd _Y _ N Tree Pres Reqd _Y _ N On-site Septic System _Y _ N Date Site Address ? Construction Cost 1-1'4yA? UniUSte # Description of Work /? /Mv??? /Z29 LAr i? •? 4.vr h /?t7iK r& 10'?.?,A42 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner a4Q9iiy /ad5 /m ;r Telephone # ( j5-,Z) Contractor /2 /) Q2 61l4 4 ,2r %.£n Address G/(so/ e 0iy1,72w State _A4A/ Zip 'S`I! °oL City A4101- -F Telephone#(G/,2) S; $- 9 C6,5-_ COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residen6al Vendlation Category 1 Wwksheet • New Energy Cotle Worksheet submissionlype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut;?t tJ?e wor ill be in accordance with the approved plan in the case of wark which requires a review and lans. TAd?,hx,(J Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ??? /// ?I 06 04-plex ? `` z a& Work Types ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 10 08-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbp_Y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 48 Windows/Doors X 34 Replacement *Demolition (Entire 81dg) - Give PCA hantlout to applicant ? Valuation Occupancy ' - MC/ES System -- Census Code - Zoning - City Water ? SAC Units Stories ?-- Booster Pump Nbr. of Units ?- Sq. Ft. ?- PRV Nbr. of Bidgs - Length ? Fire Sprinklered ? Type of Const Width REQUIREDINSPECTIONS Footings(new bldg) FinaUC.O. ? Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ _ Siding Stucco Stone _ J Fireplace _ RI. _ Air Test _ _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Approved By Building Inspector ? COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN C-) 5s- 651-681-4675 Foundation Onl New Construction Interior Im rovement • Shuctural Plans (2) sets • Architaclural Plans (2) sets • Architeclural Plans (2) sets • Civil Plans (2) • Shuctural Plans (2) • Code Malysis (1) " • CertiFlCate of 5urvey (1) . Civil Plans (2) • Project Specs (1) . CodeMalysis (1)" . LandscapingPlans (2) • KeyPlan (1) • ProJectSpecs (1) . CodeMalysis (1) " • MasterExitPlan (1) • Spec. Insp. 8 Tesling Schedule " • CeNflcate of Survey (1) • Energy Calculations (1) not always"' • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always'" • Meter sizs must be established . Meter size must be established • Meter size must be esta6lished - if applica6le • ProjectSpecs (1) ! • EnergyCalculations (t) d . Eleclric Power & Lighfing Form (1) ! • Master F?cit Plan (1) 1 1 • Emergency Response Site Plan (7) 1 . SoilsReport (t) 1 • MClES SAC detertninatlon letter • MGES SAC determination letter • MC/ES SAC detertnination letter call 651-602-1000 call 651-602-7000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN DepaAment of Health. Call 651-215-0700 for details. ** Contact Building Inspections for sample. Pertnitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: ?? WORK TYPE: NEW ?REMODEL CONSTRUCTION COST: /? 7S? ya SITEADDRESS: 1142 TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK 77Z,.9/'OFF Name: ?/(l _ C>•4?s'e,? c_'('/ Phone#: y?? PROPERTI' Last First OWNER ? CC • Street Address: cilY: 7?-dz ?lC__ State: Zip: Company: 1:?911571171- Phone #: CONTRACTOR ?7 ?l? Sheet Address: p ?? / /7/` l?(.vr JC/ City: 7R State: 121/7 Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registrarion #: ??[ I I^ I K? StreetAddress: I SEP 0 g J ?.'lly: StBYC: Z1rEv Licensed plumber installing new sewer/water service: Phone #: I hereby acknowledge that I have read this application, state that the information is correct, and agre com ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 7I02 WiNDCREST 1ST 84460 PEI2MIT DATE & TYPF i,(1T $j, ADDRF.SS 9B2 nuP 130 02 3831/ DENMARK AVE 140 02 3829 aisa DvP 150 02 3819/ DENMARK AVE 160 02 3817 aisc Due 170 02 3807/ DENMARK AVE 180 02 3805 5185 4-PLEX 010 03 1304 / DEERCLIFF LN 020 03 1306/ 030 03 1302/ 040 03 1300 i vsz 4-PLEX 050 03 1294/ DEERCLIFF LN 060 03 1296/ 070 03 1292/ 080 03 1290 itis? 4-PLBX 090 03 1284/ DEERCLIFFLN 100 03 1286/ 110 03 1282/ 120_ 03_ 1280 t tisa 4-PLEX 130 03 1274/ DEERCLIFF LN 140 03 1276/ 150 03 1272/ 160 03 1270 9i82 4-PLEX 170 03 1264 DEERCLIFF LN 180 03 3855 DENMARK AVE 190 03 3857 DENMARK AVE 200 03 1266 DEERCLIFF LN 32 APPROVED 10/80 PAGE 2 OF 2 Coc:ific%te of Siu'vey for t^a,nor ;'oi:cid of Lots t?locc ?, ..'ridrrest eddition ILkota Covr:ty, Mllnnosota ? 60 pEe RcttiF? o 0 .3 ? . .. v -Y . .. , , . . . .. . -. 83 R, l41 T6 p4• 59" o ?? ?r?r..?+p .r,.,. .?•.. ? . . B; p_ q°Q A' 59., 52 ? b O ? I?'I':u:vtAKli. N Rl 1P N.. RyY .y..,,'p l N RF {y N yti r • 1 ? .. "R" /', F. ? b1 41?? ....-... . . .._? .., -? ...J? .?o N64°02+?EN ix `L4q'q?'T[r?1?6„? N I ? N . ORNE(+RY ,A+? I ??ORIJ(?'H1?F. p Un N ...? 1 • 01 •.' ,". . ?N OT• N .....? p_ N q, 233 mj 8b ? N GM /'ro/??ed G??+9e S4lE/w.= BH5.0 I i ' ?? _, s+ A"p•...I TP ?f fiv.d /.iow • 8B5.5 61 rrbas>ar?rv...:-... . .. ...?...,.e._.....:.. ? . I!:ar?b-? ce:t1.::• tii,t rhis i:- a tru3 :icui (or:vc? %i =:•urv.t;/ of rne !'ot;?*r:arier, o: ..ote 5, L'?, 11, _r.d 12, .-ock :? t.i;.ccr:at aucition, t::a loc:t+_cr Df' s11 :3xi5tin.. iLlLuir;F;,, i:' •?i?- ero?c::.:.ent:s, my, fro:r or on =•.iu ±:.na, ?e.? ;:ne ,rc x?seu :c( ,ein:: o; . rrr. );a°d bi-ilui:t;; ...... rivak•,y:.. 7p.`. 'v:l.l7^ u:lQ L..f'y••;JOI' ..f.u rluuier j3tuu; lAi:E. Mii:Ye750La ,?.?W?....... -,.. ..n PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number Datelssued: ck ?6ffo euzLoxNG 029246 12/19/96 SITE ADDRESS: P.I.N.: 16-84460-120-03 DESCRIPTION: SIDIN6/SOFFIT/FASCIA Permit Type SF (MISC.) ,Wprk Type REPAIR de'a°%, 434 ALT. RESIDENTIAL ? .?' ? ? sm ?3u 3 ... _ e a n a "° 1 c?r'? 121, ?P'?' x?s c.a.*`.. ?? ?u?m REMARKS: SNCLUDES FEE SUMMARY: Base Fee Surcharge Tntal,Fee 1282 (LOT 11) 1284 (LOT 9) 1286 (lQT 10) DEERCLIFF LN VALUATIQN $137.25 $4.00 $141.25 $$,aee CONTRACTOR: - Applicant - sr. Lzc pWNER: NORTH CENTRAL BLDRS 15336168 0003763 GREGORY JEFF 7401 42ND AVE N 1274 DEERCLTFF LN NEW HOPE MN 55427 EAGAN MN 55129 (612) 533-6168 (612)686-7579 1 heheby acknaw1e? S"ta'tbtea% 1280 DEERCLIFF LANE LOT: 12 BLDCKc 3 WINpCREST 15T "I thaG ??#?e 4t?'x ..?..? ? APPLICANTiPERMITEESIGNATURE IS?r`: ??A?? tnl ? CITY pF EAGAN 14t 3830 PILOT KNOB RD - 55122 iq 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 repistered sRe aurveys ? 2 copies of plan ? 2 oopies of plana (indude beam S window saes; poured fnd, design; atc.) ? 2 ske surveys (exterlor additiona & decka) ? 1 energy calculationa ? 1 energy celculatfons for heated addilions ? 3 wpin of hee preservetron pian R bt pletled eRer 711193 required: _ Yes _ No DATE: ?OUcY11euj 14, Iqq(o CONSTRUCTION COST: N u?1 DESCRIPTION OF WORK: RF-SInE , SoFFr r, TASC-i A STREETADDRESS: ?2-SO-82-84,9(a DEE.t2 GLAFF LOT BLOCK SUBD./P.I.D. ?.?-._._._. E PROPER7Y Name: JF- r- F Phone #: &P IS 7q OWNER - 1 Z7q """ pFp U FF 1 pNF Street Address - city: En %f) N state: ,471U zip. 25-l23 CONTRACTOR Company: .?0 ?1} ?11.) PI?S Phone #: J33-(a I(p8 Street Address: 140I 9-!Z4 AVP_ N? License #• -?1'3 City:N F.1nJ l+tJ )9 ? State: M N Zip• .6?6q-2 7 ARCMITECTI Company: Phone #: ENGINEER Name: Registration #• 5treet Address- City: 5tate: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowiedge that I have read this appliption and state that the information is correct and agree tn comply with alt applicable State of Minnesota Statutes and City of Eagan Ordinances. SignaWre of Applicant: OFFICE USE ONLY Certificates of 5urvey Received _ Yes No Tree Preservation Plan Received Yes No BUILDtMG PERMIT TYPE OFFICE USE ONLY 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweliing o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 GaragelAccessory o 20 Pubiic Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscetlaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WOR!( TYPE 0 31 New o 33 Alterations o 36 Move 0 32 Addiiion o 34 Repair o 37 Demolition GENERAL INFORMATtON Const. cHcfualj (Allowabie) UBC Occupancy 2oning # oi Stories Length Depth casemeni sq. rt. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building fvit'!i'rvj Sysi@IT City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC waier Gonn. Waier Meter Acct. Deposit S/W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies_•:? .: TotaL• Valuation: $ ?? om' °k SAC SAC UnRs q cirr use oNLY L l BL ? RECEIPT #: >d SUBD. RECEIPT DATE: 1999 PLUM01ve PERUrr (MiDErrnAW CI1'Y OF EAfiAN S$SO PII.OT KNOB RD EAfii4N, MN 551 EE (851) 681-4695 Please complete for: D sfngle family dwellings ? townhomes and condos when permlts are requlred for each unit ? backflow preventer for underground sprinkler system FIXTUFjES Shower 3.00 x = WaterCloset. 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Wster Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet • minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener " for dwellings untlar constructlon 5.00 x = WaterSoftefler • forexistingdwellinp 30,00 x = U.G. Sprinkler ` Fw dwelling under const. 3.00 = U.G. Sprinkler " tor existing dwelling 30.00 = AltBretlOnS • to existing resltlence 30.00 = Water Turn Around 30.00 = Private Disposal System • MPC iic. 75.00 = (new andrefurbished systems) Privale Dlsposal Systems * qbanaonment 30.00 = RPZ (new installation/repair) 30.00 _ Remfnder. Ca11 8 61-4675 for Inspections of water heaters, STATE SURCHARGE water softeners, elteretions, etc. • TOTAL 50 3a, Sa ---••---• ................•-••- I here6y adcnowledge Ihat 1 hav? ' •--.._• •••........ _................,.. --••••-,--•-•-••-•••••-----.......------._......--•--.........---•••---- 9ct, and agree to compty wt?h all applipble Clry ofEagan ordinances It Is the applipnt s responslblliq RODRIGUEZ, LYNN . imes no Ilabillry fa any damages caused by the City during Its nortnal operational end maintenance e 1284 pEERCLIFF LANE (ithin City property/rlght-of-way/easement. SITE ADDRESS: EAGAN, MN 55123 _ (ssi) 688-3237 OWNER NAME: INSTALLER NAME: LnPb/ bIl'1 ?, /U16/ Ir TELEPHONE #: a77 STREETADDRESS: _ Z-1?O5 CIN' S7ATE: 0 ZIP: S DY? SIGNATURE CO/PERMIT FORMS/RPLBG PEFdMIT (RES) - 1999 CITY OF EAGAN 3830 PILDT KNOB ROAD EAGAN, MW 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # U DATE: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -----------------------------' WORK DESCRIPTION N0. NEW CONST ADD ON REPAIR OWNER NAME: AA"'Lk I ff'?O"-t C SITE ADDRESS:P LOT:? SLOCK i..4LL/t4?N ? SUBD. INSTALLER: l p D?4 / ADDRESS: a o CITY: ?cv - S ?? ' ?Ja.? ? ZIP: ?Sa ? f DWELLINGS & COMPLETE THE FOLLOWING: FIXT[JRES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCNEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMIJM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER ? WATER SOFTENER PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE TOTAL ? S ? .50 0 S S '? C?IMMEBCiALjINDIISTRIAL?: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: _ FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) $ $ CITY OF EAGAN ? ??-0O 9 I 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 , New Constnuctiun Reuuirements RemadeVReoair Reaui2menls Offlce Use Onlv 3 registered site'surveys shawing sq. R. of l06 sq. ft, of house; and all roofed areas 2 wpies of plan Cert oi Survey Reo! _ Y_ N (20%maximum lot cove2ge allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N, 2 wpies of plan showing beam & window saes; poured found design, etc. 1 sAe survey for additions & decks Tree Pres Required _ Y_ N iselofEneryyCalculatians Addifion-indiceteAon-skesepticsysfem OnaReSepticSystem _Y _N 3 copies o(Tree Preservation Plan if lotplatted aNer7M/93 Rim Jorst DetaO Oplions selection sheet (buildings w(ith 3 or less unils) Date _7-/ ,Z7--/ _[)S SiteAddress I"t-_ in Dee .rC Construction Cos[ ZL)LDJ " L ijk t--6 I-eo Unit/Ste# Description of Work ?"? ,??. ?? Multi-Famity Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner L/i t Vtt 10 C ra ft- ? n,v ., t?? ft_:?s pa nh;-Telephone #((o V_ D Contractor ?S?O (3i ?-1? i- ? AZ Address ZiD ?: ?v?T- State ? - ?G}LL Ci? ^"? Zip Telephone #((y IL) 2- , 0-i 6L9 105 {_ Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (Jsubmissionrype) Submitted Submitted • Energy Envelope Calculations Submitted ^ Have you previously constructed a building in Eagan with a similar fee applies. l' Licensed Plumber Mechanical Contractor Sewer/Wpter Contractor ? ?. ? ? \\?\, \vn ' I ,?V ?, 17&lephone #( If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. A,?SoCCK?ACS Fj^_+'q pCi$9e..R+-0+? ?.. • ?? ? Applicant's Printed axne Applic t's Signat ff OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 76-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 04 02-plex ? 10 08-plex )$? 18 Deck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? DB 04-plex O 72 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Rddition ? 33 Alteration lj 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs rJ? Type of Const ,I I ] _ -?r Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors *Demolition (Entire Bldg) • Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED IN5PECTIONS Final/C.O. ? Final/No C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ), O(9fl ? ?? ? . -. _ . f , .. .. b7l. .' y 7 O:' r? . ". .. i -.'.` lil O. LCL:: .. p ....".'r' .,? i ! ....7 "iLl•``:: ll:cicLF: vn ; y .._*3i<:'pOG-'- J 60 I G O 8a3 ? 5 ; I ' il 9 II M?. I r , -- ?" -io _ I pRNEWPY I? J-_- 1 N ? J N 1,0 P?opaseu' Ga.oqc S/a6EJev.= 885.0 PraPor?d YP ef F undaf:on =$85S ? _- aZ 3 u? C)FERcL'F' L A?' E p:4°o4 5-? 5z.e? - ? m 0 g0j.3 ?-404Sy?O ? ' Y{16 , ° ? y \o 0 O N 1? 1 I O , - -_ _ i 5830 :la . . ?? . ?IZ N. ozivewft('=?i o C?,N O IN. i N ii.3 ?? 2?'3 N 1 al, Utj?f? ; . s ------------ 2006 RESIDENTIAL BUILDING rExMiT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction ReQUirements 3 regisfered site surveys shaving sq. R of lot, sq. ft of house; and all roofed areas (20% maximum lot cove2ge allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calalations 3 oopies of Tree Presenation Plan if bt pWried after 711193 Rim Joist Defail Options selection sheet (buildings wiN 3 or less unifs) Minnegasco mechanical ventila6on form RemodeVReoair Reauirements 2 copies of plan shaving footirigs, 6eams, jois6 1 set of Eneyy Calculations for heated additions 1 sife survey for additions & decks Addition - indicafe il on-site septic system A 70, °O bffiie Use dritJ CeAofSueyAecd P -Y N Pk? HeA Tree Pre? ?reePresF{egwredt? ';,;?Y _=;t? On-`siteSeplicSystemt ' _Y?,_N Date (n //9_ / Zl9o.(? Construction Cost ,2 7 Site Address I Zl?? LW r? t-- Unitl9te-4- Description of Work J?p ??v ? L T? t Y? rv? S-)Z)v p Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 N Property Owuer J?31 vL,10 C V'P's?c ?k.>N &CC,,C i Telep6one # ( (p5 0?7 VZ) Contractor &nc-T I-Vo k4ou Sp Address 9 ZO cVl^Y'q ? UprI, L CitY ?I CR" State Zip 12Telephone #((o/ Z) Z( n L9 5't qTz- o Y? z - COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 (J submisslon type) • Residentlal Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pemut, 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. "? Ur-3 L,39n }n. g ) n)PF=V-A.? Applicant's Printed Na e Applican s Signa e DO NOT WRITE BELOW THIS LINE . . . Sub Tvues ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex 7x 18 Deck ? 23 Porch(screen/gazebo) ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-piex ? 25 Miscellaneous Work Tvaes ? 31 New ? 32 Addition ? 33 Alteration V( 34 Replacement ? 30 Accessory Bldg ? 31 E#. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire Bldg) - Give PCA handout to appifcant DeSCfIDtl011: WaterDamage_Yes Valuation (51(.?r7 Plan Review 100% or Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) Footings(deck) -16 Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Franung - _ F'ueplace _ R.I. _ Air Test _ Final Insularion Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIREDINSPECTIONS _ Sheetrock FinaUC.O. C FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Approved By: guilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 25% 40'!?q p ?_ ~ %? 7c> Y ? ----- - - J Go L- --------- DEC RC???? y o S O Se3J iL A?,G t ?' i?^-• 1 i.? i^ ? 4? 5`% 1. o _- _, 52 R? I ?° Z3.5 21 3 '? - r2- :10. b?R1 , ?? ;f?t ? a4° 0?12 +o E.? Z cw i V' ~ R1JEViRY N - '-_ .01 ? t ? J_ U N H. 23.3J 2t.> ?• ? s? a : ?, . . ? _- ??.-- - Propeseu Ga??ae.f/a6E/e•<= 885.0 Pr?pexd Yep of F,???nda.>:on = 885.5 ?,. • ..- ;Q?/ G '_ ..3Z 3 'n p+ n?? _ . - __ ;. ?i.. ' ? . .. ? . . r. . _ ? ///??/ • ._,...; _...??. ?- ._zzd?'__z-/?-.-_..." , . .. - . ' . .. _ _. . . (RS?33 -7 -7OC l 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Constmction Reauirements 3 registered site surveys showing sq. ft. M lot, sq. fl M house: and all roofed areas (20% maximum Iot wverage ailowed) t Soils Report d proposed 6uilding is to be placed on disNr6ed sdl 2 copies of plan showing 6eam 8 window sizes; poured found tlesign, etc. 1 set of Energy Calcula6ons 3 copies of Tree PreservaGon Plan if lot platted after 711l93 Rim Joist Detail Opfions selecfion sheet (buildings wkh 3 or less units) Minnegasco mechanical venGlafion fortn ?S 7-75- RemodellReoair Reauirements Office Use Onlv 2copiesofplanshavingfoofings,beams,ioists CeRofSurieyRecd Y _N 1 set of Energy CaIwlaGOns fw heated addi6ons Sdis Repat -- - _Y.: - N 7 site survey tor addiGons 8 decks Tree Pres Plan Recd - _Y _ N. Addilion - irMicate i1 on-site sep6c system Tree Prei Reqvired ; _ Y _ N Oo-site Septic System' ? _ Y. _ N PI onsidered ublic information unless ou state the are trade secret and the reason. ans are c p Date Construction Cost Site Address E- ` ( FLC? 1 t, Unit/Ste #? ga a a Descrip[ionofWork ? Multi-Family Bldg V-Y _ N Fireplace(s) _ 0 2 Property Owner Telephone # ( ) y Contractor 00- 5 ? ?'-)???"'? ??k?Q-?'•??5 ? ???J' 1k_': Zlo? Address I ?LG? A) 'vvV-\ City / ? State Zip Telephone #((pl2) anJ1 -'?J a G'2 COMPLETE YHIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minneso[a Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted In ihe iast 12 monihs, has }he City of Eagan issued a permii for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 o work which requires a review and approval of plans. Q5? -Q.XCkv11?2J f y'•??'?R?j???I ? L Applicant's Printed Name Applicant's Signature Use - - or BLACK Ink f For Office Use 1 City oi g t1~rrr~Rt f _.t..1,~~ (r I Permit Fee l C✓-7 3830 Pilot Knob Road l Eagan MN 55122 Cate Received: ' r~ 3 Phone: (651) 675-5675 Fax: (651) 675-5694 staff: k L 21013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (-j site Address: bee, 0L-M 4Nif-e. unit [Name: jAJI &10 TC#~i~YtJ 6aMf, a~-')rJ ,)Q_hone_ -46-Z. °c-ZI4U Resident Owner Address I City I Zip: I h ri (~s, ~P 2 Applicant is: 0-ner t Contractor Type of Work Description of work: D~ Construction Cost: Multi-Family Building: (Yes ~ t No ) Company l l ea i T~ trt~ t C Contact u r R r o Contractor Address: 9 Z-0 CU e rr~a s t L~ City: 4 A.NL State: _W4 Zip: 23 Phone: Z - Z) d License ( 5!4 1; b 8 Lead Certificate 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. Gall Gopher State One Call at (651) 454-0002 for protection against underground utilty damage Cali 48 hours belo,e you =mend to dig to receive: locates of underground utilities I hereby acknowledge that this informaron is complete and accurate: that the work will be in conformance with the ordinances and codes of the CiRr of Fagan. that I undwsland this is not a permit, but only an apphr:ation for a permit, and work is not to start without a permit. twat the work euilt 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 f fit'? c L l.el~ ~o h v-~n r-5 X_ ~ Dn Applicant's P ' ted Nathe Applicant's ignature Lft /9g- D DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration yReplace //_ Retaining Wall DESCRIPTION Valuation Plan Review \' (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace _ Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement _ Move Building Fire Repair Repair QI)0 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final _ Framing 30 Minutes 1 Hour _ Fireplace: _Rough In Air Test Final Insulation _ Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector 1-70 2,c290 Page 2 of 3