2014 Diffley RdEAGAN TOWNSHIP
BUILDING PERMIT
N° 1.107
Eagan Township
Town ,H//all
Date r/7/6f............
Stories
- To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks
1 q 4"?c _ /mood `--
LOCATION
Street, Road or other -Description of Location Lo! Block Addition or Tract
14? 3- 7 - %/ -L,
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that... 4a? t..•° .4?4 !.._...has permission to erect a.._. _.. _. . . . ................ pan
the above described premise subject to the provisions of the Building Ordinance for Eagan T nship adopted Aril 11,
1955. ?? ? ? ........... ----aILCLS .°......-_....^:T..-- .................... Per ...........SKSe_ _x - - `..'..??? .....If / _W_ .............
Chairman ofTntp Board /// Building Inspector
e
o?
INSPECTION RECORD
CITY. OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
! t 1111-1111 Y Rif
t DAR GRIM :'ND
PERMIT SUBTYPE:
I I : f4ti I 1 N(11;
i l I I fit, t
APPLICANT:
TYPE OF WORK:
f fr1IM I No,
I 1? I MA1`7 1''-; . °,I PAVA I ( I'f 1:M 1 1 fit MITRE ft I $)It ANN' VI F,. VV l ( Al 1,40RI
1' VI N
N1/I {.[i?NFri
0f?/At; /g7
Permit No. Permit Holder Date Telephone •
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS rO/l?
FOUND
FRAMING 9 Q/
e
J°??
'?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
IN
*CiT??+OF EAGAN '
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
I
1, + 1 1 1 1 ti I+li
PERMIT SUBTYPE:
, • ,
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
n rit ?l (11 F ` APPLICANT:
:
TYPE OF WORK:
!,t -., !. I i I I t174
NU1t 01 N6
0IAa04 A
Ali/.' I/y7
NEW
AHOVF HRAIIINti
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comm"
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
fW a-Zq
C ITY OF EAGAN Remarks Cedar Grove Acquisition
ddition CPH r Grove #2 Lot?I Blk Parcel 10 10709:0)10 01
Owner Street 201 CO, Rd. 30 State_ Eagan MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 960 1266,95 84-46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 972 3 .QQ 52.16 2 Paid
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
f 3830 PILOT KNOB RD - 55122 r-1 U U
651.681-4675 p?q?Ay p Cy
Now Construction Reouirements Remodel ReoairReauirements - o 6 U
• 3 registered site surveys showing sq. fl. of lot, sq. ft of house; andill roofed areas 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate g home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 4 Q 3) VALUXION OGO
JOB SITE ADDRESS X01'-1 ?r
IF MULTI-FAMILY BUILDING, HOW MANY UNITS
PROPERTY OWNER S C.nW
TYPE OF WORK ?se(Y`a fr.i s1 FIREPLACE(S) & 0 _ t _ 2
APPLICANTS" D_ Q rNtc.. }?mn?Se? ?? '??L y PHONE#9S?^ f !(zj-45 916
ADDRESS ?O'3Cj Th2rt Q 6?1 r 1?r O( o??„-I'c.l mnZIPCODE SSnSt{
PAGER # CELL PHONE #14-4,- t-f 1 " q C7aLj_ FAX #`I5 t- 140 - T??n s
VIEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: K)oN_9'_ Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: L_1e,r, \A n5 Phone #
Mechanical System Includes: - Air Con ' oning
- Heat Recovery System
Sewer/Water Contractor: Phone #
All above Information must be submitted prior to processing of application.
Fee: $90.00
S? - 1iLr)- (, f 32?
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is __ply
with all applicable State of Minnesota Statutes and City of Eaga Ordina ces.
- "??,?A_ (h
Signature of Applicant
Certificates of Survey Received - Tree Preservation Plan Receive No equired
nn Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 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 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
31 New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation
Census Code
SAC Units G /
Nbr. of Units
Nbr. of Bldgs
Type of Const
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
- Footings (new bldg)
Final/C.O.
- Footings (deck)
- Footings (addition) Plumbing
_ Foundation
Drain Tile
Roof Ice & Water Final
Framing -
Fireplace _ R.I. -Air Test -Final
Insulation
Approved By L f7 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi
35 Int Improvement 13 38 Demolish (Interior) ? 44 Siding
36 , Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
37 Demolish (Bldgp 13 43 Reroof E3 46 Windows/Doors
`Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning _L City Water
0
Final/No C.O.
HVAC
_ Other
Pool _ Ftgs _ Air/Gas Tests -Final
Siding _ Stucco _ Stone
Windows (new/replacement)
RESIDENTIAL
BUILDING PERMIT APPLICATION
1-? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. H. of house; andill roofed areas
(20% maximum lot coverage albwed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
Remodel/ReoairReauirements 1 - ?- C)
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
DATE N ?? 6 VALUATION 5J, 60;, 010-
JOB SITE ADDRESS ZOPK dJa-Klf-l ,, TA
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 2?:L 2)tiJh Q4-_ LIAA4e__ T.'o:y
TYPE OF W R?`I FIREPLACE(S) - _ 1 _ 2
APPLICANT 71U_ ,I PHONE# g/Z-
ADDRESS J /U ZIP CODE
?? yI
PAGER # CELL PHONE # 6/Z - 6`?i? ?c/7jg FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Fee: $90.00
Phone #
Fee: $70.00
Phone #
hereby acknowledge that I have read this application, state that the inf rmation is ?., ply
with all applicable State of Minnesota Statutes and City of Eagan d' nces. 4\
Signature of Applico
Certificates of Survey Received _ Tree Preservation Plan R ce _ Not Required _
Updated 1/01
MINNESOTA RULES 7670 CATEGORY I
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Lawn Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
q S RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft of house; ancall roofed areas
(20% maximum lot coverage albwed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 1U/ZLI/o/
JOB SITE ADDRESS Zvi `? " -
VU /I
IF MULTI-FAMILY BUILDING, HOWIMANY UNITS?
PROPERTY OWNER >E L ejr-'t4 l?Gtx rrn
TYPE OF WORK -1-2 FIREPLACE(S) ?0 _ 1 _ 2
APPLICANT fi PHONE#
ADDRESS 2Y5. Sf ZIP CODE ! SyZ?
PAGER # rte-` CELL PHONE # 6l Z - 685'-R?S2 FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the infor ation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga4;4 Sign
ature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received - Not Required _
Updated 1/01
Water Softener
Water Heater
No. of Baths
RemodellReoairReau irements
• 2 copies of plan
1 set of Energy Calculations for heated additions
1 site survey for exterior additions & decks
• Indicate If home served by septic system for additions
L?z?U'9 0
VALUAION
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
f, RESIDENTIAL BUILDING
UJ A 103 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodelrReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Geri of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N
1 set of Energy Calculations Addition - indicate if o ita septic system On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date Construction Cost t?IL6-.GU
Site Address 20! 4
6 ??
? l?Cra
Y GG/ n /t7 N SSIZ 3 Unit/Ste #
Description of Work Rg cr r vE rn 6l;,6 TUC) UiAfwS T,1 tt&-4e. TIC", Same
erco;d (,vr-fjcq,Y.
Multi-Family Bldg _ Y _ N Fireplace(s) - 0 - 1 - 2
Property Owner '`
GAP- *n ?y)CSCn Telephone #(b 7S1- 032
Contractor
0
Kif2;ertt t- r
x(crs
?
Address i ' W k, V ?C) City I? f,
ruic vgW
State P10 Zip 53n Telephone # ( -7CJ 790-: {j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
L$ gil l5
Have you previously constructed a building in Eagan with a similar plan$ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
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.
CYn?S riac a r
Applicants Printed Name Applicants Signature
r-
%r**??** ?*?k???K?h?x?7Kkr*?k:KX?X?*Xcktk??%?k?%k??K*'?k**k??K
CITY F EAGAN
CASHIER-, J5 TE.RMINAI... M.I. 83
DATE: 05/27/97 TIM(Ec W55:56
TD.
NAME; MANLY K CALDERON
MO 9001 2014 AIPIL.EY RD 87.25
205 9001 M4 DIFFLE:Y RD 2.00
ToC•a?l. RerryjPt Amount.- 89.25
CRO7430i3
USER TD; ]AN
.?XM'?r??B?Kdtii':#?:9rv???X:X:#:?'m?1KYF??:?`Y.ak?>kr?:?#vFWX<#x ??
rCITI OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 0 3 0 0 4 4
Date Issued: 0 5 (2 3/ 9 7
26714 DIFFLEY RD
LOT: 4 BLOCK< I
CEDAR GROVE: 2ND
P,I.,N-: 10--16701--040-01
DESCRIPTION:
ABOVE GROUND
eriniL Type SWIM POOL
;.r;k Type NEW
,n37 ,ALT, NONl'Ff"'
REMARKS:
FEE SUMMARY-
its a ? ? a ,g""i -u, ter`
VALUATSON
Base Fee
Surcharge
Total Fee
11, 89,25
s; q , D 0 0
CONTRACTOR: -- Applicant:: -
ILL-AMERICAN REC 5.8545454
y:1.29 01-0 CEDAR. AVE
?T LOOMINGTON MN 55425
4612) 254--5454
OWNER:
CALDERON STEVE
2014 DIFFI.EY RD
EAGAN MN
(65.2)688-6949
I
APPLICANT/PERMITEE SIGNATURE ISSUE BY: SI
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL), j
` i 1 I CITY OF EAGAN
5830 PILOT KNOB B RD
RD - 55122
681-4675
New Construction Requirements Remodel/Reoair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
• 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation lan If lot platted after 7/1/93
required: _Yes No
DATE: 5111 97 CONSTRUCTION COST: ? 0
?
DESCRIPTION OF WORK: ?nS?"
? 2
1
4 aw°`D? ®
more- - 9rvv; 4•o( ?w;iyr t/w?
STREET ADDRESS: /
`D n
(J
v
LOT ... ?- BLOCK
L SUED./P.I.D.
_
PROPERTY Name: Ca.aAroki Phone#:
OWNER Street Address: 2-01 Lj I n
City: a-k State: R IV Zip: ?S/Z Z
CONTRACTOR Company: e W,0k&k `caste Phone #:
Street Address: x/29 4/c? ?e?iti f License #:
City: ?loonu'h, /
t State:
Zip: SS'fZS
/I/ t/
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
Tree Preservation Plan Received - Yes No Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. )2' 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
)2/'31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 43?
Depth Footprint sq. ft. SAC Code d r
Census Bldg
Census Unit a
APPROVALS
Planning Building 9/-S Engineering Variance
Permit Fee Valuation: $ 'ej ,. oo a _ f
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
417
c
on F
0
I V
F
w 5
Oro
CEQGQM
HIEW?
LIED
BY Of a,
DATE 5- tv • 4 9
BUILDING INSPECTIONS DEPT.
0
F
0
Z. --->
CITY OF EAGAN
CASHIER: S TFkM.T,.NA._ NO. BE.
OTF:: 06/06/97 TIME: 14c05e41.
I!
NAME c NANCY F, CA...111-:1RON
300 9001 R014 DIFFLEY RD W .Rs
205 9001 2014 DIFFLE/ RD 5,00
3430 9001 EW DIFP°LEY RD L.00
Total Receipt Amountt! i6B.25
PR07504.3
USER IQ NANCY
s
r
w
?. ti 4
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-16701-040-01
DESCRIPTION:
I
PERMIT
2014 OIFFLEY RD
LOT: 4 BLOCK: 1
CEDAR GROVE 2ND
PERMIT TYPE:
BUILDING
Permit Number: 030159
Date Issued: 06/06/97
rmit Type GARAGE/ACCESSORY
Type NEW
'-`- 434 ALT. RESIDENTIAL
,
?L
€R ?L5
REMARKS:
SEPARATE PERMIT REQUIRED I-O.r, ANY ELECTRICAL WORD:
FEE SUMMARY:
VALUATION $10,000
Base Fee $162.25 COPIES (4) $L @0
Surcharge $5.00 Total Fes $168.25
Subtotal w167.25
CONTRACTOR: OWNER: - Applicant -
CALDERON STEVEN
2014 OIFFLEY RD
E A G A N MN
(612)688-6949
hsreby,ao?ttaw ed?g 1 th4t t#rs
informt„LYI k tiYfiG#€a d'Y£7jait't?&t$& t'f t$f1r ,.a.
-Statuteq an9... at }..d"t tg?i Cr s #S aces.
C -7
1997 BUILDING
l
PERMIT APPLICATION (RESIDENTIAL) a ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
581-4675 X•Gf1?Y-
i
3 registered site surveys ? 2 copies of plan
2 copies of plans (Include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations • 1 energy calculations for heated additions
3 copies of tree preservation plan if lot platted after 711193
required: _ Yes _ N _
DATE: (0 k CONSTRUCTION COST: 0 0 `
DESCRIPTION OF WORK:
STREET ADDRESS:
Lt6T Lf BLOCK ?4rrLy e ?? X 3 o
901 L( A kU l e r 12-
SUBD./P.I.D.
PROPERTY Name: Cat K, f fE to d V evc 1 Phone #: 6 8 $ - 61 y i
OWNER ,..
Street Address: a?2 i N f%41 eN 9-P.
City: _a rc1>n Stater Zip: SY f
CONTRACTOR Company: S C- ( Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only):
and lot change are requested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. 00
n
Signature of Applicant: ft lea /)rte,,,`
OFFICE USE ONLY
Certificates of Survey Received
Yes
No
Tree Preservation Plan Received Yes No
- Not Required
SUN Q3 oa7
OFFICE USE ONLY
• r
BUILDING PERMIT TYPE
o 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
o 04 SF Porch o 09 12-plex
? 05 SF Misc. ? 10 = plex
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
? 36 Move
? 37 Demolition
Const. (Actual) I _ Basement sq. ft. MC/WS System
(Allowable) I Main level sq. ft. 790 City Water ---
UBC Occupancy U_ sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories _ I sq. ft. Booster Pump
Length 2/® sq. ft. Census Code. 38
Depth ? Footprint sq. ft. SAC Code 0/
Census Bldg /
Census Unit
APPROVALS
Planning Building Icin Engineering Variance
Permit Fee Valuation: $ A tmly
Surcharge
Plan Review
License
MC/WS SAC
w
te 00
a
r Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
?c CaId.C??h
f 0 n.' ` / u ? Gl.
n
-4- vS C
M
S5?-f
®Yj
DATE
?? f s
1
ISC+-
8&flf
APPROVED PLAINS MUST
mmugommom REMAIN ON JOB SITE
CITY USE ONLY
L BL RECEIPT#: 7?iDI
SUBD. L /Yt9T `C_ n? RECEIPT DATE: '0/le/r-2
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681.4675
Please complete for: . single family dwellings
townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system
FIXTURES EACH N-9-- TOTAL
Shower 3.00 x
Water Closet 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 =
Water 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 under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler `forexisting dwelling 20.00 =
Alterations "to existing residence 20.00 = /? b C7
Water Turn Around 20.00 =
Private Disposal System ' Dak Ctylic. 75.00 =
(new and refurbished systems)
Private Disposal Systems • Abandonment 20.00 =
STATE SURCHARGE ¢{? .50
TOTAL O Wr ?d
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
City property/right-of-way/easement. r r n o t
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: QC C.r
g STREETADDRESS: -co J-G
II I1
CITY: LkE4,t6
TELEPHONE t. IP'6 T)
V Jk,
STATE: T)i1\4) ZIP: ?+ 5
SIGNATURE OF PERMITTEE
I?P/ Ad
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'City of Eagan
7d- permit #: 2ry / 3
I Permit Fee:
9e
I - I
Date Received:
I Staff: _
v C
DEC 0 9 2008
2008 RESIDENTIAL BUILDING PERMIT APPLICA
Date: W :i ^. b Site Address:
Tenant:
Suite
RESIDENT IOWNER r=
Name: APhon
e:
Address / City / Zip: -1 r 4
t C
Applicant is; - Owner Contractor N)
TYPE OF WORK Description of work s1_?„53 to ;CZ ?;v?
??CC. cSe v t
Bu
Construction Cost; M
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i
g: (Yes s No
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CONTRACTOR Name: A ?'.'??L
j
{) Y License #:
C
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Address: 1 t ?1? ?Xa ?rX-1( C
City: 1tiCOC Stater Zip: `>? I a
Phone: \Cl-1 Ci NCO 1C>7')- Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateooro 1
Minnesota Rules 7672
_
Energy Code . Residential Ventilation Category 7 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
T? T?"irs drsup rtrYl etirflenCs t?faf?yora?*s rC?are?dt?srdtld be'? 7z?lirafor'vOt`io?i=a3? r.ns'?
tC1 rn ?sr h i?a ?b?5?r?as?n
?? ubi if' o'?c?
?f?(e speef asdr??h?t WiaUfh' p`rmri???wrt
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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, fl`?
Applicants Printed, Name Applies ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174053
Date Issued:12/21/2021
Permit Category:ePermit
Site Address: 2014 Diffley Rd
Lot:4 Block: 1 Addition: Cedar Grove 2nd
PID:10-16701-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert L & Marlene B Knight
2014 Diffley Rd
Eagan MN 55122
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature