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1654 Donald Ct RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ?? 3 ?b 3830 PILOT KNOB RD - 55122 651-681-4675 7),00 New Construction ResuiremeMS RemodellReoairReauirements . 3 registered site surveys showing sq. R of lot sq. it, of house; am$Q roofed areas . 2 copies of plan (20% maximum lot coverage Owed) . 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 9 home served by septic system for additions . 3 copies of Tree Preservation Plan If bt platted after 711193 . Rim Joist Detail options selection sheet (bldgs with 3 or Ins units) DATE 2. 9, 0 D I n VALUJTION JOB SITE ADDRESS I 1:'W4v A IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?J PROPERTYOWNERQ&,4 _0&;A TYPE OF APPLICA ADDRESS PAGER # CELL PHONE FAX # 95_a Af 4 Jn r NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: - Air Conditioning - Heat Recovery System Sewer/Water Contractor. Fee: $90.00 Phone # Fee: $70.00 Phone # REPLACE(S) -4 0 _ 1 _ 2 PHONE#?-/lo / aft -ZIP CODE 1??4 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagarp Signature of Certificates of Survey Received _ Tree Preservation Plan MINNESOTA RULES 7670 CATEGORY 1 - 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 is agree to comply Not Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex X 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation .p6 Occupancy Census Code 413 K Zoning SAC Units vi Stories Nbr. of Units 0 Sq. Ft. Nbr. of Bldgs t Length Type of Const --2/) Width 123 MC/ES System City Water Booster Pump PRV ?- Fire Sprinklered /G REQUIRED INSPECTIONS _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests - Final Fireplace - R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new /replacement) Approved By ?> G 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 J,00 I ? 07 05-plex 13 13 16-plex 13 08 06-plex 13 16 Fireplace 13 09 07-plex 13 17 Garage 13 10 08-plex ?(-l 8 Deck 13 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg Y or_ N _ Final/C.O. k- Fina]/No C.O. _ Plumbing HVAC N2 5583 BUILDING P E RMIT APPLICATION Receipt # 30 ` / To be used form Duplex Est, value 38,000 pate 12/28/ -191-9 Site Address 1654 Donald Ct. Erect Occupancy R3 Lot 4 Block 1 t 9e /S b Cameron Ct. Alter ? Zoning R2 . z 0 air ? Re Fire Zone III Parcel p l E f C T a V arge ? n or . ype o W Name Cameron DeV. Co. Move ? # Stories Address 2499 Rice St. Demolish ? front 24 fr. 0 city Ro a Villa Phone 4 82-1210 Erode ? Depth 10 ft. W Name Same Approvals Fees i Assessment:L Address ~ city Phone Water & Sew. ?w •l -i l l A Police ani n Mnt a t Nome Fire Address Eng. aZ CI Phone Planner - Council _ I hereby acknowledge that I have read this application and state that Bldg. Off. 1- the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - APC Signature of Permittee - A Building Permit is issued to: all work shall be done in acc Building Official - CITY OF EAGAN 9795 Pilot Knob Road Fagan, MH 55122 PHOHL 4S4.8100 ' Permit i1u4 Dv Surcharge 19.00 Plan check 55.25 SAC 525.00 Water Conn.270. 00 Water Meter 60.00 Rd.Unit 75.00 Total 1,114.75 on the express condition that of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3793 Pilot Knob Rood Eagan, MN S5122 N9 5582 PHONES 434-8100 BUILDING PERMIT APPLICATION Receipt Site Address 1V JV UUllalu 1 L. Lot 3 rglack 1 ?e /Sub Cameron Ct. Parcel # f 6 3 010 o r - W Nome Cam?YOri D2V. CO. z Address 2499 Rice St. C city ROSevi a Phone Erect ? Alter ? Repair ? Enlarge ? Move ? Demolish ? Grade ? Occupancy $2 Zoning R2 Fire Zone III Type of Const. V # Stories Front 24 ft. Depth 10 ft. Name 5:AMQ Approvals Fees 0 o0 Address V 1 Assessment 1/2b/ 4 ermit 19.00 F City Phone Water & Sew. Surcharge 25 55 Atlantic Model Name u Police . Plan check SAC 525.00 w ~ xZo Address Fire Eng. 0 Water Conn.2 7 0 . 0 aw city Phone Planner Water Meter 60.00 Council Rd.Unit 75.00 1 hereby ockrsowledge that I have read this application and state that Bldg. Off. 11/26/7 the Information is correct and agree to comply with all applicable APC Total 1,114.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Pem,ittee A Building Permit is issued to: CameY n DeV. on the express condition that all work shall be done in accord e I s. a Ii le State of Min to Statutes and City of Eagan Ordinances. Building Official ?? I,P 5583 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERPffT APPLICATION 1 set of energy calculations. To Be Used For Valuation no, Date site Address: /?55/ ??.rn%/• Lot 4 Block l Sec./Sub. ?B1sJeross?. Parcel #: /B /G 300 /Ja/D el Owner: Address: City/Zip Code: APPROVALS LITLt b Erect Occupancy Alter zoning p 1 Repair Fire Zone Enlarge Type of Const. y Move # Stories Demolish Front ,),y ft. Grade _ Depth ft. Phone #: Contractor: ?,b,,, •rnti 0 'JZ ?/ yrnP4et no. Address: 2c[9c)n Pi;.PSa/ee' City/Zip Code: MoSPV.%/G ITS') /3 Phone #: y6'2- /2/0 Arch./Eng.:r41a- 1c 44oc e? ) Address: City/Zip Code: Phone #: Assessments Water/Sewer Police _ Fire OFFICE USE ONLY Permit Surcharge /q. 00 Plan a s SAC 0v Eng, Water. 00 Planner Wate to Council nit 75.00 Bldg. Off. // - a ? _ APC TOTAL .4 ///// 7S 1v S5Y2 CITY OF EAGAN BUILDINC PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations To Be Used For Valuation ?QyQ? Date // - ?G - 7,9 Site Address: /($ Q /,/ /a// OFFICE USE ONLY Lot _4 Block __?_ Sec./Sub. (dIQN &4Erect y Occupancy Parcel #: // 1?_DO 1%4 Alter Zoning -7/ Repair Fire Zone Owner: Address: City/Zip Code: Phone #: Enlarge _ Type of Const. Pbve # Stories Demlish _ Front s ft. Grade Depth ft. APPROUAIS FEES Yv Contractor s se ents rht ? ? /S daterr/Sewer Surcharge Address: y q itd r S} f Police Plan Chec k City/Zip Cue= Fire SAC ?f Phone #: Y82 Eng- Water Conn. 1 70 Planner Water Meter / ? ( Council Road Unit Arch./Eng.: ,4-//`,,/` AX,42 Bldg. Of -`_ Address: APC City/Zip Code: Phone #: TOTAL ? ?/'?A ?`S GEO. SEDGWICK HTG. & AIR COND. CO.? _ c %) / _24Z O_ TEST RECORD ` ???j"Gr p ,L H HEATING ,I Pr4 RESSr A P CITY OCCUPANT OWNER HEAT LOSS_ SOLD BY Electrical Work By TYPE OF HEAT DATE HTG. INST. HW GAS DESIGN MAKE - Model ` Serial INPUT MAKE OF BURNER - Modet Max. BTU Rating - MAKE OF FURNACE rvwue, CONTROLS /// /r THERMOSTAT eat Plug Vent Size //? Valve KIND OF LINER. SIZE NONE Limit ?Pp Draft Hood Regulator Limit Setting a. Filters Size Number Fan Setting Chimney Location Inside .-Ouiside Pilot Type Chimney Construction - iA Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft (> Test Tag L.W. Cut Off Door Pressure Lighting Inst. Pressure J Percent 002 Date Tested Input CF 4 Percent 02 Company Testing -. . Stack Te mp. -L- a Percent CO Name of Tester ? INSTALLED BY Gas Line By _ STEAM- SPACE HTR._UNIT HTR._OTHER_ CONVERSION Form 235 GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE ATING TEST RECORD ADDRESS A CITY OCCUPANT OWNER HEAT LOSS- SO'P BY Electrical Work By TYPE OF HEAT GAS DESIGN MAKE M Model `-? _ V D- -AA Serial INPUT 'A 4g2 THERMOST Valve Limit Limit Setting Fan Setting _ Pilot Type. Pilot Make Pilot Model _ Pilot Timing. L.W. Cut Off MAKE OF BURNER Model CONVERSION Max. BTU Rating - MAKE OF FURNACE CONTROLS q Heat Plug Vent Size KIND OF LINER SIZE NONE Draft Hood ----21 -*? Reculator 2?J Filters Size Number---_. Chimney Location Inside Outside Chimney Construction -' sca t? c? Pressure Percent CO2 Input CFH Percent 02 Stack Temp. 5219 Percent CO IfZ&e Smoke Bomb Wiring ,,, Draft 0!< - -Test Tag Door Pressure Lighting Inst. Date Tested I Company Testing 6 Name of Tester 3es Form 235 CITY OF EAGAN Remarks Addition` CAMERON -U 01-IRT Lot 4 Blk I Parcel ° ,A Owner ?Lt i !Ill.? Street 1654 Donald Court State Eagan, PIN. 55121 7Zci q61--i kA- lei(, AI)i?, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1975 PAID UNDE R P.10 41300 124 1 STREET RESTOR. 1975 66.41 6.64 10 11-29 A010958 3-5-82 GRADING .rTREET IMP 1()91 1nA? An mA Ag -1; 629.44 A010958 1-5-82 SANSEW TRUN 1974 26.92 1.12 24 13.57 A0 3-Q-958 1-5-82 * SEWER LATERAL y 1974 142.49 11.88 12 71-29 A010958 3-5-82 ** Sew Lateral 1974 358.09 18.84 19 71.65 A010958 3-5-82 ** WATER W LatiQ,V 1974 12 * WATER LATERAL 1974 19 WATER AREA 1973 PAID UNDE R ORIGINAL P RCEL ** Storm Sew Lat 1974 19 * STORM SEW TRK ? y 1974 12 STORM SEWI*## Trunks 1974 35.15 2.51 14 11-75 A010958 3-5-82 985-55 A010958 3-5-82 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 17301 12/28179 WATER CONN. 270.00 17301 12/28/79 BUILDING PER. SAC i;?s-nn 17301 9 PARK CITY OF EAGAN Lot Blk z-q q9: Ayf A/l; lba.S 5z;azi Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 Q75 PAID TIN ER P - 10 413 )n 12 01 STREET RESTOR. -27e 19 7 5, 66-41 6-64 10 13.29 A010957 -82 GRADING 625.44 - A010957 1-5-82 SAN SEW TRUNK yi? 1974 26 24 1 A010957 -82 * SEWER LATERAL 15 71.29 - A010957 -82 ** Sew Lateral /.2,? 1974 358-09 -rz as= ig 171.65 - A010957 3-5,582 ** WATERMPAWLSt). 1974 12 * WATER LATERAL 1974 19 WATER AREA ** S J 1974 19 * STORM SEW TRK 1974 12 STORM SEWW Trunk 1974 35.15 -ZEW 14 11J5 A010957 3-5-82 8 A010957 3-5-82 CURB & GUTTER SIDEWALK STREET LIGHT Rr),qd Unit 75 nC) WATER CONN. , BUILDING PER. SAC r.?; nn 12?28279 PARK CASH RECEIPT ` CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ DOLLARS loo E)CASH ? CHECK White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You ?? ? BY ti CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ?i DATE RECEIVED 19 AMOUNT $ I 6 -DOLLARS too ? CASH ? CHECK Thank You e) BY L' White-Payers Copy Yellow-Posting Copy Pink-File Copy BUILDING PERMIT CITY OF EAGAN 37" Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 N2 5582 Receipt * To be used for Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories Z Addres s Demolish ? Front ft. - Grade ? Depth ft. o Name --- u? Address Assessment Permit Water & Sew. Surcharge city Phone _ ? - 1 Police Plan check W Nome Fire SAC Address Eng. Water Conn. a W City Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit * Doh lowed hswiftee Plumbing - 01 j )-4 9 Mechanical I 4P P? / 5a 3 o 1 5 r ' c' VLLr? 1j LP7 -- L: INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing ?i '' Frame/ins. Mechanical Final Remarks: CITY OF EAGAN 37" Pilot Knob Rood Eagan, MN 53122 PHONE: 454-8100 N! 5583 BUILDING PERMIT To be used for Est. Value Receipt # Date , 19 Site Address t . Erect ? Occupancy Lot - Block Sec/Sub. Alter ? Zoning Parcel c: Repair ? Fire Zone _ Enlarge ? Type of Const. cc Name Move ? # Stories z Address Demolish ? Front ft. o city r '- 1 l l f' Phone Grade ? Depth - ft. °C Name _ ,o Address Fees Name "1 ar + i? "'?c'.n 1 Address 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. Water & Sew. Police Fire Eng. Planner Council Bldg. Off APC Permit Surcharge Plan check SAC Water Conn. ' Water Meter Total Signature of Permittee I A Building Permit is issued to: i'V on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Form" Dale Imed Peewlthe Plumbing ?I Mechanical All. v INSPECTIONS DATE INSP. Rough-In Final Footings Data Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks. Date: s CITY OF EAGAN 3795 Pilot Knob Road C()h -7S';'I(}; AIR REQUIRED Eagan, Minnesota 55122 Phone: 454-8100 HEATING PERMIT 11/5/79 1654 Donald Ct Site Address: Cameron Ct Lot 41 Block ! Sub/Sec. _ Cameron Dev. iNeme ?11 Paymond Ave. S;.. Paul No. 1618 Receipt No.: 16563 Single Residential Multi Res., Comm./Ind. L?'ip1 rl Alt /R ew/ er, ej.- Cost of Installation !2688.50) in nn City Phone: Permit Fee ;ae. .:ddgewick Htg. 50 Name Surcharge . r 1001 Xenia Ave. So. $ Address r -41C City Phone: 6 5 611 Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454.8100 HEATING PERMIT Date: 11/5/79 Site Address: 1656 Donald Ct. Lot Block I Sub/sec. _ Cameron Ct - Cameron Dev. Name ° 715 Raymond e Address St. Paul City Phone: Geo Sedgewick Htg. & AC Name 1.011 Xenia Ave. So. Address C v `5416- 5475-1611 City _ Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances, COMBUSTION AIR REQUIRED No. 1519 Receipt No., 16563 Single Residential Multi Res., Comm./Ind. DUPL New New/Alter./Repair. ! 2688.56"' Cost of Installation 20.00 Permit Fee 5 0 Surcharge 0. 5 i Total done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 FLU ?I?. -. PERMIT Date: 2/14/7c Site Address: 654 Donald Ct Lot Block Sub/Sec. r'a.meron Ct . Nome Address 7 ' City Phone: Nome C. Hoffman PlbF. Address ,` 'a • extpmt c City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. 579 Receipt No.: 171n4 Single I I Residential Multi Res., Comm./Ind. New /Alter. /Repair Cost of Installation - r Permit Fee - Surcharge Total done in accordance with all applicable State of Building Official CITY OF EA"N 3745 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-6100 T'T' ` - PERMIT No. 1580 ??/1l, /';1^ 171.!'1 Date: Receipt No.: ' Single I Site Address: 1656 Donald Ct. Residential Cameron Ct. ft- iti- Lot Block Sub/sec. _ Multi Res., Comm./Ind. Name Gmeron Dev. /Alter /Repair N . . ew 3 Address Raymond Cost of Installation C City c't. Paul, 1?d Phone: Permit Fee Name B.C. .Hoffman Plb? Surcharge Address 8n Sextant e 0 City Phone: Toto I This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official F EAGAN WATER SERVICE PERMIT ilot Knob Road PERMIT NO.: MN 55122 DATE: - - - No. Of Units: Site Addres s: _ J ott ld Ceu : . Plumber: -- Meter No.: Connection Charge: Size: _ Account Deposit: Reader No. : Permit Fee: 1 agree to Comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By - Date Paid: Date of Ins p.: Insp.: SE F EA GAN WER SERVICE PERMIT 3. Pilot K nob Road PERMIT NO.: Eat n, MN 55122 DATE: Zoning: No. of Units: Owner: Address: _ Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp. : Total: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Cagan, MN 55122 DATE: _ Zoning: No. of Units: Owner. Address: Site Address: , Plumber: Meter No.: _ Connection Charge: Size; Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: CITY OF EAGAN 3i 95 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: ITMald l:ou.. t Plumber: roe to comply with the City of Eagan finances. By -- Date of Insp-: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: " •' "-' ??c1 Surcharge: Misc. Charges: ` Total: Date Paid: ve u, j9y ?? l5 r 15 ?Rr ? t ,4v ?? N-? o F ) T1 2 ?M?v2??27 oJ3 ^,,?Wcsve b J?,e-- ?q`T /C:S-Jc ?AJAZ- Dr'??T Thit regZest void 18 months from 7360 > Date of this Request 1 /7 /Rn S 23015 I, as Q Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 16511 & 1656 Donald Court City Caaa? n Section Township Range County Dakota Which is occupied by Cameron (Name or Occupant) Is a roughin inspection required on this job? No ? Yes ® Ready Now ? Will Call)C7 3000 Maxwell Rd. Power Supplier NSP/ Red Rock Address Newport, tgp. 53055 IIcrest Electric Co. - Contractor's LicenA3 0 se o. Electrical Contractor (Company Name) Mailing Address 2 Authorized (.AWARD ctrlcal Contractor or Opwrn/er 5?} 5 No. 777-8186 This inspection request will not he accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 4954 University Ave., St. Paul, Minn. 55104-Phone 645.7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / 7adplo S 21n1S Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range Temporary Wiring ? Duplex M ? ? Water Heater ? Lighting Fixtures l Apt. Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Furnace Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm List ) ) L is [ ) ) Other ? ? ? pp } Hehers} ) ep Hehers } } f COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 5A n 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers 1 1 Remote Control Circ. Partial or other fee Signs 1 1 Special Inspection Minimum fee iAvOt Remarks unfinished basement TpTpLr e' _ I, the Electrical Inspector, hereby certi at th b e inspection has been ma? (Rough-in) Date l•^ (Final) r Date This request void 18 months from 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL CITY B RD - J E830 PILOT KNOB RD 55122 651-681-4675 C? New Construction Reautrements Remodel/RePaIr Reauirementa_ 1 D 3 registered site surveys showing sq. R. of lot, sq. R. of house and gQ roofed areas (20% maximum lot coverage allowed) D 2 copies of plans (show beam 6 window sizes; poured Ind. design; etc.) D 1 set of energy calculations ? 3 copies of bee preserv lion plan If lot plaited after 7/1/93 DATE: DESCRIPTION OF WORK: T 4.eD?? ?i t - ?I 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions 6 decks CONSTRUCTION COST: 4?S /DO. °D STREET ADDRESS: ?6 S y - S6 DD/(/L? L j? Co(/e?T LOT: LA BLOCK: ? SUBD./P.I.D. C-0-W1',&)\1 n v Co ?A V+- Name: Phone #: PROPERTY Last Fiat OWNER Street Address: City State: Zip., Company: ? LU/?r?/7df/il/Sfrti Phone #: 7s?-9j-J-6 (area code) CONTRACTOR Street Address: Y?3 60 /ti'U L15 .?{U? • License # DLO 6?6?/Exp. City ?Nti / STr9 State:N Zip: ss3 ARCHITECT/ ENGINEER Company: Name: ) Telephone #: area code It Street Address: Registration #: City State: Zip: Sewer S water licensed plumber (required for new construction onlv): Penalty applies when address change and lot change Is requested once permit Is Issued. 1 hereby acknowledge that I have read this application, state that the Information Is cone and State of Minnesota Statutes and City of Eagan Ordinances. ?/ Signature of OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required to co,nply with all applicabl WP OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee , a 5 Valuatioi r ' S h 3 U C? CASHI ER:: i ; E2N4:iaAL.. f i G r :; urc arge DATE,: 1111DAA /99 TIMF; 09!3-5;;52 Plan Review License MC/ES SAC vP: tr.::; .!i:f2!:;i_ l.) !Ui D: Irk i+Ci;J i: [:.+fiii l il. t::.'i :f0i•! City SAC Water Conn. t:; •SaQc?a. 459a !?ert[z.ii?+ c: a: ..39,125 Water Meter 25 9Cna. 4,594 !-!o,<.? zQN? CJ ::i.50 Acct. Deposit 2:L0 ; nna. x.63,1 z ONAI.C C'? 1E;as.25 S/WPermit 2!.55 1.6`.zi. DUNA...17 CT 3.00 I S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies T<,r,:a:!. rtcr_ .;.ipr Amo!_ari'!;, i':L.DO 2? a CPI Total: . 3::F ;!nrt SAC Units % SAC I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OR EAGAN 3830 PILOT KNOB RD - 55122 (p (? SLl (? 13 651-681-4675 New Construction Requirements Remodel/Repair Reaulrements > 3 registered site surveys showing sq. k. of lot, sq. ff. of house and all roofed areas (20? maximum lot coverage atiowedI > 2 copies of plans (show beam a window sizes; poured fnd. design; etc.) > 1 set of energy calculations > 3 copies of tree preservattiion plan R lot platted after 7/1/93 DATE: G ?- DESCRIPTION OF i STREET ADDRESS: 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions 6 decks CONSTRUCTION COST: ?" - . - LOT: -3 BLOCK: I- SUBD./P.I.D. #: C a y^ s n Ong ? PROPERTY OWNER ?ll X61 6 CONTRACTOR ARCHITECT/ ENGINEER Name: fb« X) ZW/ '-AAM e-S Phone #: lv 7 /' lL? / Last First Street City .(/ V / 4 L- if State: 46VZ Zip: O'b 27 1- Company Phone #3 area code) Street Address: -57el F License.# Exp, City State: Zip: Company: M09 r^ ??? Name: Telephone #: area code ( ) Street Address: Registration #: City State: Sewer S water licensed plumber (required for new construction only : r Penalty applies when address change and lot change is requested once permit is Issued. I hereby acknowledge that 1 have read this application, state that informati n Is correct, State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applic OFFICE USE NLY Certificates of Survey Received Z?---?Yes No Tree Preservation Plan Received - Yes No Not Required Zip: to comply with all appllcabl OFFICE USE ONLY BUILDING PERMIT TYPE r ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex Pk 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code 7 (Allowable) Main level sq. ft. SAC Code G UBC Occupancy sq. ft. No. of Units C9 Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: Surcharge Plan Review n11' r License u r. :_ ... MC/ES SAC City SAC Water Conn. N }.j Water Meter Acct. Deposit t is r °,, r S/W Permit . ?:_ :!r;:,.:• I7C,., ..r r.1 S/W Surcharge Treatment Pl. Park Ded. + Trails Ded. d; r Other Copies Total: i?l 4; 1, SAC Units % SAC correct use of this program. All output should be examined by a qualified professional to determine if they are reasonable and accurate. , - 9? DONALD COURT 55'3 COMMON AREA LOT 33 City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: L l,/ t t'J 'y g.T Date Received: & X713 Staff: Permit Fee: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: < PO/Site Address: /6 6-9- , z L Unit #: Resident/ Owner Name. , j).;' J .FA/1:-.)69' Phone: �^ e Address /City /Zip: ,/,-'. 1 .1 ' JJ . Applicant is: Owner Contractor T e of Work yp Contractor Description of work: lieLU i /)//1/� Construction Cost: 6 e9 Multi -Family Building: (Yes / No ) Company: $ Q/ / Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: Ftheproject is exempt from lead certification, please explain why: (see Page 3 for additional information) r.------ In the last 12 months, _Yes X No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and the information supporting documents that you submit are considered to be public information. Portions of may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code s • completed within 180 days of permit issuance. x Applicant's-Printed-Nafie` Page 1 of 3 Use BLUE or BLACK Ink For Office Use 1!! ' llCity 0i EaRaPermit#: /- 6- Permit Fee:. l !� 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: t ',./iV)/ /—�/—�/t_CaLV Phone: 2 Resident/. Owner Address/City/Zip: 4i .I ✓ .'„ Applicant is: Owner Contractor { _41/9/.., TWork Description of work: / r .ri waw ,r / wedype„*.f Construction Cosifp � D, Multi-Family Building:(Yes/ /No ) Company: Contact: Address: City: Contractor State: Zip: Phone: Email: r License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: PP ng eumen"; hat you ubmit c zi i ie ubl%c it '� .' s • Por 16 of NOTE;Flans • su orfs • . the in ormat,® may be cla fled as non publtd ou p • , .e .ecific reasons that r• d permit th # to r t co plug- e are ade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. c- )1 x Aar,,A '' Applicant s Printed Name p. !' '!Signature Page 1 of 3