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1660 Donald Ct
Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use G`7 J b j Permit City of E I C) I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 1 2010 RESIDENTIAL,. BUILDING PERMIT APPLICATION Date: M Site Address: l o([~ V c~r6f ~ 6~, Tenant: Suite RESIDENT /OWNER Name: Phone: Address /City /Zip: Applicant is: Owner contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (YeNo ) CONTRACTOR Name: 2-4 C e)l License SS / Address: 2_1City: State: fi~ Zip: Phone: Contact:/~Email: 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 the 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.org 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. Applicant's Printed Name Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA090246 Eagan, MN 55122 . Date Issued: 07/17/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1660 Donald Ct Lot: 2 Block: 01 Addition: Cameron Court PID 10-16300-020-01 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Apple Lake Heating & Air Conditioning Viktor Chursin 207 150th Street West 1660 Donald Ct Apple Valley MN 55124 Eagan MN 55121 (952) 431-4328 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. Applicant/Permitee: Signature Issued By: Signature BUILDING PERMIT To be and for 1/2 DUPLEX & GAR $50,000 Site Address 1660 Donald Court Lot 2 Block 1 Sec/Sub Cameron Court Parcel # 10-16300-020-01 W O Z? o" uS? h Nome Co. Address 1759 Selby Ave. r.;,,, St. Paul 55104 or.,..._ 647-6900 Nome Owner Address City Name 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 vnd City of Eagan Ordinances. Signature of Pernittee Ca A Building Permit is issued to: all work shall be done in accordance with CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55122 PHONE: 454-8100 N° 8556 Receipt # Date October 6 ly 83 Erect Occupancy R-3 Alter ? Zoning R-2 Repair ? rim Zone NA Enlarge ? Type of Const. Vn Move ? # Stories 2 Demolish ? Length 24 Grade ? Depth--LO- -Sq. Ft.- Approvals Fees Assessment Permit 283.00 Water & Sew. Surcharge 25.00 Police Plan check 141.50 Fire SAC 525.00 Eng. Water Conn. 450.00 Planner Water Meter 60.00 Council Road unit 250.00 Bldg. Off. APC Total $1734.50 meet Co. on the express condition thnt of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN N? $557 3795 Pill Knob Rood Eagan, MN 53122 PHONE: 454-6100 BUILDING PERMIT Receipt #yLbi To be used for 1/2 DUPLEX & GAR Est. Value $50,000 Date October 6 , Iq 83 Site Address 1662 Donald Court Erect XX Occupancy R-3 Lot 1 Block 1 Sec/Sub.Cameron Court Alter ? Zoning R-2 Parcel # 10-16300-010-01 Repair ? Fire Zone NA w (Name Cameron Development Co. z Address 1759 Selby Ave. p Name _ ?? Address 1- r:... Name _ 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. Signature of Permittee A Building Permit Is issued to: y all work shall be done in accordance with all Building Official Enlarge ? Type of Const. Vn Move ? # Stories 2 Demolish ? Length 24 Grade ? Depth 40 Sq. Ft.- Approvals Fees Assessment Permit ZtSS.UU Water & Sew. Surcharge 25.00 Police Plan check 141.50 Fire SAC 525.00 Eng. Water Conn. 450.00 Planner Water Meter 60.00 Council Road Unit 250-00 Bldg Off . . APC 1734 5 Total on the express condition that Statutes and City of Eagan Ordinances. a i +-??=l-f-Qr?? (saw?e tis a}-?,ec- 3 Just- bki l?? CITY OF EAGAN Include 2 sets of plans, 1 site Alan Welevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To sed For cress tv, Valuation 53,0r)0 Date G --4-0 - -b? Site Address: \ f.LQ0 QdN a\a Ck, OFFICE USE ONLY Lot a- Block \ Sec./Sub. C Nr\tcu%j Ct. Erect _ Occupancy ?- 3 Parcel #: ((030O "d,-C) Alter Zoning iZ- 1 Reait Fire Zone N a Owner: C ac eaoa ?evc\onc?c a Address: -V \5S Sc\Sy Avg City/Zip Code; S?,Pau\ ??u 55\oy Phone #: ?o`fi1 ??o U Contractor: O LA) &t Address: City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: p Enlarge _ Type of Const. V N Move # Stories a. Demolish _ Front 1y ft. Grade Depth c-l0 ft. APPROVALS FEES Assessments Permit 83 o`a Water/Sewer Surcharge ?5- ?'- Police Plan Check Fire SAC Sa S - Eng. ZEE Water Conn. x1, --d Planner Water Meter Council Road unit "-g,'0 Bldg. Off. r.¢ APC TOTAL -1 a? ?b CITY OF EAGAN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of ener.TJ calculations. To Be Used Fo"y?a Valuation 50, U U p Date Site Address: ?fo6x 00-04\c Ct. OFFICE USE ONLY Lot Block \ Sec./Sub. C+yheaoa Ct. Erect Parcel #: f0 - I 30? -d(D -n ( Alter Repair Owner: C lit`'\eQw Oevc ?o? C^? Co - Enlarge Address: V'?55 SeVby law Demolish City/Zip Code: S , . y__\ , lAa b \ ny Grade _ Phone #: 6'A `?- (4' 0 Contractor: n co VL& Address: City/Zip Code: Phone #: Arch./Eng.: _ Address: City/Zip Code: Phone #: Occupancy ?- 3 Zoning R- 1 _ Fire Zone t? _ Type of Const. _ # Stories Front y ft. Depth 4 p ft. APPROVALS FEES Assessments PermitJ_ ; Water/Sewer Surcharge Police Plan Check Fire SAC?- Eng. Water Conn. ?3- Planner Water Meter Council Road Unit ?25? Bldg. Of. APC TOTAL _ REQUEST FOR ELECTRICAL INSPECTION Sea instructions for completing this form on back of yellow copy. "X " Beloo qQ Wb?/h?1jJlk ?o o' by This Request 0 EB-00001-D4 Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service X Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pe[i y thar (Specify) t er Su.ci y ter Other Compute Inspection Fee Below # Fee Service Entrance Six. # Fee Feeders/Subfeeders # Fee Circuits 2 20.001 0 to 200 Amps 0 to 30 Amps U5 70 X0 0 to 30 Amos Above 200 Amps 31 to 100 Amps 2 10.00 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Am s Transformers Irrigation Booms Partial,'Other Fee Signs Special Inspection $ 100 50 Remarks . TO F IT/o rn Rough-in ,Ste,/G, 6 I, th `vicel • / JJ Inspector, hereby certify that the above Final )7t. inspection has been • J'-/?-O made. TFIa rominal vnld to mamba from This request void lk-10 18 months from W-096'2.69 L1`I'Zt Si t CcarwtF?novl Co u v` ?- 30(B-15 3 /00,oo I Recues[ Oate Fire No. Reoqugh etl yl ns pec tion ?Read, Now [A Will Notify, Inspec- N 81 ?NO to When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City 166p-1662 onald Court Eagan ecu on o. Township Name or No. Range No. County Dakota Occupant (PRINT) Pn ne N Cameron Development 6 7-9900 Power Supplier Address NSP Red Rock 3000 Maxwell Ave., Newport MN 55055 Electrical Contractor (Company Name) Contractor's License No. H-11 e t Electric Coma n A-40171 Mailing Address (Contractor or Owner Making Installation) ul MN 10 Authorized (Contra r/Owner Maki n stallation) Phone Number - 777-8186 MINNFZTA STATE BOARD OF ELECTRIC If, THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 65100 UNLESS PROPER INSPECTION FEE IS e1___ rewi I., 7911 ENCLOSED. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ & DOLLARS goo CASH Ej CHECK FOR r I FUND CODE AMOUNT Tha r- BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN '?r, r ` 3793 Pilot Knob Rood Eagan, MN 55123 i t a PHONE: 454-8100 BUILDING PERMIT Receipt To be used for 1/2 ?1t'TL 7 S r' Est. Value $50,000 Date October 6 19 03 Site Address 1661 i'or.ald Court Erect R-3 Occupancy 1 1 Cameron Court Lot Block Sec/Sub. Alter p - Zoning ` Parcel # 1()-16300-010-01 Repair ? Fire Zone Cameron Development Co. Enlarge Q Vn Type of Const. nc Nome 1759 Move Q # Stonel - z Selby Ave. Address Demolish Q Length -7 G St. Paul 55104Phone 647--f'100 ty. Grade ? Depth +Tr Sq. Ft. e Name nT[ler 0 Approvals Fees ' Address u Assessment Permit 25 00 ~ city Phone Water & Sew. . Surcharge ??? 01 N Police Plan check. oc o" W Fire SAC ~ Address Eng. Water Conn. 450.00 - City Phone L Planner Water Meter' ' 00 250 00 Council . Road Unit 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is Issued to: + on the express condition shat all work shall be done in accordance with all applicable State of Minne sota Statutes and City of Eagan Ordinances. Building Official f • Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well water Oisp. Sower Electric W ? (p 2A C l(-/o Inwectlon Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVA Insulation Final PIbg. A, 40 Or Final HVAC Final S Water Describe Location: i well Sewer Pr. Disp. CITY OF EAGAN 8795 P1W Knob Road wagon, MM 55122 - PHONE: 454-8100 BUILDING PERMIT Te 6e rind /er 1/2 ijUPLLY & GAIL Site Address 1VUV uuunlu UUUL L Lot Block 1 S c/SubCar!eron Court Parcel # 10-16300-020-01 m Nome z Address 1759 Selby Ave. . aul 55104 00 Nome "W1141r Address Nome _ Address Receipt * Erect Occupancy Alter ? Zoning T' Repair ? Fire Zone Enlarge 0 Type of Const. F=' Move ? * Stories ` Demolish ? Length Grade ? Depth 1 Sq. Ft. Appro vals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Permit "' "v Surcharge 23.00 Plan check 141. 57 0 SAC 525.00 Water Conn. 4 50. 0 Water Meter 60.0`0 Road Unit 250.00 1 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 r;17314 .59 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee - A Building Permit Is issued to: Cameron Development Co. 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 No. Permit Holder t No. Misc.Perrmi Holder Plumbing 3 $$ .C? liDf t?IAQY it l( -i?D-? H.V.A.C. Well Water Disp. Sevrer Electric w bq c, t tD9 #?? I k r 1ec r (- Io X3 Inspection Data Insp. Other Footings Foundation Framing yyg Rough Plbg. Rough HVAC Insulation _ 17-f 3 Final PIbg. 'OF Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. Receipt PLUMBING PERMIT CITY OF EAGAN A gyp- ) ?Permit No. ?° I w Fee 2<-' vC) Fill in numbered spaces S/C ' S (-) Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address ? U?1o- xa c%? Z l ' -,o ? r Lot Blk. / Tract ('p L r. 4. Owner-.4-/r+ c < ?? r cf6?/+ ?? r 5. Contractor Ly c Phone yc `l? y ?l6 6. Address liil y Lt/ S C.h /,asv? r 7. City ?E v, State Zip 8. Building Type: Residential ® Commercial ? Institutional ? 9. Work Description: New Q Add ? Alter ? Repair ? 1 10. Describe 111. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Se tic T k ?- Lavatory p an ftne S Shower r o Well Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply wit II ordinancers and codes governing this type of work. Signed for . igh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ,CITY OF EAGAN 454.8100 CASH RECEIPT vti CITY OF EAGAN s 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RCCCIVCO PROM / AMOUNT $ I 6 -DOLLARS / CA ? SH O CHECK prom Per LLrr To FUND CODE AMOUNT a/?l N ., ffa' ;J ) ` ??L -Jc 1 ?.L Tha '?'' ,z•?:,?,J You j K White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt ! z PLUMBING PERMIT Permit No. ?' • CITY OF EAGAN Fee I Fill in numbered spaces S/C 3 Type or Print legibly Tot. -2 o 1. Date 2. Installation Cost A - 3. Job Address . r Lot Z Blk. Tract yl (-r- 4. r t Owner 5. Contractor /t Phone 'Y 6. Address -Sex 1?4'w 7. City " ?e ?, /1-f- State Zip 8. Building Type: Residential ll 9. Work Description: New Ij 110. 1 11. Describe Commercial ? Institutional ? Add ? Alter ? Repair ? No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank - Lavatory Softner 1 Shower Well i Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. / Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply withyll 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$100 Receipt PLUMBING PERMIT Permit No. - ' CITY OF EAGAN I , i Fee ? FIJI in numbered spaces S/C Type or Print legibly Tot. D I ll i 2 C ate - . nsta at on ost 1. • ,N 4 3. Job Address Lot Blk. _ Tract 4. Owner, , 5. Contractor Phone . -, 6. Address 41 S e- x fA, 7. City Stated Zip 8. Building Type: Residential G3 Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 1 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner 1 Shower Well i Kitchen Sink Urinal/Bidet Other t Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with-all ordinance"nd codes governing this type of work. Signed' _ !ik._ T ,fsrr? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved 'CITY OF EAGAN 454-8100 SPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3,111 Ilk I Hla 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: I PAIR !ROOF IN(i) Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments 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 CITY OF EAGAN Remarks Addition CAMERON COURT Lot 2 Blk Parcel Owner C 3 I't` ?' I j t, : ", Street 1660 Donald Court State Eagan, MN, 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1975 3R P-10 41 STREET RESTOR. .2 7p 1 97r 66-41 6-64 -- 10 GRADING STREET- IMP 1981 1042.40 208-48 s 208.48 0008839 2-21-84 SANS w Ru K 1974 26-99 az Z= 11.78 0008839 2-21-84 * SEWER LATERAL/,f4 1974 142-49 Z /?-- 11999 9 57.10 C008839 2-21-84 ** Sew Lateral 1-2 1974 ;r l ISM ig 24.00 0008839 2-21-84 ** WATERMA#W#Lat 1974 - 12 * WATER LATERAL 1974 19 WATER AREA **SormS X2 9 * STORM SEW TRK 1974 12 sTORMsEWpypfirk 1974 35.I 3 2M 14 7.13 0008839 2-21-84 w water strm sew la s 1980 1231.91 82.13 15 821 31 . 0008839 2-21-84 CURB & GUTTER _ _ SIDEWALK STREET LIGHT ROAD UNIT 250.00 39105 10-6-83 WATER CONN. 450.00 n n BUILDING PER. gs;fi SAC n n PARK CITY OF EAGAN R.-le. n /aft 19n TTVTOTAIU 4 1 21 AT Addition CAMERON COURT Lot I elk I Parcel Owner ?!?i'?Eyi'I j Street-I62 Donald Court State Eagan, MN_ 55121 Z q 6LFyi (i A 4+ L li 55/ 13 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1975 PAID UND R P.10 4130 124 01 STREET RESTOR. O 1975 66. 6.64 10 GRADING ;TRFRT IMP, 208.48 0008838 -21-84 SAN SEW TRUNK 1974 26.91 24 11.78 0008838 -21-84 SEWER LATERAL 1974 142.+$4 Z/$- $ 12 57.10 0008838 _-21-84 ** Sew Lateral 1974 358.09 0.tl?71ftft 19 24.00 0008838 -21-84 ** WATERIIOAVLat 1974 12 WATER LATERAL 974 19 WATER AREA 1973 AID UND R ORIGINAL ARCE ** Storm Sew Lat -? 1974 19 * STORM SEW TRK f? 1974 12 STORM SEW Trk 1974 35.09 „ s4 14 008838 -21-84 ?0 Sew Int zqllak 173191 821Z 821 11 enogggg 2-21-24 CURB a( TER SIDEWALK STREET LIGHT ROAD UNIT 250.00 39105 0-6- WATER CONN. 450.00 if to BUILDING PER. 8557 SAC S12 q - nn tt It PARK )F EAGAN riot Knob Road WATER SERVICE PERMIT P. 0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 1 ' i Y Zoning: g= - No, of Units: 112 du" 1 ex Owrir: :a.- Uron Dev Address: Site Address: 060 mald Gals"; , i' <i LaDeru!-, Court Plumber: l0wood 5 s i C Meter Na,: Connection Charge: T i Size: Account Deposit: Reader No.: Permit Fee: 10.00 '?J' 1 agree to comply with the City of Eagan Surcharge: . ?0 !)LI Ordinances. Misc. Charges: ta:l. 00 do , y Total: By Dote Paid: Dote of Insp.: Insp.: i I C.1= .,F EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Sill Eagan, MN 55121 DATE: 1 Q-11- .: Zoning: No. of Units: , Jam Owner: ?'.cro1 llcv _ Address: Site Address: 1662 Dnnaliii Cour t L l ..l Cameron Count- ? Plumber: ?Ia-)1ewpod S y '' Inc Meter No.: Connection Charge: 430.0 ,'d Size: Account Deposit: Reader No.: Permit Fee: : 1 agree to comply w?Uh the city OF Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: Insp.: 11F EAGAN SEWER SERVICE PERMIT Knob Road P. 0. Box 21199 PERMIT NO.: 1 Eagan, MN 55121 DATE: 1 -11-6-3 Zoning: - No. of Units: - up ex Owner: S n'Pnr. R "'y Address: Site Address. 1 Donald Court L.". U Cx:ioron Court Plumber. - ap 1 ewood S ? i, Inc t n-A-R'; ;nI n r. 160.00 -nd some to comply w" His Ckr of Eagan Connection Change: 425.00 1'd Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: RESIDENTIAL It?iJ BUILDING PERMIT APPLICATION 11 'I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 low Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all 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 if home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 1/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) /?/ Ip I (?30 U UdO 01 )ATE VALUATION 7GI 00-T IOB SITE ADDRESS /? ?O ~ /tp?o ?- ?p/lJ•`ZL_?j CCiJ,?T F MULTI-FAMILY BUILDING, HOW MANY UNITS? ?- 'ROPERTY OWNER G±jjgr ? Ga/27_ ZZ/? 'YPE OF WORK FIREPLACE(S) _0 _1 _2 _3 kPPLICANT P?GLrinlD -4/Sc(1'J? PHONE # L?7-L - 75/-- Yr? kDDRESS V/0 f C0LU)°*Q )O AtIl S, ST/At//S `'ff? 1'711) ZIP CODE SS'/-l Zo 'AGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) MINNESOTA RULES 7670 CATEGORY I Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor. Plumbing System Includes: - New Energy Code Worksheet Submitted Phone #: Water Softener Lawn Sprinkler Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical System Includes: Air Conditioning Heat Recovery System Phone # Fee: $90.0() Sewer/Water Contractor: FCC: $70.00 Phone# o UI above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is 711 applicable State of Minnesota Statutes and City of Eagan Ordinances. _ Signature of :ertificates of Survey Received Tree Preservation Plan Received Updated 1101 OFFICE USE ONLY ] 01 Foundation ? 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 3 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 3 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 3 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 3 06 04-plex ? 12 12-plex Plbg_Y or- N ? 25 Miscellaneous 3 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 3 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 3 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant /aluation Occupancy MC/ES System ,ensus Code Zoning City Water iAC Units Stories Booster Pump Jbr. of Units Sq. Ft. PRV Jbr. of Bldgs Length Fire Sprinklered -ype of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) - Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ 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 lase Fee surcharge 'Ian Review AC/ES SAC ;ity SAC Hater Supply & Storage i&W Permit & Surcharge -reatment Plant Numbing Permit Aechanical Permit -icense Search :opies ether rota) Building Inspector sl ((??j! RESIDENTIAL `f I BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 or of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (Ndgs with 3 or less units) DATE SITE ADDRESS TYPE OF WOR APPLICANT n 00 Y`(lP Q r -OAe RemodelfRegair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 6 6 © Doki a ed Cott rt MULTI-FAMILY BLDG XY _ N AWFE4 O(?yG (# (? FIREPLACE(S) _ 0 - 1 - 2 tvr f Eeeowora STREET ADDRESS 1 b h (/ U O PWtgi(GL L TELEPHONE # 6.?_I:kff lhrCELL PHONE # S?Z Y STATE V /ZIP FAX # PROPERTY OWNER r / <l {' ?TXy??YGL (/!/GCS//f TELEPHONE # ---------------------------------------------------m------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINN (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System Phone # Phone # IUt 2 3 2002 Pee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinancess..! Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_'plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex W 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 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 ? 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 ? 46 Windows/Doors 13 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation qqw ?i 000 Occupancy n"3 MC/ES System Census Code ?(3q Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V H Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone Fireplace - R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By L/ 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 D??k - ?,vocf7 D, do RESIDENTIAL BUILDING Permit Application (?/ U City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and L11 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 additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units 1-70,50 fiuaA? r71) 01 03 Office Use Onlv _ Can of Survey Recd _ Tree Pres Plan Recd _ Tree Pres Not Reqd On-site Septic System Date 6 / 03 / 2"3 Construction Cost _ /J / Site Address /6 E7 0 On G(i(%(J[ ( , /y OW,,i-t- Z" ?aq12, 33P UniUSte # Description of Work 7 i:io? T V,,# &OIR4-9- Multi-Family Bldg Y N Fireplace(s) 2 er Property Owner K?r Q G /-ypam ,6re V4 Telephone # (, jg p/6 7/ 16' Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv l 2, ti I ?,_I I esota Rules 7672 Energy Code Category stye I' n (d submission type) • Residential Ventilation Category 1 P., eew Energy Code Worksheet Submitted 200 III ubmitted • Energy Envelope Calculations Submitted J U L t) .i Licensed Plumber 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 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 (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types 8 x JJ 6 ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Zy o D Occupancy iz MC/ES System - Census Code Zoning City Water _ SAC Units Stories Booster Pump - Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered - Type of Const Width _ Footings (new bldg) 10 Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation H ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS Final/C.O. FinaVNo C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By I , Building 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 fo SI [ PLAN 0 V P J 0 0 lba bmu CDkKT ?xRkw 1 M1 5SM E M q?LD MVO U E 7clzt&;? 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. i Date /?/ 0-7 Site Street Address ? sekao onat Unit # r / ?_ C PropertyOwner [ill eon 0(G ?-?1') Q(_5; nA Telephone# (V 0?6-171 b Contractor V -S Telephone # (?fi1) 3?i ) °J`k? Address City )` (,ff C h State_N t?j_ Zip 55113 The Applicant is: _ Owner 6tontractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. H you are installing only a water softener and/or water .; heater, do not complete this section; move to the next section and EEscr-t", appliance(s) you are installing. J I : -Septic System Abandonment JAN i ,9 -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new placement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 T t l $ l5 -56 o a I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required )o,be reviewed and approved. 4 V I '?_ 0 Eh Y s4m A ? Applicant's Printed Name Applicalicahts Signature n'? -r. RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ri I,zs e. °I k7 °3 New Construction Requirements RemodeVRenair 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 _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate ff on-site septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after VV93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / c3 Site Address S?PCtaM-? r•.•i S? Z 1 Construction Cost ?/ S Z5? Unit/Ste # ' Description of Work Multi-Family Bldg _ Y - N Fireplace(s) _ 0 - 1 - 2 p n Property Owner 6`: C Vwcs C ° Jz-?? Telephone # ((90 ) r° ?b 0-7 oj^ Contractor S Address State City Zip Telephone # { ) 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 Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor AUG 0 5. 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 case o work which requires a review and approval of plans. /? ?rcrc C. jj-- Applicant's Printed Name Applicant's Signature Sub Types 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 /15? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New 32 Addition /?` 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const 1-/ 5V_ _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. - Air Test - Final Insulation Demolish (Interior) ? 44 Demolish (Foundation) ? 45 Reroof ? 46 k handout to applicant MC/ES System City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ Final/C.O. _x Final/No C.O. Plumbing _ FIVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall Approved By T L. Building 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 ? 35 Int Improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bldg)* ? 43 'Demolition (Entire Bldg) - Give PC Occupancy Zoning 0ae- 9? QC2 L2 L,f ;7 P 5516860705 FAX NO. :6516860705 Oct. 14 2002 01:17PP1 P1 t --- owe ow y 0 ,•w% Jr?, , ; . III i •1 f r rr 1 _ . ? WEST r' iN? of rw? 1 ? ??QJ? 1 Y / / ' r- I r J s r T 1 4 O .---W w Id I? ??a SZ • oQ i `t t . ?I 0 ?o 0 ?Z\t m 1 Op . Qa .s-2, 00 r e,d9' o Q`? P ?n '0' 09.60•? ?. ss ty W Al a 64.3 0 No,o9,?"er r; 'r?, Q i 00 C 6j L 3 6516860705 >T? FAX NO. :6516860705 Oct. 14 2002 01:17PN P1 CA# 1 y t - v ?' C f ?4L , , Cz f\ 4 ? 4 r N Z ,tg rh M oti m VA ° 1 ?y't t :2. oo ? ti .se. 00 ye•d9oo ? alp g? o Q' a9 oo'? i e w 64.3 o N. obg o ? w g, ?a No•o4'oO"E a, ?o r.. \O +/n?wa+?_Mt E ?? rp,, 0 2 4mobw r Co- n I 1 L 1A 8 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. fl. of lot, sq. ft, of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of Man showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7!1M • Rim Jost Detail options selection sheet (bldgs with 3 or less units) DATE pt!b / .? 4 /Io ?L SITE ADDRESS I b ( ?- TYPE OF WORK `-A APPLICANT RemodeflReoair Requirements iO • 2 copies of plan 1 set of Energy Calculations for hearted additions • l site survey for exterior additions & docks • Indicate if home served by septic system for additions VALUATION ?) o-, a IA u- MULTI-FAMILY BLDG (j) - N t,J `S)l",fS FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS (? 2 nOrJ ?? C' CITY ? J STATE ""? ZIP S S( Z TELEPHONE#(o?) -4(-` WWCELLPHONE# /a 9 ` FAX# (,SI- io8?-O?OS - gn5 - O 1(0 2- PROPERTY OWNER ?IrLIL Co`"-I i 2 TELEPHONE# 0? C? --------------------------------------------------------------------------- ------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heat Recovery System --------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Or< Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 1 n 3o 2 5 2?? and agree to comply Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex x 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Access g ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant c1, Valuation D Occupancy R-3 MC/ES System Census Code fT Zoning City Water SAC Units Stories `J Booster Pump Nbr. of Units Sq. Ft. U PRV Nbr. of Bldgs - Length Fire Sprinklered l- ? Type of Const yq) Width `f REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. X Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By 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 ?D 0-- s6 a?¢ Building Inspector Spa RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Regurements • 3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and all roofed areas (2g% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • l set of Energy Calculations • 3 copies of Tree Preservation Plan it lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 5l3 6 )--- SITE ADDRESS ll??G TYPE OF WORK L) APPLICANT STREET ADDRESS 5 TELEPHONE CELL PHONE # _ r/r?7c? Chess%j?- PROPERTY /.? ECG MULTI-FAMILY BLDG ICY - N FIREPLACE(S) _ 0 _ I _ 2 TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: 061 e4L - C l Water Softener _ Water Heater No. of Baths Air Conditioning Heat Recovery System Fee: $90.00 D)L? AI( MAY 13 T ----------------------------------------------------------------------------------------- 77 1 hereby acknowledge that I have read this application, state that the Information is conec, gf mply with all applicable State of Minnesota Statutes and City of Eagan Ordinan e Signature of Applicant ..... ------....... --°-............ -•--.......... -... - ?. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 VALUATION i C:? _--R 7 _S /n ZIP s 1-!?'37 Remodel/Repair Requirements • 2 copies of plan • l set of Energy Calculations for healed additions • 1 site survey for exterior additions & decks • Indicate g home served by septic system for additions Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone # FAX # OFFICE USE ONLY ? 01 Foundation ? 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. AR - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbgyour_ N ? 25 Miscellaneous ? 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 ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout 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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test - Final _ Windows (new/replacement) _ insulation _ Retaining Wall Approved By 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 Building Inspector Total J ? LOT I LOT 2 c l LOT LINE- CD i c? Ln :t" PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA101645 Date Issued: 10/18/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1660 Donald Ct Lot: 2 Block: 01 Addition: Cameron Court PID: 10-16300-01-020 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Penny Firkus 2650 Minnehaha Avenue Minneapolis. MN 55406 612-276-1680 Fee Summary: BL - Base Fee $500 $40.00 0801.4085 Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Crew2 Inc Viktor Chursin 260 l\Iinnehaha Ave 1660 Donald Ct Minneapolis NIN 55406 Eagan NIN 55121 (612) 276-1680 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature ' t.4 ~ ! i ~•!.i hI 1 Use BLUE or BLACK Ink ' For Office Uae'- - - _ - - - Ha y,of i Permll a; CIt Ea"a ,anti r..l•~a L e ~ 3830 Pilot Knob Perml 1~5-°r5 Road eyzri b t Fee: ~i!r , S i Eagan MN 66122 Phone: (661) 676.6676 , Date Received: Fax: (661) 676,-5694 l I stars- 2011 RESIDENTIAL 6UIL~UINO'PERMIT APPLICATION Date: Site Address: Unit U; Name: _'_~i~~~l~' RESIDENT 1 r Phone OWNER Address ! City / Zip Applicant is: Owner Contractor. Description of.work: TYPE OF WORK i " Construction Cost. f, Multi-Family B' Tiding: (Yes No ~ Company 79-~w Contact: S~4 ' E CONTRACTOR Address: Cl~,: State: J"- ZtPI'`' Phone 1 '.a r 0`~ Ucanso «~9 em~~ l.ead~CSft)flcate : X4*7 A / . If the project Is exempt.from lead certlflcatlon please a lelri x l why._(t;ee Page 3•for additional informa(ion) COMPLETE THIS AREA ONLY IF'0A$TRVCT1N'(3 ANEW BUILDING In the last 12 months, has tho Cityof. EEagan"'lasuod a pormit fora similo.r•plan basod-on a master plan? _Yes _No It yes, data and address of master plan; 4lconsod Plumbor Phone: Mechanical Contractor: Phone: Sewer F, Water Contractor Phone: NOTE: Plans and sup portlnv documents ath4yo.u•'submlt t3.rq. c ns7 ubli the Inforrnatlon may ¢e classlfl@d ptl ,1 sled, to 150 p c In(ormatlon, Portlo of ub, lC;l(;'y0t! p pt;ls~~;s CJ(jqreasons that would permlt the CI to cdrfc udk:Yhafrthe :arb=trada,secrets: CALL BEF f 'F•1.~{~:•ri~•••~-:; ~~.r:.i..,,. , ORE YOU DIG, Call Gopher State one.Call e! 5,11<64-OOpY' o(' iecliori ~egatn;l underground utlltty damage. Call 48. hours Wore you Intend to dig to receive locates or under r (4 ) f PS- g, ourKl:utUtiU.ei,•hereleleone •all.ora• . , I hereby acknowledge that this InfonnaUpn Is co~ p lore and ocourate; ' :r : . Eagan; that I understand this !s not a that work•vAU conformance with the ordinances and codes of the City of accordance with the approved plan In tho~'casle o(woric~wtilch requlrvs v rovlvw and~epp oval o ,plana~ to stars without a pormlt; that the work ri,n ee in Exterior work authortzod by a bullding permit lsauod In accordance with tho Mlnnosota State Building Codo must bo com letod days of pormit Issuance, p within t60 X ,S'f 6✓~ ,~'TiZO of , • ^ • ~ _ hpplicant s Prlntod Namo x w> Appllcant' Slgnaturo Page t of