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1371 Cleome Lane Use BLUE or BLACK Ink For Office Use P in ~U T n j Permit#: ~~1 xN mt. l j ~i V O d (in r I car Permit Fee:- ry 3830 Pilot Knob Road Eagan MN 55122 j Date Receiyqd: j Phone: (651) 675-5675 1 i Fax: (651) 675-5694 1 Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l `I o Site Address: C~ U m e L0.) Tenant: Suite RESIDENT/OWNER Name: Ta V i S - L a d Phone: COI Address / City / Zip: rte. L o-yN-Q . ~Q e 1l Applicant is: Owner YContractor TYPE OF WORK Descr ption o wo k: ~p `~~4 r~c~ 07 vJ5 ~r-~ e 1C 1 5-~ i r~~ Q ~2 n'~ r~ e~ S Construction Cost: LP l Multi-Family Building: (Yes / No 1 CONTRACTOR Name: kQeY1.c~~w CQr-.o e-n s License aC) ~D L4 [ Address: 990 Lone Oc k f?Q, # 111V City: ea cxn State: VJ Zip: 5ED I Phone: t a , c b c~ Contact: 1 0.r C~ _:yo Email COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Ir the ast 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? j Y3s No If yes, date and address of master plan: Liceneed Plumber: Phone: Mechanical Contractor: Phone: Sawer & Water Contractor: Phone: MOTE: Plans and supporting documents that you submit are considered to be public information. Portions 0l 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 flours before trou intend to dig to receive locates of underground utilities. www.popherstateonecall.orq thereby acknowledge that this information incomplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; 1hat 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. 0 x a C ~C ~1'l l S L x ' Applicant's Printed Name Applicant's Si ure Page 1 of 2 vaLtirE of y?cnM WATER SERVICE PERMIT 3795 Pilot Knob Raad PERMIT NO.: _ 1725 Eogan,MN 55172 ' DATE: _5/12I7$ Zoning: Rl No. of Units: 1 Owner: milgpn ronstnwtiOn Address: Site Address: Lane 2782 WRII Plumber. PEt9t&= w ?: Meter No.: Size: ?41' ?F c? / Connection Charge: Reader No.:LvZ ZZ !?zg?7 1 agrea comply with fhe Village of Eogon Ordia. / By r Date of insp.: Account Deposit . Permit Fee: 10.00 pd Surcharge: .50 pd Misc Chazge 60s: .00 meter - pcl Total: Date Paid: t Insp.: VILLdBE fli (SAGAN 3795 Pilot Knob Rood eagon, MN 551$4 Loning: Rl SEWER SERVICE PERMIT PERMIT NO.: 2487 DATE: 5 1 No. of Units: :)wner: Tilsen Construction Address: >ice Address: 1371 Cleome Lane L27B2 WRII ?Wmber: Peters -Bey-ROC ' aqree to comply w{f6 fhe Villaga ei Eayan Jrdinoncea. 3y: )ate af Insp.: nsp.: - Connection Chazge425.00 pd Account Deposit: Permit Fee: 10.00 pdSurcharge: • 50 pd Misc. Charges: Total: Date Paid: CITY OF EAGAN Remarks Addition Wilderness Run 2nd Addition Lot 27 Rik 2 Parcel 10 84351 270 02 Owner .'? i ?IL - 11CIdl-,I ' Street 1371 Cleome Ln. State Eaqan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK aa? 1973 $175. 00 $8. 75 20 PAID SEWER LATERAL WATERMAI N WATER LATERAL WATEA AREA STORM SEW TFiK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320. 00 13072 3-28-75 BUILDING PER. #3534 3072 3-28-75 sa,c 13072 3-28-75 PARK I ?v ?'y35i ,?-1(} o?- G??/?. ? PERMIT NO.: SFiA The City of Eagan hereby grants to rp„jA H petPrs ro_ CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 of a vr.rrnj3rur. Permit for: (Owner) m;is n nonq-n,vtio„ Co. 1'_°J--`_---•e--'-; Q?,? . ? at iz7C-ici= ,? , pursuant to application dated 6/2/75 Fee Paid: g40.00 dated this Sth day of T„nye 2,19 75• 1.00 s/c Mechanical Permits: Building Inspector Bid Total: ?7- ?--? , CI'Z'Y OF FAI1N 3795 Pilot Kncb Road Eagan, Tv'Iinnesota 55122 PEStNST NO.: 705 -- The City of Eagan hereby grants to Neil & Hubbard ef St. Paul a rcFamzxG Permit for: (Owner) Tilsen tiomea Lnc 1374-1378-1384 Amaryllis, 371 Cleome, 1342 Cosraoe, 4378 Dunrov&n, and at 11371 Svensk rana , pursuant to application dated 7/15/75 Fee Paid: $140.00 dated this 21 day of Julv , 19 75 3.50 s/c Building Inspector Meehanical Permits: Bid Total: ? CITY of EAGAN I BUILDING PERMIT DESCAIPTIOIQ . i. N2 3534 3795 PiloY Knob Aoad Eagan, MinnesoYa 35122 954-6300 Dals ......3.:-.7S .......... 6lozies1 To Be Usad For Fronf Daplh Heigh! Eal. Coc! asmi! Fae Asmarks I ? ........... -----------.J?::.-......?..f.°'e?c:-t----,--- .................... per ........----.------.N:`::...?......?-.?.,-'?--:?.---....................._.... Mayor ? BuAdinInapector This pezmit does nof aulhori:e tha use ot afreeis, roads, alleps or sidewelks por does it qiva !he owner os his agan! !he sigh! !o eseala anp situation which is a nuisance os whieh presents a haserd fo !he health, safely, eoavenianes aad ganeral welfara !o enyona in She eommunilp. TFIIS PERMST MUST BE „PT ON THEC? PREMISE WHILE THE WORK IS IN PROG ES$. This ia locerrifY• !hal ...................-!:?-. ? .-.-_.hasparmission !o areet a.., ? ? ' """' ...................." '"' ........ ...... ?......................_upon the above desczibed pcemise subjeet !o ihe pxovisions of all applicable Ordinances for fhe Ci! of Eegen. ? 7*q/ 6 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?41 New Constmction Reauiremenb RemodeVReoair Raauirements Ofiice Use Onlv 3 registered sita surveys showing sq. ft of lat, sq. ft, of house; and ?II roofed areas 2 apies of plan Cert of Survey Recd _ Y _ N (20%maximum bt coverage allowed) 7 set of Energy Calculalions for heated addftions Tree P2s Plan Reod _ Y _ N, 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey foraddiUons & decks Trae Pres Required _Y _ N 1 set of Energy Calculations Addffion - irMfcate 8on-sife sepfic sysfem On-site Septlc $ystem ,. _Y _ N 3 copies o(Trae Preservalion Plan if lol platted after 711193 Rim Jaist Oehail Options selection sheet (buildings with 3 or less units) Date _'1/ /?/ OS SiteAddress 1371 Construction Cost ? l 731 y 9 LANF Unit/Ste # Description af Work _JEC K Multi-Family Bldg _ Y X N Fireplace(s) X 0_ 1 _ 2 PropertyOwner ??25 + AN5' /- lAnJSl--i? Telephone#(6S/) -3S0C? Contractor Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_X N If so, 25% plan review 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 acwrdance with the approved plan in the case of work which requires a review and approval of plans. ? I C 1lezs i-!A ^)SF,J ( ?9, ApplicanYsPrintedName Appicant'sSignature ji ApR 0 4 20135 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex p 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ?p 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuatlon ? D??d? ~ Occupancy lz"3 MCES System Census Code ? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width ? REQUIRED INSPECTIONS Footings(new bldg) FinaVC.O. Footings (deck) ? FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Poo] _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Br ick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation - Retaining Wall - Approved By?: iI --------- -------°-------------= - -- Building Inspector -------------------------------------------- ------- ------- ----------- ------------- - ------- ------------ ---- Base Fee / G„U L Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? -m- 3s3 ? 4 - ? jF S ( I? ? R l ?A??Ya?2 Ui2o064T? ? ? = n W L? (00 ' ? . ? rv ?i ?uNt - L -( ? E? ; ?oP?e rv ? . ? M y o? , LaT a SLOGk ?- I ? I 37 / UgaMc ? I r?iZoNTr__?aoaFr.zrY._. LiME ? I F?LQ1 ILAN M" Se-- 0 s /Uf4ap .? c4IAgeO-A- MASTER CARD Permit No. I Issued Issued To Con}rac}or Owner BUILDING PLUMBING 3 JI_f ^- ! CESSPOOL - SEPTIC TANK WELL ELKTRICAL HEATING GAS INSTALLING ?, ?? ? ?- -_? SANITARY SEWER I OTHER I OTHER I ? Items Approved (Initial) Da}e Remarks Distan[e From Well FOOTING ? SEPTIC FOUNDATION ` ?. 7- CESSPOOL FRAMING TILE FIELD FT. FINAL ? EI_ECTRICAL I HEAiING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL ORAINFlELD PIUMBING ?- ? WELL SANITARY SEWER Violations No}ed on 8ack COMMENTS: STRUCTURE AND IAND USED AS .0, -'7_-_ RESIDENTIAL BUILDING PERMIT APPLICATION cirr oF eacan 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWCNon Reauiramenb . 3 registemd site surveys shaxing sq. k of loG sq. ft. of house; aM all raofed amas (20% mazimum lot coverage allowed) . 2 copies of plan showing beam 8 windax s¢es; poured found desgn, etc.) • lselofEnergyCalculatbns • 3 copies of Tree Preservation Ran if lot platted afier 711/93 . Rim Joist Detail Options selection shcet (bldgs wAh 3 or less unAS) DATE K - l y - 6 ?-- 113-?I? RemodeUReoair ReauiremeMs . 2 cropies o( plan • 1 set of Energy CalcWatians for heated additions • 1 site survey Por exterior additions & decks . Indiwte ithome served by septic system (oraddNons U VALUATION !1?0 0 ? SITE ADDRESS 1 3 7/ C'_),P tti Mg- L.r1 MULTI-FAMILY BLDG _Y _ N TYPE OF WORK IzP l20010-- FIREPLACE(S) _ 0_ 1 _ 2 APPLICANT .f)et- v; C.p-S Of /vr?D IS STREETADDRESS /6 SS c?p?/i?iS A-?? CITY u,o%IUnA/? STATE??ZIPSS1 TELEPHONE# 6Q_5.21-3337CELLPHONE# /S/?o??S- 3SIS FAX# l/:?-So71- c'la?A PROPERTYOWNER D14-4- H'A-hSDt-\ _TELEPHONE# ---------°---------°-------------------------------------------------'--°-°---------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUtLDINGS ONLY Energy Code Category _ MINNESOTA RliLES 7670 CATliGORY I MINNIS(Yl'A RiJI.FS 7(i72 (J submission qpe) • Residential VenGlation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Caiculations Submitted Plumbing Contractor: _ _ Phone # Plumbing system includes _ Water Softcncr _ Lawn Sprinkler Fee: $90.00 Water Heatcr No. oC R.I. Baihs No. oF Baths Mechanical Contractor: Phooe # Mcchaniril sys[em includes: _ Air Conditioning Fce: $70.00 _ Heat Recovery System Sewer/Water CoMractor. Phone # °-----°-------°-------°-------------------------------------------------------°---°--------------------------------- 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 Ordinances. 5lgnature of Appi(cant orrrcr; t1sL oNLY JUN 1 ; 2002 Certificates of Survey Received _ Tree Preseroation Plan Received _ Ndt Required _? lo:, ed 4/02 zoos RESIDENTIAL PLUMBING PeRmiT aaPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. oate ,__4-/ -t-Z ! 66 site street Adaress 1.3 71 C(epwAe. i? 0,s r,?\ unit # Property Owner I-We- ? "n510"ti Telephone # ( iSf ) ?Sy -3SP.? Contractor I o,?C ? C Telephone # {651) 43 - 7011 Address tcU,SC'""c?.??-r ?fi'.1d. City ('h<-Mihlt'C?l State/uxu Zip 55oa The Applicarrt is: _ Owner ?N Contractor _Other i Septic System _ New _ Refurbished Submit 2 sets of pfans 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. !f you are insfalling onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. I ? _Septic System Abandonment ?? rr ? T _Water Turnaround (add $130.00 if a 5/8" meter is required) 0, 7 _Other. ? _ Water Softener Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00 State Surcharge $ .50 Total $ I5: 50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete and accurate; that the work wiil 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 pertnit, 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 to be reviewed and approved. A ,,r k ; uR;e_+? AtA ? ' ApplicanYs PriMed Name ApplicanYs Signature 2/17/13 02:07PM CST DDR Mechanical -> Permits 411/11° City of Ratan 9830 Pilot Knob Road Eagan MN 65122 Phone: (651) 676-6675 Fax: (851) 875-5894 6516755694 Pg 2/2 Use BLUE or BLACK Ink For OMce Use Permit fit: 'I 1977 I Permlt Fee: (v0.°) Oats Received: 10-11 7/ r Stat: 1 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: r-111 site Address: I' 1-1 i _IQ C me t(5-1" Tenant: Resident/Owner Suite it: Name: _ Phone: Address / City / Zip: NameT Q 'me Gn0.4' 1 C Q-, License 5: (M Sa4 Address: 6 L1 o ^ ►' 91-7 5 City: J of th.gw"'� l Contractor v State: "MN ,,. Zip:5 ,2,� Phone: C15 -)S) - 3530 '.8(t) - 9 b 5.374 Contact: "ibt?,i'arn t"N Email: 6'e'rui(2-.6afrne CAA ex"; CO . CvVW"N New $Replacement Additional Alteration Demolition Type of Work Description of work:\Gc�ny i'tc-� ()sat g09FLA-plc,. (-e• NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened by City Code. Please contact the Meohanioal Inspector for Information on permitted screening methods. Permlt Type RESIDENTIAL FEES RESIDENTIAL Furnace _ Alr Conditioner Alr Exchanger •_._. Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank t_ into/ _ Remove) $60.00 minimum, Add or alteration to an existing unit (Includes $5.00 State Surcharge) $100.00 Residential New (includes 55.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES $66.00 permit Fes Minimum $70.00 Underground tank installation/removal •if contract value Is LESS than 510,010, Surcharge = 55.00 "If contract value is GREATER than 510,010, Surcharge • Contract Value x $0.0005 mlf the project valuation Is over $1 million, please call for Surcharge Contract Value 5 x .01 . 5 =5 - 5 Permit Fes Surcharge" TOTAL FEE I hereby acknowledge that this Information le complete and accurate; that thew k will be In oonformanoe with the ordinances end codes of the City of Eagan: that 1 understand this Is not a permit, but only en application for a permit. and work le not to sten without a permit; that the work wilt be In accordance with the approved plan in the case of work which requires a review and approval of plans. x D iVN.E ESA - Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required lnspeotlons: Reviewed By: Date:.,....,, Underground Rough In Alr Test Gas Service Test In -floor Heat Final HVAC Screening