2235 Creekside CtSITE AD,DRESS 22 ? I CrLLWq Ci"1 = Unit #
Permit # 5 Le
L 17, B ? SecL/Sub.
INSPECTION INSPECTOp DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
• SITE ADDBESS ?Z 30 CFlGC L S IUe 01. Unit # Permit # 3 z S() ?
L 2 B?- sect./sub. -raa N?ClGIh7S TWh?lD!?'/??j
?
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOH DATE COMMENTS
• SITE ADDl3ESS LZ J' UnR #
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Permk # ?2 50 (a
B? Sect./Sub. Ea4an ??r?T wnhDV3jtr
?
INSPECTIDN INSPECTOH DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
' SITE ADDRESS 22 35 CY(CGSlde (.? • Unit #
Permit # ? Z 6c) L/
Z B / Sect./Sub. T o6j,L?iA
INSPECTION
- INSPECTOR DA7E COMMENTS
17
3
OZ7-`1
i•z• g .
3W
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INSPECTION INSPECTOR DATE COMMENTS
I
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t?
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,? ?? •
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l . ... _ ,
y?
WY1 ', : . . . .. F
.13J
`
' • 1
C?L`?i?tCR#e of cCCoQnC? 1
(Fiq of Oagan ?
zqartracttt af zaiibing anl3pechon
This Cerrecate issued parstrant to the requrrements of the Unifarm Suilding Code ;
cenifying that at rhe rime of issuance this stncrure was in complinnce wrth the various ?
arrlirsarrces of the Crty regulating building constructron or use. For the followrng:
Use Classifiption• 4-PLEX Bidg. Permit No. 32506
Occupancy .r,ype R- ] U-1 ZonirtgDLswwt PD rype const. V n
Owncr of BuildinE TOWN &;;OUNTRr FIOMU,,,,. 11471 VALLEY V1EW RD., EDEN PRAIRIE,:
BuildingAddeea 2235 CREEKSIDE ::T ?;?, L2, Bl., EAGAN HEIGHTS T.ti?1H 55344 ,1N"y?UDES: 22-37/2239/22k1 ?
V C't
r I '..•/_ a61dia
PQST IN A CONSPICUOUS PLACE
,
',"CITY OF EAGAN
3830 Pilot Knob Road
.-Eaga,r, Minnesota 55122
' (612) 681-4675
SITE ADDRESS:
i! , I. f, ???• i i, FI: t
'i,nM i1! 1 f;411ti T tl1INl1t?Mf ?
PERMIT SUBTYPE:
;li! IlfN
PERIGIT TYPE:
Permit Number:
Date Issued: •
s tz ???? r + APPUCANT:
TYPE OF WORK:
INSPECTION .. . ..
I N,
;;,
4 P1(?!
?''1114it/:fNt:ll1(1f S :2:'41 . . ,1 t13% t:kFf:KSI[II' f'1
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PLiiN RFV1f444-0 tiY lt1f Vo} t`:
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LJ?
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Permit Holder Date Telephone #
PLUMBING . -?IJ Y9.1ala
HVAC .. 10A1q Flo?5-14lo
Inspection %MW Insp. Comments
FOOTINGS at
FOUND
FRAMING
RdOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
-
BLDG FINAL
p?dA
//r/1 4? r
?
DOMESTIC
METER -
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
Ic?ac??
2006 RESIDENTIAL BUILDING rExmIT nrrLicATioN
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
7a &D
New ConsVUCUon Reouirements RermDdeUReoair Reuuirements Offce l)se Oniv
3 registeretl ste surveys showing sq. ft. of lot, sq. ft. of Irouse; aM all roofed areas 2 mpies of plan showing foo6ngs, beams, joisfs Ced of Survey Recd _ Y_ N
(20 % maximum lot coverage allowed) 1 setof Energy Calculations for heate0 atlUiGans TreePres Plan Recd _Y _N
2copiesofplanshowingbeam8wintlaxsizes;pouretlfounddesgn,&c. lsitesurveyfora0di6ons8decks 7reePresRequired _V _N
isetotEnergyCalculaUOns Addilion - ilMicafeifon,sitesepficsys(em On-si[eSepticSyslem _ Y_N
3 copies of 7ree Preservalion Plan if lot plattetl afler 711193
Rim Jo1st Defail Opllons selection sheet (6uildings wdh 3 aless units)
Minnegnsco mechanical ventilrllion fonn
llatc ?
0 4' ConstructionCost
SiteAddress .2z3? C12 €EI(Sl 6 t. Unit/Ste
e:sCtJH ?E -?fT L
UescriptionofWnrk Qf:,ovE 3 RtPt.72L- ?t[[: a. RwI I S 19tL`fx.ST:.JG JG >e R£n' ai
Mulfi-Ramily 131dg X Y _ N Ffreplace(s) _ 0 _ 1 _ 2
PropertyOwner c/c JaU2p,.1p PRop £27f£5 Telephone#((eS!) F/ScJ
Contructnr ME1 ?x: £.2? 0-/L /NrI:.J`t..sW.JCL_ ..
Acldress City FG 5 - ?
State /kI.c) Zip SJ ?/lq Telephone # (6/x ) F6/- 6z `1 .3
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mionesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Categol'y , Residential Ventilation Cafegory 1 Worksheet • New Energy Code Workshee[
(d submission rype) Submittetl Submitted
. Energy Envelope Calculations Submittetl
In the 1as1 12 months, has the City ot Eagan issued a permit for a similar plan based on a master plan?
_ Y N If yes, daTe and address of masier plan:
Licensed Plumber Telephone #(
I c
Mechanical Contractor D1 ? L?1 J Ik II ?I Telephone #(
Sewer/WaterContractor -H UEC 15 2006 Telephone#(
I hereby apply for a Residential $uilding 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; 1 underscand this is not a permiY, but only an application for a permit, and work is not to sCart withoat a
perm it; that fhe work will be in accordance with the appro ved?lan in the?ase of work which requires a review and
approval of plans. ? ) 7M
NUI+?, 4u 2j7+5
ApplicanNs Prinled Name Applicanc's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation
? 02 SF Dwelling
? 03 Otof_plex
Q 04 02-piex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
1? 34 Replacement
.?.
? 13 16-plex
? 16 Fireplace
? 17 Garage
r 18 Dedc
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch(screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - MuAf
? 33 Ext.Alt-SF
? 36 Mulii Miso.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fi2 Repair
? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDaors
`Oemolition (Enlire BIUg) - Give PCA handout to applicant
DCSCf1DtlOf1: WaterDamage`yes
Valuation Zi 8eAni•ao
Plan Review 100% or 25%
Census Code ? 3 µ
SAC Units
#of Units
# of Bldgs
Type of Const _ v t7
Occupancy 2 3 MCES System
Zoning City WaYer
Stories Booster Pump
Sq. Ft. PRV
length Fire Sprinklered
Width
REQIJIRED INSPECTIONS
Pootings (new bldg) Sheetrock
_ Foolings (deck) Final/C.O.
_ Footings (addition) ? Pinal/No C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ lce& Water Final Poo1 Ftgs Air/GasTests final
Framing _ Siding Stucco Lath Stone Lath Brick
Fireplace _ R.I. _ Air Test _ Final Windows
Insulation Retaining Wall
Approved By? y1 * , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Dther
Total
? 07 0?'rpl2x
? 08 O6-plex
? 09 07-plex
? 10 OS-plez
? 11 10-plex
? 12 12-plex
..5?
7&0o.?
2006 RESIDENTIAL BUILDING PERMIT APYLICATION
City OfEagan
3830 Yilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
7o.O?)
New Construc6on ReuViremenLS RemodeYReoav Reauirements O1Gce Use OnN
3 registeretl sile surveys shaxing sq. ft. ol lol, sq. ft. W house; and atl roofed areas 2 copies o( plan shovring footlngs, beams, joisis CeM1 otSurvey Recd _Y _ N
(20% maximum lot cnuera9e allowed) 1 setof Energy CalCUla6ons for heated atltliGons 7reePres Plan Rectl . _Y _N.
2 copies of plan showing 6eam 8 window sizes; pouretl fand design, etc. 1 site suney (or additions 8 decks Tree.Pres Required ._Y _ N
isetotEnergyCalculations Addpion-in0icateilorFStesepficsysfem On-siteSeptlcSyslem _Y _N
3 capies of Tre.e Preservation Plan if lot platted ailer 711793
Rim Jost Delail Opliws selectirn sheet (6uildings wiN 3 orless uni6)
Minnegaseni mechanical ventilution form
Dxlc ?Z / /J w
/ 0 4- Construction Cost
Site Address C ? -r. UniUSte #
e,:ICZ.:H ?E. .g; .rZ?: cR+?l? ? E.-
DescriplionofWnrk Qf',?.o?£ d flcPcnCf,?6Lli.1G e RwLS Atl`F..x?ST;.JG F.¢.v•-..•?< ?c R£?ar
Multi-Family t31dg X Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner c/o ? ti R w a D pRo ?£ 2T! £$ Telephone #(6V ) V SJ' Z'3 U?
,ToNtil URS"io
Contractor yd Z? .-[? i9.J C F.
Address 41oa' f_..) (o 0'`='` City /y! PL 5
Slate /W ,J Zip -S!1 1/ 12 Telephone # (b/ x ) F4 / ' 6 z y 3
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
(d su6mission type) Su6mittetl Submitled
• Energy Envelope Calwlalions Submitletl
In fhe lasf 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_, Y _ N If yes, daTe and atldress of master plan:
Licensed Plumber
C?[E [l7\vl r r?I
? C?
Mechanical Contractor
SewedwaterContractor i? DEC 1 5?006
Telephone # (
Telephone #(
Telephone # ( J
I hereby apply for a Rcsidential Building Permit and acknowledge that the information is complete and aa;urate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and tlie 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; lhat fhe work will be in accordance with the approved lan in the ase of work which requires a review and
approvnl of plans.
N U?? 12? 22rS
ApplicanYs Printed Name ApplicanPs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04plex
Work Tvnes
? 31 New
? 32 Adtlition
? 33 Alteration
Q2P
L 34 Replacement
? 07 OS-plex
? OS O6-plex
? 09 07-plex
? 10 OS-piex
? 11 10-plex
? 12 12-plex
D2SCIiDtlOn: Water Damage
Valuation
? 13 16-plex
? 16 Fireplace
? 17 Garage
V( 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch(screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory 81dg
? 31 Ext. AIL Multi
? 33 Eut.Alt-SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demofish Building• ? 43 Reroof ? 46 Windows/Doors
'Demolltfon (Entire Bklg) -Give PCA handout to applicent
Yes
Occupancy MCES System
Plan Review 100% or 25%
Census Code _ C.13_
SAC Units
# af Units
# of Bldgs
Type of Const v_
Zoning .p. D City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Foo[ings (deck)
_ Footings (addition)
Foundation
Drain "Pile
Roof _ Ice & Wa[er Final
? Framing
Fireplace _ R.I. Air Test Final
Insulation
Approved
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
SRW Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tota I
REQUI1tED IIYSPF,CTIONS
_ Sheetrock
Final/C.O.
? FinalMo C.O.
HVAC
Other
_ Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath __Brick
Windows
_ Retaining Wall
Building Inspector
, ?U
?u 0) 07
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knub Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?? 0.Ot
New ConsVucibn Reouirements RemotleYRepair Renuiremenis Office Use OnW
3 registeretl vle surveys showing sq. ft. of lot, sq. ft. of house; and all roofe0 areas 2 copies of plan showinq footlngs, Deams, jois4s Ged of Survey Recd _Y _ N
(20%maximum lot coverage allowed) 1 setM Energy Calcula6onstor hea(ed atltlitions Tree Pres Plan RerA ,Y _N,
2 copies uf plan showing beam 8 vrindow sizes; poured found desgn, etc. t si?e survey for addi6ore 8 decks Tree Pres Required _Y _ N
1 selo(EnergyCalcula0ons Addifiun-irbkateifon-sifesepGCSystem Oo-siteSeptlcSyslem _ Y-_N
3 copies of Tree Preservaum Plan if b[ plattetl aRer 711h3
Rim,bist Detail OpOOns selftYion sheet (huiltlings wiN 3 orless unils)
Minuegasco mechmiical venlil.itiun fon»
_
Datc /5 w
/ 0 le Constructioo Cost .Z UZT?
Site Address A 2 3 v C 12 ££!(S' D C Q:. UnitlSte #
f':_+ci.;? ?£ ys cRb.'i b & £_-
DescriptionufWnrk Rf:,ov£ j 32cPcntt, : RA-LS Atc'E.?.sT;.J? Fa.c•-.?.?i ?? Rr??a?
Midti-family 131Jg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2
Proper[y Owncr c)a ? v a.a ?.1 ? pRo (? £ 2 TJ £ 5 Telephone #(6S! ) 1/5-0
° Z? U J
ToHa 0RS,.JD
coii«act(ii• Z / £x ; E_.2 i 4-2 mN,., m ,J c L-
AAdress vo-?5, LJ /. c, City /rI PL 5
StAle Zip S.a '/ / 9 Telephone # ((a 1 x 6:7 `/ 3
COMIPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?ory 1 Minneso[¢ Rules 7672
Enefgy COde Category . Residentiai Ventilation Calegory 1 Worksheel • New Energy Code Worksheet
(d submission type) Submitletl Submitted
• Energy Ernelope Catculations SuOmitled
In the lasl 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor z1li ?1
Sewer/Water Contractor r '
Telephone #( )
Telephone # (
Telephone # (
1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and accuratc;
thnt 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
pennit that the work will be in accordance with the approved plan in thegase of wurk which requires a review and
approval ofplans.
N v( ?, /3„ 2a ,S
Applicanl's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Oi Foundation
? 02 SF Dwelling
? 03 01 ot _ plex
? 04 02-plex
0 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
l% 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
F'' 18 Deck
? 79 LowerLevel
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn.(4-sea.)
? 23 Porch(screenlgazebo)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 ExL All - Multi
? 33 6ct. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Oemolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish 8uilding" ? 43 Reroof ? 46 Windows/Doors
'DemolHion (Entire Bldg) - Gire PCA handout to applicant
D05CYIDtlOf1: Water Damage _ Yes
Valuation Zi OCo, DO
Plan Review 100% or 25°,6
Census Code
SAC Units
tt of Units
# of Bldgs
Type of Const
Occupancy R-3 MCES System
Zoning P? City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Foolings (deck)
_ Pootings (addition)
Foundation
Drain Tile
Roof _ Ice & Water Final
?0 Framing
_ Fireplace _ R.I. AirTes[ Final
Insula[ion ,
Approved
----
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 OS-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
REQUIRED INSPECTIONS
_ Sheetrock
Pinal/C.O.
,o FinalMo C.O.
_ HVAC
O[her
_ Pool F[gs _ Air/GasTes[s Final
_ Siding _ Stucco Lath Stone Lath 13rick
W indows
_ Retaining Wall
Building Inspedor
?
?
;
2006RESIDENTIAL BLTILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
76 , oU
New Conslruction Reqgirements RemodeUReoair Requiremenls Office llse Onk
3 registered sile surveys showing sq. ft. of lot, sq. ft of house; and ah roofea areas 2 mpies of plan showing footirgs, 6esms, joists Cert of SurveY Recd _Y _ N
(20"/o maximum lot coverage allowed) 1 set d Energy Cakula6ons (a heated addiGons Tree Pres Plan Recd _Y _ N.
2 copies of plan shaxing beam 8 vrindow sizes; poured found tlesgn, efc. 1 sife wrvey for additlons & decks 7ree Prss Required ._ Y_ N
7serolEnergyCalcWa6ons AddAron-iiMicateifoo-sitesephtsysfem Oo-siteSepucSystam _ Y_N
3 copies of Tree Preservatlon Plan if lot platted after 71153
RiinJdst Detail Options selcMion sheet (builtlings wilh 3 0r less uni6)
Minnogasai muahanicnl ventileLLion torm
Dalc /l. l /S «-a
l 0 4r' ConstruMionCos[ ZUZ?O
Si/e Address ;? .2 q fEA(S, 6 C ? -r. UnitlSte #
e .:sC1.:9 ?? 4 7 e,v cXr2/bG:L.
Descrip[ionofWork KF"-1[ 3 RLpLqCL !J&Li1+.JG e ?tKl'LS /?CL`?:ci,S?'/xtCn ?Q?1"?'-?4 "? Q£MAf
Mulli-Family Bldg X Y _ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner c/e .? u R p„1 D pR o? E 27'i £ 5 Telephone #((c5?1 ) y5O" .z 3 V'D
.To?? unsao
ContraMor ?x: e_lLi cr/L /7?t? W.:1C£.,
AdAress Voa (..)
/y/PL 5
City
State /V.J Zip SJ 6// q Telephone # (GiX
COMIPLETE TFIIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Riiles 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . ResidenGal VeMilation Category 1 Worksheet • Nevr Energy Code Worksheel
(J submission lype) SubmineA Submitted
• Energy Ernelope Calculations Submiqed
In the last I'L monfhs, has fhe City of Eagan issued a permit for a similar plan based on a master plan?
__ Y _ N If yes, date and address of master plan:
Licensed Plumber , , _ = I, 1 Telephone #(
Mechanical Contractor tVTelephone #(
EI-T-?1TiTiT:?r
Sewer/WaTer Contractor Telephone ##(
I hercby apply for a Residential Building Permit and acknowledge that the information is wmplete and ac:curate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
5tatutes; I underseand this is not a permit, but only an application for a permit, and work is not to start without a
permir, thnt the work will be in accordance with the approved lan in the ase of work which requires a review and
approval ol'plans.
N) uf ?, 13.,. 2!Z i S
Applicant's Printed Name ApplicanPs Signature
DO NOT WRTTE BELOW THIS LINE
Su6 Tvpes
? Ot Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
ND 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
VO 78 Deck
? 19 Lower Level
? 30 Accessory Bldg
? 31 EM.AII - Mufti
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bltlg) • Give PCA handout to applicant
DESCfIDtlOfl: Water Damage _ Yes
Valuation a0 .?D'O
Plan Review 100% or 25%
CensusCode
SAC Units
# of Units
# of Bldgs
Type of Const Y f3
Occupancy R-3
Zoning
Stories
Sq. Ft.
Length
Width
? 20 Pool
? 21 Porch (3-sea)
? 22 PorchlAddn.(4-sea.)
? 23 Porch(screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
MCES System
City Water
Baoster Pump
PRV
Fire Sprinklered
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roo( _ Ice & Water Final
10 Framing -
_ Fireplace _ R.L _ Air Test Final
Insulntion
Approved
REQUIRED INSYECTIONS
_ Sheetrock ,
Final/C.O.
?o FinalMo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tes[s Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wail
Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? OB 06-plex
? 09 07-plex
0 10 OS-piex
? 11 10-plex
? 12 12-plex
. z 5?
/? ?j -7 RESIDENTIAL BUILDING
U/ oZ ?Q ?S / Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
A NEW BUILDING
New Construction Reouiremenls RemodellReoair Reauirements Offce Use Onlv
3 registered site surveys shawing sq, ft. of lot, sq. ft, af house; and all roofed areas 2 copies ol plan Cert of Survey Recd _ Y_ N
(20°h maximum lot coverage allaxed) i set of Energy Calculations for heated addi6ons Tree Pres Plan Recd _ Y_ N
2 copies of plan showing beam & window sizes; poured tountl design, etc. i sde survey for additions 8 decks Tree Pres Reqd Y N
isetofEnergyCalculadons Addifion - indicateifon-sifesepfksystem On-siteSepticSystem _ Y _N
3 copies of Tree Presenation Plan if lot platted after 7/1193
Rim Joist Delail Options seledion sheet (61dgs with 3 or less untts
Date Canstruc[ianCast 103 60d 0
Site Address
Z
Z
A'?
C"bZ ?j Qf (T1 Unit/Ste #
?
,
?
+
IW S1 7)2-
Description of Work d" v?YI 1 L? emYh
Multi-Family Bldg Xl' _ N Fireplace(s) _ 0X_ 1 _ 2
Property Owner ryll(,?, c Telephone #(
W L5 - A' (,9 0 ( e- I i
w qsZ- u?- 33a? ?t_ i
Contractor
Address City
State Zip Telephooe # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(Jsubmissionrype) Submitled
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone # (
$''!O0f
---q 00--" 1 L-1 4o4-
Telephone #,(_ -.) --_-«
Telephone#( I . , ,
I hereby apply for a Residential Building Permit and acknowledge that the information is com e and ccurate;
that the work will be in conformance with the ordinances and codes of the City45f Eagan and=the' a e of MN
3tatutes; 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.
IAIcKUk, F. M W1,,..1 ??Gt?L?--
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- 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 Poroh (screen/gazebo) ? 36 Mutti Misc.
? 05 03-plex ? 11 10-plex 9( 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg2(YOr _N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Id 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - G ive PCA handout to appliwnt
Valuation iJ 0 O
Census Code ? yf 3 ?
SAC Units ?
Nbr. of Units D
Nbr, of Bidgs /
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Type of Const ?/h
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof _ Ice & Water _ Final
3 Framing
? Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
? Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tesu _ Final
_ Siding Stuwo Stone
_ Windows (new/replacement)
_ Retaining Wall
-?
Approved By 'Sf' 101-1 S 3 , 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
RESIDENTIAL PLUMBING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
`??•?
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
vate 12- / I? ? 03
Site Address 27i77 C?`?1 ?i'?i n'il4 2Z Unit ti
Property Owner n'l lAa4t, M oj"v/ k-J Telephone #( ?
Contractor
Address City
State Zip Telephone il ( )
The Applicant is V Owner _ Conhactor _ Other
Septic System New Refurbished Submit 2 seLs of plans and MPC Iicensa $ 100.00
Includes County fee. Additional consultant fees may apply.
Alteratio tolexisting dweiling $ 50.00
Add fixtures to lower levels or room addiUons, excluding watet soRener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter'rf needed -$121.00)
Other:
_ RPZ _ new _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
replaCement _ additional
;
L
50
State Surcharge $ .
(D I?)
Total
I $
I hereby apply';for a Residential Plumbing Permit and aclrnowledge that ttie?-to`x?attonas cc+appl?eeahd aceurate; that the work wm
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pernut, but only an application for a pernut, and work is not to start without a pemvt; that the work will be in accordance with the
approved plan in the case of work which requues a review and approval of pl
rniUT,W T. m,zIN %" r 3
ApplicanYs Printed Name Applicant's Signature
, , FERMIT
CITY OF EAGAN
3830. Pilot Knob Road pERMITTYPE: euzLosNG
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 5 0 6
(612) 681-4675 Date Issued: 0 7/ Z 9 I 9 8
SITE ADDRESS:
P.I.N.o 10-22425-020-01
DESCRIPTION:
2235 CREEKSIDE CT
LOT: 2 BLOCK: 1
EA6AN HEIGHTS TOWNHOMES
Permit Type
LJor k T,y p e
?ra .Constructian T)tpe
su??..,.. ZQilIng..
BU1L211Y1q L?Ttg??Ll
Bu,iltf3.ng Wa„d"th
4-PLEX
NEW
R-1, U-1
VN
PD
80
60
2
aea s & a - FaMiLv
[' S 3GIe I ?2SIn5Yi ;,?
E
aa
g v rs 4 ?5ary Arm .,
3 vt t&
e
REMARKS:
INCLUDES:2241, 2239, 2237 CREEKSIDE CT
PLAN R[VIEWED BY JOE VOEI.S
S(W PLUMBER: VALLEY PLUMBING
FEE SUMMARY:
VALUflTION $374,000
Base Fee $2,257.25 CITY SAC $400•00
P1an Review $1,467.21 WAC $3,228.00
Surcharge $187.00 S(W PERMTT $100.00
SAC $4,000.00 S/W SURCHARGE $.50
SAC ? 190 TREATMEN7 PLANT $1,776.00
SAC Units 4 Total Fee $13,415.96
Subtotal $7,911.46
CONTRACTOR: - Applicent - 5-r. LIC pWNER:
T?pp WN & COUNTRY HOMES 19443455 0 009137 TQWN AND COUNTRY MOMES
471 VALLEY VIEW RD 11471 VALLEY VIEW f2D
DEN PRAIRIE MN 55344 EDEN PRATRIE MN 55344
(612) 944-3455 (612)944-3455
I h? re,by acl?r?ou?.esFc?e- 'GtsatI, have. -77-777777-77-
?re?si this. -l1a? ,?i`re a
'
..GOrreet ainti
inforMat tan 38-
00,.
to` eFcr?r€ply cabS:°Ga,t?p, c+f
r$ ?aCu?e'? and`Ci`ty 7rdirLances.=°
?
. ,
? . =
,
; . „
SIGNATURE '
SUED BY
APPLICANTlPERMITEE SIGNATURE
? :
1.
s . '
tie" 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 ?
Non Canstruction Renuiremants
RemodeVReeair ReauiremeMs
? 3 registeretl aite surveys • 2 copies ot DWn
• 2 copies of plans (InGude beam & window sizes; pouretl fid. tlasign; etc.) ? 2 aile surveys (exterior atldkiona & dedcs) • 1 energy calalatlons ? 1 ene
ryy ceiculetions for heated additions
• 3 copies M Veepreservffiion plan H lot platted efter 7/7/93
required: _Yes _ No ?
DATE: 7iina 40 1 99R CONSTRUCTION COST: 4Z46 ?Z g 4. ? ?
DESCRIPTION OF WORK: r??„Pjl,„f t,,..,.,h,,mo 1 iving ,,,,; rQ_
STREETADDRESS: -2041 0938 2937 ')91qr,,,,rr T?yggjy Mta 551?2
kOT Z_ BLOCK _I SUBD./P.I.D. #: ?..r?'„-rr? `n ?r?vr-,--. ;-? e T • ,. , • ? ? 'A
PROPERTY Name: Town 6 Countrv Homes, Inc. PhOf18 944-3455
OWNER
StreetAddress: 11471 Valley View Road
City: Fao., PrniriP State: Mw
CONTRACTUR
ARCHITECT!
ENGINEER
CORlpBny: Town & Country Homes, Inc.
Zip. S41/?L
PhOne #: 944-3455
Street Address: 11471 Valley View Road License #: 9137
CItJ/: Eden Prairie $t8t@: MN
Zjp; 55344
CORIpBny: LHB Engineering & Architects PhOnB #: 338-2029
N8m2: Jerrv Putnam RBgIStf8t10l1 #:19343
Str@@t AddfBSS: 250 Third Avenue South, 1P450
City: Mn,,_ State: mw Zip: ssani
Sewer & water licersed plumber (new consVuction only): vallev Plumbing . Penalty applies when address change
and lot change are, equested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wfth all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
: -Signature of Applicant:.
ONLY
_ Yes _ No
.
- Yes - No - Not Required
Tree Preservation Plan Received
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ?
n 02 SF Dwellingef-'07 4-plex ? 12 Multi RepaidRem. o
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o
0 04 SF Porch ? 09 12-plex o 14 Fireplace n
0 05 SF Misc. n 10 _-plex o 15 Deck
WORK TYPE
,eY31 New ? 33 Alterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) -1-1-- Al
(Allowabte)
UBC Occupancy
Zoning
# of Stories 'Z-
Length
Depth f?
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
2 sq. ft.
sq.ft.
G,,zg • sq. ft.
sq. ft.
Footprint sq. ft.
Building
l? )
1
'S?`;,?t SO ••.yR? ?.:? ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
2-r7 y? MCNVS SyStBrt1
y,`z City Water
L?9 9 Y Fire Sprinklered
PRV
11,119 Z Booster Pump
Census Code. o'f
SAC Code o3
Census Bldg
Census Unit ?
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units ?
Valuation:
Z7YZx elS- _
$ 37y ot? o ?
yr, / 50
4
((
?
?' ? (a rG
Z?yz? s?= lYv?
ZA05
Z!
l7j 2Cf .
( ., 6o 0 )e ((a '-
7G,
r..
/s? 7-
,
•'?. .? +???
09l09/97
ENCLAVE AT RIVER RIDGE TOWNHOMES AREA CALCULATIONS
4-PLEX BUILDINGS (without basements[- 4A and with basementsJ413 buildirn.
EACH UNIT SUBT OTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt lst 2nd Garage
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
5-PLEX BUILDINGS (without basements - 5A and with basements - 5B buildings)
EACH UNIT SUBT OTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt lst 2nd Garage
1 1771 1106 - 283 1 1171 1106 0 283
2 635 635 730 291 1 635 635 730 291
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 0 1325 276
TOTALS 5 3278 3213 3489 1760
6-PLEX BUILDINGS (without basements - 6A and with basements - 6B buildings)
EACH UNIT SUBT OTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt lst 2nd Garage
2 635 635 730 291 4 2540 2540 2920 1164
3h 736 736 717 455 2 1472 1472 1434 910
TOTALS 6 4012 4012 4354 2474
6•PLEX BUILDINGS (without basements - 6C buildings)
EACH UNIT SUBT OTALS
Unit Bsmt 1 st 2nd Garage X# of Units Bsmt 1 st 2nd Garage
1 1171 1106 - 283 1 1171 1106 0 283
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 D 1325 276
TOTALS 6 3913 3848 4219 2051
6-PLEX BUILDINGS (without basements - 6D an d with 6asements - 6E buiidings)
EACH UNIT SUBT OTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt 1st 2nd Garage
1 1171 1106 - 283 2 2342 2212 0 566
3h 736 736 717 455 2 1472 1472 1434 910
a - - 1325 276 2 0 0 2650 552
TOTALS 6 3814 3684 4084 2028
7-PLEX BUILDINGS (without basem ents - 7A and with b asements - 7B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Garage X it of Units Bsmt 1st 2nd Garage
1 1171 1106 - 283 1 1171 1106 0 283
2 635 635 730 291 3 1905 1905 2190 873
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 0 1325 276
TOTALS 7 4548 4483 4949 2342
8-PLEX BUILDINGS (without basem ents - 8A and with b asements - 8B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt lst 2nd Garage
2 635 635 730 291 6 3810 3810 4380 1746
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS 8 5282 5282 5814 2656
8-PLEX BUILDINGS (without basements - SC an d with basemeMs - 8D 8. 8E 6uildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt 1st 2nd Garage
1 1171 1106 - 283 2 2342 2212 0 566
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 2 0 0 2650 552
TOTALS 8 5084 4954 5544 2610
? LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
? ? OATE OF SURVEY:
> LATEST REVISION:
DOCUMENT STANDARDS
o? ? ? Registered Land Surveyar signature and company
@/O ? • Building Permit Applicant
? ? • Legaldescription
? ? ? • Address
0 --?o ? • North arrow and scale
?
C?l ? ? • House type (rambler, walkout, split w/o, splft entry, lookout, etc.)
M--?o ? • Directional drainage arrows with slope/gradient %
C?-,o ? • Proposed/ebsting sewer and water services 8 inveR elevation
a' ? ? • SVeet name
qiC] ? • Driveway
ELEVATIONS
'stin
?? ? •
•-
Sewer service (ar Proposec)
?? ? • Property corners
[?l a o • Top of curb at the driveway
O ? ? • Elevations of any existing adjacent homes
Prooosed
p?o ? • Garage floor
? ? • First floor .
? ? 0 • Lowest exposed elevation (walkouVwindow)
? ? . ? • Properly corners
? • Front and rear of home at the founda6on
PONDING AREA (if apolicable)
? • Easement line
? ? • NWL
?
? • HWL
/
? C???'? • Pond # designadon
? [a? ? • Emergency Overflow Elevatian
DIMENSIONS
[?f ? • Lot IinesBearings 8 dimensions
? ? • Right-of-way and street width (to back of curb)
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
?p ? • Show all easemenhs of record and any Cily utilfies within those easements
??? 9- • Setbacks of proposed structure and sideyard setback of adjacent ebs6ng structures
? e? ? • Retaining wali requirements, if any
0/
Reviewed:
January 1996
CRAIG 19YBIBLOGPRMR. FM
,
/ CITY USE ONLY
? IL B I ?
SUBD.
BY:
,INSPECTOR
RECEIPT tl: 96698,
RECE[PT DATE 3
1996 PLUM$INfi P£fiM1T (COMM£ftCIAL)
CITY OF EiRfiAN
S$SO P1LOT KNO$ RD
EkfiAN, MN 5518E
(618) 6$1-4675
Please complete for: aIl commerciaVindustrial buildings
multi-family buildings when separate building permits ue not required for each dwelling unit
backflow preventer to be instaUed in commercial azeas or residmtial boulevards
Date: Work Type: X New Bldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ
Descriotion of Work:
- To inquire if Pressure Reducing Valve is required on new serviee, :,:'L1581-4645.
f$FS
1% of contract price or $25.00 minimum Contract Price: $ ? ej ° X I% _ $
COMPLETE THIS AREA ONLY IF INSTt1LLING iINDERGAOLIND SPRINKLER SYSTEM
Service: Existing (if coming off domestic line) OR New
Backflower Preventer Permit Fee»»»»»»»»»»»»»»»>>>>>>>>>>>>> $ 25.00
Water Flow GPM
Water Meter 1" @$189.00 OT 2" Turbo @$871.00
If "new servlce" add Water Permit $ 50.00 =
State Surcharge $ .50 =
WAC $ 807.00 =
Water Treatment $ 444.00 =
Permit F.ee
State surcharge is $.50 per $1,000 of ep rm+t iee ar mininum of $.50 per pem it State Surcharge
Total Fee
0 S?
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with aIl applicable City
of Eagan ordinances. It is [he applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liabiliry for any
damages caused by the City during its normal operational and maintenance activities to the facilities constrvcted under this permit within
Ciry property/right-of-way/easement.
SITE ADDRESS: q-a3 S' ?1 1 C?c-IC S.' d r c ?
TENANT NAME: ? f? ?-?''' ? r ? !
INSTALLER NAME: C u T- TELEPHONE #:
STREE'I ADDRESS: ? ? 1) l ?J ? ICi? ? ` `
CITY: 3 U r d ? - STATE:
SIGNATURE OF PERMITTEE
.a J _
S'
Z[P: S 5 3 S?'
?
CITY USE ONLY QQ?/ RECEIPT* SUBD? L(/ B? RECEIPT DATE:
< u
?
APPROVED BY: INSPECTOR
199$ MECHANICAL PERMIT (CO1HM£$CIAL)
CITY OE' E4fiAN
S$SO PILOT K1V0$ ftD
EAfiAN, MN 55128
(61£) 6$1-4675
Please complete for. all commercialfindustrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: 1D "b• -it CONTRACT PRICE: 1( ,"Fdoo, Ro
WORK TYPE:
_ NEW CONSTRUCTION
DESCRIPTION OF WORK:
FEES
?
DAJ0, -
INTERIOR IMPROVEMENT
1% of contract price OX $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
' )b, $6GV. DO
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
(9 b '
.
4 b-
16 11 , ?
loq a
($.50 per $1,000 of uermit fee due on all pertniu.)
, a?yi 0
OWNERNAME: ?/JAJ qr l."OGsA/ %fLdl PHONE#: VS? a3 y
TENANT NAME PROVEMENTS ONL
INSTALLER: Wi? `I !V. -LI!
ADDRESS: 4G?7 j(?,t// G44G PHONE #:
CITY: STATE: W,_ ZIP: ?
SIGNATURE OF PE ITTEE
CITY USE ONLY
LOT BL RECEIPT fi:
SUBD. RECEIPT DATE:
199$ MECHAIVICAL PERMIT (ftESIDENTIAL)
crrr oF eAswv
S$SO PILOT KNOS $D
EkfiAN 1NA 551EE
hn ? (W (612) 6$1-4695
Date•
Comp?ete th±s section anlv if you aze i:tsta!iir.g HVAC in sing:e family, toaYr,homes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
. Gas outlets ( minimum of one required @$3.00 ea.) O-W
. State Surchazge: .50
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Tnstall fiumace Install air conditioning
Install air exchanger, i.e. Vanee system, eta _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #:
PHONE #:
STATE: ZIP:
SIGNATURE OF PERMITTEE
1S/F0RMS BLD/MECH PERMIT (RES) - 1998
10/63/2088 11:26 6128616267
City of Ea?an
3830 Pilot Knob Road
Eagan MN 55122
Phone:(661)675-5675
Fax: (651) 675-5694
SEI EXTERIOR MAINT PAGE 02
io ![ 2S,
.-----------------
??? I
? Pem?nft ????"! E
? PertnR Fae! It
-
Data Received: ID 3 ?
? StaH:
I ----..
2aos RESiDENT1AL sUILDING PErznnaT APPLicArIoN
Gate: 10 f 3 1 OS Site Address: _ 07;3.S' G2E?`??S (Q? GOGf 2.'r
To;i?6't-iNCLt,alN6.? a9321 aa39 -r- aayi sufte #:
RESIpENTJpWNER Name:9
D I?UP_AND s.?SSd?.tAT?? Phone: 6?/'e1j4?- ?3Dp
Atldress 1 City 1Zip; 227_ T,jf A!O AVE A. 50- ?jK pAbJl- /2J1J f?N-
Applicant is; _ Owner X Contractor
TYPE UF WpRK Description ofwork: iE/rl(fYF '/1 R6-PGA!o- QQlif
Constnxction Cvst: $ /Si300 ? MuIthFBmily Buiiding_ (Yes ? I Na .. 1
CONTRACTOR Name: BF/ 1012 AAMIIIT. Cl}PP. License * O 13-6 B V.- I
Aaaregg: _ Os W. 60-"* ST/ZW--
cay: lut,vuE?A-P1 G!s state:
Phone: I I Z- 70- j?Z#al Contact Persan:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residential VeatilaCwn Calegory 1 Workshna! . New Ensrgy Code WoAcSheet
Category sutxniaea Supmitted
(4 submiss7vn type) • E^ar9y EnvebPa celculat[ans 5ubmined
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
Yes _Na It yes, date and address oi master ptan:
licensed Plumbec Phone:
MechaNcal Contractar: Phane;
Sewer & Wster Contractor. ` Phone:
NOfiE: Plens As1tCl§bpAAHiny ?'dcr?Merrts that y'r?klS?Nf!»it aYe?G`onsiii'er?dtil.be ptidlic ir+fornfaCion P.
ortians af.
,
.:.
Yhernforrcfa?rroi,,mayb?class7?i?cigs''nb????a?SYi??i??bFospi?crF3that?vould'pem1?YtheCi
Eyta .
.
. .. ,: . . . . ;.
1 h2r26y acknowledge lhat Mfs fnlortnatlon iS tomplete and accuraM; thM th6 wo1Vc Witl 6a in conformpn" with th6 Oldinancee and cpdea of the City of
Eagan: that I understand this is nvt a permlt,but only an application fvr a pertnlt, arM woAC i5 nOt t0 start without a p¢rmit; ihat the wvrk wlll he in
eccordanpe wfth the approved plan in the case of work whieh requireA a review and approval of plxng,
]L.(?/L?PJS ffNCAr?CaN x_??.p
ApplIcanYe Printed Name A pllcanYs Signatura
Page 1 ot 3
Use BLUE or BLACK Ink
I For Office Use 1
1~3~31 I
Permit I
of Eap
City I Permit Fee: 50
3830 Pilot Knob Road I
Eagan MN 55122 I I
Phone: (651) 675-5675 i Date Received: Pax: (651) 675-5694 j Staff: O I 1-7
i-----------------1
2013 COMMERCIAL BUILDING PERMIT APPLICATION
- ~
Date: Site Address: r 22 5-71 21~ Lf Ae CA--
Tenant Game: (Tenant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address /City /Zip:
Applicant is: Owner Contractor
-7
Type of Work Description of work: cl 'n C!
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Construction Cost:
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Name: License .
Contractor Address: City:
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State: _ Zip: Phone:
Contact: Email.
Name: Registration
Arch itect/Eng►neer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone _
MOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets
CALL BEFORE YOU DICE. 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 areview and approval of plans.
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X v-n x r___ 1
Applicant's Printed Name Ap` cant's Signature
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