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2083 Cliffview Drcirr oF EAc,AN 3795 PHof Kno6 Road Eagan, MN 55122 PHON E: 454-8100 BUILDING PERMIT Receipt # _ Te 6a uted fer Fd Vn6m ? I)nto SitB Address NE-' Loe Block Sec/Sub. 'ar Ctiff ls1 Parcel # . Erect ? Alter ? Repair El Enlarge ? Move ? Demolish p Grade ? N° 6793 Occupancy - 2oning Fire Zone - Type of Const. # Stories - F ront a Nome j C1 ?.3w87la ? Address "liffview Drivr O /c1 rr-1r1 ? N? - _:tn177 (;onstruction i>_). ?? Address `i 35 3 ±s,, ''' vd. Nome Address ft. ft. Approvclt Fees Assessment Permit Wofer & Sew. Surchorge Police Plan check Fire SAC Eng, Water Gonn. Pinnner Water Meter Council Road Unit I hereby acknowledge that I have read this opplicotion ond state thot gldg. Off. the information is correct ond ogree to wmply with nll upplicable APC Totol State of Minnesoto Statutes and City of Eagan Ordinances. Signature of Permittee - '<-' A Building Permit is issued to: ' on the express condition thot all work shcll be done in accordance with all oppliooble Stote of Minnesota Statutes and City of Eagan Ordinances. Buildiny Official PermM # Oeft Ismwd hewiMw Plumbing Mechanical INSPECTIONS DATE IW• Rouflh-In Pinal Footings ?• q Date Insp. Dote Insp. Foundation Plumbing Frame/ins. Mechanical Final G Remorks: , do U.. y-r ? CITY OF EAGAN • • 3795 Pilot Knob Road Eagan, MN 55122 M2 6495 PHOPIE: 454-81 b0 BUILDING PERMIT Te 6A wed fer Site Address Lot Block Parcel * W Name z g Address ? Nome _ ?F Address Nnme _ Address I hereby acknowledge that I have read this opE the information is wrrect ond agree to comi Stat+e af Minnesoto Statutes ond City of Eag Signoture of Permittee A Building Permit ls issued to: all work shall be dane in accardance with oll i Building Officiol and state that all applicable Receipt $k Erect ? Occuponcy Alter ? Zoning Repoir ? Fire Zone Enlorge p Type of Const. Move ? ,#' Stories Demolish ? Front 4t. Grade ? Depth ft. Appro rais Feea Water & Sew. Police Fire Eng. Planner Councii Bidg. Off. APC Permit Surcharge Plon check SAC Water Conn. Water Meter Road Unit Total on the express condition that Stote of Minnesota Stotutes and City of Eagan Ordinances. Pennk # DeN toaed Ponnittw Plumbing 5 Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date cmiTa.? ? _ a? Date Insp. Foundotion me/ins. _ Plumbing Mechanical , -/? ' Finol . - Remarks: s- j y `,V( 'v6Md (Etr#if irtt#t uf (Orrupanry Citp of (Eagan Eppttrimmt nf Builbt" Jtmprr#imt Thit Cr?ti ficatc ifruul pxrsuuxt to the rcqrurrmenu of Sution 306 o f the L- ?iiform Builrling Codc tcrtif ying that at the timc of irsuantt tbrs .ctructurc war ia com plianct with the vuriout wdirrarur.r of tht City regulrsting 6uilding conrtruttion or ust. For tht f ollourrig: ?; ? ??? ? Bld;. Pomtlt No. 6495 oanpwKy 1Yp R3 7YP cm.uucuo. V Fiis zan. 3 zonieg Dittrici Rl Zac-hman Hcms Inc ..._... 7760 Mitchell Rd,Eden Prai W,: 3-13-81 .o.. ,. . ?C? ?C. • CITY OF EAGAN ? 3796 Pilof Keob Resd No. Ea9on, Mlenesota 55124 Ptim.: 454-e100 PERMIT ?'i687 11 `i Date: - Receipt No.: _ Single Site Address: Residentiol Lot Block Sub/Sec. Nome ? '? ,'nF-n liOP.1e9 I?.C . .. ; Address - ' . O Ciry Phone: Name ? ? Address ? City Phone: This Permit is issued on the express condition thot oll work,shall be Minnesota Stotutes and City of Eagon Ordinonces. \ New /Alter. / Repai r Cost of Instollotion Permit Fee Surctioran INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Total done in accordence with all opplicable Stote of -• ? ctnr oF En"N ? 3745 Pilot Knob Road No. ' Eegan, Minneioto 55122 Phona: 434-8100 --, `; T•`. PERMIT Dote: Site Addrcu: i=-f#IiA--N ra- , Lot Block Sub/5ec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.. Single Residentiol Multi Res., Comm./Ind. I Name "'advkw. Ilci f"-?' T?lr New/Alter./Repcir. ? Addreu ^ i tc:?,i :i Cost of Instollotion i'2"?.1_.T'lr ?• •,-, ..? ? : City Phone: Permit Fee Name =i=1a`-.' SurcFwrge ' . ? Address 7 City Phone: Total This Permit is issued on the express condition that oll work sholl be done in accordonce with all oppliwble State of Minnesota Statutes and City of Ecgon Ordinonces. Building Offlcial CITY OF EAGAN Addition Ceda* Cli-.ff_.Elddition Lct 1 elk Owner Street 2083 C13ffvieW Drive improvement Date Amount Annual Years Payment Receipt Oate STREETSURF, 1982 1496.30 299.26 5 1496.30 C007318 10-1-81 STREET RESTOR. ' GRADING S? 1981 541.38 108.28 5 SAN SEW TRUNK 4? 3 * SEWERLATEFAL G $1 25 1 S?g.Lo 5 WATERMAIN * WATER LATERAL 1981 WATER AREA 1975 9497 33 6 3-23-81 _ 9 STORM SEW TRK 19$1 405.09 81.02 5 24 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. BUILDING PER. 6495 SAC PARK CIT1/ OF EAGAN 3795 Pilot Knob Road Eagon, MN 55122 Zoning; Owner: Address: Site Address: Plumber: Meter No.: WATER SERVICE PERMIT PERMIT NO.: DATE; No. of Units: ? ?'iciZe; ?_?? Connection Chorge: Reoder No.: A«ounY Deposit: ------------ I agree M eomply witb the C' ?ty of Eogon Pe''^'it Fee: S Ordinances. urchorge: M1sc• CMrges: By Torol: Date of Ins d0? PO1d: p ? Insp.: CITI. OF EAGAN SEWER SERVICE PERMIT 3795 Wlot Knob Road PERMIT NO.: Eayan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: • Piumber: I °9rOO bCDMPIP with fhe City of Eogan Connection Chorge: Ordinonce@. Accounr Deposit: Permit Fee: 5urchorge: BY Mi h sc. C orges: Dote of Insp.: Total: Insp.: D t P id e o a : EGAN ? ? • • 5353 Wayazata Boulevard Minneapolis, Minnesota 55416 546-3385 CITY. ADDRESS LI f:? ' - NAME' R9':,iP I, TELEPHONE?WORK PERNIIT OBTAINED BY ` SALESMAN ;::?ilLLY CEMENT MAN OLD GARAGE REMOVED BY OLD CEMENT REMOVED BY DATE GAR.AGE SIZE X X APRON DRIVE WAY SIZE WIR,E MESH '/2"=RODS?ONDUIT PIPE OVERHEAD DOOR SIZE X OFFSET SERVICE DOOR LOCATION DRIVEWAY SIZE BLOCK SIZE & LOCATION WATERPROOF BACKFILL EXCAVATION BY GRADE FL AT - DROP OFF. _ . . _a.. . J I .. L. _ ? ? I-? . ?--..` ?-i ._I _ , ? "' ' - -_._ . ? . ._ .? '_? ? ?. ?_ + _ _? !_.?. ---:--- -i-, . .-i--•.T . -?-..?.-k- { ....:.?. Y1 t` . - ? t _ j._ - -- , ? _ r. ? _ ?`'.... ?_ , -r- r ?T ? + . . ._ .1.1_ _ ., . • -•?- _.., . . _ ? t"_L«- ? , ,.? . : ? . .. ..... i ? „ . ?..r... . . ? i ..?..?. ? -?? S ^? - • - • -- , _:_. - + a-- ? _ ?, - . ? - ? - ? ? ? 1 ? -? -? t -?- -? - - - -- -?- - - }- - -- . 7 _7 rt .? . . ? . ` ? ? ,. i.. 4 ' 1 1 ? . 1. ? ` ? . . " T ? ? _ _I '' A? f. ? . II . _" 1 I ?.?... .. ! I ? -?...- ; i ? _L.?.._ ? 4 I ' F ?• ' ? ? ?? - ' . .--... ' ,_...+. .' ._1.... I ? ..? T I ? . ?.._. . : . 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BUILDING PERMIT 000 N°_ 6793 Receipt # Site Address 2083 Cliftview Drtve Lot 1 Block 44_ Sec/5ub. eedar C13fF ZBt parcei # 10 16600 010 04 W I Name 3 Addre; 0 O? Nome _ ,o ?? Address ?- r;.., lul WW Name P?? Address a W Ci Phone I hereby acknowledye tha! I have read this opplicotion und stcte that the informotion is oorrect ond ogree to cam with oll opplic e State of Minnesota Stntutes cnd, Ci?y of Eg?a? Ordinopx?s. Sipnoture of Permitt A Buiiding Permit is is oll work shall be done Buildinp Officiol - _ -?)- CITY ?-l BUIIDING PEF Be Used For Valuation Site Address -A71 9.5 1 ['1 /- I v ; P kA Lot Block Sec./Sub. C?C ? s Parcel #: / O1Cv (,*00 C(° 04 Owner: :DJ y? ? ? Y I r Aaaress: ?. ? 44 3 c e Ci ty/Zip Code : A e? Phane #: Contractor: w Address: Jr S City/Zip Qode: -'1 Phorye # : L? Arch./E'ig. . Address : Gity/Zip Code: Phone #: ? CITY OF EAGAN Km& R«a Eoaes, MN 55122 PHoNE: 454-8100 Erect ? Occupancy PD Alter Q Zoning Repoir ? Fire Zone V Enlorge ? n Type of Const. Move ? # Stories Demolish ? 22 Front ft. h ? k Grade ? . Dept Assessmer+t Water & Sew. Poi ice Fire Erig. Plonner Councl l Bldg. OfF. Permit Plan check SAC Woter Conn. Water Meter Road Unit Totol $59•N 't1Ctl0A (i0. on the axpress condltfon thot Stute of Mlnnesota Statutes and City of Eaflan Ordinances. Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date - ? Ck'F'ICE USE ONLY Erect OccuparIcY ??., Alter Zoninq 9? Repair Fire Zone Enlarge 7.ype of Const. ,Y-- Nbve # Stories Demolish Gxaae Front ft. Depth Z4 ft. APPROVALS FEES pssessments Pexmit [aater/Seaer Surcharge ? o 0 Polioe Plan C.heck f?- Fire SAC gzy. Water Conn. Planner Water M+eter 141?fl Council Fbad Unit ?/ac Bldg. Off. APC - ZOTAL ??"? RESIDENTIAL BUILDING PERMIT APPLICATION 1.4 ? q C? _i? CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681-4675 New Construction Reuuirements . 3 registered srte surveys showing sq. ft. of lot, sq. ft of house; and all roofed area5 (20°'o maximum lot coverage allowed) • 2 copies of plan showing beam & vnndow sizes; poured found design, etc ) • t set of Energy Calculatlons • 3 copies of Tree Preservahon Plan i( lot platted aRer 711193 • Rim Joist Detail Ophons selecnon sheet (bldgs with 3 or less units) DATE ! ! lf/o / JOB SITE ADD SS _3 ?"IU/Yti. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER RGe) d?Sd? 7' ?v TYPE OF WORK n L°Gk APPLICANT M9+0'V ??PijG, wr? ?7Zi ADDRESS c?i/' t/ //f Yk/ ??(/`C PPAW94 3YTS-5-5-F- CELL PHONE# _ Z/aY? S-?n.c?0 _Q_kA 1-4' 1a 61 RemodeUReoair Reouirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 15itesurveyforextenoraddition58tlecks VALUATION (EXCLUDING LAND) Li ( Dz-G O FIREPLACE(S) Z:?V _1 _2 _3 _ PHONE # 6v- y.6-C'e617 ZIPCODE 1'-7T-/ 0-;a- FAX # NEIV RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY ' Energy Code Category (check one) ? ? MINVESOTA RULES 7670 CATEGORY 1 - Residential Ventiiation Category 1 Worksheet Su - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted ; Plumbing Contractor: ? Plumbing Systcm Includes: I Mechanical Contractor: ? illcchanic.d Systcin Inchides: i i Sewer/Water Contractor: Phone # Phone # Pee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is ail applicable State of Minnesota Statutes and City of Eagan Ordinarycps.__--? SI8nafure o licant I !/ P Certificates of Survey Received ? Tree arrReC d- _ _ Water Sollcner Water Heater No. oF Baths Phone #: ? Lawn Sprinkler No. of R.I. Baths Air Conditioning Hcat Recovery System Fee: $90.00 Updated 1/01 OFFICE USE ONLY ? 01 Founda[ion ? 07 OS-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 ? 03 0 1 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (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 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ 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 (81dg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Giva PCA handout to applicant Valuation 20c0 ? Occupancy ?• 3 MC/ES System Census Code .4 AzL Zoning City Water SAC Units v I Stories Booster Pump Nbr. of Units a Sq. Ft. PRV Nbr of Bldgs Length Fire Sprinklered Type of Const `S • nl Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test Final Insulation REQUIRED INSPECTIONS FinaVC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ft-s _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By-??.-..?.r --, Building Inspector 3ase Fee 3urcharge ?lan Review MGES SAC City SAC 'Nater Supply & Storage 3&W Permit & Surcharge rreatment Plant 'lumbing Permit Mechanical Permit _icense Search ?;apies Dther iotal ??. UU t.U0 °1C7.()v This request void 22 ] 8 months from Date of this Request 2-2--aL Fire No. Fl 20185 cal I, as ? wiring Licensed installed at: Electrical Contractor ? Owner, do hereby request inspection of the above electri- Street Address or Route No. 2083 Cliffview Lane CityEagan Section Township Range County_ nakota Which is occupied by Zachman IIomes (Name of Ottupant) Is a roughin inspection required on this job? No ? Yes E1 Ready Now ? Wi11 Call ? PowerSupplier Dakota Electric, Inc Address ElectricalContractor_ 6unris(ETPCt 'r, rnc Contractor's License No. 3?a7'78 (COmpany Name) MailingAddress_ 4??? R3r? A,? nr M ? M' SF(?J?? (EI ctrltal Contractor w e? MyAng ThIF jnsfallatlon) Authorized Signature_ Keith R FIesli phone No. 566-8600 (Elettrlwl Cont?acto, or Owner Makln-r fMS Installation) This impection request will not 6e accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 9 7827 University Ave., St. Paul, Minn. 55104 - phone 297-2117 f I EB-00001-02 t? ?RE?QUEST FOR ELECTRICAL INSPECTION ?? ?j oni o r CHELK?w wnurr rrnlcnrn o.. T,.,, „ Type of Building New pdd. - Rep. -- -• --.. ....?.,.,?. Check Appiiances Wired For W L. V 1 V J Check Fquipment Wired Foi Home Duplex ? ? ? 0 ? Range W ? Tempocary Wving ? Apt Bldg ? ? ? ater Heater ? Lightmg P'ix[ures ? . Commercial Bldg, ? ? ? Dryer Fumace ? ? Electric Heating ? Industrial Bldg. ? ? ? qir Condihoner ? Sdo Unloader ? Farm Othe ? ? 0 E] List rst $ Bu(k Milk Tank List O h ? r ? 0 ehe [ ers? n.,..,,..m.. . Here .., ?,n.ivnrc?ixm rrr. nH:i nw Service Entrance Size: a Fee Feedeis&Su6teedeis: # Fee Circuits: # Fce 0 tu 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. ' Above 100 Amps. Above 100 S. 7 ransformers Si ns RemoteControlCirc. Partialorotherfee Remarks cial lnspec[ion Mimmum fee $5.00 a TOTAL F E 1?? 22 00 1 r6a ple...?,...i i-----'- , . 0 ? (Final) This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Road Fogan, MN 55722 N? 6495 PHONE: 454-8100 1--,' BUILDING PERMIT APPLICATION Receipt # 6°?c?`?/?S To be wed for SF DWG Est Value 35,000 Date 1-22 79._81-- 2083 Cliffview Dr. R3 Site A?dress 4 C2ddr Cl.lff 1 Erecr $] Occuponcy Lot-- Block Sec/Sub. Alter ? Zoning ?- Parcel # ' 10 16600 010 04 w Name Z3C17iCk111 HCl^5 ITSC. z Address 7760 Mitchell Rd. 3 p Name _ r- Address ? r,., Nome _ P.ddress I hereby acknowledge thot I have read this appiication ond state that the information is correct and agree to comply with oll opplicabie $tate of Minnesota STatutes and City o4 Eagon Ordinunces. Repair ? Fire Zone 3 Enlarge ? Type of Const. U Move ? .# $tories Demolish ? Front 36 - ft. Gmde ? Depth 24 ft. Aeorovals Fees Water & Sew. Police _ Fire Eng. Planner - Council - Bldg. Off. - APC Permit 1V3.UU $urchorge 17.50 Plan <heck 51.50 sAC 525.00 Woter Conn. 305.00 Water Meter 60.00 Road Unit 185.00 Total 1,2 7.00 Signature of Permittee I A Building Permit is issued to: ZdCYII[k'tri HQll25 II1C. on the express condition that all work shall be done in accordance wjyth all opvlicqble Stcte of Minnesofp Statutes and Cify oF Eogon Ordirwnces. Building Official f - - - - -- y? Clfii' OF EAGAN Include 2 sets of plans, 1 site p2an w/elevatiors & -- ? BUIIDING PERhII'r APPLICATION 1 set of erxargy calculations. Zb Be Osed For - Vaiuation ? 'S, GDO Date Site Pddress: OFFI(E LISE OrII.Y Iot Bloc]c ? Sec_/ - ' ?s}Erect oC Occupanc.7' AJ? Paicel $:? ???? (aQl?/D r7S! Alter 7,oninq - '-T Re;air Fire Zor? ? Qaner: ??9e _ TYPe of Const. Mwe ? Stories naaaress: Deroiisn Front ft. City/Zip Code: Grade DePth ?y ft. Phone #: 23-7-95ZO + APPMJVALS gEES Contracttu: Address: CitY/ZiP Code: Phone $: Arrh./Eng. . Pddress: City/Zip Code: / Assessrents k'ater/Se Permit Q -<:!a j 6 wer Surcharge /J Police Plan (herk---,5-?s?3Z Fire SpC Enq. Water Conn. 305?' Planner Water *7eter (? D 2-D Council Roa3 vnit Bldg. Off. APC Phone p: 7OTAL U.?{ 7,D O C,.ALVIN H. HEDLUND ssos o+roro Avenus SouTA : Bloominqton, Mlnnssota xS43- L43ntl Surwyor Cfvil Enqfnser Phone:888-2060 " surver?or?s G'ertlf "?cate ? JOB N0. 153 SURVEY FOR: 2achmsn Homes DESLRIBED AS:Lot l, Slxk 4, CEDU CLIFF, City of Eagatt; Dakpta County, Minnesota, and reaerving easements of record. ? I ? I '--? io'p 4+ake '` ?i r L. ?. .? i ? . .3 ?_ ? ?. I 894.8 ? $49. S ?---- ? I ( I ? --- -? ? i I I I I I ? 9a3. ? wooDHVR`?r ?. Fu1 112 ?I i t?e: ? GaR. A I- - ?- oa.i I > , t o ? y 7A.oo ; CLIFF\/IEW DQ!VE ? ? D6.2 Top of Foundef(on =904 4 $asement Floor• 90L2 Gara9e Floor = 904.0 Proposed Elevations G Exis+tn9 Eleva}rono _ Denotes Draineye ? Denotes Lo+ Corner O North !" =30' ?o'Q slakes ., 4- `inz•3 09 902.0 CERTIFICATE OF SURVEY T hereby certify fhat on 12-9-$O I surveyed the property deacribed above and ihot fhe abova plot is a correet repreaenfotion oT sald survey. Z!?44-' -A/ F-d 4d&+,'bc Colvin H. Hedlund, Minn. Req. Na 5942 , 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cinr oF eacnN 3830 PILOT NNOB RD - 55122 681-681-4675 , New Conahuction ReaulremeMs RemodeVReoair ReauiremeMs D 3 regisfered site wrveys ahowing sq. fl. 01 bt, aq. k. ot house , pion ?IculaHOns for healed addlHons antl ?II roofed arens (2p% maximum lot coveraae oltowedl ? 2 copies of plans (ahow beam & wlndow aizes; pouretl fid. tlealgn; etc.) ' v U 1 site wrvey ta extedor atltllMwis & decks ? t wt ol errergy catculationa 7- D 9 copies of tree PreservaHon plan If lot plattetl aHer 7/1/93 c, G DATE: '? l?QO CONSTRUCTION COST: DESCRIPTION OF WORK: J' ""?i ? l? i aG?Ow 5 If multt-famiry bldg., how many unifsT STREET ADDRESS: ?4.,) Dr.v L LOT: -4- BLOCK: ? SUBD./P.I.D. #: - /a -/-).'r;?-- PROPERTY OWNER ? CONTRACTOR ARCHITECT/ ENGINEER Name: Gr"1Z'- / t G*=i 'Ov- Phone #: (o`J1 " ySle - D? 7? LCS1 Firat Sheet Address: ciN A? ?, S?a?e: ?? zip: Company: Phone #: (area code) Sheet Address: License # Ciy State: Company: h1a hw 6 D l? ye,- Name: Telephone #: ( Sheet Address: ReglshaHon #: City Sfate: Sewer/water licensed plumber (if Instaliina sewer/water): A)/7' Phone #: Lp: Zip: I hereby acknowledge that 1 have read this applicatfon, state that the in(ormalion is correcf, and agree mp th all applicable Sfale of Minnesota 5latutes and C'ity ot Eagan Ordinances. Signature of Applicant / OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Yes No Yes _ No Not Required JUL 2 6 - Window and Siding Replacement Costs Windows Upstairs 4 $169 Down Stairs 4 $139 Screens 8 $35 Siding Pine 5.15 $16 $85 back 12 13 156 north 23 13 299 front 36 13 468 peak 5 24 120 south 24 8 192 east 20 8 160 1395 Number of squares Siding cost House wrape Misc supplies Sub Total Taxes Total costs 2 $90 13.95 Total costs $676 $556 $280 $1,184 $180 $300 $3,176 $206 $3,382 *****?***??****?***??*?***?**?********* CITY OF EAGAN CASHIER: JS TERMINAL NO: 779 DATE: 03/24/00 TIME: 13:31:42 ID: NAME: ROGER SCHMITZ 3210 9001 2083 CLIFF VW R 363.25 3422 9001 2083 CLIFF VW R 236.11 2155 9001 2083 CLIFF VW R 11.50 3210 9001 2083 CLIFFV4V ?R 69.00 2155 9001 2083 CLIFFVW DR 1.00 Total Receipt Amount: 680.86 0- ?-7LJ 7 CR125035 ?_I? LL 1/??-? USER ID : JAN ?u yL ..i..+++**:rx*******:r*****+*****?****?*?** 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) , ? CITY aF EACAN . 3830 PILOT KNOB RD - 55122 llO?ll L(? 651-681-4675 New Conshuctlon ReaWremenh Re /Reoalr ReaWromenh ? J reglsfered Yte wrveya ahawlnq aq. N. of bf, sq. H. o( houae and g!j rooled areas (70'6 mmdmum lot covemae albwedl ? Y coplea of plans (slww Deam d wlntlow airsx poured Intl. tlealyn; efa) > 1 set ol energy calwlaHOns ? S coples of hee preservallon plan Il lot plalted alter 7/1/93 DATE: J1I,? DESCRIPTION OF WORK: __Ly X a? Company. (area code) STREET ADDRESS: !?,l`? V/ YI?tJ LOT: gA? I BLOCK: SUBD./P.I.D.#: PROPERiY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: 5?`iN wi17a ? Gl Pnone #: wst ?1rst ShAet Address: Ciy /, Sfate: Zip: ??a oc SheetAddress: OLn'C C)4Jk2Z°v- Ucenseq Exp• CNy 2 copies W plan i sef ol energy wleWOtiau for heated adtllNau t aite wrveY Iw exteAor addiHOns 8 decka CONSTRUCTION COSf: J7 Q-- State: Company: HO 0,7'C d? k Lot,-- Name: Telephone M: ( ) Sheef Address: Regisfraflon M: citY State: Sewer/water I'icensed plumberli( instalilna sewerlwaterl: Phone #: I hereby acknowledpe that I have read Mds applkafion. aMte Nwt ihe In(ortnat7is eared a of Minnesota Stalutes and Ciy of Eagan Ordlnances. Signaiure OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ? Zip: Zip: Sfote OFFICE USE ONLY BUtLDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 17 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE O 31 New It 32 Addition O 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulfl ? 17 Garage X 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 18 Deck ? 23 Porch (screened) O 36 MuRi ? 19 Lower Level ? 24 Storm Damage Plbg _V or _ N ? 25 Miscelianeous ? 20 Pool 0 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demoiish (Bldg)• ? 44 Siding ? 38 Demoiish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Caive PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings _L Const. (Actual) v ri (Aliowable) UBC Occupancy Irl;l U2 - Zoning '? # of Stories Length W idth Basement sq. ft. Main level sq. ft. ?A? sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building 7 sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System ? City Water !2 2.L_ Booster Pump PRV Fire Sprinklered Engineering Variance ? Permit Fee 3L3 Valuation: $;A, Surcharge I Plan Review D- I i License L/ MC/ES SAC ?Im tnv,U ? a Ciry SAC // ?^? Water Conn. ? ? `? ?-/ Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies rotai: (I I 0 -g'(p SAC Units % SAC 9609 61rorA Avenue SoutD I _4IN H. HEDLUND .d Surveyor Clvil Enpinser surve?or`s G'ert?f "?cate JOB N0. 153 SuRVEY FOR: Zachtnan Homee DESCRIBED AS:Let l, Block 4, CFDAR CLIFF, City nf E6gan, Dakota ? County. Minnesota, nd reeerving ?'+emente of recor8. 0 1 C I ? _J I' I ?_• / I I $99.8 ? 849. s ?----- ? I ? I ? I ay' '? JYYUJ I- ? woc 112 ?i; ? d ? M - - -? i ? I I I I i INi I T ?. Fu1a : a GAR. W 7 ? - - - ''- 78.00 I ? 4 s?, ? CLIFFVIEW DRtVE o '0vP ? ,?l ?? ? A CERTIFICATE OF SURVEY I hereby certity thot on 12-9•$0 I surveyed the properiy descrlbed above and thof the obova plof is a correet represenfotlon of sald aurvey. t?a4'r? -A/ Calvin H. Hedlund, Minn. Rep. No. 5942 . IO'Q s}ake 6) l 81oomlaqton,Minnesota ';543 PAene :888-2080 i Top o4 Foundetion =404.4 Basemenf Floor • 901 2 Gsra9e Floor = 904.0 Proposed Eleva*IOns <=:> V-xis+ln9 Elevations _ Denotes Orainaye -+ penotEs Lo+ Corner O North ( 0 '(9 s ?a icec 2. ? y? •. :?2, FAMII.Y RESIDENTIAL BUlLDINGS PACKET A ENERGY CODE 1-2 Family Residextia! Buildixgs SUMMARY OF BASiC REQU[REMEhTS ROOF/CEILING. WAi.LC_ .00 C, • Either meet "Cookbook" criteria as outlined in Residential "Cookbook" Workshcet OR meet U-Value criteria as outlined in Exterior Envelope U-Vatues Worksheet. OTRER ENVEL.OPE CRiTF'RiA• • Slab on grade floon must have continuous perimeter insulation of R-10 to depth of frostline. • Foundation walls must be insulated with R-10 minimum from top of wall. • Loose fill insulation installed must provide the required performance at winter design conditions. RFFECTIVEIVESS OF RF()ITTRFD TTiFRMAi iA'Cin ATION• • Building design must meet Category 2 requirements for vapor retarder, air leakage and wind wash bazriers, and ventilation. DUCT INCUi_.ATION N11 SFA IN • • Insulation for ducu encased in cement or within ground must be R-5. Insulation must be installed on bottom and side of plenums. • Ducts installed in attics, garages, exterior walls or unheated crawlspaces must be R-8, minimum. • Retum air ducts conducting air into a fumace through the same space as the fumace must be sealed continuously airtight. • For ducts running outside the vapor retarder or of greater than 0.25 inches water gauge pressure, aq transverse joints must be sealed. HVAC PIP£ INC Ti ATION• lnsulation 7'hickness, Inches Pipes ]" end Pipes System Runouts" Less 1-Y." to 2" Heating %: 1-h i-%: Cooling (Suction) % % •Applies to runouts not exceeding 12 fcet in length to iudividual terminal units. SERVICE WATER FIEAMG: • Either the first eight feet of both inlet'and outlet pipe must be insulated with %a inch thick pipe insulation or heat traps must be installed. • Energy requirements for swimming pools and spas are in Part 7670.0710, Subpart 5, page 55 of the code. MA'I'E 7Ai. iN Ti ATION INFO MA'I'ION• • Materials and equipment must be identified so that compliance can be determined. Completed insulation receipt attic card must be supplied near access opening. • Manufacturer manuals for all installed eqm'pment requiring preventative mainunsnce for efficirnt operation must be provided. • Insulation R-Values, window and door U-Values, and heating and cooling equipment efficiency must be clearly marked on plans. This is a summary only. Other rcquirements may apply. Sa the Minnesota Energy Code Questions? CaII Depaztrnmt of Public Smice Infortnetion Center az 617I296-3175 or 1-800/657-3710. o 2/5/96 wn I SUMMARY OF BASIC CATEGORY 1 AND CATEGORI' 2 BUILDING REQUIREM6NT5 ? FOR INSULATION PROTECTIOT AIR TIGHTNESS, AND VENTILATION ?NIMUM: All buildings must meet the followinQ minimnm mda ?a?.:.a...e,.??. VEIVTILATION• q Category 2 building is one where infiltration and passive ventilation (operable windous) are relied on to provide necessary year-round ventilation. If one or more of the Category 1 measures below is incorporsted ioto tLe residential design, however, a resideotial mechanical ventilation system as specified below must be installed. VAPOR RFTARAF.R• A vapor retarder, also known as a moisture barrier or vapor barrier, must be installed on the warm side of insulated ceilings, walls and floors. Polyethylene vapor retarders must be 4mills or thicker. 'fhe code requires a vapor retarder to be installed only on rim joisrs that are susceptible to condensation from moisture diffusion. AIR BA RT .R: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the conditioned space into exterior ceilings, walls and floors. • Plumbing and heating penetrations must be air sealed. An air 6amer must be provided behind any tub or shower that is located on an exterior wall. • Air sealing must be done at all dropped ceiling areu, chimney flues, ventitation ducu, and other fire stops that penetrate the vapor retarder. • Holes in the building envelope for electricel and telecommunications equipment must be air sealed, including the service entrance, wires, conduit, cables, panels, recessed light fixtures, and fans (where vapor retarder is penetrated). • Joints in the building enveiope must be sealed, including around window and door frames, between wall cavities and window or door frames. • Tested air infiltration rates must not exceed 0.34 cfin/square foot of operable sash crack for windows, 0.5 cfm/square foot for residential doors and 1.25 cfm/square foot for commercial doors. WIND WASH ReRRrM qn air-impermeable barrier must be installed at the attic edge (baftles must be rigid material resistant to wind driven moisture); and overhangs, such as cantilevered floors and bay windows. meet all requirements as BESIDENTIAt MECHANi['Ai VFN'I'Ii ATION CVCTFh" FOR RF ID N; IAI B T1 DIN C A system that, by mechanical means, is capable of introducing and distributing outdoor air to all habitable rooms and removing indoor sir at a rete of not less than 035 air changes per hour or I S cfm per bedtoom plus another 15 cfm, whichever is greater. AIRLEAKAGIEBARRIER: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the conditioned space into the building envelope: • Electrica] boxes and fan housings must also be sealed. • AlI rim joists, band joists, and wherc floor joists or trusses mxt outer walls must be sealed. • The top of interior partition walls that join insulated ceilings must be sealed. •]oinu must be sealed between wall assemblies and their rim joists, sill plaus, foundations, between wall and roof/ceilings, and between separate wall panels. All exterior joints in the building envelope that may be sources of sir leaks must sealed This is a summery only. Other rcquiremmu may apply. See the Minnesota Ener Code. Questions? Call Depanmrnt otPublic Smice [nformazion Centa az 612/296-51 ?or 1-800/657•3710. 2/3/96 ? 0 .? A ENERGY CODE RESIbENTIAL "COOKBOOK" WORICSHEET ?0?3 ??'Or1 HsYI ?. / a'2 Bmldmg Address: 'd083 e-lR7-9V',1 Yw ,f)yrVrj ?a,sl wrp2 -5`3'/Xa. . ? me vrowua nuuamg de:ign RprcumW in nue documcnls ia mnsistent with the building plw, specificatbro, and other Wculuions submided widh Ihe permi[ spplicelion. The propoaejL,. buildioa hu 6een desiaae&titm' &-? MINIMUM REOUfREMF.NTS fnrM('nnkhnnlt++ n..t:..... Entry Doors I-3/4" solid wood w/ storm Ceiling with energy truss R-38•' Rim joist R-19 door br equivalent (Min. T%:" top plate to sheathing) Foundation Windows* Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44'* Floor over R-24 wood or vinyl frame " unconditioned space Include square footege in calculation of Windaw/Door Area Ceiling-no attic R-38 w/ R-5 sheathing to determine above grade Window U-Value. •kl......1...:..? n__C_.?'___ , ive_"__.... , _..__._..?.. . _..?....w.?? a. ,....W. ?,.JS,. ?V„U,L,UI„ fIf? ?? ??e iVeeti Window and boor Area 100 i 3! 74 /, +//? m ((?,757 y. WvVpp{Y U-VALUE : en ? a Aa •h of Eipqed Wall Am lbove Crade Wiodow and Groa Wdl Arca WindordDaor Area Sonrce: NFRC or ASHRAB 1993 Hand6ook PoYOdatfoaWindon/Door Aroa 1 ? I . ? . .,....... . . . _ . CAak Wall WALL TYPE - ,.,.-.?..,...,,.. .. ¦n.iv n V.VHL V GJ ?y? U? ? MAXIMUM WINDOW AND DOOR A REA Y. OF EXPOSEI) WALL A REA 12Ye 14"/s 16°h 18'/a 20% 22% 14% 26% 29'h 30% 32% 34"h PE A ' 2x4 framing, K-13 insulation, sheattiing R•7 or greater. 0.55 0.47 0.41 0.36 033 030 0.27 0.25 0.23 0.22 0 20 0 19 T YPE B 20framing, R-1i insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.31 0.28 0.26 0.24 0.22 0.21 . 0 20 . O I& TYP E C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 OA N ' 029 0.26 0.24 0.22 0.21 0.19 . 0 18 . 0 17 TYPE D ' 2x6 framing, R-l9 insulation, sheathing R5 or groater. 0.56 037 0.34 0.31 0.28 0.26 0.24 0.22 . 0 21 . 020 T YPE E 2x6 framing, R-21 insulati, sheathing less than R-5 0.51 M 034 030 U.28 0.25 0.23 0.22 0.20 . 019 0I8 TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.39 0.35 0.32 019 0.27 0.25 0.23 0.22 0.21 ....? .???? .....nama imnpumnons oi mc vames m me bnefgy l:oae, YaK i670.U475, Subp. 2. This is a summary only. Otha requiranents may apply. Sa the Minneso[a Energy Code. -Ques[ions? Call Department of Public Service Informetion Centv at 612f296-3173 or I-800/657-3710. 2/5196 _ . ?p ? Roger Schmitr Wall square footage Existing home Front(east) Side (north) Side (south) Back(west) Total Addition Back(west) Side (north) Side (south) Hight Length SQ Feet 13 36 468 00 13 24 312.00 13 24 312.00 13 12 156.00 1248.00 13 24 312.00 13 14 182.00 13 14 182.00 Total 676.00 Totai Wall square footage 1924.00 Window and Door square footage Existing Windows Office bedroom living room family room bedroom utility room Door Total Addition Window Window Window Window Window Window Window Window Window Window Window Doot inches inches Sauare feet 51 48 17.00 51 48 17.00 48 108 36 00 36 108 27 00 36 5'I 12.75 36 51 12.75 36 84 21.00 143.50 37 57 14.65 37 57 14.65 37 57 1465 37 57 14.65 37 57 14.65 37 57 14.65 37 57 14.65 37 57 14.65 37 46 11 82 37 46 11.82 37 46 11.82 36 84 21.00 Tota I 173.63 Tdtal Window/door square feet 317.13 mula for door and window area 100 Times 317.13 Divided By 1924.00 tal window/door area of home with addition 16.48 Percent II be using Pella tilt double hunge windows value 3.12 dalue D.32 ***************************#*********** CITY OF EAGAN CASHIER: JS TERMINAL NO: 779 DATE; 03/24/00 TIME: 13:43:41 ID: NAME; ROGER SCHMITZ 3210 9001 2083 CLIFF VW R 363.25 3422 9001 2083 CLIFF VW R 236.11 2155 9001 2083 CLIFF VW R 11.50 3210 9001 2083 CLIFFVW DR 69.00 2155 9001 2083 CLIFFVW DR 1.00 Total Receipt Amount: 680.86 CR125035 USER ID: JAN ***********?*****?*****?*****?***?*+??* 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 1 I UC) i-] T) 3830 PILOT KNOB RD - 55122 0. d 851-681-4675 New Conshuctlon Reaulremenh n 3 replafered qte wrveya alwwlny aq. B. of bl, aq. H. of house and g( rooted areas (20% rmWmum bt covemae allowedl ? 2 coples of plans (ahow beam & window sizea; poured 1nd. design; etc.) ? 1 aet of energy calculalime ? 3 coples of hee preaervatlon plan if lot plalled aRer 7/1/93 p,,TE: 3/a 2-- DESCRIPTION OF 1 STREET ADDRESS: LoT: l PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Remodel/Reoalr Reaulremanta 2 copies of pian 1 aet d energy cdculaHOns fw heafed addlllons 1 slte survey for exfedOr addltlons R decks ? ?) CONSTRUCTION COST: ) IU U, Name: SC ? v? CUC?,-k? Phone t: 6S[ - (-(S L - ? 3 U ? Wsf FI Sheet g3 m Cryy State: ciy le i: (area code) license M Exp. Company: Name: Telephone M: ( ) Sheet Address: ReglshaHOn A: ay Zlp: =1 a -a- Sfate: srote: Sewer/water licensed plumber (If Installlna sewer/water): Phone #: I hereby acknowledye that I have read fhls applfcafbn, slale ttwl lhe inlortnation is corted, and of Minnesota Stafutes and CNy of Eagan Ordinances. ,4 Certiflcates of Survey Received _ Yes Tree Preservation Plan Recelved _ Yes Signature of OFFICE USE ONLY _ No _ No - Not Required Zip: Lp: Sfa1e ?.1? BIOCK: SUBD./P.I.D. C C 4 n1-01 V c Q ?..? 4?gS ? 7 2006 RESIDENTIAL MECHANICAL rExMiT arrLicATiorr ??? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single fami]y dwellings & townhomes/condos when pe[mits are required for each unit Date -7 / 10 tiaP Site Address c-;?d?? ?-?-?-t_t Unit # PropertyOwner ?CKA = LLhmct?, Telephone#((pIZ Contractor Wohlers Southside Htg& Air, Inc. 6950 W. 146'h St., #106 Street Address Apple Valley, MN 55124 City (952) 431-7099 State Telephone # ( ) Bond #: ? LT-Lsy''_7?8\7 Expires: L g_ The Applicant is _ Owner /? Contcactot _ Other Add-on or alteratian to existing dwelling unit $ 30.00 ? furnace _Additional k Replacement _ New air exchanger _ ---- ? airconditioner _ heat pump i I ?I,r other State Surcharge $ 50 Totat I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. ?, ChcLcL 4?i'11?5 Applicant's Printed Name pplicanPs Signature -? -?--- - . -? -- ?---+--I -F--I- --I-- - ?I-- ;'--r?-?-- -j - --?---t- } -,-----+ --?- ? --I--T?-------,---r--'r'--r--',--!--- ? : ? 1 I I I ?- _ _T? --? -?- - --j-r- , -4 ? --Y - -'F"- I I ? ??'? -? --_ -;- ? I ? - ? - - ?-?--i I ? ( ? --,: - }___ .___I__ - -?--i---,-- - -i--a--' _ ? F-___-. ? ' -- _ --_ -_ __ • -; i ---=-? ` r- -- ? - - -- -- I i ? j ? I ' ? j ? ? + r ? 9E X??A?D mN -- ?- -.- -1 --?----? • - ?-- -7-- - - ---- -----?- - .F- ; - - _.._._ _- - _ '- - - ? } ! - ?II1 H WAShIERS EVERy' 16 " _.-.?_ .._- _ _ ____ - - ? . ? -- ? i r'-l_ ? ' ? i- --- ' ? ?-- -1--?-- ' ? ' -? -1-- _ ' ? i - - ' -?- ---i--. -?-?-- , 1- ? ?--?--?- -?-;---; ?- ?_--- -?-- ; - ?___.,-----?--; - - ?- i -i-- ? i f ! -? - ? -?----- i +_ - ? _ ± --?- --- f -? _? ?? - - I - ? --f----? - I- -?--+ ? ? -- . -r- r ? , : I ? ? ? ? ? , ? , ? ??? - - r ?- ? --;--I -- -?- ? -<- -+-- ?---? _ ' --?----,- ' ? --I- ? - __ -- - 1 ? --r-- ??--?--? -- - -- ---l-- - ----?-- --- - - r + ' -----:--- - ? ?I-i---i- - -*- ",? . ?-- ?- ? ' - - ---?-- , -? -.J- ? -?---? ? _ ._ - ? -1- --? - - --- --- -- -- , -- 1 - ------,- ? ?--,- -? -- -- - , ? I ,- , -;?-- ? -?--?-- I- ?--! --' 1--i-' -? , .. ?__'i --;---! - - -; -! --f -- r ;- ? - ? ---+- -;---'? - - ? 1 3 ? ; ? ? r -T--' t 1 ? ? I --- - I-- ; I - - i -- i r I ??--?---}- I I ? T' - ? _ ? 1 ? - rt--r-- -i- -- I ?- i I r t ? ' ?-- ? --i `T- 1.___ -- LLT i ; ? _ i?? ? 1: ! I I T! -?- -- . _-E- ? -- ?---?- i ?I ; _ ' 1-i??-,- ?.. .??- - - , ? ? -?- - ---'-1- ? --I-- ?--*- ?---j---? --?--7- ?--j -7 --?-?-? ?--?- f i t -- ? ' ' ? i ?-- ---?- ?-? ?- - --;- --r-?- '--j--? Use BLUE or BLACK Ink - For Office Use Permit -7 City of Ea as Permit Fee: _ 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: U/& va L 6y*/nit Name: -k- 1®Q fo) SS Phone: Tor SyU RESIDENT / OWNER Address / City / Zip: a~ f [ ~L%"~ Applicant is: Owner Contractor Description of work: 7jq~ OU® NG ~ ~"mot` 4W/ TYPE OF WORK Construction Cost: Multi-Family Building: (Yes No X-) Company: CYJ t~ c/Jr✓' T oryt: l~-t~2C Address % 4J City:~'4 CONTRACTOR State: Zip; Phone: License Lead Certificate AAT ?6 r If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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? lYes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans aa~Qa.... t. nd 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. Exterior work authorized by a building permit issued in accordance with the Minne to Building Code must be completed within 180 t days of permit issuance. x~~ Applicant's Printed Name - plicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159951 Date Issued:01/31/2020 Permit Category:ePermit Site Address: 2083 Cliffview Dr Lot:1 Block: 4 Addition: Cedar Cliff PID:10-16600-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kodee Ussatis 2083 Cliffview Dr Eagan MN 55122--237 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature