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2143 Cliffview Dr Use BLUE or BLACK Ink For Office Use ~ I j Permit City of Eajan I _ Permit Fee: 3830 Pilot Knob Road ri Eagan M N 55122 I h I I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: j 2010 MECHANICAL PERMIT APPLICATION Dater Site Address: AIL 3 &_1 Tenant: lam! X J91 i c Z Suite RESIDENT / OWNER Name: kjy-A djlnA~n Phone:(!a,S /-TiQ-t/ 7 3 Address / City / Zip: r~ 1✓✓ CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License 3451 W. umsvl e a way Address: Suite 190 City: State: ZBurnsville, MN 55337 Phone: Uj~UJ Contact:. fla Email: TYPE OF WORK New __.X. Replacement A ditional Alteration Demolition Description of work: ~ .NOTE; Roof mounted and 9rouR4 rnnuliWmechan cal equipr► re ui c)to:be tr eht3d )1'i ity Code.• Please contact th¢,'Me t nica! liSSpECtOi~for inforrttatign`Oh a i t f c#eenirlg;;rt?ef t6c1 RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger - Gas - Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES, Q b $50.;9 Minimum Add-on or alteration to an existing unit (includes 'j~Q State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) v v TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge. $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.gopherstateonecail.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 pl n in the case of work which requires a review and approval of plans. X P ~ sna X az]l Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: [fate; Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor'Heat Final. Exterior HVAC Screehing Inspection' PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093062 Date Issued: 03/15/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 2143 Cliffview Dr Lot: 5 Block: I Addition: Cedar Cliff 2nd PID:10-16601-050-01 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Crew2 Inc Robert A Romero 260 l\Iinnehaha Ave 2143 Cliff-view Dr Minneapolis NIN 55406 Eagan NIN 55122 (612) 276-1680 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHONE: 454-8100 BUILDING fERMIT RMe+ot # SitBAddrCtt ?' , • ' ?.-.•,-- j?.''?M DRI III Erect LJ OCtupsflCy - ' r'?[)E'i'. Lot ? Blxk ?/Sub Ci. i , ;)-,Remodel ? 2oning . Repair ? Type af Const. Percel No. Addition ? No. Storisa Move ? Length ? Name Demolish ? Depth _ ? Address Int Impr. ? Sq. Ft. City Phone ` ?• % Install ? Appevab fea ? Name uU Addre Citv _ Nsme Addresa I heroby ncknowiedpe thof I haw road this opplicotion ond sta the inlormotion is correct ond aqree to oomply with oll apF State of Minnesota Stotutes ond Gity of Eo4on Ordinonus. $ipnoture of Pertniftae A 8uildinq Pem+it b isswd to: d) work sholl be done in xoordancs with oll cpplicoble Stole 9uildinp Offkiol Assessment Wafer 3 5ew. Poiiu Fin E+0• Planner Countil Bldg. Off. ? ? _ _ APC Var. Dete Permit Surcharge Plan Review SAC Water Conn. Water Meter Road UnR _ Tr. PI. Perks _ Coples _ ' Total on the exprets Cordiflon Ihot Stotutes ond Cfty of Eapai Ordinanc&s. EheMc ' IMpeCLIOIf Dif! I lflS(1. ' OZhN ' Footings 11 Rouyh Htg. F1 lal Piby. Finel Cert/acc. Water w•n Sewsr Pr. Dlap. } cirr oF EA"N °. ' 3795 Pilof Ksob Road Eeyon, MN 5511= PHONE: 454-8100 BUILDING PERMIT Receipt ?qt To IN WOd fM Esf_ Velue fktto Site Address Erect p Lot Block Sec/$ub. Alter p Porcel # Repoir ? Enlargs ? W Ncme ' move Q 3 Address Demolish ? ? p Cifv --- Phnn.. 6rade °C Nome _ o ?? Address I"' I-IM. Name _ ^ddress I hereby acknowledge that I have read this applicotion and stote that the informotion is correct ond ogree to tomply with oll opplicuble State of Minnesoto Stotutes and City of Eogon Ordinonces. Sfynoture of Pertnittes /1 Building Permit is issued to: oll work sFwll be done in accordonce with ull opplicable Building Official Assessment _ Water & Sew. POlite Fire Enp. Plonner Council Bldg. Off. _ APC Occuponcy Zoning ftre Zone Type of Consc. # Stories Sq. Ft. Fees Permit Surchorge Plon check SAC Woter Conn. Water Meter Road Unit Taal on the express condition thar Minnesota Statutes and Cify of Eayan Ordinonces. ???.. Parmit No. Permit Holder Misc. Permit No. Holder Plumbing ?? H.V.A.C. n " w.n Watar Disp. Sewer Electric Inspection Date Inap. Other Footings Foundetion ` Freming Rough Plby. Rough HVAC Insulation Final Pibp. . „ Final HVAC Final t Watar Describe Location: Well Sewer ' Pr. Disp. (Itxtifira#t of (Orrupttnrg Citp of Cagan laPpwtIIlPttf pf IWbw# 3IISpP[tiD1t Tbis Ccrti fi[l11L tiJ71fQl1 puYS1fll1?1 i0 !bt 1'[qAfTTMICtitS Of Scctran 306 0l thc Uni forni Building Codc catifying that at tix tinu of usuancc tbit ttrutturc wat incompliancc with tbc varioru ordinascts of thc City ngulating btrilding constsurtion or uie. For tix following: t01MMCVOYg n.ACi u.S.N. :f?. - . ..':4 :.. . . . . . . ... . . ?i IM w Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print leglb/y - l Permit No. Fee " - S/C Tot. 1. Date -?? •- 2. Installation Cost "?' 3. Job Address Lot ap" Bik. ' Tract 4. Owner ? i : ? r 5. Contractor • Phone C. 't- i 8. Address 7. City State Zip 8. Building Type: Residential ED Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Oescribe= Fuel TYpe I 11. No. Equ' ent BTU - M. Ea. Forced Air No. EQUipment CFM Air Handlin : Mfg. g Boilers Mfg. . Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inel Inspections: Date Insp. Date Insp, This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. ? CITY OF EAGAN , Fee fill in numbered spaces S/C Type or Print /egib/y TaL ?'- 7 1. Date 2. Installation Cost 3. Job Address Lot •? Blk. r Tract ? 4. Owner 5. Contractor Phone ? 6. Address - 7. City State Zip 8. Building Type: Residential 0 Commercial O Institutional O 9. Work Description: New 0 10. Describe 11. Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner ?ower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I herehy certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY Qf EAGAN Remarks Addition C:EDAR (:T.TFF 2N(1 Aili)N, Lot- S RIk 1 Peroel owne. Zc-'d',=,f,,, I;,i sc,eet 2143 Cliffview Drive state Eaean. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET 5URF. 983 1776.56 - - STREET RESTOR. GRADING 1983 522.48 1.57 5 522.84 C007817 9-13-82 SAN SEW TRUNK _ 2 *SEWEFLATERAL ZiS 2.SH COO7817 9-13-82 WATERMAIN ; z * WATER LATERAL WATER AREA * erviceS 1983 STORM SEW TRK :;4w , r,9 90.14 71 ,23 011322 8-6-82 STORM SEW LAT G' 1982 756.57 151.31 605.26 11 " CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 31 BUIIDING PER. 7112 SAC PARK CITr OF EAGAN WATER SERVIC E PERMIT 3795 Pilot 1(nob Roed PERMIT NO.: Eogon, MN b5122 DATE: Zoning: No. of Units: Owr+es: ... _ , ._. , Address: Site Address: :, • - ? "{v' _ . _ Z5 31 Plumber: ' Meter No.: Connection Charge: Size: Aceour?t Deposit; Reader No.; Permit Fee: 1 egrea to wmply wlth the City oF Eogan Surcharge: Ordinoneae. Misc. Charges: ' Totol: BY Date Poid: CITY OF EAGAN 3795 Pi1ot Knob Rood Eagan, MN 95124 Zoni ng: Owner: a Address: Site Address: ?^ tL Plumber. 1 asrea to eomplp with the Citp of Eogan Ordlnenees, By Dotc of I nsp.: PERIVUT NO.: DATE: No. af Units: SEWER SERVICE PERMIT Connection Charye: Account Deposit: _ Permit Fee: Surchasge: Misc. Charges: - 100.00 pa I XOAI9? ?. A } MINNESOT TE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlpqs-Mldway Bldg. - Hoom $-173 BE ACCEPTED Bv THE STATE BOARD 1821 UnWersity Ave.. Sl. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS ? PhMN (612) 642-080D ENCLOSED. R REQUEST FOR ELECTRICAL INSPECTION ? See insvuctions In? tompletmg ihis torm on back of yellow copy. ???,J? 15 1 a'? R9R "X" Below Work Covered by This Request New Atld Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary 5ervice Duplex Water Heater Electric Heating Apt. Bwlding Dryer Other (Specify) Comm./lndustrial Furnace Farm Air Conditioner . Other lspecifyi ntractor's Remarks. n f'J? ? ?? TLt,. wl ?I b ? ?? Compute lnspection Fee Be1ow: #, Other Fee # Service Emrance Size Fee x Circuits/Peeders Fee Swimming Poot 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A Amps SignS inspector's Use ONy TOTAL Irngation Booms Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE DRDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elsctricai Inspector, hereby Ro"9n-in f Date certify that the above inspection has been made. Final ' oa ' 41b2b Request Date ? 1 ! Fire No. Rough spection Requir ?Ready Now _ Will NOMy lnSpeCtOr 7 When Ready? Yes o I licensed contractor D qwner hereby request inspection of above electrical work at: .lot? nadress rS:reei. eox or Route Na.i Ciry /? ?{? ' Secuon No Township Name or No- Range No, Counry '?Occupantr,PRINT1 Pbone No. ?q -?'i ? . Power Suppher / Atldress ? /?J ? Eie racior ICompany Namei Contr tor's License No 0 41D et ?i 4?- ading nCaress I Connacior or Owner MaKing Instauation i > 2- '? ,rj /?`/3 ?' 0 G 'T nuinc aw,e cConcr Owne aR?ng instailauon? Pho?e Nuri?r ? ? AFFICE USE DNLY This rBquest vaitl 18 monihs from This request void LS C, C i ,I 18 nwnths from y ,3-0 88546 3*7 ?'z Request Date ? ? Fire No, Rnuph-in Ins?iertion R qwred? ?Ready Nuw ill Notify. Inypec- l Wh R x V?5 ?ry?> or en eady 11?Licensed Eler.lncal Contractor I hereby request insoectfon of above Owner electrical work installed at: MINNESOTA S TE BOARO OF EIECTRICITY Grigps-Midwey Bldg. - Room N-191 I1821 Univarsity Ave.. St. Paul, MN 55104 Phone (812) 297-2111 THIS INSPECTION REQUEST WILI NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-c1ooo1 _oa T 88546 ' Sae instructions for completi ng this form on back of yellow copy. '""X'" Below Work Cvvered hy This Reauest N Add Rep. - Type of Building Appliancas Wired ? 1 -' Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Efectric HeaUn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm oin<?r svect v o?h,,, ;sue?:iryl r',... ...... .. i.__ [ er Uecify ___?.__ ? ., . Othpr Othrrr Rouph-in t? f e Electrical - ? ,r Inspector, hereby FVnal f ? ? certily lhe-t the above ? ? inspeCtion has been de. Th?? ..?.....-• .....? Street Address, Box or Route No. ?1 ?? A Cit GI )Q U1Q?,? c ue- L,`74Ci1? ecun?? o. Township Name ur No. Range Na. Cnry ic 6 O pant (PHINT) +k A T Phone Nn. `?'3 7- q?? b c -, /j tn6 hi a l 6 s . Po r Supplier C Addr SS ? zc ? ,4 G ?? Electrfcal Contractor ICompany Namel Contractor's License No. rI c L ? D ing AdJress (CoMractor or Owner Making Instailation) 30 ?. cs 3z Au rized Siqnature onva r wner Making Installation) Phone Num6er 18 months from ,, ?? 1 c6qb 1985 BUILDING PERMZT APPLICATION - CZTY OF EAGAN HOTE: ALL CONTBACYORS FNST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Coap-pcr-? Valuation: '?cOO.oC? Date: "l A 1 E55 Site Address: L143 L?iFFJi?c.,? t>p-, ?EPA? Lt,tFF Lot: S Block ? Sect/Su6 ?,up ppp, Parcel N owner MiLNpGL 4--?&:Ls Address Zl 43 L iF?-- \lt F---- e4 bp-- . City/2ip Code 1&:??o+,? OFFICE USE ONLY Erect k Remodel Repair ? Addition Move _ Demolish Int.Impr. _ Install _ Occupancy ("l-} Zoning 2-1 Type of Const p af Stories Length 1} Depth q-4- Sq Ft Phone Z+5a - Cj3G ( APPROVALS Contractor p.xrtil8r=m Address City/Zip Code Phone Arch./Engr, Address City/Zip Code FEES Assessments Permit ?.? Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off.7,17, Treatment Pl APC Parks Variance Copies TOTAL Y , o 0 Phone U - ? CITY OF EAGAN N? 10 5 8 0 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127 , PHONE: 4548100 BUILDIRIG PERMIT Receipt # re ee o..a fw rAu SiteAddress 2143 CLIFFVIEW DRIVE Erect lKJ Occupancy M-7 CEDAR CLIFF 2ND ot 5 siock 1 SeclSub l Remodel ? Zoning Fil _1 . . Repair ? Type of Const. Y Z Parcel No. O Addition ? No. Stories Move ? Length 24 Name MT(`.HAFT. HAYS Demolish ? Depth ?? Z ? Address GAMF Int Impr. ? Sq. Ft. City Phone 452-9-.3-91 Install ? Approrals Fen g Name Assessment Permit 38.50 u? A??a Water S Sew. Surcharge 1 .50 r City Phone Police Plan Reviaw F Uw FW Name Firo SAC V? Address Enp. WaterConn. ??._. City Phone Plonner Water Meter Council Road Unit I here6y ocknowledge thof I hove read t 'n nd srote thaf Bldg. Off. 7/ 12 f A 5 Tr. PI. Ihe information is conect ond ogree ro ll ap 'cable A? parks f Minnesoro Stats oty State o O M ? Var. Date Copies Sipnafure of Permittea A ) rotal ¢p qp g ? MICHAEL HAYS A Build{n Pertnit Is issued to: , on ths azpress corditlon thot Stafutes and Cify of Eopan Ordinanus. Minne oll work shall be dane in ocmrdanee with ol opp Sf o ? , r -<?T?- S? Buildin0 Officiol a_ , , CAIYIM H. HEDLUND .^"fi Surr•ror Clvll Enalneer ? . 4609 Glrard Avenue Soutn 810ominat0n, Minoesara i54t Pnoe.:eaa-ioeo Joe No. ?32c, ?URVEY FOR= Tactuaan Homea 0£SCR18E0 AS- Lot 5, Blxk 1, CEDAR CLiFF'SECOND ADDZTiON, CiYY of Eaaan, •-71L:nty, Minnesota and reeerving easementa of record. --- -,? ?-A ^8?'-Z . V . . ?? ?? . 0 . ?? . . . i ? , y- !U'o C,_ ? CLiFFvIEw DawE . ' , ? "L ! - Top of btbc.k 904.3 , BSM+ fioor 961.1 Gara9e flcor 903.9 Dra?no9e arrows --?+-- Proposed efev. Q Cxis4ing elev_ _ flcnofes (of iron o 2et_3 ,_ R i -? - ? 4oi.4 ; SERTIftCATE OF SURV r ; I hereby certify fhat on 3li/87- = syrwyoa fhe property Aqscrfbod obove and thot . the abov• plat i• a correct repreaenfatlon of told survfy. ? ; Galvin N.Hodlund. Minn. Rep. No. 5942 A- -- ----- ----- - -- - --,-- __-_--_ - -, ' •1 i _. CITY OF EAGAN Na 7112 7793 illot Knoe Raud Eogan, MN 55122 iHONH: 454-8100 BUILDING PERMIT Receipt # o2C?G'?7 Sire Address ci4? ?liiiview Lrlve Lor5_ Blxk$ac/Sub. CedaT Cll.ff 2Tid Porcel # 10 16601 050 Ol ? Z 0 ZQ °uu ? f Name ZaC?m FDmS Address 7760 Mitchel Name _ Address Name _ Address I hereby ocknowledge thot I hove read this appiicotion and state that the inlormation is torrect ond ogree to comply with oll opplicable State of Minnewta Statutes and Ciry of Eagan Ordinorxes. Signofure of PermiHee A Bullding Permit Is issued to: 7Ar1 oll work sholl be done in accordonce with ull Buildinq Officlal ell, BUI erecr of occupancy R-3 Alter ? Zoning R-1 Repalr Ej Fire Zone NA Enlorge ? Type of Const. V Move ? # Stories Demolish ? Length219_ 6rade ? Depth-M__Sq. Ft.- Aovrerals Fao. Assessment , Water 8 Sew. " Police Fi.a Enp. Plonner CAUncil Bldp. Off. APC Permit G7?0?.V?U? Surchorge _ <c.YSL Plan check 128.00 snc 625.00 Water Conn. 335. 00 WoterMeter 60.00 Road Unit 185.00 7orol 51511.00 ?=- on the express conditlon Ihnt i St of Min $fut}Xes ord Ciry of Eogon Ordinances. CI`!'Y OF F.A.Gr1V Include 2 seEs of plaris, 1 site p1an w/elevations & ? LJNG PERMiT APPLICATIOV 1 set of energy calculations. ? `? > .0-o-t> To Be Used For ? V?Lua?t5rofi - Date ?? Site Pddress: ? OFFICE USE ONLY Iot ? Block _L Sec./ ? Erect ? Occupancy ?3 - Parcel o?f Alter Zoning Reoair Fire zone N A Oaner: Pc'.dress City/Zi Phone ; Enlarce 'Iype of Const. ? .+bve '= Stories Deirolish Front ? ft. Grade Depth 3 $ ft. APPROVe'1LS FEFS Contractor: Assessrrents Pernit Pdcsess: Water/Sewer Surcharge a1 ?'- ? Police Plan Check City/Zip Code: Fire SAC Pnone R: En9. Water Conn_ Planr?er Water M1teter (op ffi Arch. ??? Council Road Unit ?O ' Bldg. Off. Pdciress : ppC City/Zio Ca3e: Phnno k. Phone 1 ' 4;/1LVIN H. HEDLUND 8809 Girord Avenue z, . 1 61aanlnpton,Minneso- a ' . ii L*eA Surveyor Clrll EeafnNr phone:88B-2080 I € Sanqwt &#Nate 1 .,?. JOB N0. ?31GI ? i SURVEY FOR: ?achman Homes DESCR18E0 AS: Lot 5, Block 1, CEDAR CLIFF SECOND ADDITION, CiYy of Eacer Connty, Minneaota and reaerving easements of record. ! i i i 75.00 f-- - - - - - i ? ? . ? ? . ? ? • D ? ?O ? I A L_!?i 6 ?2 Top af Wock 904.3 , BSmt floor 11trf.l 16'n ? r Fu Gara9e floor 9os.9 .?in kPS I15 N GAW oYER\ Stakis braina9e arroWS --?- ao ?\ 1z? Proposed elev. Q I? KWOOD ? Exis+ing eiev_ Denofes lof iron o baive L - - -?- ? - -? `'°-l•i 7 ,op ' 01,3 ? CLIFFVIEW.. DRtVE ? • - ? - - qol.4 - q'' - qERTIFICATE OF SURVEY ' I hereby eerfify fhaf on 317-ISL = syrwyed the Oreperty de'stribed dbove and thor ewe above plot is o correet npnseMetion ef sald wrvhr. ? ? I ;?? Celvin N. MtAlund. Minn. RGq. No. 5942 k,? LOT: J BLOCK: SUBD./P.I.D#: rPUGIV atf 2bLG 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) • `11 CITY OF EAGAN -0 3830 PILOT KNOB RD - 55122 I zl 651-681-4675 I ? ? 15 New ConsfrucNon Requirements ? 3 registered site zuneys showing sq. fl. of lot, sq. ff. af house and all roofed areas (207, maximum lot coveraae allowed) ? 2 copies of plons (show beam 8 window sizes; poured fnd. design; etc.) ? i set of energy calculations ? 3 copies of hee preservatlon plan ff lot platted atter 7/1 /93 ? Rim Jols1 Detall Opflons selection sheet (buildinas with 3 or less unttsl Remodel/Repair Reauirements 2 copies of plan i sef of energy calculalions for heated additions 1 sNe survey for exferior addRions 8 decks DATE: xo?- 11- 0o- CONSTRUCTION COST: YQILI,j, tn s",lkd ???p 7?a.?za Do02. Gin?2_v,i?c?L'i py Jyat ?c.?? DESCRIPTION OF WORK: ?QA?C7:C?Jndn?J?CI(fGiawm? IfmuNi-familybldg.,howmanyunih? STREETADDRESS: ZI y3 ,J/'l Ve- Name: ???cl -</Y I I-) Phone PROPERTY Last Fint OWNER Sfreet Address: `?,</ `? ? ?/?r- / City n QGlel State: Zip: company: 4 n n?6cjlv 61se-0 11vC rnone #: 9 (area code) CONTRACTOR Street Address:J'rSS 'ar"ve- Ucense # a/ 7 3 Exp. a o/ City State: /?-) P'j ARCHRECT/ ENGINEER Company: Name: ielephone #: ( ) SheM State: RegfsfraTfon #: CNy zip:553V3 Zlp: Sewerlwater licensed plumber (if installina sewerlwater): 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. Signaiure of Applicanf: ?=.ru-Z4-4 OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03•plex ? 06 04-plex ? 31 New ? 32 Addition 12C33 Alteration ? 34 Replacement ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4•sea.) ? 23 Porch(screened) ? 24 Storm Damage .k'25 Miscellaneous VALUATION ?'4?.S() Occupancy Census Code _ q 3 L-( Zoning SAC Units 0\ Stories Nbr. of Units U Sq. Ft. Nbr. of Bldgs I Length Type of Const :TZAz Width INSPECTIONS REQUIRED _ Footings: New Bldg _ Footingr. Deck _ Footings: Addition Foundation .,?j?Framing APPROVALS Planning Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: ? 07 OS-plex ? 13 16-plex ? 08 06-plex O 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or _ N MClES System City Water Booster Pump PRV Fire Sprinklered ? 35 Int improvement ? 42 Demolish (Foundation) ? ? 36 Move Bldg. ? 43 Reroof ? ? 37 Demolish (Bldg)' O 44 Siding ? 38 Demolish (Interior) • Demolition (Entire Bldg only) permit - Give PCA handout to appiicant X Insulation FinaVC.O. X FinaUNo C.O. Fireplace: _ r.i. Pool: _ ftgs Building L& air test fmal air/gas tests _ final Engineering ? 30 Accessory 31dg ? 31 E#. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi 45 Fire Repair 46 Windows/Doors X Windows - new/replacement _ Siding _ Stucco/Stone Roof: _ ice & water _ Final Variance f 1*714- ? - -- - -- E,4GAN " c?el? / 6'YLc..' P- ?!{'° e??/ Dc.K l ?G ??vJG' "?Xt?YJG/ It?`? S(.,c['J. A il Or/e- G,6T7;-a .ficY` C9q1 ' ?. ...:.... . ... : ..: J,•rCP°?l ?1a? , ? " :?_'si?y' _-rr,rf. / jz ? -? -- ? - -?----;?-- - - - - -- - -- - : _-:::-- '--- - - .. - 6-15 ??? la, Te ?. . ;VojiL 70C U' /?f7 e?cri`? J'l?tiJ N^ _' ?//? ?jVtJ?'G? Ye?'f1L?'? .?U?la/!i_ /? ! ?%4W?Ili . . . ? _ ...,, .,, ._ _ . .: .;..., ? : - ; _..: _ ' . - . . .. . . , .. .,. , .,..__ :' . ..., .,-. t,-.. . Yv. , .. . ' ' .':' , ...' •....??±.+, ? ..as. , . f _:?>?.'..{-.-"'_.._?'.xf?T?i?%i-'.:?.=4?c"',?" _'_". .:?::i' _•--- w??A?'? . ?c-nrrcacc.-;. RESIDENTIAL a BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsUuclion ReauiremeMs • 3 registered sBe surveys shovring sq. R. of lot, sq, ft. of Muse; and all roofed areas (20% masimum lot coverage allowetl) • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 sel of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 . Rim Joist Detail Options selection sheet (hldgs wilh 3 or less unils) DATE SITE ADD TYPE OF WORK- APPLICANT- STREET ADDRESS TELEPHONE #Z LTI-PAMILY BLDG _ Y _ N =1REPLACE(S) _ 0 _ 1 _ 2 ZIP S- CELL PHbNE # FAX # PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI,ES 7670 CA17:GORY 1 MINiNESOTA RULBS 7672 (q submission type) . Residential Ventilation Catagory 1 Worksheel Submifled • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: ____ Plumbing system includcs: Mechanical Contractor: Mcckianical system includes: Sewer/Water Contractor: Air Conditioning _ Heal Recovery System Tee: $90.00 Phone # Fee: $70.00 Phone # ----------°--------------------°---------------°-------------------------------------------------°-------------------- I hereby acknowledge that I have read this application, state ihat the inform P t on is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan dinan e. (?I??? Signature of Applicant ,,,.. ? - i 1:;: 2 ? OFFICE USE ONLY 'l C„• _- _-_ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 _ Water Softener Water Healer No. of Balhs _ Phone # L,awn Sprinkler No. of R.I. Baths I'7l - 7-,5 RemodellReoair Reouirements • 2 copies of plan • 1 setof Energy Calculations for heated additions • 1 site survey for extenor addAions & decks • IMicate'rf home served by septic system for additions °ti-_. VALUATION '? -'-? 2004 RESIDENTIAL MECHAPiICAL PERMIT APPLICATION t,Q.j D o City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit 330' Date t / y, / e 7 - Sit Add 2-1 V 2- e4J Unit # e ress 5 - 1 Owner IeJ/o P t Tele 6one #(cs l) roper y p SrANdARD MEITING & AIR CONDIiIONING C0. contractor MINNEAPQI„IS, MN 85408-2999 Street Address City State Zip Telephone # ( ) Bond Expires: T6e Applicant is _ Owner ? Contractor _ Other Add-on or alteration to ezisting dwelling unit - $ 30.00 ? furnace _Additional ?Replacement _ airexchanger 'L3G4 , airconditioner _New _Replacement - ! r other - ` - State Surcharge $ .50 Total $ -30 I hereby apply for a ResidenUal Mechanical Pernut and acknowledge that the information is coR be in conformance with the ord' ce s and codes of the City of Eagan and with the Mechanical p , but only an applica ' or a ermit, and work is not to start witho rarit; that the ap r plan in the case o rk w ch requires a rev w and approval of ans. - -- {'` ? Applicant's Printed Name Apphcant's Si ccurate; that [he wark will [ f?understand this is not a be ?n accordance with the ------------------ ? Far Oflice Us ? j Pertnit ??? ? Pertnit Fee' - i ? Date Received: ? I ? I 1 Staff: ? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: d/?//°*4?' Siie Address: g?71 yf Cl "?tu -,)- Tenant: /'L,..c.-D Suife ii: RESIDENT / OWNER Name: y&OL/T /900161V Phone: ?JI `9 `4V Address / Ciry / Zip: ;'l v 3 &&) 'a? Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: Construction CosL ?? tly Multi-Family Building: (Yes No CONTRACTOR Name: CJwTI,f, License t!: RD,5'79dD/ Address: S ?i -7 4» City:? State: ? Zip: l???? Phone: 7S? /?l ydYD ContaciPerson:??? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilalion Cale9ory 1 Worksheet • New Energy Code Worksheet Cetegary Submitled Submitted (4 5ubmis5ion type) • Energy Envelope Calculations Submitled In the 1as112 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No It yes, date and address of masier plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor. Phone: N07E: Plans and supporting documents that you submit are consldered to be public information. Port7ons of the informaNnn may be classlfled as non-public if you provtde specltfc reasons that wouid permlt the City to conclude thaf the are trade secrets. I hereby acknowledqe that this informalion is complele and accurate; ihal the work will 6e in conformance with the ordinances and codes of the Ciry ot Eagan; that I understand ihis is not a permit, but only an application (or a permit, and work is not lo rt without a permit; thal the work wtll be m accordance with the approved plan in the case of work which reqwres a review and appmval of plans. x ?G, Lfi/1 ? x Applicant's Printed Name Ap anYs Signature Page 1 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: J L_ 1 [) Permit Fee: 1 o 5 d5 Date Received: Staff: 911(i 1/3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date_ fi3 Site Address: 2113 C( vL{.t o 'bY ('"p�Gl-I, MA/ Unit #: Resident/ Owner Name: oex+- kovvtairo PhoneC � Address / City / Zip: 2I�3 6(rn/ReA) Dr- Lapp A4JIlS372 Z f Applicant is: Owner X Contractor Type of Work Description of work: ' ('. jd0' Construction Cost: 5(31(j6^—o� Multi -Family Building: (Yes / No ) Contractor Company: 'YPJ, Alt Aar VL 1J Tc10 . Contact: ` la� C. Ti'.6 Address: RIO � Df - r'F • City: SSnetgLa ✓/` �n W State: M N Zip: <55g3a Phone: C7C13) CI- `t License #: OC 57( /oil Lead Certificate #: NGI+- (I) ©to- I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and 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 DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x b5 It �.NS\t14J - Applica is Printed Name x Appl s ign ure Page 1 of 3