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2069 Copper LaneCITY OF EAGAN Remarl Addmon CED" C'ROVE #4 Owner Street. ? ' 1 ^ kC t ? LanB Eagan, MIId Improvement Date Amount Annual Years <b? Payment Receipt Date STREET SURF. STREET RESTaR. GRADING SAN SEW TRUNK # SEWER LATERAL 1972 1,304.00 52.16 25 /v g'.O WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAC PARK EAGAIV TOWNSHIP BOJILDING PERMIT Owner .....---/.,./vr?ss'YC.:--...-C! Address (present) .'_..!?P??. "..y.....?._. ... . .......... _ .--- Suilder ............ Address .......................... - ..................... .. DESCRIPTION N° 978 Eagan Township Town Hall nate ---??7/6,3----- -- --- -- -- SYories To Be Used For Froni Depth Heighi Esf. Cost Pesm if Fee Aemarks ?? ? !/ /O ArO ? "f a.f 0 LOCATION „K.esl y.os?isc& -?y?aa<<- - st & f?.' i - aY+a' ! 9!3k -I or ?, rt st This permif does not aufhoxize the -use of sfreefs, roads, alleys or sidemalks nor does it give the owner or his agent the xight fo areaYe anp siiuation which is a nuisanee or which presents a hazard !o the health, sefefy, convenience and general welfare !o anyone in the community. TFIIS PERMIT MUST BE KEP ON THE PRE ISE WHILE THE WORK IS IN PROGRESS. ? This is io cexiifp, iha1..._?.:..:?..:..? ?? ______.haspermission !o ereei a...I? .._._._ ...._. - ----------.. upon ..-----_""----"- -----. ..... .. . - the above described premise subjecY 2o the provisians of the Bvilding Ordinance for Eagan Township adopled April 11, 1955. ??•,?,L Q ..---°.._---???li(..C.?t ----------------------- Per Per g-----' ......... .---° - Chairmatt of Tnwn Soard Suildin Inp eefos k- f3e Ia175 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ReaWrements D 2 coples o( pian ? DAiE: CONSTRUCTION COST: O i Goo DESCRIPTION OP WORK: NOd dorviG G-e `f"b lU W 2v ' (veI If multi-famiry bldg., how many units? IfVDICATE THE FOLLOWIWG EQUIPMENT TO BE REPLACED APfD BY WHONI: _ Plumbing _ Homeowner Q Contractor Name _ Mechanical _ Homeowner gl Contractor Name "NOte: If somebody omer man the homeowner is pertorming plumbing or mechanical work, ihey must apply forappropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET LOT: ? BLOCK: r SUBD./P.I.D. #: ? 2.?r?r Grr>df, ?'1 PROPERTY OWNER p' Name:? ? Aer-Phone#: ? O Last Fint Strset CO,Op-e r Z V1f CNy ?a Qei Sfate: iip: Company: Phone #: (area code) CONTRACTOR Sheet Address: Llcense # Exp. City State: Zlp: AUG _ g V I hereby acknowledge that I have reod fhis application, stafe thaf the information is correct, and agreeto comply wifh all applicableSfate of Minnesota Statutes and City of Eagan Ordinances. Signalure of f ?..._. . _, ._. _ _ 1 ._.._..__ . . .._ _. ,,,. . . .. . . . ..... .. - -- - ? - - enermt nr.?e..xr. u?i/ii.i?.rr uoSfer 5'?'P?ORaAM?CG'1QAa11?9„" gx7 ? v ty,t.,W..._..,? ' " ostT) w/u ?13 12 x(1 ri 21 x . . ? ? ? Zo x l2+ f1kMIL1/ RoQA1AN Rarwl UWt?o(C7 ? S'rUR4£ ?UNFIN ? S?fED, . --.-----.---.--_.._._.___..----- - - l , ?Q ? ??WLID RESIDENTIAL BUILDING PERMIT APPLICATION cirr oF encAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatructbn Beaulrememe • 3 r8gi5lBred SAe SuNeys Showing Sq. fl. M bt, Sq. R. 0f h0u58; and gfl rooted eree5 (20% mazimum pt caverage alhwed) • 2 coples of plan showing beam 8 window slxes; poured fauntl desgn, etc.) • isetofEnergyCalculatbns • 3 mpies of Tree Preservaton Plan A bt platle0 atter 7/7/93 • Rim Joist Deteil OptWns selec[lon Sheet (Gldgs wtlh 3 or less units) DATE ? - 2& - 02' SITE ADDRESS NPE Of APPLICANT STREETADDRESS I- .7_L(7 IV tr?n1L2T /i-Y TELEPHONE (_h S?, CELL PHONE # J? STATEM ZIP S-S 3 37 FAX # 0SZ"CJ'90i?2 PROPERNOWNERV\Lrr1 T?W' TELEPHONE#?5`-l(cQ_Q'(o0_7 ------------------------------------------- ------------------------- ------------------------- -- COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (d submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor. _ Mechanical system includes: Sewer/Water Contractor. _ Water SoRener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System 9emotlaVNeoaU Reouhementa • 2 copie5 W plan • 1 set Ot Energy CelculalionS fOr heated addrtqn5 • 1 stte survey for exlerbi aGtltlbns 8 decks • Indicate it hane served by septb syslem tor adtlNOns Phone # Lawn Sprinkler No. of R.I. Baths Phone A FIREPLACE(S) _ 0 _ 1 _ 2 /;?j) Y.'-) 5 Fee: $90.00 Phone q I? AUG 2 7 2nn? ------------------------°-----------------------------------------------------------------p3v I hereby acknowledge that I have read this application, state that the information is correCY,-and:ag[ee= ply with all applicable State of Minnesota StatuTes and City of Eagan Ordin_ ances. (\ Signature of Applicant OFFICE USE ONLY MULTI-FAMILYBLDG _Y O?-_N VALUATION T> 5 `1 L'r'.b ?r Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 ^ 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWcbon Reauirements 3 registe2d site surveys showirg sq. ft of lot sq. ft. of house; and all roohd areas (20% maximum lot coverege allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculafions 3 copies of Tree PreservaGOn Plan if lot plalled afier 711/93 Rim Joist Detail Optlons selec6on shcet (bldgs with 3 or less units Date Construction Cost -16jaw SiteAddress s.,?&i 9 ?-)pp(?? L-((?'•rl?.. UniUSte # QF) ?.h 471V STI2?- Description of Work J41 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner i ??j?ol,.?y??•? ??{-"f Telep6one # ( 6S( ) Contractor At• A641t' /-LC4t- PP( _ iyd Address V2 0 City !. ji State Zip . Telephone #(?c?? (0(2- _ S"7u? COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Iwa2 k u M4 RemodelRteoair Reauiremenis 2 copies of plan 1 set of Energy Cakwlations for heated addNOns 1 site survey for additions & decks Addrtion - mdkate if on-sife sepfic sysfem Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and aclrnowledge that the informa6on is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of w rk which requires a review and approval of plans. ?IvY? ?l n>vf!/1?r°rv?v? f Applicant's Printed Name ApplicanYs Signature 0 arl S.SD p, ?? 3f-0q ?06?, Ofi?ce Use Onlv Cert ofSurveyRecd Y _N Tree Pres Plan Recd _ Y_ N, Tres Pres Required _ Y_ N On-site Septlc 5ystem _ Y_ N 7s5- A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. 0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex plbg_v or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation ? Census Code SAC Units # of Units # of Bldgs Type of Const Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building" ? 43 Reroof ? 46 Windows/Doors 'Demolition (Enfire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning' City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth _ Foorings(new bldg) _ Footings (deck) _ Footings(addirion) Foundation Drain Tile Roof _ Ice & Water Final _ Franilng _ F'ueplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Perrnit & Surcharge Treatment Plant License Search Copies Other Total REQUIItED INSPECTIONS _ FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other ? Pool kFtgs Air/Gas Tests 4?Final _ Siding _ Stucco _ Stone _ Bnck _ Windows _ Retaining Wall Building Inspector .? 141000 POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS ? ? GENERAL INFORMATION U d o 'z ¢ I9 ? ? Applicant - name, address, phone & faY numbers, signature X ? ? Properiy owner name 19 ? ? Legal description and address of property ? ? North arrow, scale (1" = 30' or 40') and date ? ? ? Location and name of all streets adjacent to property ? ? ? Site Plan drawn to scale showing location of house, pool and ather existing or proposed structures ? 0 Directional drainage arrows (existing and proposed) ELEVATIflNS Existin ld ? ? House corners ? ? ? Property corners ??? On pmperty lines at point of ineasured dimension to pool (see below) ? M. ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height Prooosed :W ? ? Finished pool deck corners ?A ? Top of retanvng walls (if any) and at each different elevation (if it changes) N ?? Pool hottom (or mvc. depth) DIAAENStON3 Exis in A ? ? All property/lot lines Prooosed 19 ? ? Pool 9 0 ? Pool plus integrated deck/patio S ? ? Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Name 3- 31- oy Date G:lCEC WJR 2002/Pool Pertmt Checklist ' F ?• \ ''} _ ? . - '-' ---,.y- . - ?-- A} : .: ? # ? ?.. '^-,- .,??,-,??? 411 C?e?ww? G??x/?- ?' 4? A?2. G?y-S?y?-,5'1 vs S ? ? ?, •? E(ev.90025 Teff Pool 1" = 20" Inground Swimming Pool 18' x 36- 8' Max Depth 30.00 Concrete Deck ? Key -- ----sdback Fence - - - - - Buried P? and Phaie Lirres V 1:2 < a 901.5 (xAet is the nascn for Mis ? itian Tor a Dim. Line?) Z NpJe'.?. C FPote_ Arth . - ncj Oecv- In J ? be- 1?•e.MG.R.d. ? ?-' ? _? ? U ?1 e ? . 2069 Copper Lane ????,'? S. .? ?- , :TF-sAW ERTC?MET'--?G IDEffT. W I4 ... . . J 99.00 ?A R 2 34 RtC`J ' eiav. 900.25 Teff Pool 1" = 20" Inground Swimming Pool 18' x 36- 8' Max Depth oo.ao Concrete Deck , , ? Key sewack -- ---Fence - .- .- _&medPwwerardPhmeLirres ? L ? ,901.5 (wfiat is the reason for this 0 ation for a Dim. Line7) Z ? ?r ibol 1v F?1 F•'e.,ce. Are? ? ( ??c ?54. nrJ. Du?C l +o be ?e.? ) Bv - - ? OAT? 06???EcT9Aw V N?' , ? ? /J 7 a ? NI?.i'1 ERTGIlY"EZFvI'iVG DEET'%°. ^?. ?a 2069 Copper Lane 99.00 ?LAO-? 2006 RESIDENTIAL PLUMBING PERnniT aPPUCaTtoN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date % / Z $ ! Zcc ?- Site Street Address Z o 4-, G (,o u,)c- L_c.v-,c. Unit # Property Owner Vni m T G F r` Telephone #((r,y 7 v o? Contractor Lu OR:V=no.j:;nl? • Telephone #(I? iz ) 87z- o z-a7_ Address '';'>O ?- 7? ?` City rnP?S State ?r Zips's Ya 6 The Applicant is: _ Owner ?Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license InGudes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 3 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onlv a water softener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 5D,4?29 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wili be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name ApplicanYs Si na yre } Use BLUE or BLACK Ink r----------------- I For Office Use I � Permit#: City of Ea EdR UE� 3830 Pilot Knob Road RECE} I Permit Fee. Eagan MN 55122 2 7 2d�6 I Date Received: U Phone: (651)675-5675 MAY Fax: (651)675-5694 1 Staff: I 1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a 2 M Ry °1°�6 Site Address: X061 !�V �-� q N Ss laa Unit M w� � ,Mar �e I G r p,�, . t. Name: ,>Q y A ►ti'1 Phone: fts[d+ebt/ / OWrter Address/City/Zip: 6� comer- L N Applicant is: Owner X Contractor =Ka 4-t►% S X 3' r idv �+� ba ccw.tat- I Description of work: &Jemg�fi lv'JtltV I�v1.,► rmo., l✓ri'I+ �ait1` kaatrs-Io c?�. , Type of Work Y l Construction Cost°Z� O 0 0 .00 Multi-Family Building: (Yes /No_l Company: P Rric-lrv— ,Q�i Ir�err Contact: 1;4^ t Address: 66 CT-ire-le ,A�� City: �ti fS k Contractor Y 9 State: AA/ Zip: 5S Phone: 04-Sle-S36 3 Email: I J License M l�iG 3 O S N A — � 3 � Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: I MOTE. Plans and aupporting documents that you submit are*considered to be public informati©n. Portions of the information may be classified as.non-public t-you.provide'specific reasons that would permit the City to . _conclude-that the_X are tra"aie secrets. � ke 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 Minnesota State Buil 'ng Code must be completed within 180 days of permit issuance. x UA kh 12� x Applicant's Printed Name A licant's Signature Page 1 of 3 9 C- .� �-"?DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation — Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair Windows _ Demolish Foundation _ Replace _ Repair Egress Window _ Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation , c 00 o 4) Occupancy _L L-j MCES System Plan Review Code Edition ) --2�1 SAC Units (25%_ 100%'fi ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) — Final/ No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: Footings _Air/Gas Tests _Final Framing Y9 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: %© il'y\ (n) )t ► y, , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3