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2037 Coral Lane Use BLUE or BLACK Ink r For Office Use 1 Permit © 1 -7 City of Ea~d~ I o~ I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: INFLOW INFILTRATION PERMIT APPLICATION V' Plumbing / Sewer & Water Date: CJ Site Addres Tenant: Q 'r~Z4_ CY'n.S Suite M RESIDENT /OWNER Name: Phone: Address / City / Zip: Name: ~.~'.ti••.aa. License#: ~3 Address: City: CONTRACTOR _ _ State: Zip: Phone: X 3 ' Contact: c.--1 Email ro c "_,c-&, : PLUAMING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK _!/Sump Pump Repair Repair Other: Other: Description of wo DESCRIPTION K4Q., 1 FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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. v&w.a Wherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work`''Wili, 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 f.6P a ermit, a ork its notto start without a permit„-that the work will tie in accordance with the approved plan in the case of world tees a r iew and approval of plans. Applicant's Printed Name Al*llcant's Signature,_.-_ FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground ----Rough-In -Final PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA091511 Eagan, MN 55122 . Date Issued: 10/08/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 2037 Coral Lane Lot: 27 Block: 4 Addition: Cedar Grove 2nd PID 10-16701-270-04 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Jill Lien 13535 - 89th Street NE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Knight Heating and Air Conditioning, Inc Monica O Anderson 13535 - 89th Street NE 2037 Coral Lane Otsego MN 55330 Eagan MN 55122--200 (763) 274-9945 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Remarks rAd3Y' Grove Acquisition Addition Cedar Grove #2 Lot 27 aik li Parcel 10 16701 270 OIL ' owner_r'-1 /-,.- 1¢1,'' '_`::?istreet 2037 Cor'al Lat1e state Eagan,MMH11 55122 ' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Ssc, 1266,95 84.46 1 STREET RESTOR, . GRADING SAN SEW TRUNK # 3EWER LATERAL 1972 1304.00 2.1 2 WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WRTER CONN. BUILDING PER. SAC PARK I L CITY OF EAGAN ` 3830 Pilot Kn4b Road, P.O. Box 21-199, Eagan, MN 55121 PHUNE: 454-8100 8UILDING PERMIT Receipt # _ Parcel No. _ ? Name W 3 Addre b City . ? Name ?u Addre l- citv . I have read Sipnature of Pem+itfl</-/2?2441.-&4z /1 Building Petmit fs issued to; all work shcll be done in ac rda e witl Buildiny Official ? CRtI 2 N° 9638 ??/w ? Occupancy 4 Zoning ? Type of Const. ? No. Stories ? Length ? Depth ? Sq. Ft. ' 7 4-10 5 8 Woter & Sew. SurcFarge Z- 5 0 Police Plan check Firo SAC Enp. -- Water Conn. Planner Woter Meter Council Road Unit pplicntion and stote that gldg. Off. 10 Z 2 8 4 Parks nply wifh oll opplitable Ord'na t APC Total 5 3_ f] [l . igan n / Var. Date 1_ , on the expreu condition thoi I oppiiwble State of Min nesota Statutes and Ciry of Eaflcn Ordinonces. A/t'--e7y\ BUILDING PERMlT CITY OF EAGAN 3$34 Pi{ot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 Receipt # _ S ite Address 2037 C U:::AI, LAN E Erect Ek Occupancy Lot2 7LBlock 04 SeclSub. CPn ?22V 2 Remodel ? Zaning Parcel No. Repair Enlarge ? ? Type of Const. No. Stories W Name , ?Y ?IQ? -- Z - Address SE S City , Phone Move Demolish Grade ? ? ? Length Depth Sq. Ft. I Assessment Permit IV a Du Water & Sew. $urcha?ge 2 • 50 Police Plun check Fire - SAC Eng. Water Conn. Plonner Water Meter Councif lO/22/84 Road Unit BIdg.Off. parks APC Total 53.00 Var. Date A Building Permit is issued to: oll work shall be done in ocwrdante w Buiiding Offlciol ' ? on tfie express conditlon tha+ opplicoble Stote of Minnesota Stotutes ond City of Ea9cn Ordinances. 963F Pe?mit No. Parmit Holdsr Dete Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVAC Inwlation Final Pibg. Final HVAC Final IL zoo, Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. WEI 0 arm • ••• • • ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ? INCLUDE Q SETS OF PLANS, 0 CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS To Be Used For : ? Valuation : ,?`"??''? ? D a t e : rz " Site Address: " ? ' L • -332944 1 Lot : ?,? Block : U Sect/Sub : ? ?' ?rn?; ? e ? Erect : Occupancy : Parcel #: Remodel: Zoning: Repair: Type Of Const: Enlarge: # Stories: Owner : Move : Length : Address:? Demolish: Depth: City/Zip Code: Grade: Sq. Ft.: , Phone #: Contract Address: City/Zip Phone #: Arch./Eng: Address: City/Zip Code: Phone# : Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: Bldg. Off.: ? APC: Variance: Permi t : v fU Surcharge : Plan Rev.: SAC: Water Conn: Water Meter Road Unit: Parks: ? f3 ??- ?IY-? ?TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ,???,i, ?:;.?>?.;t #? ??.?, s ? ??,. 4 s!,•, I PERMIT SUBTYPE: I I ; +'+ hi 1 Iv 4i I wtA14K5: RE:i' F L i Mii YX L??T1 N6 1•11NIMt,)'. . TYPE OF WORK: lii ?, , t; i I- r! P t c'A it? 10 1''! Ai.f t.1INll(14J 7 w? ? ? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Inep. Camments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR 7EST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLDG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATIQN METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL - EAGAN TOWN S H I P BUILDING PERMIT ?' ( • ? ownes ..'.._._ . .......................••-----......--••-- Addreu (Presea!) J4 -..----XFI'- =-•Q._..,ct.K'rJ----- -- ------------•• . - .... ." Buiider Address 1)EfiC'RiPTT(1N N° . .'781 Eagan Township Towa Hall na:e ._.?.°.._-1...7.....".6--?------------- SYori To Be Used For Froni I Depth Height Est. Cos! Permii Fee Remarks ? . I ,S ? ?? • or This permit does noi suihozi:e the use of sfreefs, roads, alleps or sidewalks nor does it give !he owner or his agent ihe righi to c=esie any situaiion which is a nuisance or which preseais a hazazd 10 2he healfh, safety, convenience and general welfare to anpone in !he community. THI3 PERMIT MUST BE KEPT ON THE PREMISE WHIL£ THE WORK IS IN PROGRESS. • This is to csrtify, tha! ---??--=•-•?-•=-----`'fi?!..?.....0. .................... has permission to ereci a....... .??----t ------°---•-•••-- --------- ---...__upon !he above deacribed premise subjeci !o !he provisions of the Building 4rdinance for Eags-I wnshipa opted April 11, 1955. •-----•---••---•••- ................. .•••-•••--??-!?---•................. ..._.. Per ..•••--.....••?,?(.?. ?._....!?ufiin--gns . _.....%G[?.? -- Chairmay _of?? Board Ie ctor P?J EAGAN TOWN S H I P BUILDING PERMIT Owaer ............................... . .?.?..-. . ......--•• -- -V`'?=1=-••--?----•----?-- .. Address (Presant) ..:a?.?..-?_1 ru-!_..-•••-- ................ Suilder __..._..... ..............•-••--••-•-...........-•-•-••.._.......__...-•-.... 11 Address .-•----------•------•-••--------•---•-••---•-•--•----------•-------••--------• ................ DESCRIPTION N° 1319 Eagan Township Town Hall Daie .... ?A7 IGi .-------------•---- Stories To Be Used For ` Front Dep2h I Height Esl. Cosi ? ` ermi! F_ ?• ? Remazks C? ? ??"'--... c_ ? ? ?a.?..s. --? J ? ?L r ;?,,,(? I -- / a e .S, ,y? '- ; or I ;i* I 4-0* I e J IW -1--- This pezmit does not authorise the ase of streets, roads, alleps or sidewalks aor does ii give the owner or bis agen! the righ! !o creaie anp situation whieh is a nuisance or which preaenls a hazard to the heallh, safelp, conveniencs and general welfare io anyone in the commuaity. THIS PERMIT MUST BE?jCEP ? ON, THE PREMISE WHILE THE WORK IS IN PROGRESS. ?.a- ' _ • . This is to cezlifp, thai.?-=••• ........................ haa permissioa to erect a•-•-•..... ?.-•-......._...--•-•-•upoa the above described premise subject to the provisioas of the Building Ordinance for E? an Towdship adopted April 11. 1955. . ? •-?...?:`?(.c----4:??... ....................... r,,. . . ......... ..........._....•- •-•-...... Per ............... -----•- ----- .. Q P ...-•-......--•- Chaizmaa of Tnwn Board • C v.,, Buildin Ins ec3or PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u r Lo z N G Eagan, Minnesota 55122-1897 Permit Number: 032630 (612) 681-4675 Date issued: 0 7/ 2 2/ 9 S SITE ADDRESS: P.I.N.: 10-16701-270-04 2037 CORAL LANE LOT: 27 BLOCK: 4 CEDAR 6ROVE #2 DESCRIPTION: WINDOWS SF (MISC.) REPAIR 434 ALT. RESIDENTTflL i tE I L4 e?7 ;.? REPLflCE Bu'ildin'g_ Permit Type Building tJork Type a tCensus Code ? r ? i\ 'l`i,•,??,?:,:.? 3 ? ?i. ?•?? is°. ! REMARKS: REPLACIPJG EXISTTNG WINDOWS. FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 Surcherge $1.50 Total Fee $76.25 CONTRACTOR: ? OWNER: - Hpptacant - ANDERSON LARRY 2037 CORAL LANE EAGAN MN 55122 (651)452-1357 Z hereby acknowledge that I have read this application and state that the information is carrect and_agree to comply with all applica6le State of Mn. Statutks and City n# Eagan:?Ord.ina-pces. . APPLICANT/PERMITEE SIGNATURE " ex?D 4 ISSUED BYSIG ATURE I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3ac?-?? ?ITY oF RAGAN 3830 PII.OT KMOB RD - 55122 681-4675 New Construdion Reauirements RemodeVReoair ReauiremeMS ? 3 regiatered site surveys ? 2 cepies of plans (inGude beam d window s¢es, poured tnd. design; etc.) ? 1 energy calculations ? 3 copies oi tree preservation plan if lot plalted aRer 717/93 required: _Yes _ No DATE: J" I h 2 I 1?1 ? 2 copias af plan ? 2 site surveys (exterior additiona 8 decks) ? 1 energy calwlations for heated addRions ? CONSTRUCTION COST; ? r DESCRIPTION OF WORK: lZe_gf_4-c2_ ?X ?Sf??p (,d ,??? K/S STREET ADDRESS: Z? 3 7 C o i'L.9 L L¢? 2 E?4- r 9? ?^? SS72Z LOT: a7 BLOCK: '4 SUBD./P.I.D. #: LA? G r? ?-? ? a Name: ANJl2So^? LA?? Phone#: 6S/- 5'SZ /3.5? PROPERTY 1.ast First OWNER Street Address: ZO 3 7 CJ R-AL L.4/ ciri smu: h, .J ziP: S5 1.2 Z Company: ? a Q y, Phone #: CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration Street Address: City State: Zip: Sewer & water iicensed plumher (new construction only): and lot change is requested once pertnit is issued. Penalty applies when address chang 1 he2by acknowledge that I have read this application and state that the infortnation is cortect and agree to compty with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: U' LU`7' Gf •6?r?*?`-_ ---- ?7T--.? OFFICE USE ONLY D ???u v Certificates of Survey Received _ Yes _ No ? Tree Preservation Plan Received - Yes - Na - Not Required PERMIT # ? j 9 a' I RECEIPT DATE: EOOE RES1DENTIAL PLUM$INfi PEiiMIT APPLICATIOA crrY oF Easax 3830 Pnor Kxoa Pn £tlHkN, MN 5518E 851-681-4875 Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: single family dwellings, townhomes and condos when permits are required for each unit, ,-._,?__-----`-`--'---'----•-`--- ? ANDERSON,LARRY 2037 CORAL LANE EAGAN, MN 55122 (651) 452-1357 t?orblom Ilu.wWbi 2105 Gctr4:te.td p TELEPHONE #: J (AREA CODE) TELEPHONE #: (D l?. ' g Lf d53 ?N,G. SO K `q (AREA CODE) CITY: I V 1 AtS. STATE: M?J ZiP; 55L40$ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 518" meter if needed -$118) Other: _ RPZ: new instailation/repair/rebuild $ 30.00 _ lawn irrigation system Replacementladditional: _ water softener X water heater $ 15.00 State Surcharge ? ?ti?? 3 1 Z??2 $ 50 $ I S -SO Total i 8?'? .. • " I hereby acknowledgethal I have read thls application, state that the information is cortect, and agree lo complywith all applicableCity of Eagan ordinances. It is the appliranPs responsibility to noUfy the property owner that the City of Eagan assumes no Ilability for any damages caused by the City during its normal operatlonal and maintenance aclivities to the facilities constructed under this permit wlNin Cit pr Rylright-of-wayleasement. SIGNAT • PERMITTEE 1/02 -0 ,3i? ? ? C r? ? ? I ? ^-c7 ? I? ? -- C,).,?? f1 ? ti ? -- ? u? \1 ? .J + -- ? c? ? h C_ ? 1 ? ?a O 4 _5?> MECHA1vICAL (RESIDENTIAL) Permit Application -3_?)Cj L?b City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Famity Dwellings Townhomes and Condos when pemiits are required for each unit nate -7 / '?5_ / 63 Site Address ao ?? ?C1-W Unit # Property Owner ?-?Ld' ?1? 0.. ?Af?e(?Y1 Telephone #(?.a5 1 ) y?-0S7 Cootractor Wohlers Southside Htg. & Air, Inc. 6950 W. 146" St., #106 street Aaaress Apple Valley, MN 55124 City (952) 431-7099 State Telephone # ( ) The Applicant is _ Owner 1? Contractor _ Other Add-on, modification or alteration to existing dweliing unit $ 30.00 ? furnace replacement air exchanger ? air conditioner other State Surcharge $ .50 T l $ ?b ota 1 I hereby apply for a Residenrial Mechanical Permit and aclmowledge that the informauon is complete and accu?ate; that the work will be in conformance with the ordinances and codes o£ the Ciry 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 plau in the case of work which requires a review and approval of plans. d JL n -AI,,,JP-1, Applicant's Printed Name Applicant's Signature Use BLUE or BLACK Ink r For Office Use Permit City of EaRd~ I Permit Fee: ~ 3830 Pilot Knob Road I ) r~ / I Eagan MN 55122Date Rece' ed: Phone: 651 675-5675 Fax: (651) 675-5694 I Staff. - I I I 2011 RESIDENTIAL BUILDING PERMIT APPLICAT N Date: Site Address: Unit Name: Phone: RESIDENT 77, OWNER Address / City / Zip: 7Z~i J 7- C 2 Applicant is: w,-0 -ner Contractor Description of work: z2-Cyc, TYPE OF WORK Construction Cost: Multi-Family Building: (Yes / No Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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.ciopherstateonecall.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 Building Code must be comp wi 1 180 days of permit issuance.. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA112960 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 2037 Coral Lane Lot:27 Block: 4 Addition: Cedar Grove 2nd PID:10-16701-04-270 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Monica O Anderson 2037 Coral Lane Eagan MN 55122--200 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature 05/15/2014 THU 10:45 FAX 14002/009 Use BLUE or BLACK Ink For Office Use 2 ' j Permit J ~ OP j City. of Eap~:~ ~ 1 _ l Parmit Fee: I 3830 Pilot Knob Road MAY 1 r. 2013 i Eagan MN 55122 j Date Received: ✓ fX / Phone: (661) 676-6676 I I Fax: (651) 675-5694 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION oats: 5/15/2014 Site Address; 2037 Coral Lane Unit 0: Name: Nina & Mike Allen Phone: 612-201-5851 Address / City / zip: 2037 Coral Lane, Eagan 55122 Applicant Is: Owner X Contractor Description of work: Kitchen Remodel - see attached for full workscope Construction Cost: $17.118.02 Mufti-Family Building: (Yes No L J Company: Crew2 Contact: _ Nicole Marshall Address: 2650 Minnehaha Ave City: Minneapolis State: MN Zip: 55406 Phone: 612-276-1674 License 0: BC318360 Lead Certifrcate#: NAT-26342-1 If the project is exempt from lead certifif.ation, please explain why: (see Page 3 for additional information) I L COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the lest 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: CALL_BEEORE YOU DLO. Cat Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Coll 48 hours before you intend to dig to receive locates of underground utilities. . 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 nol 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 160 days of permit Issuance. x Nicole Marshall x aaa4- MA44A& Applicant's PAnted Name Applicant's Signature Page 1 of 3 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 _ I New lnt~edor mprovement _ 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers 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 Drain Tile T~ 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 Erosion Control Braced Walls Other: Reviewed By: fll,/_, Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review C MCES SAC g City SAC Utility Connection Charge S&W Permit & Surcharge Z~ 0 Treatment Plant Copies ?jam f■' ~IR TOTAL Page 2 of 3 Use BLU�or BLACK Ink ��----------------, � For Offica U9e I � ������ I Cit� of�a�an , Pa�,�t�: � ; � w , � Permit Fee: I 3830 Pi1ot Knob Road i � ��gd1�1 MN 55122 I Date Reoeived: � � Phone:(651)675�675 j i Fax: (651)675-9694 i ��ff___,� _____ � _J 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � �`"I� Site Address: �v�� l J�('Q� � Tenant: __��Li(�� W'U1�,,(n Sulte#' ��i� ������� s�� i�n�� Qu � � �� �� �i�ylE�� I�� �„t e. R�� Name: ��Y1lVl�t. ;lN.l'1 Phone: ��I� •�O l- `�Jg cJ� �I'��,�� � „ , ;1E��,s'l.i;;;;,e{�",.�.,�i,,�:::i„_ . ��:;:�:,.,.�...,,..,,,: � ��,.ti �2.� AddresslCi /Zip. ��, 1 „�,,,,,..,���,�,,y .�,����,�IL'Vnw:nry vJ.Wh eil=::i (�ttIS1'i:ltll`II'rI«�;c:�.� �c,s'>�W' ( lill�;"i°;?il �`':1,a.1':'�� �'Ft 4��d ` \ ,An 3�ind';� t`>P'�j.. � �'t�i1P;i�,(��;t�ii���;a!C;?�'��u� {�'P�� Name: J�J �Y"LP�.��A Y�_� C,�L`��nG License#: P�O�� � � ����:.�.A r����xl1�.�y� �.E�s�tax�;�: �.,' .__ �r�'a����I;V 9''Si��Ya!`�F�}i"� ��;1 �.�.�,� C� �j�a��i�'.��. ,x ��,;li• 'i`� Addre9s; ��, 2 �• �� S� City: ���t�- _,�;a , ������ � • � I- r �1 ;i;�f;������� �� �1'�1i state: �Vl z�p: �D�2 Phone:1 D'✓I• �T2'"[-�c(1,3 �=���.,,,;���.;��fN�,�, . ; ^� 71 41P 1111 I' 1:! � � t t�5��'��i,� �� �! � i�,u �r,���; Contaet: �mail: @ , �.: � �„ � ,,��•,S';` �� . P"�,�k .. �e+�;�� . �J �,oI� ;'�+ ' �:.�=, , j �` _New �Replacement ,�R6pair _Rebuild Modiry Space Wo�C in R.O.W. i i 4 � IU'i�l�;� ���i�i c • �°"�4���r:�{,sr'}i� �1' Descri i n w pt o of o�k: C. � ;• : � � ' • y�r ' ��� ' „�;� RESIDENTIAL � ��o I�' �.�: � _ ' , �' "��r ����` � � Water Heater �u�nVNi�d�Inq�ip•Oi �nl;t �:��1�;Y-liqllFi a�ia!�i��:i��'��� � ,t��,�!�1����t ��!'�� water Softener ��:;��s,�. k,.1��4���� � �, �,awn Irrigation�RPZ/_PVB) �;'�C�;�f��k� !� �����s;��'�" "';' �4;;`�� I' Rla Septic System Add Plumbing Fixtures�Main/_Lower Level) �����I �,� ^I� �w�I.�e �I '���'.i�B � f „a r:;�c�c,�;.„�,�I���u� Ne,,,� WaterTurna,round ������'��'��(� t° , ,'};� Abandonment RESIDENT)q�.FE�S: $60.00 Water Heater,Water Softaner,or Water Heater and Sofiener(includes$5,00 State Surcharge) J � $60.00 Lawn Irrigation(includes$5.00 minlmum Stata Surcharge) $B0.00 qdd Plumbing Fixtures, Septic 5ystem Abandonment,Water Turnaround"(includes$5.0o State Surcharge) "Water Turnaround(add$20p,00 if a 5/8"meter i9 required) $115.00 SeptiC System New($10.00 per as built)(InCludes County fee and$5.00 State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(661�46d-00o2 for protaction against underground utllity damage. Call 48 hours before you intend to dig to receive locabes of underground utilities. www.qonhe[&tateonecall.orq I hereby acknowledgs that thls IniormaGon Is cemp�ete and accurate;fhat the worlc will be ln conformance wlth the ordinances and codes of tha Cily of Eagan;that I unde�stand thls Is not a perm�t, but only an application for a permit, and work Is not to start wllhout a permlt; that the work will be in accordance with the approved plan in the case of work whleh requiree e iaview and approval of plans. ��s G • �e�,� AppllcanYs Printed Name Ap Icant's nature I�I� ��"� � � �+ �, � a, � ��, ' �� � a.:.���x � �� t I � iX r � m � �y"� � u 'tYl�� . Tc �k j. �0 /�:4 ( ily I � ' ' �' ) I � � ''! a �R �.K.:1t�. x�:� Use BLUE or BLqCK Ink ��For Office U9e ^T j �i o��� �� ; pa�,,,�:. �a�t�� � � � I G� t 3830 Pilot Knob Roed � Permif Fee: � Eagan MN 66122 � ¢ I Phone:(661)67'6-6676 i Date Received: O � Fax:(6b1)675-5694 i 5��. � ----__,...... -------� 2014 MECMANICA� PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial appllcatlons. Date• ; .� Site qddress• ���� c,��� Tenant r(�,bV1•11V1.� ���IX� Suite�• ,:s.,�,�Y i ` �6,� l '��:;,a.,�I,`f s�� �k " Name;�4�,(�y�11(�� ���� Phone:���,-c�OI' �J��� x«;'� � ' rv����rtaE.�c,��°�;�, �, ' a� � C`.�a�} �10, '�•Y:;n•{r����f��N, ,�,;�� �ur,,:�.� Address/City/Zip: � (,1 , '' ;(' \ i i�?ti����,��! y{ �i��.I �; ,�. Name:�.i S .�, �P_���.�r�G'L� �.��' Llcense#: ��O�. ���C� ::I.It°.lU.p� I�It��ln�'1� M+ ��� j ^b'�°���p��"I .,h q' .:,�� , f Address: �h Clty: �1/1��.�.. �"�C"N,�I� Na . 3 I���_ �. �.�. �� State��—Zip: �j���2- Phone: 10�J �•72� '0�1��J ' �r���a. ' ,� ..� �: �, ����'����;rv"��WIY�N �,,r« � ��•�, N� Contact:(�l(�e,�lC_ f�, PY� Emafl; 1.2, :*�iy�t,Nai:�I•�.,;7;Uiso .1..1 ipf u. �� i V ` 'i , ,Y��",;}��C��M�iil�rj�t�ijf!�':. .. �- �it%. 'i�v' ' '''l`�F'�i� �'`r"'��' "•'' ��''�. � Replacement Addkional Alteration Demolition Mi,t��,�;r � r� ,� i. New :;�; ,�::,I Ei;�1���'����r�wa .�� ��r �� ,�„�i� �,�c, �e. �i ;�IW«`� , ` '' oescrlpt�on of work: lY1 P.� r,�•,.r,.>.., � ► i" l' LLJ� I f ;�►;y;�;,'s,.,,�.,r Tr �i�� �i� �?u'ect'�w4 rn i�ry y4�a.��.��'�.���'W"�'��i Dix i i � tt i r W' ir� � ;,y. ,. r alll �• F4'1 X 1. y�Y .. . 4 �w����;,�,",�s`pys W � RES/pENT1A�. COMMERCIAL U;�;�{1 i'It�,,. � ."° . �t,i� � e�„�r � � ; ,V��"�:�5 �6!'�w'��uLi9Y, �' � I§ ���g�' � � �Fumace New Construetion Interio�Improvement �t�� �t� � ' ' � _Alr Condldoner Install Piping �Processed j� _Air Excltanger Gas _Extefior HVAC Unit �t�'�i��,.irm �r � u"" g�s Heat Pump a;�`�;,����i0;,� �� —d _UnderfAbove ground Tank �instau i,,.,,�Remove) ;r,,u.�1�. � !� dther ��� �L i RESIDENTIAL FEES $60,00 I um Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Resldentlal New(Includes$S.DO 5tate Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.o� $55.00 Permit Fee Minimum $70.00 Underground tank in$tallation/removal =$ Pennit Fee 'If contract value is L�SS than$10,010,Surcharge=$5.00 =$ Suroharge* RRIf contract value is GREAT�R than$10,010,Surcharge=Contract Value ic$0.0005 ""'If the project valuation is over$1 million,please call for Surcharge _$ TOTAL FEE I hereby acknowledgs tnat this informetion is complete and eccurate; that the worlc Will be In cor�formance wlth the ortllnances antl cotles of tne City of Eagan;that I understand this Is not a permlt,but only an application ior a permit,and work is not to start without a permit;fhat the work will be in accordance wilh the approved plan in the case of wotk whlch requlres a reviaw and approval of plans, x c�(��e S �- a a.PX' Applicant's Printed Name A IlcanYs ' ature ��'� a � � �w •<,v ±w x, :� �.�,., , .�. 1, ,� i , � .�" ; :iF�' � , ! ,� �, ^i ,� �� , .c � u� f •i' � � ��� Use BLUE or BLACK Ink �-----------------, � For Office Use � C�ty of Ea a� � Permit#:����� I I � ' � � 3830 Pilpt Knob Road j Permit Fee: �� (7 j Eagan MN 55122 � RECEIVED I Date Received: � ' I Phone: (651) 675-5675 i I Fax: (651) 675-5694 ��� 2 ,� 2�,�� � Staff;� � ��������������J 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: __ Site Address: Tenant: �x����� �� Suite#: �'�Res'denUOW�e Name:�(3j�1�,�i� � ���`� y'/�� Phone: �j0�'�� ° �� � �r � — `'� � ' � Address/City/Zip: � � ,�� �����w� �� `f ' �"�� �'�-- �'�`� ��� Milbert Co�pan � ,r�� ���� �� Name: _ y Inc dba Culligan Water ��cense#: �rC641376 ���"� �Contrac.or Aad�esS: 18Q1 50`h St East ��ty. Inver Grove Hgts. `���� ��� �� � ��� state:� �n zip: 550�7 Phone: 651-451-2241 �"��� � �} William R Milbert � � �� g �� Contact: Email: ��� ��� �� s � � ' ���`�� � � � : Type of�r ot' � —New �Q Replacement �Repair _Rebuild _Modify Space _,Work in R.O.W. �� a�. �.v , � � Description of�ork: �� �s�� '.. � a� � ���� � , � RESIDENTIAL � � � �� � � �� � � � � �� Water Heater � � � ����� � 'p Lawn Irrigation(_RPZ/_PVB) �Water Softener v�. � � ��' Pe�ri�iit�f � p�;,.,r '� � , Septic System Add Plumbing Fixtures(_Main/ Lower Level) ��`�" �New VUater Turnarounu � w� � "��w�. `�� Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) *Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as built)(includes Cour�ty fee and$5.00 State Surcharge) /� TOTAL EEES$ V O O 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 IocaCes of underground utilities. www.qopherstateonecall ora -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 unde�stand 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. ��i�-� �,��,�--__ A_�,_ Applicants Prmted Name X ApplicanYs ignafure � -� ;. � .� �,.� . t..-� R01=FC S :- ; . �s V � e` wre Ins ecf� , �. a , ; , �u. �3 � _ � u� �e �� ,� �� e . �e,µer�Re ate te_. e 5 z �, �° ���