1075 Duckwood Dr.?? 40
2007COMMERCIAL BUILDING rERMiT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
• Svuctural Nlans (2) sefs • Architectural Plans (2) sets
. Civil Plans (2) . Structural Plans (2)
• Certificate of Survey (1) . Civil Plans (2)
. Code Analysis (1) ** . Landsraping Plans (2)
• ProjectSpecs (1) . CodeAnalysis (1) "
. Spec. Insp. & Testing Schedule " . Certificate of Survey (1)
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) "
. Meter size must be established . Meter size must be established
b • ProjectSpecs (1)
1 • Energy CalculaGons (1)
1 . Electric Power & Lighting Form (1) "
1 • Master Exit Plan (1)
1 • Emergency Response Site Plan (1)
1 • SoilsReport (1)
• SAC detertninatlon - call 651-602-1 000 • SAC determination - call '651-602-1000
• Fire Stopping Submittals
. U?
U°
'? ?r
• CodeAnalysis (1)"
. ProjectSpecs (1)
• Key Plan (t)
. Master Exit Plan (1)
• Energy Calculations (1) not always"
. Elec. Power & Lighting Form (1) not always"
• Meter size must be established-if applicable
1
1
1
1
1
. SAC determination - rall 651-602-1000
Call MN Dept of Health at 651-2014500 for details regazding food & beverage or lodging facilities.
"• Contact Building Inspections for sample and if required
**" Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date .4/ / ? _ J. ??? ??
ConstrocYion Cost
Site Address UniUSte # ?
Tenant Name L4U1311 d(15r Former Tenant Name 44
Description of Wor ,l/ DOR
Property Owner )- P_,Yih Telephone # 73
Applicant is: _ Owner -X Contractor Contact #: Ci (Z ) -7l ? '74? /
Contractor 611z r z .5z-?UC !
Address 4?3 ?F- lMr! Dvi F City
State Zip Telephone # (<95 L) ??/? ZZO 9?
Arch/Engr Regis[ration #
Address ? City
State Zip Telep6one # ( )
Licensed plumber installing new sewer/water service: Phone #: ( )
I hereby apply for a Commercial Building Pernvt and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an
applicarion for a permit, and work is not to start without a pemut that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
?J ?p ? T G??rz
Applicant's Printed Name
Kplicant's Signat e
DO NOT WRITE BELOW THIS LTNE
Suh Types
u 01 Foundation ? 26 Public Faciliry ? 30 Accessory Building
? 14 Apartments N`27 Commercial/Industrial ? 32 Ext Alt-Apartments
15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
n 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Fo undati on) ? 45 Fire Repair
C( 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition Building - Give PCA handout to applicant
Valuation 006 ao
Plan Rev 100°/o ? 25%_
SAC Units `-
Nbr. of Units ?
Nbr. of Bldgs -
Fire Sprinklered
Required Inspections
_ Footings (new bldg)
Footings (deck)
_ Footings (addirion)
Foundation
Drain Tile
Driveway Apron
Type of Const 2zo Width ?
Occupancy MCES System
Zoning City Water ?
Stories ? Booster Pump -
Sq. Ft. ? PRV J
Length
Roof Ice Pr _ Decking _ Insul
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Sheetrock
FinallC.O.
?FinallNo C.O.
Other
Final Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _ Final
_ Windows
Final CIO Inspection: Schedule Fire Marshal to be present _ Yes ?No
Approved By: Planning _ki/i, Building Inspector
Base Fee
Surcharge
Pian Review
SAC-MCES
SAGCity
SIW Permit
SNV Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Detlication
Trail Dedication
Water Qualiry
Water Supply & Storage (WAC)
S?• Sa
( ,?SlJ
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral Sewer Trunk
Street
Water Lateral Water Trunk
Other
Total
??
a-
2007 RESIDENTIAL BUILDING PERMIT ARPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675. FAX # 651-675-5694
New ConSlruction Reouirements
3 registeretl site surveys showing sq. ft. of IoL sq. fl. of house; and all mofed areas
(20 % maximum lot coverage allowed)
1 Soils Report if pmpased building is fo be placed on disWr6etl soil
2 wpies oi plan showinq beam 8 window sizes; pared found desgn, elc.
1 set of Energy Calculations
3 copies of Tree Preservatlon Plan if lot platted after 711193
Rim Joist Defail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
?-9?, C2_-5?-
Remodel/Reoair Reauiremmts Office Use OnIY
2 copies of plan showing footings, beams, jdsts Cert of Survey Recd _ Y: _ N
1 set o( Energy Calwiations for heated additions Soils RepoR. _Y _N
i site survey for additions 8 decks Tree Pres Pizo Recd . _ Y•. _ N,
Addifion - indicafe if wr-sife sepfic system Tree Pres Requiietl Y' _ N
Oo-sifeSeD6cSystem _Y _N
Date /_ / /&- /
SiteAddress /tl) ??
/ 0,94 / ConstruMion Cost ?ZI f/ C? (Zj?
'? X? Ari / -.e y IJniUSte #
`J Sd
Description of Work 42)14A ?? _5"
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor 'IZ
Address
State C?b' A
Zip Telephone #?/?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Aules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculalions Submitted
In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master pian:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?
pplicanYs Printed Name - Applicant's Signature ' -?
?-
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demalition(Entire6ld g)-GivePCAhandouttoapplicant
DOSCrIpYIOn: WaterDamage_ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bidg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC .
Drain Tile Other
Roof Ice& Water Final Pool Ftgs AidG asTests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Air Test _ Final _
Fireplace
R.I. Windows
_
_
_
Insulation Re[aining Wail
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Consiruction Reauirements RemodeVReoair Reauirements Office Use Oniv
3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all mofed areas 2 copies of plan showing footirgs, beams, joisfs Ced of Sunrey Recd _ K_ N
(20% mazimum lot wverdge allowed) 1 set of Energy Calculations for heated addi6ons Tree Pres Plan Recd Y_ N,
2 copies of plan showinq beam & window sizes; pouretl found design, etc. t site survey for additions & decks Tree Pres:Required `- YN
1 set of Energy Calwlztlons Addition - indicate d on-s'rfe septic system On-sAe Septic System Y_ N
3 copies of Tree Preservation Pian A lot platted after 717(93
Rim Joist Defail Oplions sele(Alon sheet lbuildirgs with 3 or less uniLS)
Minnegasco mechanicaf ventilation form
Date?_/ CanstrucfionCost
? ? 5r
Site Address _?? ?? ????-r'?l,l?`-?l? ?!l?(° UniUSte it
/L"? ? ,, / ,J /
Description of Work Qi?,ri/ ???? ?i°%l1 ??????_?? ii/./?
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 2
Property Owner Telephone # ( )
Contractor
Address City
State Zip Tetep6one #
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(4 submissionlype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Tefephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Suilding Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
5tatutes; 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 o£ wotk which requires a review and
approval of plans. ?
f
s rJ?i?r JL7i? A/z?o
Applicant's Printed Name ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 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 01 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 (screen/gaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Descriptioll: WaterDamage_ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Rermit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
Final/No C.O.
HVAC
Other
Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA062932
sued: Ol/22l2004
Date Is
Eagan, MN 55122 1 p EREd
(651) 675-5675 Oi T www.ci.eagan.mn.us 1L
Site Address: 1075 Duckwood Tr
Lot: 1 Block: I Addition: I,exington Place ]st
PID: 10-45050-010-01
Use: Lexing[on Place Clubhouse
Description:
Sub Type: CommerciaVlndustrial Construction Type: V-B
Work Type: Int Impr
Description:
Census Code: 437- Occupancy: A-3
Zoning:
Square Feet: 0
Comments' Plan reviewed by Craig Novaczyk. (Id) Separate permits required for any plumbing or mechanical work. Call (952)
? 4452840 regarding electrical permi[ and inspections. (Interior sheetrock, replace 2 windows, tongue & groove ceiling)
FCC SU[CIICta1')': BL - Base Fee $251.25 0801.4085
Valuation: 15,000.00 Pl? Review $16331 0720.4222
Surcharee - Based on Valuation $7.50 9001.2195
Total: $422.06
Contractor: - Applicant - OWttCI':
Girtz Construction Lexing[on Place Homeowners
16138 Goodview Cir 0
Lakeville MN 55044 (612) 791-7169
(952) 891-4208
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/Persnitee: Signature Issued By: Signature
V c
? `2004 COMMER BUILDING PERMIT APPLICATION
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
S 4?-? (3 f.
Foundation Onl New Buildin Interior Im rovement
• Strucfural Plans (2) sets . Architectu2l Plans (2) seGS • Nchitectural Plans (2) sets
• Civil Plans (2) • Stfuctural Plans (2) • Code Analysis (1) "
• Certifipte of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) . Landscaping Plans (2) • Key Pian (1)
• ProjectSpecs (1) . CodeAnalysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lightlng Form (1) not always"
• Meter size must be esNabllshed • Meter size must be established • Meter size must be esta6lished-if applicable
1 • ProjectSpecs (1)
1 . EnergyCalculations (1)
d • Elec[ric Power & Lighting Fortn (1)
d • Master Exit Plan (1) 1
l • Emergency Response Site Plan (1)
1 • SoilsReport (1) y
• SAC determination - qll 651-602•1 000 • SAC determination - call 651-602-1 000 SAC determination - rall 651-602-1000
Call MN Dept o£Health at 651-215-0700 for details regazding Food & beverage or ]odging facilities.
** Contact Building Inspections £or sample and if required when it states "not always".
"• Permit for new building or addition will not be processed without Emergency Response Site Plan.
Da ! ?- / / 0 -3 ConstruMion Cost
site Address DOl jfOUSF ,?x,Yr?? /?rI e?tP ?'o ?n ` f????vt?lwOZ^? ?/Z Unitlste #
Tenant Name Former Tenant Name
Description of ork ffY?Of? P? y'Ur ` ?YS f'? «? e?C?d
2,
Property Owner )&X'ly7.214rq T)la,5?_e
I Telephone # (,lv(Z ) 7 All -7l ef; 6?'
Contractor 6p/ Z K5,(/ S j/,? C/ G770',f/ 7?!/ C-
Address /
City /?/fl('? [// L G .g
State ?» ? Zip Telephone # (?rj_2 ) 5'g'/ -
Arch/Engr Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewerlwater service: Phone #: L_)
- ?
?lS
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requir a review and
approval of plans. ? ??f)
J_U_ DE T 6 l/qi `.
Applicant's Printed Name
OFFICE USE ONLY
Sub Types
C 01 Foundarion
LJ 14 Apartments
? 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 26 Public Faciliry
)e 27 Commercia]/Industria]
? 28 Greenhouse
?l 29 Antennae
? 30 Accessory Building
? 32 Ext Alt Apariments
? 34 Ext Alt-Commercial
? 35 Ext Alt-Public Facility
? 37 Nail Salon
>11 35 Int Improvement * 38 Demalish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation { 's 1 0 00 0.0AL-
Census Code 43 7
SAC Units - m ?
Nbr. of Units ?
Nbr. of Bldgs ?
Type of Const v
Occupancy A - io MCES System
Zoning City Water %/
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered ?
W idth
Required Inspections
_ Footings(new bldg)
_ Footings(deck)
_ Footings (addition)
_ Foundarion
Drain Tile
_ Roof Ice Pr _ Decking _ Insul
_ Framing
_ F'ueplace _ R.I. Air Test Final
Approved By:
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Water Supply & Storage
S/W Permit
SNV Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
WO/ Insulation
? FinaUC.O.
FinaUNo C.O.
Other
Final _ Pool ? Ftgs _ Air/Gas Tests _ Final
_ Siding _ Stucco _ Stone
W indows
Planning 61 ? Buitding Inspector
31
- L+aa , oL
w
LEXINGTON PLACE 1ST 45050
(see file -"MulYiple RLA's" f'or Unit # P.1.D.)
PERMIT
DATE &
TYPE
9/83 16-PLEX
12/83 REC CTR
4/84 POOL
1 I/83 16-PLEX
10/84 16-PLEX
10/84 I GPLEX
12/83 8-PLEX
12/83 8-PLEX
12/83 8-PLEX
4/87 16-PLEX
IOBS l2-PLEX
LOT BL ADDRES3 P.I.D. #
010 Ol 3590 BLUE JAY WAY 001-04 THRU 016-04
010 Ol 1075 DUCKWOOD DR COMMON AREA
020 01 3584 BLLJE JAY WAY 017-04 THRU 032 04
030 O] 3578 BLLIE JAY WAY 057-04 THRU 072-04
040 Ol 3572 BLUE 7AY WAY 073-04 THRU 088-04
010 02 3595 BLUE JAY WAY 033-04 THRU 040-04
020 02 3589 BLiJE JAY WAY 041-04 THRU 048-04
030 02 3583 BLUE JAY WAY 049-04 THRU 056-04
040 02 3579 BLUE 7AY WAY 260-04 THRU 275-04
050 02 3575 BLUE JAY WAY 230-04 THRU 235-04
238-04 THRU 243-04
14
C??13101?
January 29, 2004
Mike & Toni Hanson
2861 Hiahridae Terrace
Eaaan MN 55121
RE: Chair Lift
Residence: Hanson, Mike & Toni Res.
2861 Hiqhridqe Terrace
Eapan 55121
Department of Administration
- Elevator ID# 04-09878PT03-28R
Dear Sir/Madam:
Minnesota Statutes Chapter 16B provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from
the Elevator Safety Section recently inspected your residence and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
Sincerely,
BUILDING CODES AND STANDARDS
? =tvvt^?
?
Jim Weaver
State EleJator Inspector
iqw/rkr (CE-2)
C: Schoeppner, Dale R., BO, Citv of Eaqan
Access Lifts, inc.
ElFOtmCE2R
Building Codes and Standazds Division, 408 Metro Squaze Building, 121 7th Place East, St. Paul, MN SS 101-2181
Voice: 651.296.4639; Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929
?-----------------
? Por_t5ffcee' '_? ?
? Permit #: ?
I Permit Fee: ? I
? I
I ?
I Date Received: I
I ?
j Staff: I
L - - - - - - - - ?
2008 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: -Site Address: awz al f. :1k •
Tenant:
Suite #:
PROPERTY Name: LCsct.y
c4c2nA ? Phone:
111`1 V?12
OWNER _
4
CONTRACTOR Name: ? _?r11 sC L-1n4 iRL' b1(?rP ?e ? W?1tt.f License #: 0(018?sl" jp"
Address? 3!J-1 24"i/ilLtl71 rs fA?ity: &lGCw7 State : ? Zip:
?
Phone: ?,??? ?P?(o(sQ {&_ Contact Person:
TYPE OF New
}4 Replacement _ Repair - Rebuild _ Modify Space
-
Work in R.O.W.
-
WORK Description of work: "CotiIe4t
PERMIT TYPE COMMERCIAL
_ New Construction _ Modify Space
Irrigation System (_ yes /_ no) (_ RPZ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM _(2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to oidcina uo meter.
Domestic: Size & Type Fire: Size & Price 3!4" meter 183.00
Avg. GPM High demand devices? _Yes _No
Plushometers Yes _No PRV Required _Yes _NO .
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR contractvaiue E x 7%
_ $ Permit Fee
Required on ALL new 6uildings and boulevard irrigation systems 4 = S Radio Meter Read
- If Permit Fee is less than $7,000, surcharge is $.50 =$ Meter(s)
- If Permit Fee is >$1,000, surcharge increases by $.50 for each $1.000
$1,000 Pertnit Fee (i.e. a$1,007$2,000 Pertnit Fee requires a$1.OD surcharge). _$ State Surcharge
Foflowing fees apply when installing a new lawn irrigation system. 8 water Permit
Call the Citys Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES S
l hereDy ackrwvAetlge that this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of Eagan; fhat I understantl this
is not a pertntt, 6ut only an application for a permit, and work is not to s[art without a permit; that the work will be in accortlance wllh the approved plan in ihe case o! wodc which
requires a r w and approval of plans
X? X ?t?
ApplicanPs Printed Name ApplicanYs Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1175 Duckwood Tr E
Lot: 000 Block: 005 Addition: St. Francis Wood 4th
PID:10- 65903- 028 -05
Use:
Description:
Sub Type:
Work Type:
Description:
Fee Summary:
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435 -2442
e - Water Heater
Replacement
Water Heater
Meter Size Meter Type
Total:
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$15.50
Owner:
Cecil E Alston
1 175 Duckwood Tr E
Eagan MN 55123
$15.00 0801.4087
$0.50 9001.2195
Issued By: Signature
Plumbing
EA076779
02/22/2007
ePermit
Line Size
Comments: Mike Skaja 2090 County Road 42 W. Burnsville, MN 55337 952- 435 -2442 tony sappmike@frontiemet.net Call for final
inspection.
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. D. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: — No. of Units:
Owner: _
Address:
Site Address: _
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinancesr. Misc. Charges:
Total:
B y O Date Paid:
Date of Insp.: Ins
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121
DATE:
Zoning:
Owner: No. of Units:
Address:
Site Address:
Plumber:
1 agree to comply with the Cityiibf Ej
Ordinances.
----Account Charge:
Account Deposit:
Permit Fees
By Surcharge: r
Date of Ins - Misc. Charges:
P.: Total:
- Dote Paid:
City of Eaaft
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
/-360/ 96 61°
Permit Fee: eq'
Permit #:
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 4/28/2016Site Address: 1075 Duckwood Drive Eagan, MN 55123
Tenant: Lexington Place Condos
Resident/Owner
ontradto
Suite #:
Name: Lexington Place Condo Association Phone: 651-210-6206
Address / City / Zip: 414 Hayward Ave North St. Paul, MN 55128
J
Name: Wenzel Heating & Air Conditioning License #:
Address: 4145 Old Sibley Mem. HwyCity: Eagan
State: MN Zip: 55122 Phone: 651-894-9898
Contact: Andrea Preusse
Type of Wor
Email: apreusse@wenzelhvac.com
Demolition
New ✓ Replacement Additional Alteration
Description of work: Replace furnace and a/c for pool room
NOTE Roof moulted and ground m equipment is required to be screened"I y Cl',
Mode Please contact the Meeh methods
RESIDENTIAL
ounted mechanical
anical Inspector or in
forrrttlon on ,permitted screens
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
ng
ermlt,,Type
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
Under/Above ground Tank (_ Install / — Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
TOTAL FEE
Contract Value $ 6,650
$ 66.50
$ 3.33
$ 69.83
x .01
Permit Fee
Surcharge
TOTAL FEE
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.
xAndrea Preusse
Applicant's Printed Name
FOR OFFICE USE
Required Inspections:',
Underground Rough In.,
Digitally signed by Andrea Preusse
Andrea Preusse `Date: 2016.04.2811:21:43-05'00'
X
Applicant's Signature