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4775 Eriks Blvd . f ? 10, v R) ? ti i , f ` ? ? U ( f? lSq v.,"" ? D1- nl? vJ dlA1Qad') d . .}? c? ? M ?c?-" ? ? lcS eAd. ? s?? -?a ?.?v? ? . C?_ ???i,,Q ? un ?-I2? '?.? bah? U?,?I-f? 1?0 ? ? i ? o- 9 O'av;c?? CL v pi rk C ards WTU 645 J QC N?LIM?RN lICF111?MG. IMC. M?U( IN U.S.?. ? )? ? 1?? www.hgllmark,cmn ?(/?VlIA 1 S' Er-,'?gl nL 4-7-7 LZP-31- U?j CatAnca \ iY\a,m A103 . YAank-r,_ -?p ln'URa Cs?nsic??1'c y? W??Iv? ? c???, a? ?'?- ? cZv? ?' R.- b . 1$1 can d V 9 ? ? ? D.?.Q ?? e. mY\ . 1 il K? G ? C N-\ w-e- ?sL C10? i?l ?J c? or h 1?kcM`(D C'L or?c?? VVV3\-d . L&Q. o.\-u_. c? ? 6NA--xo-o& ? (a& 9DVCN ? wntvo cA aQ "ftl*bM=d ? Wle hou?e. a-nnm-GA p, cau ;' m;vt c.? I Ic?.? bq? ?- bG\ ?t-?IrtQs?.? c,1?.? I clMn/\` I GYN- hwa-D., v??IS ?- "V? ????. 1??.??S ? , c? ?- '?-fl (1s?- Q U cnb ? ?- c? `b ?-I?- ns? b? ?? CITY OF EAGAN Remarks eo Addition M 33 VipryJ Mannr Lot a ,.Bik ? Parce1 10 78200 08d/ owner 4 ?,Yl??.? ` tY1l??P?l rt_:i_i_. 5treet `_l15 state_ Eagan,MN 55123 (41W W1vnAm,i1n?If Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 7, 1983 3687.77 368.78 10 STREET RESTOR. cRaoiNG 1982 6 87.44 1 2 4- 8 SAN SEW TRUNK JC:? 1 ( 1 .00 1.00 1 Pazd ? SEWER LATERAL WATERMAIN *YUATER LATERAL 1082 15 WATER AREA Z$O OO 18.67 LS ? STORM SEW TRK (p 4 1 486.20 2 4- -8 * STORM SEW LAT 1982 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDING PER. # SAC 525,00 21251 PAR K •' CITY OF EAGAN 3745 Pilot Knob Roed Eagen, MN 55122 PNONE: 454-8100 BUILDING PERMIT Receipt # Ng 6269 Te be ussd for Est. Value Date , 19 Site Ilddreu Erect ? Octuponcy Lot Block 5ec/Sub. Alter ? Zoning Parcel # Repcir ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories ; Address Demolish ? Front - ft. b Ci Phone Grode ? Depth ft. ? Approvak Feas p pu a e Address Assessment ug Water & Sew ir- Cf Phone . F ac Police Nome Fi FW ro u? /ldciress Eng. <W Ci Phone Planner Councfl I hereby acknowledge thot I have read this application and stote that gldg. Off. the informotion is correct and agree to comply with all applirnble Stote of Minnesota Statutes ond City of Eagan Ordinances. m N ApC Permit Surc#arge - Plan check _ SAC Water Conn. Woter Meter Rood Unit _ Total Signature of Permittee I A Building Pertnit is issued to: on the express condition that oll work shall be done in accordance with nli applicoble State of Minnesota Stotutes ond City of Eagon drdinances. Buiiding Offidal IKwR # Oeh Iwwd PNSiMM Plumbing 21 ?,p 1-,2 ',,la -fQ Mechanical INSPECTIONS I DAT E? INSP• Rough-In Final Footings -? - - ?,'I Dote Inap. Date Irnp. Foundotion Plumbing Frame/ins. U i T??c ?. Mechonicol Finai . .3 Remarks: No. Date: CITY OF EAGAN 3795 PiloF Knab Rood Eagan, Minnesota $5122 Pbowe: 454-8100 PERAAIT Site /lddress: Lot Block Sub/Sec. INSPECTOR NOTIFICATION REO.UIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Name New / Alte r. / Repol r . ? Address Cost of Instollation City ' Phone: Permit Fee Name Surchorge p. y ? Address City Phone: Total This Permit is issued on the express condition that all work sholl be done in occordance with oll applicable Stote of Minnesota Statutes ond City of Ecgon Ordinonces. Building Officinl CITY OF EAGAN 3795 Pilof Knob Road Ea9an, Minnssota 55122 INSPECTOR NOTIFICATION No. Phene: 454-8100 R EQU I R E D BY LAW PERMIT FOR ALL INSPECTIONS Date: I Site Address: I lot Blxk SublSec. Receipt No.: Single I Residential Muiti Res., Comm./Ind. I Name New /Alter./ Repoir . ? Address Cost of Installation ? City Phone: Permit Fee Nome Surcharge . ? g Address e ts C;ty Phone: Toto I This Permit is issued on the express condition thot elt work sholl be done in accordance with all applicable State of Minnesoto Stotutes and City of Eagan Ordinonces. Building Officiol we-4r k-c?E -1 c vA 1- s --k I Address 4775 Erilc's Blvd. CORRECTION NOTICE Owner/Agent rtichael & Karen Beard Owner/Agent Address ' ame Ordinance Nos. and Corrections - Correct By DATE: Feb2'uarv 14, 191 _, Site Name 4 775 Frik's RI vd _ Telephone 454»4507 A filna2 inspection ]tas never been arranjted fnr the house you are iivir.g in ar the above referenced address. Plense make arrangements for a final inspt--rtiap bv Atarch 1. 1983 or the water service wiil he disennnPrtad_ 'rhan}; ?•ou For reinspectian Eayilln Dept. of Inspection 3795 Pilot Knob Rd. Reg4n, Minnesota 55122 454-8100 Inspector: Dale S. Feterson Dept.: protectivP Inspections Der.artment CITY OF EAGAN 3795 Pilot Knob Rood gon, MN 55122 ' oning; ner: dress: ite Address: Plumber: Meter No.: Sizer Reoder No.: 1 egroe fo eoeeplr with Fhe Gty of Eagan Ordinances. By Dote of Insp.: .,i YY OF EAGAN 3745 Pilot Knob Road Eagnn, MN 55122 Zoning: Owner: Address: Site Address: Plumber: 1 ogrea Io eanplr with Nw Cily of Eagan Oedinonoes. Bv Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Totoi: Date Poid: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Misc. Charges: - Totol: Date Pafd: Date of Insp.: I nso.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ' f 3830 PILOT KNOB RD - 55122 651•681-4675 New Conshuction ReouiremeMS RemodellReoair Reouirements _ d ? • 3 registered site surveys showirg sq tt of lot sq. ft af house; and a71 rmfed areas • 2 copies W plan (20%a mazimum lot coverege allowed) . t set o( Energy Cakulafions fa heated addifions • 2 copies o( plan showng beam 8 windav sizes; poured found design, etc.) . i site survey for ezterior additions & decks • 7 setof Energy Calculations • 3 copies of Tree Preserva6on Plan A lot platted afler 711/93 • Rim Joist Detatl Options seleclion sheet (bidgs with 3 or less uniLs) 0 14- ?i W1 v? v 1'?W MQ Vto DATE ?LGJ'- !? J VALUATION (EXCLUDING LAND) JOB SITE ADDRESS 4?7 `75 Fri ?'i S B I IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WORK FIREPLACE(S) _0 _1 _2 _3 APPLICANT ? PHONE # ??L"%?-?9L? ADDRESS '977? 4?6 ?r2s- ZIPCODE PAGER # 4 /,?- _42 ? 9-?r 4i S?S'CEL! PHONE # FAX # NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNFSOTA RULES 7670 CATEF9R.I'_l , (check one) - Residential Ventilation Category t N! ?k,s?ieeRtu?ttm4fteL/ dn ? - - Energy Envelope Calculations Sub I' ?? L? I ? MINNESOTA RULES 7672 L1LJ ? - New Energy Code Worksheet Sub itted L??'_. Plumbing Contractor Phone #: -?-----? Plumbing System Includes: _ Water Softener _ Lawn Sprixikler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths ? Mechanical Confractor: Mcchanical System Includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable State of Minnesota Statutes and City of Eagan Orqkiances. Slgnature of Applici Certificates of Survey Received _ Tree Preservation 01 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ?0 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 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 0931 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move 61dg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ?/7P)/) ? D ? ` Occupancy ? MC/ES System Census Code '7&? Zoning ?[_ City Water SAC Units ?L Stories Booster Pump Nbr. of Units r Sq. Ft. 6//-" PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const ? Width Se- f-7,6 ? ?B) _ Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final 40 Framing _ Fueplace _ R.I. _ Air Test _ Final _ Insulation Other _ Pool Ftgs Air/Gas Tests _ _ Siding Stucco Stone _ Windows (new/replacement) Approved Byf-,6e9_, Building Inspector REQUIRED INSPECTIONS FinallC.O. ?j FinaUNo C.O. ? Plumbing HVAC ease Fee L(o? Surcharge t-{ 1::-U Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total BUILDING PERMIT APPLICATION N"_ 6269 Receipt # ' To be wed for SF DWG/GAR Est. Value 45,000 pate 10-7 , 1980 Site Addreu 4775 Erik's B1Vd. - Erect g] Occuponcy R'3 Lot 8 Block 4 Sec/Sub. Trt in View Manor Aiter ? Zoning Rl 10 78200 080 04 Repair ? Fire Zone 3 Parcel # E l of Con T t V n orge ? ype s . w Name Michael & Karen Beard Move ? # Srortes Z Address 4134 Meadowlark Ln. Demoush ? Fronr 62 ft. ° ci Ea gan, Mn. phone 454-4507 Grade ? Devth Zg ft. p N Sussel & Owner Avwo"°i' Fees p ame ?? Addreu 1$50 Como Ave. ? r;,,, St. Paul, Mn.ow,,,,e 454-4507 Neme _ Address Susse] I hereby acknowledge thot I hove reud this aDPlication and state that the infortnation is oorrect and agree to comply with all applicable StaM of Minnesota Statutes and City of Eagan Ordina?nQces. Signoture of Pertnittee ?-iz'i G`? A Building Permit is issued to: .5l+ssel cg a. n...,,o, all work shall be done in accordonca.with all applicable State of Mii CITY OF EAGAN 9795 Pilot Rne6 Road Eagan, MN 55122 PHONE: 4548100 AssessrtA$t 1 Water & Sew. Police Fire Erg. Planner Council Bldg. Off. APC Permit 1GO.UV Surchorge 22•50 Plan check 64.00 snc 525.00 Water Conn305. 00 Water Meter 60. 00 Road Unit 185.00 Torol 1,289.50 on the express mndition that Statutes and City of Eagon Ordinances. Building Offitial Willa- I. z,._,.? U,?u• o !/ This request void ad?p 1 Smonths from Date oC this Request December $.1980 Fire No. T 12 4 0 3 I, as EE Licensed Electrical Contractor OOwner, do hereby request inspection of the aUove electri- cal wiring installed at: Street Address or Route No. 4775 Ph'iks Blvd. city Ragan Section Township Range County Dakota Which is occupied by MichaelBeard (Name ot Occupant) Is a roughin inspection required on this job? No ? Yesf?7 Ready Now ? Will Ca11fJ Dakota Electric µ300 220th St, W. Power Supplier Address Farmington, Mn. Standard Electric Co„ Ine. 40837 Electrical Contractor Contractoi s License No. _ (COmpany Name) MailingAddress 1424 White Bear 9ve„ St. Paul, Mn. 591o6 Authorized Signature 44 G?y?La?- ??.,s?+? Phone No. 77?'-8681 ( lectriwl Gontractar or w e? Making Thls Installatlon) ?`? fj ?? I?f(lf??? ? ??°??Q? This inspec6on requert will not be accepted by ffie ?) [? ???1 p? State Board unless pmper inspecUon fee is enclosed. mmnnsoca acaxe ooara ot necmmry Griggs Midway 81dg. - Room N191 1821 Univarsiry Ave., St. Paul, Minn. 55104 - PMne 297•2711 ? - AEQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 7(00 EB-00001-02 a? T 12403 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Fot - Home 19 ? ? Rangc 13 Temporary Wiring Duplcx ? ? ? Watei Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Fumace 13 Silo UNoader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List ) O[het ? ? ? p Hehe?s? } Hehersl COMPUTE INSPECTION FEE BELOW Service Envanre Size: n Fce Feeders& Subfeeders: n Fee Cucuits: # Fce . 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres -IV 0 101 to 200 Amps. S 10 0 31 to 100 Am eres 31 to 100 Am res 1 Above 200 Amps. Abave 100 Amps. A6ove 300 Amps. Transformers Remole Control Circ. Paztia] oc othet fee S ns Speciallns ection Minimum fee $5.00 Remark ? TOTAL FE 3h{?qJ 4 ? I, certify that the ins i has been m3dc? ? (Final) This request void 18 months from To Be Used Fo Site P3dress: CITY OF EAGAN Include 2 sets of plans, °l4 ?c--1 site plan w/elevations & BUILDING PERMIT APPLICATIO 1 set of energy calculations. r? i"J2, Valuation ? Date eC? ?yT - ?fo ''?' o? fn`k' R/ud Aaa-'? Lot 'N9 Block ? Sec./Sub. -,ect Parcel #- /D - 7Qa[9r) y/ Alter • O+rner: ?1?hQ?°? ? -O?D-6 q 15 tPi? ? ?OPQr? Prldress: !?//.3.?/ City/Zip Code: a aai? ?"S/?a Phone #: y y- 07 Contractor: Sc !? Add['eSS: ?850 C, .?' ,,- y7f- CitY/Z1P Cocle: S? ('a,0 SS%ok Z sa,,.? Phone #: ? kSa'7 Arch. /Fh9• : Address: S A,,e Cih'/ZiP Code: Phone #: Repair Enlarqe _ Move Deirolish Grade OFFICE USE ONLY Occti.iPancY iC -.? Zoning A) - Fire Zone Type of Const. # Stories ? Front y.. ft. Depth ? ft. APPROUAI,S pEES Assessn-ents . $? Pezmit Water/Se,aer Surcharge Police Plan Check Fire SAC En4• Water Conn. ,?p { Planner Water Meter Council Road Unit ? Bldg. Off. ----- -a--? APC 'ICYi'AL T-? . 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewCOnsWCtion Reauirements 3 registered site surveys showing sq. ft. of lat, sq. ft of house; and aB roofed areas (20%maimum lot cwerage allowed) 1 Sdis Report if proposed bulding is to be pWced on disWrbed soil 2 copies of plan showing heam 8 windav sizes; poured found design, etc. 1 set of Energy Calwlallons 3 cnpies of Tree Preserration Plan'rf lot platled afler 711193 Rim Jaist Detail Options selecti on sheet (builCings with 3 or less units) Minnegasco mechanical ventilabon form emode1lReoa'u Reauiremenis OlfiCe lJse OnN- 2 copies of plan showing footings, beams, joists Cert M Sorvey Recd -,' _ _Y _ N 7 set of Energy Calwlatlons for healed additions Solis Repat. '- _Y _ N 1 site survey far addi6ons 8 decks Tree Pres Plan Recd _Y _ N. AddAion - indicate Nori-sife sepNC sysfem Tree Pres Required _Y _ N Onaile Sepdc System _Y _ N Plans are considered puhlic information unless you state they are trade secret and the reason. Date in / 19 / (J ( Construction Cost 000 Site Address ? Unit/Ste # ?Hi? v - ?xs L V'o . Description of Work 19 "?,c 5 8 a k-Lt7l,e_s 6gCC>S 1 Cta ? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ??' PropertyOwner Jp? ? " ? ??.s CtinLyzGll. Telephoni ) y Contractor ?y ro ?G7G.? Address Tki City State Zip -_45Sjt°1 ? Telephone#L1?L?•l?43'' COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv I • Residential Ventilation Category 1 Worksheet (4 submissiontype) Submittetl . Energy Envelope Calwlations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheel Submitted In ihe IasT 12 months, has the City of Eagan issued a permit for a similar plan based on a masfer plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber (^' C I Mechanical Contractor Sewer/W ater 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 appiication 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 pla s. ' ??/?/? Applican Printed Name Ap'Micant's Signatur / DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 1Eplex y? 20 / Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi ? 03 01 af _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ak - SF ? 04 02-plex ? 10 OS-plez ? 18 Deck 0 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneaus Work T es 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair ? 33 Afteration ? 37 Demolish Buiiding• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolitlon (Entire 81dg) - Give PCA handout to applicant DBSGrIptl011: WaterDamage`Yes V l ti 20 0 O L2 a ua on 41- ccupancy MCES System , Pian Review ? 100% or _ 25°h Census Code L? -3 id Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) _ FinaVNo C.O. Foundation HVAC Drain Tile Other Roof Ice& Water Final ? Pool ,y?Ftgs lYAidGuTests mal r _ Framing _ Siding _ Stucco Lath _ STOne Lat _Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ _ Retaining Wall i- Approved By: Building Inspector Base Fee ? /? // ? u D Surcharge ?? oL- ,l/ C./ Plan Review / MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: L; k S 8 NJ Applicant Name: ? ? ? GENERAL INFGRMATION ? x o 4 z ? a ? ? Applicant name and contact information ? ? ? Property owner name ?J ? ? Address of properry ? ? North arrow, scale (1" = 30' or 40') ? ? ? Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. ? ? ? Location and name of all streets adjacent to properry ? ? ? Directional drainage arrows (existing and proposed) ? ELEVATIONS Existin f? ? ? House corners ? ? ? Property corners ? If applicable, ground elevation at each end of retaining walls and at wa1Ps greatest heiaht Proposed ? ? Finished pool deck corners O? Top of proposed retaining walls (if any) and at each different elevation (if it changes) s3 ?? Pool bottom (or max. depth) DIMENSIONS Existinq ? ? ? All properry/lot lines fd' ?? All Easements on the property Proposed ?J ? ? Pool ?j ? ? Pool plus integrated deck/patio ,,ff ?? Shortest distance from outside edge of pool deck to lot lines and house Reviewed: Name Date G FOAMS/Pool Permit ChecklisU02-13 3A7 . . . ? . N ? ?NX ? !h ?_.. . Lc t? I WWO- as? ?'S S ? ? I ? ?. ? ?"("?V 'ti; r- ( `t e -- --,? ? -? t-- ?5 0 ? ? ? B .? L'0 / ? ? , F L: G?r(??;?< ? ?? Q7 ? u 27 ?By Z EAQ3AN I/ 16 -Z' 0 ? v 15 ?-F- c-, :1r ? ?5 9 ? ? DW9: 17° P3/_ i/ tq 1SA 0?,K C Krl?-._/ 4 E.rC t'" --? ) .,` j( " Ibx 117 ° 3 &73? 1999 FIREPLACE PERMIT APPUCATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date:_?!_ ( I C? I q I Description of Work: 4- Construct new fireplace _Gas Y_Masonry _ Alterations to existing Install gas insert onlv _ Install gas LiiTe anlv Other ?c) vc? Job address: Lot: Block: Subdivision/P.I.D. #: Applicant (circle one only): Owner Contractor Per»eitFee: $60.50 PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER ? Name: M6uA, -Ko-i? ( ,?-?-? Phone#: 4scZ"?`-nLf Last Fust Street Address: 4-1 IS Sx 1?S B u & City CQ40.(1 State: Zip: 9s) C),? Company: ::??Q tE Phone #: (area code) Street Address: Sam_Q_ QS o-bo \1 ? City State: Zip: Company: Phone #: (area code) Street Address: City State: Zip: I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signa re CITY OF EAGAN EARLY UTILITY CONNECTION PERMIT 4775 Eriks B1-vd. LS B4 ?in View Manor - Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the puUlic right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthori2ed use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Perm3t will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber: Owner: Developer: ' Builder: .5%9/"C5' Dated: November 20, 1980 y'SY- . cor q I ,sa' ; ex'E s+t ny Mou Se ? - ' Fron? ?f peaposacf ?t?ra.?, ;S rn I?nt y??;y?? i'h? h04? on A°?'?` 3p` frvr - $4ree'f !ID' No?PTf-l LOT g {3CoCK 41 TwlN V7Fw MAN4a4 Rz79f7leN -r;, rp, F c? rv ar Ca r,,aN, ?roM ?'Iree°k Ieoef °ha -rop o-F Foui2dal:n.t ;3t??'lN Frovl. Stre?P Le,.ae1 #`o ga.o..9c? '?l?ar ? 5+I ? ?4`Jf\ r LUT ? e.2 , %a ' ? /Q? ['!C1lK`S C7 r. r .?. ------------------ ? ??=3?"s,'?Flse i j Pertnit #: ? Percnit Fee: z)' ? Date Received: ? I Staff: I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /?-'g^ d? Site Address: L7 7 7-5- C?" f ILS Le/ ?KC41 Tenant: Suite#: RESIDENT / OWNER Name: 64' iar Phone: f Address / City / Zip: Applicant is: _5e-'0wner _ Coniractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes_/ No Jofj? CONTRACTOR Name: License #: Address: City: State: Zip, Phone' Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorvi Minnesota Rules 7672 Energy Code • Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitled submission type) • Energy Envelope Calculations Su6miried 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 docur"rieRts that you su6mrt are aonsidered to be'p'ublicintormatron.: Portions`bf`a t the inforrtiatinn may be plassified as non'public if you provide specrfic reasons that ?voold permit the City, . ' conclude that tfie are trade, secrets. I here6y acknowledge Ihat this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of [he City of Eagan; that I understand Ihis is not a permrt, 6ut only an application for a permrt, and work is not fo start without a permit; that the work will be in accordance wRh the approved plan in the case of work which requires a review ar ApplicanYs Printed Name ie 1 of 3 r For Office Use �I' 'ila 1(/1 •�� Permit#: 15-6og‘7_10,„, ``•' '"' RECEIVED Permit Fee: ��J JUN 00 2019 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff buildinginspections(a�citvofeadan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date:6- / 7 Site Address: 4"77.5. E -1)(5 )VCS- Unit#: Name:e-O E' 1.-Ve J • Phone:g-S- --7.3. --7- 4647 Resident! Owner Address/City/Zip: 4#7.16.- e.r7;/(5 /v e--(01-547-/-1, Applicant is: Owner Contractor Type of WorkDescription ofwort .r ars) 4,w , rJAaCtd -r .(ci- -q�r Al Q,17 ynA/yld0w Construction Cost: � 6erv ,, Multi-Family Building: (Yes /No '✓ ) Company: Contact: Contractor Address: City: State: Zip: Phone: _ Email: License#: 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: 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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 appro I of plans. x -J a Wei nz 241 x o Applicant's Printed Name App ant's Signa ure DO NOT WRITE BELOW THIS LINE LI 1 S CI' S g I t,)C . / 6(f), V 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 )4 Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 2/ 7O 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 Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 10 Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final 1p Framing 30 Minutes 1 Hour Drain Tile C Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 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: / • K 1//4--- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ,r 4 ; v _€e Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3