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535 Esk Lane Use BLUE or BLACK Ink For Office Use - I I City of Eancin Permit ~ Permit Fee: DC11 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 I Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION 12 Date ( Site Address: Tenant: Suite RESIDENT / OWNER Name: 1y tt}C>+ Z ' Phone: Address City / Zip: 3~= CONTRACTOR Name: ©c I ryl ,C (d License Address: q'~~Y! f) City: ('fftrr`, State: Zip: Phone: 2s r) 7 Contact: Email: TYPE OF WORK _ New _ Replacement _ Repair _ Rebui o - Modify pace Work in R.O.W. Description of work: 40+-'4f-/ d&V PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ / - PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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 s rt without a permit; that the work will be in acc ed ncr wit th p oved plan in the case of work which requires a review and approv I of p n t ~24- x A111, ant's ri to me 6 Applic nt's i at r FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In ^Air Test Gas Test Final Use BLUE or BLACK Ink For Office Use I Ila I v~ I Permit City of EaRd Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 A 2 0 ???1 ~ Date Received: ~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 ' I Staff: I - V 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: _~70 VA moo-' Z Phone: GS I? - 696-2-7.31 RESIDENT / OWNER Address / City / Zip: s~ _t; Gr- Sk I~ rt Applicant is: Owner Y Contractor TYPE OF WORK Description of work: ~S c4AL 2, " Zwr Pc4moJel, ki wtlDta. "I iu►vt~uc~,S~Sr~o~~f Construction Cost: Multi-Family Building: (Yes /No ) Company: ~~`~2V~~Jc~~ Contact: Jtev~~- bfi{Z'32~i'r37~ CONTRACTOR Address: q01 aS 764A Sr4 City: oowt ~,nW~ui'1 State: MQ Zip: S641Z 0 Phone: 01S Z, M - ZZ License 1 l q 7 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. 7~~~:~t a, UA x _ &eV\T x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage X Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES A-0 IAr 1 ►'t~G t t 11~ : t'3`, f t O t New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building Reroof _ Demolish Interior x Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace - Repair _ Egress Window _ Water Damage Retaining Wall Vemolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0 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 t V-4. r s' " HVAC _ Gas Service Test Gas Line Air Test Foundation Drain Tile f J U 0 ('(r- Other: Roof: ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: "T'l , Building Inspector RESIDENTIAL FEES 0~1 Base Fee f Surcharge 01^ S Plan Review MCES SAC City SAC d.) € Utility Connection Charge 2,900 S&W Permit & Surcharge t d Treatment Plant, t Copies TOTAL f Vry Page 2 of 3 Use BLUE or BLACK Ink _ r For Office Use Permit (G. j City of Eaoa~ d b I Permit Fee: %3 3830 Pilot Knob Road 11 Eagan MN 55122 I Date Received: ` Phone: (651) 675-5675 I I Fax: (651) 675-5694 RECEIVED I Staff: I I I 2010 RESIDENTIAS A606ING PERMIT APPLICATION Date: "1 -Z I - 10 Site Address: Iss S E.~ LwNe Tenant: Suite RESIDENT/ OWNER Name: Tao, Mao- Phone: 9.51 696- (570 Address / City / Zip: ESk rt.aae rt '6;aa 04 , '131's/ 77_1, Applicant is: Owner Contractor TYPE OF WORK Description of work: N~ `VQ'~X± J API SCI 0 1 PPS~f"AN' Newt c,~C f~►i ~0(iS c Construction Cost: Multi-Family,Building: (Yes / No ) CONTRACTOR Name: License 1-7 el -7 Address: City: State: -M N Zip: SS4/ ZO Phone: Atc aS2-9$B-22ZX'- Ce (Q2.-3Z$-137y Contact: Email: 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 approv I of plans. x ^ ell x Applicants Printed Name Applicant s Signa ure Page 1 of 2 5-a -r-,- S IL Z ti DO NOT WRITE BELOW THIS LINE 49 SUB TYPES Foundation _ Fireplace _:kA Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level _ Pool Miscellaneous 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 ew Occupancy MCES System Plan Review Code Edition Xotl SAC Units (25%_ 100% Zoning - City Water - Census Code Stories 1 Booster Pump - # of Units - Square Feet / G PRV # of Buildings Length /y Fire Sprinklers - Type of Construction Width ~y REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES J/tG if Base Fee Surcharge Plan Review / 3AY MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies .Z 3 ,'t.57eq TOTAL Page 2 of 2 L Pioneer Ens i Weer i ne 7831883 P.02 c S * * 2422 Enterprise Drive ~Ir PIONEER Mendota Heights, MN 65120 _ LAND St1RNt=TORS . MAL ENGNEERS (612) 681-1914m Fox 681-94881 LAND PLANNERS • LANDSWE ARCHITECTS 625 Highway 10 Northeast ' ik Blolne. MN 55434 (612) 783-1B80-Fax 783-1883 Certificate of Survey for: The Rottlund Com an Inc. House Address: _ Coventry. Parkway Eagan, MN Model Name: Fail Customer. MQ.ctz X03 ~ :'L'~l ggl•e S 'N E '30NS DIVISION ~ X0,6 M-* / / ~ 2 I nr~ f IS a'b . g• h 4 / t< ,an XAlk S / 9 gy;:R 1 it ~ *4 lie, a y 4 1~, o ~3 1 co V" 14 Off, I` ~ NOTE! CONTRACTOR MUST VERIFY ALL DIMENSIONS 900,0 Denotes Existing Elevation DROPOSED HOUSE ELE.JA-n0N x Denotes Proposed Elevation Lowest Floor Elevation::, JM ,g - - - Denotes Drainage do Utility Easement ; Denotes Drainage Flow Direction Top of Block Elevation:. ~d f ~g7 •-o- Denotes Monument Garage Slab Elevation:. 901, 50 ~a Denotes Offset Hub Bearings shown are assumed LOT 2 BLOCK 1 COVENTRY PASS DAKOTA COUNTY. MINNESOTA 1 hereby cartify that this survey, plan or report was pr red by me or under my direct supervision and that I duly Registered Lend surveyor under the laws of the State of Minnesota, Dated this day of t9tc,. Scale: 11D gh_30i RO ERT SIKICH L.S. REG. NO. 1411' 37 89102A2 • . R=95% 7831883 06-01-93 03:52PM P002 #48 y??.? ti . a r? ?e '?,. _ • = Wertificate uf cccupanc4 ?- Cg'im of CR agan. ??rartmcnt af ?uilbiny ?xs??ectio? This Certifcate issued pursuant to the requirements of the Uniform Suildeng Code eertifying that at the time of issuance this structrere was in compiiance with the various ordirrances of ihe City regulating building conslncction or use. For ihe following: S F D W G 2 Use ClassiFication: R BMg. ? No. ! 1 I3 - - Occupancy Type Zoning District Type Caasl. Owner of Building ?M OD? pddms 5201 E RIVE1t FiDi RUMEY -- SwldingAddsess- 5?-EZ-1 ? [.ocalily'L2f B?, OMMM PA% Date: - suikftg orficzW POST IN A CONSPICUOUS PLACE CIT"Y bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ? PERMIT SUBTYPE: TYPE OF WORK: R1? f I I? I Mf? ?i:•t?t { Nt, fv??I /?? i INSPECTION .. . .. 1 1;1 wARk.S , '-;boi..i - 1.1riI hnC tuN VAi i I v i•IilMIiiNt, L CTION iCORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ? ?i Permit No. Permit Holder Date Telephone R S/W PLUMBING HVAC ELECTRIC 00 ELECTRIC ? I-JOPO inspection Date Insp. Comments Foolings I Foundation Framing Roofing R°ug' Ptb'. Rough Htg. l5ul. Fireplace Final Htg. t Orsat Test ? G Final Plbg. `.. J AIZ- Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final ?/?'J J? lU? ? l¢,PL'?i •/& 3 7 Dedc Ftg. Deck Fnal Well Pr. Disp. 17 ?S G'v Rea est Date ?? _p .p ? ? 3 Fre No -- - Rou I-in Inspeaqn Re rteG? i Ves C N. ? Reatly Now ?Will Notity Inspedor Wnen Featly+ It licensed contractor p owner hereby request mspection of above electrical work at : Job Atltlress (Sireel Box opr Route 1 S Giry SecLOn No =ame or No Renga No Co OccuO ? Pbone No. PowerSup her Adtlress Electnc o?tr c1or?IComOany ame) Conlrad?No C MaAm qtldress IConVactor or nep Mekmg InstallaLOn, Aulho iietl SignaWre iCOnlra r;pwne a g InslallaUOnl Pbone Number F ' / 9(d MINNESOTA STATE BOqRD OF ELECTRICITY ? Q THIS INSPECTION REOUEST WILL NOT Griggs-Mldway BICg. - Raom S173 BE ACCEPTED BYTHE STATE 80AflD 1821 pniverolly Ave. SL Peul MN 55104 UNLESS PROPER INSPECTION FEE IS Ptrotre (612)642-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION I See mei IOr campleLng Ihis torm on beck oi yellow roPY d 4 6 9 2 6 "X" Below Work Covered by This Request E 5-00001 -08 N.ay,.; e,l`W8(c??P ew A$tl Rep ?! TypeaBwlding -'` AppliancesWired EquipmentWired Home liange Temporary Service Duplex Water Heater Electnc Heabng Apt. Building Dryer OlheF(Specify) Comm.lindustnal Fumace Farm Air Conddioner Ofier (syecJy) Contreclor5 Femarks' Compute Mspechon Fee Below. # Other Fee # ServiceEntrance5rze Fee k Circuits/Feeders Fee Swimmmg Pool 0 ta 200 Amps to 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps Signs mspecmrk Use Onry TOTAL Irngallon Booms ?f ? ? • Special lnspection I Alarm/Commumcation r? THIS INSTALLATION M RD SGON TED IF NOT Other Fee COMPLETED WIl'HIN 1 H I, the Electrical Inspector, hereby AO09n-in o oe+?'/ certify thai the above mspection has been made p,hai ` oe?e .Q' OFFICE lISE ONLY This request voitl 18 months Irom ? 3? 9? y?a y O/ff 01r, Re vest fjate fire No g in Inspedion eQui tl? es ?? No ???ttt ? Reatly Now ? Will Notify InspBClor When Ready? I yf licensed contractor O owner hereby request inspection of above electrical work at: Job Atltlress IStreet Box or Route No ? 5 E? C?y Seclion No Township Name or No. Range No. County Occu antIPRINT? iii ? Phone No. Pawer SuDPlier w \ Atltlrass Elecn¢al Gonvactor (Company Name? G?:? " ConVacror§ Lmense No C A a (0,3 8 Matlmg Aeeress ICOnirector or Owner Maxmg Installation, Aulhonie0 $i na re ICOnirector/qvner Me _ g InstallaLOn) ? ? .? 1 Phone umber 3- 81? MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WII.L NOT Grlggs-MlEway Bldg - Noom 5473 U 1821 Univenlty Ave., SL Peul. MN 55100 Phone(6/2) 802-0800 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ??? g 3? ? See msimclions for completmg this 7arm on back ol yellow wpy "X" Below Work Covered by This Request 9B-"U'q ew Add Rep Typeof AppliancesWired EquipmentWVed Home Range Temporary Service Duplex Water Heater Electric Heaiing Apt Building fl Dryer Other-(Specity) Comm./Indu Fumace Farm Air Conditioner 01her (spxAy) Pemarks Contractor's Compute Inspechan Fee 8elow: 8 Other Fee # Service Entrance Size Fee 8 Cvcuits/Feetlers Fee Swimming Pool 0 t0 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps Signs Inspacror§ use only ? O TO7AL r., Irrigation Booms Special Inspechon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITNIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oat certify that the above inspechon has been made. Flnal -? OFFICE USE ONLY Thps request vmtl 18 momhs Irom REQUEST FOR ELECTRICAL WSPECTION ee-ooam-oee?s? $ea mshuctions for compleong this form on bdck oi yellow copy $?'??$?y_? Avaky? ? °?i4L`4a?i? u ? J X" Below Work Covered by This Request rrv?,:,.;.+?" ew Ari!d Rev - TypeofBmldmg Ap{!iancesWiretl EqwpmeniWired ? Home IRange TemporaryService I Duplex ? Wa[er Heater Electnc Heating Apt. Bwlding Dryer Other (Specify) CommJlndustnal Fumace Farm r Air o io Omer ,specty) a Convact . r s Co mpute !?spechon Fee Below I k Other Fee k viwEntranceSize Fee # Crccwts/Feeders Fee Swimming Pool to 200 Amps O to 100 Amps Transtormers Above 200 _ Amps Above 100 Amps SigOS nspecmr§ Use Only OTAI Irrigation Booms Special Inspectron Alarm/Communicahon I THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R00q"-'" ^ " t oaie certify that the above inspection has been made F,,,ai ? OFFICE IISE ONLY TM1is requeal voi0 18 monlhs Irom D ?$?BB PLUMBING (RESIDENTIAL) Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each umt 't sM -'s'a Date ? / ! 0 ?_ 5 Sit Add 53 U it # • e ress n Property Owner Telephone # ( ) Contractor L d i " A dress ty C i" State 10AI. Zip 5^530 3 Te?ephone #?- 3 The Applicant is _ Owner ? Contractor _ Other S¢ptic System New _ RefurbiShed Submit 2 sefs of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 ,,,.?Adding flMUres to lower levels or room additions, exciuding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 518" meter if needed - $ 1 21.00) ? p ? Other:'??Cl RC?.yt'1'1V00 Vn _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water 6eater $ 15.00 _ replacement _ additional ?- Q, ,..,... _ ? State Snrcharge MAR ?, ? 20n? ?I $ .50 Total 1 ? I hereby apply for a Residentia] Plumbing Permit and aclmowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemut, b only an applicafion for a pemut, and work is not to start without a perxnit" the work will be in accordance with the appro d?an in the case of ork which requires a review and approval of plans. Fplicant's Printed Name Vp i Ys Signature I 8(P,2(;- -5 1? RESIDENTIAL ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 New Conswctiun Reauirements • 3registered site surveys showing 5a ft. oNOI sq. h uf house, and all roofea areas (20%rnwimum lot coverage allawed) • 2 copies of plan showtrg 5eam 8 rindow ;izes. poured found design, etc.) . 7 set of Energy Calculations . J copies of Tree Presarvaban Plan if lot platted after 711193 . Rim Joist De[ail Options selection sheet (61dgs with 3 or less uniLs) DATE 2/ j /0 Z z.5-7 3 RamodeVReoair Raauiremaoh 1 x?, o(S • 2 copies of plan t?? . 1 se[ of Energy CaIcWa6oas far heale0 adtlmons . 1 site survey'or exlenor adddions 8 decks . Indicate if home serveC by septsc system for addAions VALUATION / 76 C)• c)c:b SITEADDRESS S3S -ES,C Ln MULTI-FAMILYBLDG _Y Y?_ N TYPE OF WORK Lasid e. FiREPLACE(S) _ 0_ 1_ 2 APPUCANT Q* A&,l Gtitk ??'? - STREETADDRESS Sb4'1 ?or a? ' 4?.? .v CITY S'I?+Y?(??.?/ STATE?vi?ZIPCSbk2 TELEPHONE # (05(-q31-r/3242CELL PHONE # FAX # ?S1-351-Z.oci to PROPERTYOWNER To.^ d 114oo4 2. TELEPHONE# 6`J1- (6tilib-4c7`Sb COMPLETE FOR ?NEW" RESiDENT1Al BUILDINGS ONtY Energy Code Category MINA'ESO"C:1 HliLrS 7670 C:1"1'1 GURY I NII.? ?`tirS'_P '(1???'??f??,11??I n1 (+' su6mission type) • Residen[ial Ven6latioa Category 1 Worksheet Submi[ted • gy Cotle Wor?sheeL ? I, . Energy Envelope Calculations Su6miried Q 6 2002 Plumbing Contractor. -------------- Phonc # --------------- Plumbing sys[e[n includcs: Watcr Softcncr _ I.awn Spnnk.ler Fee: $90.00 Watcr Heater No. oF R.I. Baths No. of Baths Mechanical Contractor. V[cch.uiic.il svsLcm indudcs: SewerJWater Contractor: Air Cotidiuoniii, Hcat Rccovcry Scstcrn Phone # Phone # Pce: $70.00 I hereby acknowledge that I have read ihis application, state ihat ihe information is correct, and agree to comply with all appticable State of Minnesota Statutes and City of Eagan Ordinances. /-y, Signature of Applicant `-? O OFFICE USE ONLY Certificates of Survey Recewed - Tree Preservation Plan Received - Not Required _ UpdaleC 4102 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 5-724 3830 PILOT KNOB RD, EAGAN MN 55122 ? 651-681-4675 New Construction Reauirements • 3 registered sile surveys showing sq. ft of IoL sq. ft. of house; antl a11 roofed areas (20°k maximum lol coverage allmred) • 2 copies of plan showing 6eam 8 window s¢es; poured found design, etc.) • i set af Energy CalcWations • 3 copies of Tree Presarvation Plan if lot platted after 71V93 • Rim Jaist DeWil Oplians,pelechon sheet (hldgs wiN 3 or less unBs) DATE flU O"__ SITE ADDRE55 '?(f yv TYPE OF APPLICANT MULTI-FAMILY BLDG _Y )eN _ FIREPLACE(S) X0 _ 1 _ 2 STREET ADDRESS t t c 3 ujjj?4p1, .,' CITY STATE_ZIP TELEPHONE # M I N N E? P O l I tftL PHONE # fAX # 55606 PROPERTYOWNER lK1?,?sg'"? ?/7G?I??/? _ TELEPHONE# CD S 7"767/"S?Y? COMPLETE FOR "NEW°" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIN[VE:SOTr1 RULES 7670 CATE(30RY 1 MINNESOTA RULES 7672 TS"E (4 submissio n type) . Residential VenGlation Category 1 Worksheet Submitted CSde ?74oFk?heert SI itted • Energy Envelope Calculahons Submitted P 2, 5 2002 ? Plumbing Contrdctor: Phone # ?------ Plumbing system includes: , Water SoFtener _ Lawn 5prinkler BY Fee?$9D.(10- Water Heater No. of R.I. Baths No. oF Balhs Mechanicol Contractor: Mechanical system includes: Sewer/Water Conhactor: Air Conditioning Hcal Recovery Systcni I hereby acknowledge that I have read this application, state that the with aA applicable State of Minnesota Statutes and City of Eagan Ors Signafure ot Appllcant is OFFICE USE ONLY Y8v1? Qbo, zE?- RemodeVRenair Reauiremems . 2 copies of pWn • 1 set of Eneryy CalculaUOns far heated addihons • 1 site survey for exte(ior additions & decks • Indicate if home served 6y septic System for addihons VALUATION ! 0 Phone # Phone # Fce: $70.00 to comply Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL ? BUILDING PERMIT APPLICATION ? ?ITY oF EAGAN ? a a 3830 PILOT KNOB RD, EAGAN MN 55122 651-887-4875 New Conetructbn ReaulremeMe pemotlaVReoalr ReauhemeMs • 3 registared sAe surveys showing aq. fl. of bt, sq. tt. ol house; ana pll rootetl areas • 2 wpies of plan (20% maximum lot coverege albwed) • i sel ol Energy Calculations for heated add'Abns • 2 coples of plan showing beam & windax sizes; poured tound design, etcJ • 1 site survey for exleAOr atldHions 8 decks • i set of Energy Calculations . Indicata tl home served by septic syslem for addilbns • 3 coples of Tree Preservatbn Plan if lot platted afler 711/93 • Rim ,bisl Detail Options selaction sBeet (bitlgs wim 3 or less unAS) DATE -7 I 3/ O 2 VALUATION (a O ZS . o a SITE ADDRESS S3S ES K L4n? MULTI-FAMILY BLDG _Y _ N NPE OF WORK ea- P-.DP? FIREPLACE(S) _ 0_ 1_ 2 APPIJCANT IJno,.?n .ro. ?? Ca,c}- STREETADDRESS 5co`4'1 Mrpterv`a.1 A,42. CITYSliwwa?a.r STATELh I?ZIP 55 $?-. TELEPHONE # b51-539-`I320CELL PHONE # FAX #351- 209l0 PROPERTY OWNER T m 1 AWLc. TELEPHONE #(a5!- bBo- (,760 COMPLETE THIS SECTION FOR "NEW» RESIDENTIAL BUILDIPIGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 M JI70 (J submission type) • ResitleMial Ventilation Category 1 Worksheet Submilted • ?Re C de?'W tks?e . EnergyEnvelopeCalculationsSubmitted JUL ? 5 Z002 Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ I.awn Sprinkler - c e::- _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhactor: Mechanical system includes: SeweVWater Contractoc ? Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 ---------°----------°-------------°----------------------------°--- I hereby acknowledge that I have read thls application, state that The Information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf A >%4?--- f(/.?J 713)02. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 CITY OF EAGAN ?3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-18400-020-01 DESCRIPTION: PERMIT 9o?9 PERMIT TYPE: Perrnit Number: Date Issued. 535 ESK LANE L07: 2 BLOCK: 1 COVENTRY PASS Biuildirft, Permit Type #uilding-?W°qrk Type AJBG OctURan??,, Canstructitsn Tla?e 2oning Bailding tength ttjilding Width f";l SF pWG NEW R-3 M-1 VN R-1 f .y .1. 58 94 6, "?/- 9 3 BUILpING 021113 06J04/93 00? REMARKS: S&W CON7RACTOR - VALLEY PLUMBINO FEE SUMMARY: Bese Fee Plan Review Surcherge SAC SAC % SAC Units Subtatal VALUATZON $744.50 $483.93 $65.00 $750.00 100 $2,043.43 $136,000 MISC FEES $1.744.50 Total Fee $3,787.93 CONTRACTOR: - Applicant - sT. LIC. pyyNER: ROTTLUND CQ INC, THE 16710304 0001335 ROTTLUND CO TWE 5201 E RIVER RD 6201 E RIVER RO 301 FRIOLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571--0304 3 heraby asknawledge tfrat I harve rezd "ia app}.icatfon arn,4 statb, Ghat tbt . information ie earrect and agres ta compky with a11 appli.c.atsie Stato of i9Tt. i 3tatuCes and City flf €mga» Oi^diraahces. _. _. . ? -Tt3RE ??- APPLICANT/PERMI SIGNATURE 1SSUEPY: GNA REACTIVATE _ PERMIT 4 ` , a I'Lf3 CITY OF EAGAN 993 BUILDING PERMIT APPLICATION MAY Z 1 1993 681-4575 --- ?`? &`?.- ?3 7 ? 7, ?3 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 capy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. ? / G3 Yaluation of work 3 M.r,QOv Dat ? d ress: tc- Lh . ite Ad STREET $UITE M Tenant Name: (commercial only) Tfne-- Ro+-WuAcl 60'S14c• LOT 2- BLOCK I P.I.D. 1f Descri tion of work: S?? l??o„A•,+? The appl i cant i s: wner 14 Contractor 0 Other (Describe) Name Tlle- ?,o+-I-IuhA. Go. -rAc_ _ Phone '97/-030 ?. Property LAST FIRST Owner Address t5701 (ZiUer (LJ• 30 ? STREET STE # City pr; le.? State /Un 2ip 5,15-1Y .7 Compar,y S??e Phone Contractor Address License # 1333- Exp?-31? City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber 0 P uw"(Q,'v? Processing time for sewer & water permits is two days once are has been a roved. 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. Signature of Applicant: - OFFICE USE ONLY BUILDING PERMIT TYPE I ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 9 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? OS 8-Plex O 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE 0 ? 16 Basement finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comn./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous jk 31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish O 32 Addition O 34 Repair O 36 Move GENERAL INFORMATlON Const. (Actual) V- N Basement sq. ft. MWCC System y? (Allowable) v-nl lst F1. sq. ft. City Water UBC Occupancy R-3 M-I 2nd F1. sq. ft. PRV Required Zoning e?t Sq. Ft. total Booster Pump # of 5tortes Footprint Sq. ft. Fire Sprinkler Length .58 ? On-site well Census Code Depth 1-3 ?y On-site sewage S C Code b1d ? o? `? sus J- APPROVALS a? r.wi?t -.--- Planning Building Assessments Engineering Yariance REGIUIRED IN SPECTIONS 0 5ite ? Wallboard ? Footing ? Final ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge TreaLment P7. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 103 SAC Units t vatu.cion: GanA,6 G; ?- ? Framing ? Draintile g 130, pe,a ^-' x z2,=?o ?-- 6Ya x 85b4Ti Isr FL.a_Z,v-o ogx2e = ?)ey /oB y xIS'- f'?2 x ?3 = 1 ? = Ib? 2yo / 6/ 2- (vo Be+`+TF= I o ix9? g I'lzx7= 10 I ? 5'9, n?. x - i'78v Zz) 9' 3, 4l6 ! 29 1 Y2q i? *T * * PIONEER ? a?e? * * ?. * Pioneer Ensineerine 7831883 P.02 2422 Enlxpriae Driv¢ Mendota Heights, MN 65720 612) 681-1974•Fox 881-9488 625 Highwoy 10 Northeosl Blofne, MN 55434 ?812) 783-1880•Fax 783-1683 Certificate of 5urvey for: Th8 Rott(und Com,.,ppny, IC1C House Address: C°ventry Porkway Eogan, MN Model Name: Eh&ryrav ? M \ \ ? 9 1 ?.?., ?48 ?o;F i ? / ?. vA / 2 ) ? i v A) s ? ? a? gqq.Z Bq s.9 ? wdy / ,?, ?4op 'r ?2 ? '?o ' Po•F ? ?, .s 9p1• 4q? q? ? 9a. 'w v? Qs o ?.. > ^'. t??0.r \ &co 3D Rr ul• 9 . ? , n \ 8fr.8Y ? ? ?? SpR? ?" ` ! ! \ ?li ? \ a ,?? ??. ? •J ? . ? 4?? ? Q? Q ?J, ti l,.• ??'i'5:3'3 RY7P aTb.p ? ?? ?g H H9 ?.c ? ? 3 N07E! CONlRACTOR MUST VERIFY ALL DIMENSIONS ?NGINISRINQ . 900•0 Denotes Existing Elevatian oRQoOwEn ynyUSE ELE`!ATlON ¦Cm.ib Denotea Proposed Elevation Loweat FloarElevation:; Vq3,g -- = Denotes Drainage dc Utiiity Easement - Denolas Droinage Ffow Dtrection Top of Block Elevationcc)0t,97 --o- Denotes Monument Garage 51ab Elewtion: 9a1, ? -ia-- Denotes Offset Hub Bearings shown are assumed 1pEFT LOT 2, BLOCK 1 COVENTRY PASS DAKO7A CtlUNTY, MINNESOTA I harebY carti1V that fhis eurvey, plan or reVOrt vras pr red by rre w under my dir.ct superviiron and tAat 1 dul Rt under the Iawt ol tha Slate of Nlnnaow, ?atad 1hipde o( V yistsrad Lend Surveyor Y A.0,194c,. Scale: 1bqh =30'°et RO 6RT fl. StKICN LS. REG. NO.ICB91 m 89102.02 Rs95% 7831883 06-01-93 03:52PM P002#48 d V W. 2 J (Ljj a > w U ¢ a a m W ` ~ U j ` 6 z 2 LOT SURVEY CFIECRL26T FOR RES2DENTIAL BUI PROPERTY LEGAL: DOCUMENT STANDARDS PERMIT te of Survey: 0"? ? • Registered Land Surveyor signature and company Cd-?p ? • Building Permit Applicant [3?0 ? • Legal description ? p' ? • Address &'? D • North arrow and bar scale @? ? ? • House type (rambler, walkout, split w/o, split lookout, etc.) B'? ? • Directional drainage arrows with slope/gradient %. ? ? • Proposed/existing sewer and water services p? ? ? • street name ? ? ? • Driveway ELEVATIONS Existih4 ? Ct?O • Sewer service ? ? ? • Lot corners p? ? ? • Top of curb at the driveway p? ? ? • Elevations of any existing adjacent homes Procosed 2 p ? • Garage floor PJ? ? 0 • First floor ? ? ? • Lowest exposed elevation (walkout/window) ? 0 ? • Property corners p? ?? • Front and rear of home at the foundation PONDING AREAS (if aDplicable) ? Ek" ? • Easement line ? cr 0 • NWL p CK ? • HWL ? v ? • Pond # designation 0 g/ ? • Emergency Overflow Elevation DIMENSIONS entry, 6?? ? • Lot lines 8- 0 0 • Right-of-way and street width (to back of curb) ¢? ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ? structures requiring permanent footings) hi i ? ? • Show all easements of record and any City n t utilities w those easements ? D ? • Setbacks of roposed structure and setback of adjacent existing s ?? ? • Reta' w requi ents, if any Reviewe : Name / te October 1992 ? t'"Friott iCNVEi.OI'}: AVh:ItAt;E, "u" r.nrrru•rn•rinpi ? otirnER • j'SITE ADDR-EsS L Z ELO CJ( I. C ? a S CONTRACTOF ?o77Lc1ND c.o DATF. PHONE Determin vorkinr; sciiinre footai'c of each. l. Total exposed wall area sq. ft. x 0.11 = 2vZ,3Z ' 2. Total roof/ceiling area . /c9 a 0,026 • .--_ s??. rt. x = 28.3?r Totzl exposed wall arca nbovc flocir = G 3 p?0 a. Total vall windov area ................. c b. Total door area ......... ........... ?3--?? d ? ....... c. Total slidin ""' d. Total fireplece vy11?areaarea .................. _Sq.97 ............. - e. Total wall framin area . B (average lOP) . ? 8 f. Total net vell areu above floor . 6. Totzl rim Joist area ... .............. •/?O?? ............ ........... _ •GJli.b Total exposed foundntion Rraa 2-4 1? h. Total foundetion vindov a:ee ...... ' 2• Tot at net foundation a-ea above .. krade . _. . . . . . .. . .. . • Deterrnine "U" value o; eech vall ;F};ment. . 8. (SZ,g c "U" p, ?.2 7(P.7] • _ b. 3g 7/ _ X"Ul, C. 59, 9-7 X„u„ ?,?.Z = ZS l8 d. - X llul, . . ,... e: . 1?j?j . ? ? X -"Ut. lJ. Qc /A, r. p of. . g. z r C?. 3 X„tr" a,?4?? ?- B- Sa n. -2, 57 i. X„U„ /lo, zo s. ..:..- .......................... . ro t.-:.i If item N3 is the sane as, or les^ ;.t?:,n .lLc?z yl, you nave met the in?t of ssc 6006(c)2. f, ? • ! ` ' _ Totnl exposed root/ceiling nrea Total gross roof/ceilinf? areri ?• Total skylieht area ........, k• Total roof/ceiling framing arey ...... ?C7 1. Total net insulated roof/ceilinF area ......., 2q / Determine "U" vnlue for clch roof/ccilin(; seF;ment. ,• X "Un . . k: X nU?? Q_OZ -J = G19t • • x,,,,,, k . ...............................:. Tacal - ?-?'-? If total oP #4 is the same as, or less than N2, you have met the intent of SBC 6006(c)1. To utilize the total envelope systea method, the values establi;hed by the stinn of items N3 and BL shall not be sreater.thxn the sum ot iten:s M1 and N2. 1. ± 2. - 3'. ' + 4. _ . 0 _ . ... o e .-- ? ? 10 ? C C C -??- ? %??l ?I0?1?• --- ?&`?- P? ? (?--i-CGM .. ? En?Twt--F1Hti1. O : ?'6YP-_?o--_= _-- ? , --- F'? ---- ... _ ---o,? - -. R = ?-G-8-3---I -o %? 1:------- - -. q--4.a- . .. . - ?=aS - - -o =?-?------- ?.-z= ? ? ? -3-- -_ - ?,? ? 0.022 c'?,U 3 ?AI?u?AT?aW?7 -rFAM?- W?U. L? INhI-ILATi?i LoM Po H ?r+?, .J :u ?. ? o.tq??G5 AIF- Fit,m =-5%l lNSU?A?1?rI? C>YP,ao. Np?- r11-NI. ? - --- D, I"1 - - - -- Iq.G ' -_-----p:CoO - FP'(Fi,= U= R ?v c-o?3 -fF-AM5* WAu., & LoMPaN?N jg _ PL-IkN. viE91W. C C c C?- C C o_u"r??oE A1p t7N5A'(H I N!, • '? X v hjl.10 (Fg?MF4) ao. iNhic? P+i? RLM. . - -- ?--vA?u? 2.GU _ - -j.-? ? .-- - -- --_ ?,?? --_ - S' o, = O, o =G?I+?iP?. ??U?= ?D,l2 X o.ot?9? t?o,8b X o43> ?? ?- , O O O ? 0 ? (D O C? C ( ?V?' I l/N? {Gy = f'.-` /., ? ?? .. ._ ??Vi `V?"%_•__ ? ?D:I N G-- ?? j -?12- ?LNS • -._??•-C . I.?? '. _.D. C?.L - ...p; ? i. . =G- ? G''?fv?t?7f?f?J{?.--- --G'Ur-!-?i. li ?- ? I?-I tZ`?o??.: CN I -?a?--? ?M _ f ?= I.I (IZ.1;1 _??I'-f = O•i? A F. R- 1 4- 92 T IJE 1 5 : 1 2 F L A RE H TG .& A ? C _ !}F=ffd7:l_I::1? I°?!:.t'GJt?; h t.1h; ?IVI J.r;:,. ?FJI.l?.>_. P _ 0 3 .1..u[.ra P'e•::q Y- ar.. , }:Ii,..cDar•erd k?y 9 fik]tit:ti.iiid I.:o. I`2.W. Gl.lt'_+P•re r'I I h`e {'"SdP'61R.]n G „ i"Iri JnCj IVamF : Fwa1l^'Way, [?Xl'UtiUl"tiE. tiLFaSS YJC?kTI-I :iI;JU'1"H FL1S4" WF:la'l" IVI:_/iVW SE:;/oW 1•11:7R7.. . . _.,.....,......_, 'I'CIT'AL. ........_...,__.?_ _ i•IFIFi:A __._..__._.__._... 1 281 _...,....._ __ ^ ._ ... ?I•_•! t,' _ ........_....._ ... _. _.. 118 ? 1. ..4 ;? ? '" ( <) { ) ; 1;.? S I.:iJfJL.IiV{a I 422i 9921 3.3I9I 515901 QI (')1 Cl1 22}::+24 ; I1 F:Ld7ItN1Ci I 1,149 I l;"76`5 1 4„84; f S.+'.?EI7 I O I 0 { n f I2,S46 : WF;LL..'.;i 1V0f;'fl°9 :';f.3Ul'H FRS'7 NEl_t7W WES7 NY.?:/1WW 4':il:ilJW CaR F-1DC f3FiC:A 9 b E%I µ.. _,71''S ........5':?: i i'<FJ ; C+ I C) ; U i GC7f.1L SNC3 I 564 ; 6S2 I E34-6 ? G42' ? 0 i 4'+I ls i I•iE::P•1"f INt:'s i 2r R 46I ': ;.2;3k i ?:".• y 6?'i 5 1 :o . io79 I 0 1 CI i 7 y 2'd9 i D1:lCIFia 1V0k7}.l_. e'sI:lU7H E,f•i:iT WEEi"Y' tdE11WW t;F.lCiW _ ._ AhEFl ._._,.. i CS: _....?......__ f,1i . ._..,_....__... :;yj 1. _.._ ............._.._ U1 C?i C?i ? [:UC)L.IMG I ,4; oI 9621 Ot bl o1 1 Hr.iFl l' T VVfi I _ 01 Cf I ':? ,? R 1 F.3 1 0: ll I 0 i t F'I_O(7R _..._._..._. _...._.__?....._ FlRE:A . (.Ct[Ji_IMCD..,, HEf37SNCa ?0 ;33 l c;r . 2,769 I.;F.:TI_I1Vf3 .,.. , .. ._...._...._.,.,..._ AFfF:fl ,_._ . . ._._ _ .._. _ C-C31]t..IMt•r I-IC:iA7':CNG _..?_ ... ........... 703.a . ..__.._..,... i ......,,..,..... 956 i 2., og`y7 'I'4]7f•1L. 3, 196 i ? , r1t7U t 19?y7b; TfJ'f AL 381 4621 "+„CrSa; P4'tai".F:.L.Lr.aVtUi.l.:i CC:iUL,IhlA) E..1:7?11?? P?'"'oplf': SG%i'iEir:4b1e Lacid ........-•••-..._..._._...._. .......... Z.w:? .......... ?..... t.at'Gfi?I7t LI:7aCt ElpM L.zr.?lets & Appl. Lcsaei 1,Ags La•Certit :;y 9 tuh 309 Ue?n'ka7.«tiqn Luad l,403 Duc.•t: HeaY. Getin L') Ir'i•ft.ltrat.icrra i_oacl 50:3 SF+rtSi61e ;Eia fF?ty EMt.thi 1,066 Tf]TAI., ',?Ei'W:3IF:tLE LCJ6`iD 22.7,c32 l'L]T'Frt.. 1_F1TCN1'7 L.Clf1A E>, 491 :=iucnmer• OCl-E 0.06 Tetnp. Swi,ng IKLt3t. i.bb *;V;k 'I"r.?t?.?l Caokinr) l..or:tck 28,8'7;5 B'T'EJEi Cii• :?,ltl fori!; 9** Ih'!'J[:;ELl_61M1i1'itJE.J!s; H1i63TING L.f]Fti1)£i Irs+.ilfiwittinn 1_c7,??1 . "7,Si!--,_..__._._._.._.•__•-•ventii.7iit.inri Lnaad 7,4=5 OGact f-Eeat. I_U5iS 0 Sa+c+t.Y }+t?th ?',622 wzn'L4r- muty 4) .3;:5 .1** 'T'atnl H?:?ati.r•tg t,.mad 55,065 3i7Llf•i *** CE2-14°-9_ ?i . 1 SL.EMMAFtY FfEPt:)Fti"E' 17rt:+M3ar-t?d For: rrpparecl Etyr Fratl:tuncl Cci. I"l.W. iauic;?rr'e F;lr:ure 1ieatietg , Mn :Scta N.qmE:;: f•"aii-ntay T)ENSI C•'7N t:E:)I'dI? I"I :[ f:ll'J<i F c7 r 01.}TD C1QF S31.lirIME:ER W:f.kV'T'E:F? Dr•}+ Bu 1 b V.? ..;?cJ Wet Nu1 b I`.'s U.zaly fiar7gts :22 LeSk::i'ki.lGl&+ 44 t IVi:)l711P''t :iUP4ME::F: WSI\ITi;1i ! ; '7C1 67 Da.i:[y 5wirly ;':.C) E.1 C: V iix'L 7. CJ f i f:C'?2 9af?:+'ty Fac•Fcar• s7) 5 f,..atent: Fac'toM" ( % ? 29 '.:isrrz 7 x G 1. c? F2izoI7rfl I-{ca t i n 0 Hea'k.ing Coo].ing IWoaling IVamry 1"s'T'I..Jt•I CFP't H'YUH CrIM Sa!se r[s E, nt 1.f•3,'?1:'.; 265 ..E7i]'r3 91 1=ayer' 2,49C;) :is 11447 k_a.v,iny Pit7t]tTi •'.?,64 Ee 15 't :?a795 141 Dinzr3g Ftoom 1,803 26 1,067 I7inw:tt,e 1,11)4 l:5 E19'ia 4t? I:'i'ti.:hGn f3,91t 1215 fj:S?j 7,F3t1• F-'aini.ly Roam 6 0 `i134 `l::' 4,247 114, I"{lA!a'k:F.3Y' oE'di'Gt3itY '.:;, 069 ?.a 1 . 95f.1 9^i I°IM3;ster• Path 2 ,7;5('j 1,499 76 66 N?i.iruom .. ,i.6 44• 2,123 i[tI `:i:i , C165 77Q 22, a82 1,130 I-!k_F17:[N(S I)rcL"I'A l" Ei5«f,1 COOl_IlVCi DE,L."I'A T 18,0 , • • r-_c DEiYIILED F-'tPrJt'.I F"aH tN;:ri? HJ'-_'_ . _L'Glr?:'_ l"'. • , Y "'EC•ciY"c•?7 t''. . F:o'ttiUl-i:] Go. M.W. Guerre , lare Heatinq . 14 1 Job PyamE-: rnir-wz•; E `/,POSLJRc L:LH_O hIL'tF:7H ------------------- s_lJiH EAcT ---------------- ,.k'cS-f rvT!N:- SL. St=1 'r±OF;Z ---------------------------- . Ti7TiyL ------------ rih't'-i i 28; ._ : 116, 1241 _ . _il f)i 310 COCt± ifJG 1 422; 921 5,3191 5.5901 oI 01 :>I 12 ?Q HEA?i;"JI_t 1 ?.1491 --------------------- 1.,6.=i 4,c47I ---------------- 0-+9I :, 0; ------------------------------ r,-il 12.8461 --- -- - - - - e E.I._1 41r-lLt_ S idOi;Ttl _ ? ?r;l?i-{a Er; ^,-r ._ -c , ? ?,}..; c4-'SW uFir?uc ?,•r- i1? o i 1?5?_ i. _. TOTh"-L_ FF;[_ r: , 6171 ?'14' ._..:? , - - _" q.'?'; _'_ - 1 ______'__ ' -)1 --- ._ T-_- ::lOLiiJ6' 1 Sbi:'I 652: 94=; 2421 :, i:; Q; 2,900: HEr'iYIPwG 1 ,446; 511 3.E+95: ---'------ =.67^,. :;; 00 7.2991 19,97:I -- Ll0 nR? iJiiF;Ti; SCI_ITH E(,S? -----------------------' ------- l=lEST h.!E!hdiv SE. SN: -------'----- TOTAL F,REP i ') 1 ---, ,^ ----' --- ------'-- - ------------ i) l ------------- _?! ?^ CCiC?LIsdc , C ; _ ?,; 46:" C , _ , i•' , 462; HEAi3h1G ; itl ---------------- 01 ,018 ? C;I C>I i) 1 2,t:i8i FLUGF: ------------------- AF:EA ---------------- ----------------_ ^--------'--- COGLING HCr,TIhJG - - - ------------ _'__"___'___'_____ .'i l.'.' "___--__' _ --- - ---------------------- ( 1 i . 7b T ----------- CEILINB ------•------------- ___ ___ F;REA ---------------- ___________'__'__--_______'_ COOLIPJ6 HEATIPlC-. -------- ----- "'----_____ ------------------- 3t?." ---------------- ---- ------------ 956 . n9? ------------------------------ ----------- ----------- MISCELLAP•lE4 US COGLZN6 LOAD= L FCI?CIlf_ .?.7CIIsSLJIE LoY -- --- U 1,575 -----_----------- LCtE'n(y_ LGCL [J.SCa_ L2Gh`_= _. flrpl. Load 1.195 ? ?. L<ttE.*if `."c..tj '• b'C?th '?%9 Vcntilat.ion Load Puct Neat G-ain 1-2 Zr.filtrction Load 502 S8riE1bie Sn'r'c.•tv P'L"u h 1,066 TuTr,L ScNSIE!LE LOAi: 22'o:: Ti_IT;AL Li=rTE'1T Li:'syP .'?.4{'1 JlU0f11Cr qrH =.06 TemF_ So-:ir„_ i•tuit. i.r;C: ?'Cit3l CC oililo Lvcu ic.a ,-%_ BTUH ur 2_41 Toiis M?-Y? iiiSCcLLr":t•<LJ iJS HcAi IidG LGnD= Snfiitration Load ----------- - ?Iff. ------ --------- VEfitliritiC•n Load 542; DiiC{:. re-ali LUs=. Ct SnfCif 8tuh ,622 Winter FCH C'.i= 4:'i:= 'I'ot'cti Het,i.lfl C LGaG'' 55,065 ti?". '`l,'?' ? 02-14-°2 Z.f ? F'r epared Far: Futtlunu Go. S!.1hiMr';f;Y REF'GRT F'repnred F, : N.W. vuEY"r e Flar-e Heatir,c ? M: i jG b iv aiTi e: Fci l:' 4J a'y 110%; f i.Jt??y ? I}LSIG:°•a Ci:NDITTCNS f'CY OUTDOC:^: SUP+.P'!ER tdIrdTEP L,rY BLIlL' 92 -20 wt•?' r'ui Ci 7`_ Dni i v F;an4e 22 L-ntitu:r;. 44 I:.Tj?OR, SU";NcR w INi-EFZ. 5 ]ft 6- Deiiy Swirig _.t) Eievr±1Cr; 822 S=;fety FactG:^ i%i _ L_atent F'actor {>> 29 SCil:1ble RuGRi Hed"tlnq Hed*_ny COalinq CCGilftg fJame ---- P?UH C.FP1 BTiJH CFht ^<tsCI11C11t ------- 1C59 i`?? ------- 2o,:.? ------- 1,c! :c? ------- 31 FL?yE'f ^ L,Y7L' =J ?1 S,tIY7 W Living Rec,m ,o»S Si .795 141 Dining F:oo:n 17ci8i ?b 1,067 ;,? DinettE• 11104 15 8-3 45 k;i{:CFiBI-i ro.=ii 125 ,6:`6 id=i Fam11•/ ftOQlll •52 9•1 ?9n•?Y/s il'1 I?cIS?CeF- PCC?Y OlJ:u ._ ?iCj? 't`; i ,^`_ 9 ? Mc!ste'r Po.tii 750 38 1,499 !'o Ned ruom I ,JJ 1 :U 1,=;11 b? J T{CUf ?'?J:fl 2 C -i,SC:5 ------- 44 ------- 2.123 - --- 107 5J.0r5 70 -- - 22,392 ------- 1,130 HEr;TIf,;G DELTR T 65.0 COi7LIiJG PELTA T 18.0 N!i':'c: rnT CaiCUlntcd Ai!fiiow ].= bdSed tip0-i loid re:{LlitFiTi_!;t=-. Uer-ify that nirflow Ca1LLilcltCC'J is ccmp;tible witl-i °_iF%iCLLCd !_'ui_t1GiCiF•!":i *** ?;z... 1993 PLUMBING PERNIIT (RESIDENI'IAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOIvfES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT. NO. F7XTURES EACH 't'OT? SHOWER 3.00 WATER CLOSET 3.00 BAi'H TUB 3.00 LAVATORY 3.00 HITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • mtinimum - 1 3.00 ROUGH OPENINGS 1.50 ? WATER SOFI'ENER 5•00. ? PRIVATE ll1SY. • Derch. uc. , 15.00 U.G. SPRINKL.ER • eome under cansi. 3.00 ALTERATIONS • w adscing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE : OTAL: 50 SITE ADDRESS: ?rg s / OWNER INSTALLER: CIT'Y: STATE: //?? / 7/^/ ZIP CODE: .S ? PHONE #: ( yS/ ) 7 21a 9 ? 1993 MECHAIYICAL PERMTf (RES CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 C 53.00 EACH) 3-__S:?3 ADD-ON/REMODEL (ExISTIxG CoNSTAUCrION) $ 15.00 STATE SURCHARGE 50 TOTAL SITE ADDRESS: OWNER NAME:TELEPHONE #: TELEPHONE #: ,TURE OF CITY: STATE: ZIP CODE: PLEASE Ct7MFLETE P-GR SRdGiE rAMILY I?VyELLI?IGS. ALSO, FnR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNIT. NO. FIXTURES s - SHOWER ? - WATER CLASET ? BATH TUB LAVATORY i KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA ? WATER HEATER FLOOR DRAIN ? GAS PIPING OUTLET • mwmum - 3 ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • DakCry. lic. U.G. SPRINKLER • bome under eonsi. ALTERATIONS • to exusting WATER TURN AROUND STATE SURCHARGE TOTAL: EACH 3.00 3- 3.00 ? - 3.00 3.00 '7- 3.00 3 - 3.00 3 - 3.00 3.00 3.00 3.00 ? - 1.50 5.00 15.00 3.00 15.00 15.00 .50 y -1- STTE ADDRESS: S3 S s4 L n e OWNER NAME: - cj INST ? ADDRESS: (,o l o C 2,?C L - CITY: S i ATE: vi- 7IP CODE: PHONE #: ( ) ?_) h(.) - )-, '? I SIGNATURE OF PERMITTEE 1993 PLUMBING PEKMl"1' (liEJlyl:lv"11/w) CTfY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 (651) 681-4695 New Construdion Renuirements RemodeVReoair Renuirements ?9 C?.X}CS?¢J ? 3 registered site surveys ? 2 copies of plans (include 6eam & window sizes; poured fnd. design; etc.) ? 7 energy calculations ? 3 copies ai tree preservation plan if tot platted after 717/93 required: _ Yes ` No DATE: 02- 6 - rF 9' DESCRIPTIQN OF WORK: /4/ - STREET ADDRESS: LOT: BLOCK: SUBD./P.I.D. #: ? 2 copies of plan ? 7 sde surveys (exterior additions 8 decks) ? 7 energy calculations fcr heated additions CONSTRUCTION COST: ,2??,? 2- ?V il ? v4/- Name:_?TL?,? Z- ti5 Phone #:?' PROPERTY Last ' ° First? OWNER / Street Address: ?7 3 5- city state: ZiP: Company: ?/??2? L'ar? S ? .Z`n?G Phone CONTRACTOR StreetAddress:?/n'a-f License# L?lr,/73 Exp. City eLZ2 State: Zip: C1T-?sI ARCHITECT/ EAIGINEER Company: Phone tl: Name: Registration #: Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this applicatiqn, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. /J ?'-'W,/) ? Signature of Applicant: OFFICE USE ONLY FEB 16 1999 Certificates of Survey Received _ Yes _ No BY• Tree Preservafion Plan Received _ Yes _ No _ Not Reqwre OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling O 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory )( 04 SF Porch O 09 12-plex ? 14 Fireplace ? 05 SF Misc. ? 10 = plex K15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning 5 ' ?! Basement sq. ft. Main level sq. ft. f?-3 sq. ft. Q - I sq. ft. ? ? sq. sq. Footprint s ft. ft. ft ? q. . Building ? Engineering Variance ? b( G Permit Fee I Ci S. 2-5 Surcharge s. ?-C) Plan Review l a (, .q ( License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 3 "?-'-l , G L Valuation: jawx 54 = g I 0, 5 B? ? ( Dj s8 `? ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous Census Code SAC Code Census Units Census Bidg MClES 5ystem Ciry Water Booster Pump PRV Fire Sprinklered s % 5AC SAC Units i+iai io i7an II??Ihl41 Htll, l.UG1YeIY'f MNcheck COMPLIANCE RBPORT • Minnesota Energy Ccde iKNcheck Software Version 3.0 rm'_t # ? Checked 'ny '^at= CCL'NTY: Dakota STATE: MzrnesoCa ZONE: 2 CONSTRUCTION TYPE: Single 2ar.tily DATE: 3-10-1999 DATE OF PLANS: 11/12/98 TITLE: MCOTZ PROJECT INFORMATION; ADDITZON COMPANY I:I:ORMATION: ENERJAC NOTES: iiEAT LOSS FIGLicZED L7SZNG ADDITION AND HOUS : COMPLIANCF.: PASSES REV_SED 2/16/99 Required IIA = 414 Your Home = 402 • 2.9t Better Than Code Area or Cavity Cont. Glazing/Door ?erimeter R-Valse R-Value IT-Value -----------------------'-------------------------- CEILINGS: Raised Trusa 1311 38.0 0.0 WALLS: Wood Frame, 16" O.C. 2309 19.0 2.0 1 HSMT: Conc. 8.0' ht/6.0' bg/8.0' insul 864 130 0.0 GLAZING: Windowa or poors, Above Grade 521 0.3i0 1 DOORS 59 0.370 FLOORS: Cver Outeide Air 196 44.0 0,0 ------------------------------------------------------- - - ----- COMPLIANCE STATEMENT: The propoeed buildir.g design deecr'_bed aeYe is consistent with the building plane, epecifications, and other calczlations eubmitted with the pe-rm iC, applicatior.. The pronosed 'ouilding '.as been deaigned tc meet th requireme s of tne M'_nr.esota Eneray Code. Builder/Designer ??.a.?? te 3 XOAL- • r reu?iu 1 :?: . .?P•1 ?C, ,GI•iV-f?l? MNcheck COMPiIANCS REPORT M;nnesota Ene:gy Code MNcheck So`_tware Vereion 3.0 COUNTY: Daiccta STATE: Mir_neeota ZONe.: 2 CONSTRUCTION TYPE: Single Family DATE: 2-10-1999 DAT.F. Oe PLANS: 11-12-98 PROJECT INFORMATION: MOOTZ-TOM @ APINE COMPANv xNFORMATiON: ENERJAC CONPLIANCS: FAILS Required JA = 74 Your Home = 74 0.4k Wcrae Than Code Permit # Checked by Date Area or Cavity Cont. Giazing/Door Perimeter R-Value R-Value U-Value -------------'------------------ CEZLINGS: Raised Truae ------ - ----- 196 --------- 44.0 -------- 44.0 ------------- WALLS: Wooc Frame, 16" O.C. 403 19.0 19.0 GLAZINGc Windowe or poors, Above Grade 140 0.350 DOORS 21 0.350 FLOORS: Over Unconditioned Space -------------------------------- 200 --------'---- 45.0 -------- 45.0 --------- ----- - ------ Builder/Desig^er Date i u? SE-FJ D ?d eo,) l cb MPL*607 ?I?Y ccAt,2,S 7 ?eV IV? .17". . ,-7Yfd ^G'? f•lf»i';Y .? 0 MNcheck COMPLIANCF REPORT M;nnesota Energy Code MNcheck So_`tware Veraion 3.0 rln.??:u: F. I Permit # Checked by Date COUVTY: Daicota STA;E: Mir.nesota ZONe.: 2 CONSTRUC2ION TYPE: Single Family DATE: 2-10-1999 BATE OF ?LAIQS: 11-12-98 PROJECT T_NFORMATION: MOOTZ-TOM, 9 ANNE COMPANY INFORMATiON: ENERJAC CONPLIANCE: r^AILS ' Required IIA = 74 Ycur Home = 74 0.4!k Worse Than Code ?o?-? ? ? Q d ? Area or Cavity Cont. Giazing/Door -u ?J cnn C Peri-neter R-Value R-Value J-Value ------------------ - ------------ CEILINGS: Raised Truas ------------- 196 --------- 44.0 -------- 44.0 ------------- WALLS: Wood Frame, 16" O.C. 403 19.0 GLAZING: Windows or poore, Above Grade 140 0.350 DOORS 21 0.350 FLOORS: Cver Unconditioned Space -------------------------------- 200 -----------=- 45.0 -------- 45.0 --------- ------------- Builder/Desigr.er Date N S I TE SLA :._ IQ J' I*3,=, 2- S. ; Si.?,?Ts'St\: LEGA;.- 015 ! D± Z, 3 L-JCYC 1, GOVENTR'I ?,yS? DAKOTA ?? D,-z ,ti:--;. ,•,, ,.., En e rj c nstruction Inc. \U?u n 8 S oG.v NOtlS767 r gUfLD [EQ??? ??WM=? UlJ 6Y Lii?4 DATE 2' 1-7 -?1°i _ BUILDING INSPECTIONS DEPT. ? m o o ? ? 3 `m 7 ? ? z yo?a ? -`?9z o m L W O O? 0. 6? 9 U ? ? a ? 3 o a?? o ? _ ? ? E ^oi aa?'?-?'=?e s m ? < a ?n z z o a y? o a a o m c o s y ? 1 < yn a1 C n V ?v 4 ? t,?1L ^ 2 z 2 N QL1< ? ? a r 1i1 y v PERMIT City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Permit Type: Building Permit Number: EA034712 Date Issued: 03/17/1999 Site Address: 535 Esk tane Lot 2 Block: 1 Addition: COVENTRY PASS Description Sub Type: Porch/Adda (4-season) Work Type: New Description: & Deck Census Code: Addition/Bsmt fm/Decks/Porch UBC Occupancy: ' Consh-uction Type: Zoning Sqqa{e Fegt:: 196 _.+*. ..., ?= . Plan reviewed by Craig Novaczyk. Separate permit required for any plumbingwork. Call (612) 445-2840 regarding electrical permit and inspections. Fee Summary: State Surcharge Valuation: $11,000.00 P1an Review Base Fee 5.50 12691 195.25 $327.66 COIItCaCtOY: - Applicant - OWneT: ENERJAC CONST INC St. Lic.: Tom Mootz 1688 STRAWBERRY HILL RD 535 Esk Lane AFTON, MN 550010000 6124368517 Eagan, MN 55123 I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ApplicanUPermitee: Signature -IV;,) Is d By: Signature r,:f7Y C?F' 1:=nGAN C:A'.ii4t:I:Fl;a '.s iF'6:MINAI.. N0e 909 ru:•;i't:: 03/17199 T'1:HF.: 0:10l9 M. N(tPff.-",: ENI:F',7AC (:.QN'.iiTRl1CT':f.QN i i55 9001 535 ESI; L..Ai`!F_ 5.50 ;n.?p 9009 515 EfiY. I._6dN.-. I26„37. "3P?1.0 gDni 535 ESIC 1...AN1= 05.25 t To+,a:l. fieceipt, Amaum+,i 327.66 ' CR:! 04025 U^!':F :I'D,: NANr,V RESIDENTIAL BUILDING ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 #( New Construction Reauiremenfs RemodeVReoair Reaui2menfs OKice Use OnM 3 reg'ste2d sde wrveys shovring sq. R W lot sq. R of hause; and all roofed areas 2 copies of plan _ Cert af Survey Reod (20% maximum bt coverage allowed) i set o( Energy Calalations for heated additlons _ Tree Pres Plan RerA 2 mpies of plan slawing beam 8 window sizes; poured found design, etc. 1 site survey for addiUons & dedcs _Tree Pres Not Reqd 1 set of Eneigy Ca4wlations Addif'ron • iridicate ilmsite septic system _ On-site Septic System 3 copies of Trea Preservation Plan if bt platted after 711193 Rim Joist Delail Options seiedion sheet (bldgs wifh 3 or less units Date /J Z l?J ?5- l a 3 Construction Cost ? Site Address 53T ??,k LA,?? Unif/Ste # Description of Work JZ?5x Y") eP Paoe F,uJ!5k /A-VIla7+70J i MuIN-Family Bldg _ Y_ N i i .. ? • _. : -4 t Fireplace(s) ZQ _ 1 i Property Owner y., y.; ys ?007$ Telephone #( l Si ) 4"19 75'0 Contractor j-ryp ,F -B,1, ?opFi-- Address ?fo?/ ZZ"=? /i?c ? City ?,?,rJ??9f?irs State Zip Telephone # (6r?L) .? COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 • Energy Code Category . Residential Vendlatlon Category 1'Worksheet • New Energy Code Worksheet (J submission type) Submitled Submitted f • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor ' . v. Sewer/WaterContractor . ? qlill?5 U,41(ut a-7 CU' `"? ???C-y- #( ) I hereby apply for a Residenrial 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 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. c.?l q?la7 ora'QA ApplicanYs Printed Name Applicant's SignaUyC OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg p 02 SF Dwelling ? OB 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 (screenlgaze6o) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex "M" 19 Lower Level 0 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair ?l 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof pr 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) • Give PCA handout to applicant Valuation ta 0 a• e'D Occupancy ? -? MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundarion X HVAC Dram Tile O[het Roof Ice & Water Final Ftgs _ Air/Gas Tests Pool _ Final _ _ Framing _ _ _ Siding Stucco Stone Fireplace R.I. Air Test Final x Windows (new/replacement) ,K Insulation _ Retainmg Wall _ Approved By , Building Inspector Base Fee Surcharge / Plan Review Lo''U? 1,eVe-1 Z,,,00° mm MC/ESSAC win.pm?s 2?000.0? City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complece foc single family dwellings & tawnhomes/candos when permits are required for each unit ?W!50 S" ?n0 ?l.J.' Dates-/-?L/ V G 5ite Address ?i 5? E S [< Unit # Property Owner ?O " v1 1 ? C) o ? Z_ Telephone # ( psl ) l? SG- 6-7S C) Contractor J?- `o?v , \ lU1-1 ?I1 `''l Street Address CA1'1 LS"C G-.-'? c? Cc.?CiTy S-t- 9G"`1 l State Bond ? ??`? Zip SS? S Telephone #( Ejs1 )ZZ9 -`iZdo S Expires: ? 17,1 dc) The Applicant is _ Owner Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger _ air conditioner _New >rReplacement other State Surcharge D E? Eq W ? D $ .50 Tota1 S??.., $ 1 hereby apply for a Residential Mechanical Permit and acknowledge that the informa[ion is complete and accurate; that the work wil] 6e in conformance with the ordinances and codes of the City 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 ap(proved plan in the case of wark which requires a review and approval of pla?ip?. ilnh 0?-00°??n & Applicant's Printed Narn?Lj Ap licant's Signature Clty of Eapn 3830 Pilot Knob Road Eagan MN 55722 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Tenant: F ForO(.ficelJse j Permit #: ? Permit Fee. ? ? Date Received : j i Staft. ----------------- Ph RESIDENTIOWNER one Name Address / Ciry 1 Applicant is X Owner _ Contractor TYPE OF WORK Descnptian of wark: U1,1 Construction CosY Multi-Family Bwiding: (Yes _/ No ) ^ \ ./ # CONTRACTOR : Name: I U ense Address V? ` Zi p: City State Phone: ?7I- 70 / • ? ? ( ? Contact Person . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submittetl Submdted (4 submission type) • 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 plan9 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contrector: Phone: NOTE::Plans and supporting documents that you submif ar'e considered to be public information. Portlonsof ` 7nif fhe City fo the information may be, clas'sified as non-public, if you provide specific reasons that woufal per conclude-that the _are trade secrets.- I hereby acknowledge that this informahon is complete and accurate, that the work will he in confortnance with ihe ordinances and codes of the City of Eagan, lhat I untlerstand this is not a permd, but only an application for a pertnit, antl work is not to start without a permR; lhl the work will be in accord with the approved pla in the c se of work which reqwres a review and appr lans. 1 ? 0 hv? ;zl - D ? - 1?a- x Ap icanYs Printed Name Appl canYs Signature Page 1 of 3 „ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION E35 ?Fs,? DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Single Family Muiti _ 07 of _ Plex Accessory Building S ? _ Fireplace _ Porch (3-Season) _ Storrn Damage _ Garege _ Porch (4-Season) _ Exterior Alteration (Single Family) Deck Porch (Screen/Gaze6olPergola) Exterfor Alteration (Multi) _ Lower Level _ Pool X Miscellaneous WORK TYPES New Addition Alteration Replace Interior Improvement Move Building Fire Repair Repair DESCRIPTION ?. ? ? yCNJd Valuation Occupancy Plan Review i Code Edition (25%_ 100%--) ? Zoning Census Code Stories # of Units ! Square Feet # of Buildings Length Type of Construction _ Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) _ Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Freming Fireplace: _Rough In Air Test _Final Insulation Meter Size: Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage •Demolition of entire builtling -give PCA handaut to applicant (i _ MCES System zvo'7 rLASbvAC Units City Water Booster Pump PRV Fire Sprinkiers Sheetrock Final / C.O. Required ?K Final I No C.O. Required HVAC Other. Pool: _Footings _Air/Gas Tests ^Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Reviewed By: '' `i Lt- Building Inspector RESIDENTIAL FEE5 8ase Fee Surcharge Plan Review MCHS SAC City SAC Utility Connectian Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL For Office Use G City of EaRd~ i Permit#: Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: 651 675-5675 Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: S E15 IL LNTenant: Is Suite RESIDENT / OWNER Name: Phone: Address / City / Applicant is: X Owner Contractor TYPE OF WORK Description of work: b'YI Construction Cost: Multi-Family Building: (Yes /No ) CONTRACTOR Name: Al lbwM P/& ense Address: City:. _ State R Zip: Phone: 7 1 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • 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 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 the are trade secrets. 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; th the work will be in accord with the approved pla in the c se of work which requires a review and appro fans. Ap icant's Printed Name Appl cant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE( SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous 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 *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 3 0(9' Occupancy L-k MCES System Plan Review Code Edition "Z- '7 6Q;,A §AC 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) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: Ml C-K- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL I For Office Used I NOV 092009 , I I Permit I of Eapn City I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5654 i Staff: 2009 MECHANICAL PERMIT APPLICATION Date: V Site Address: L, t S K Lan- Tenant: Tenant: Suite RESIDENT / OWNER Name: To jnt!!) U 0 ~ 2 Phone: vs 140 -9 M Address/ City/ Zip: N S S - Z3 CONTRACTOR Name: S ~r A4 , 1 l L A _,6A h A~ License Addresss: b ~ ~ Grand City: 51: pa'C "I State: _ MAI Zip: Phone: 'Z2,6-cf Zdaontact Person: TYPE OF WORK New A Replacement Additional Alteration Demolition Description of work: _.CO [AZ-e_ IOL4Lr^A-I.e- NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Afumace New Construction _ Interior Improvement Air Conditioner _ Install Piping Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 4Sb •5 y TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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 withou 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. x x / Applicant's Printed Name App ig ure FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection .X R ' cw r ~ ~ . r _ ~ . ~ t! . ~ ~ w r'. 3 ~ • t A t, ~ , ~ t - - "W 17 -4t A f DEPARTMENT OF FIRE'AND SAFETY SERVICES FIRE ?I8 V,E off 10T1 DIVISION 100 EAST ~"I 1th 6TR1Ej;,A'AlNT "PAUL, MN 55101 I, E ISTINO FUEL:BURNINdet iI:"&-ENT.SAFETY TEST REPORT r (Use sPar;}rei fo, or.Qach appliance) Address: S L -ow)& I ft ;mac.. O' ~2. a n !~1 S ~ Owner. TYPE OF HEAT: Gravity Air Forced Air X Gravity Hot Water Forced Hot Water Sham _ Unit Heater Space Heater Other TYPE OF FUEL: Gas oil Other GAS-,DESIGN CONVERSION Make of Burner M Make Mod6l (--U8!22 C ti Model - - Serial 1 Max. 'BTU Rating Input, Make of Furnace' 'Equipment venting type: Atmospheric Induced Fan Other Total BTU input of all vented gas appliances per chimney:- Type of Chimney: Masonry_ Class B, Other Type of Liner: Noonn'e Metal Clay Tile,_- Cori bustible Air Supply: Yes ► N/A~ Recommended e_t3t 8~t~lpe ati a -Co ntrol Tests: Yes No Foal AnalysislFlye 66a Analysis: Yea Jig Pilot/Flame Safeguard Operating Properly _ Vents Properly Without Spillage, J ' Limit(s) Operating Properly _ Flame Stays inside/Doesn't Roil Out Operator(s) Operating Properly Burner Lights Smoothly Low Water Cut-00 Operating Properly X f All Controls Operating Property L, cW 1--- -Rmd- Visual Inaeealion YM Ne f ~ _ II Stack Temperature 3 ='?F1Net , , .3 F/Net Fuel Piping System-Okay Oxygen % Vent Systems-Drafthood, Carbon Dioxide 57- % % Connector, Vent Chimney-Okay Carbon Monoxide AQ-%A~Oi' °lap Heating Unit-Okay _ Carbon Monoxide Detector (tube type) Positive- Negative, i Look At Total Heating Systein Before You Leave; Does systern operate safely and properly? Yes No COMMENTS: .lave above corrections been made? Yes Na ~ Name of Licensed Contractor: a dt J'' ~ 1 Phone # _ -71 0cp i Address: Person Doing Test: Iprincl ^(signature) PERMIT City of Eagan Permit Tppe: Building Eagan. Permit Number: EA099433 Date Issued: 06/07/2011 OR Permit Categorp: ePermit 41 it~ of E3 E Site Address: 535 Esk Lane Lot: 2 Block: I Addition: Coventrv Pass PID: 10-18400-01-020 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required bn law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Glowing Heath and Home LLC Thomas J l\Jootz 100 Eldorado Dr. 535 Esk Lurie Jordan NIN 55352 Eagan MN 55123 (952) 492-9276 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature • , , I For Office Use / I JAN013 r 0 :::: EAGAN 2019 t�� e: Z Date Received: J� I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 /�/� (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: 11` buildinginsoectionsCa)citvofeagan.com L 2019 RESIDENTIAL BUILDING PERMIT APPLICATION C `H� !- 3 .. )9 sus ,q6 Date: Site Address: [�j A Unit#: -t-bb arc Name: 1 .iv1 �-r!1 . Phone: .Y J �8 Resident! Owner + ='` Address/City/Zip: c 15- es k Lug Applicant is: Owner X Contractor Description of work: 2 w 16r. R G1;in/vA cial)1 t1,6‘1Type•• prk, / Construction Cost: 70, COO Multi-Family Building: (Yes /No X ) Company: FiekkI i& S- Contact: g"6 Address: 1 0 Psi City: u-'- Cora �orY y eI1 .+ /� State: JtAP) Zip: i s"1 Z Phone: (s�l t - b 5r S.J Y mail: /XCAQ p i�k kt rod 1 - (z?Ih License#: R( bb t 7 q Lead Certificate#: 3 2 ef "2- If the project is exempt from lead certification, pl-- - explain why: It‘v J s, 6,11- 7Z. — 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: /VOTE Plans and s rpportin;,t documents that you submit are#,considered�,to b ;public I '���"tio Portions of the information° ape :aassified as no i= ubttc f j)ou prov/de speckreasons that wouldperrnit.th City to eon hide that theyare ,.,,ale refs ,._ 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.cityofeagan.comisubscribe. 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Py a. t0.60(oo x. _ AppliEant's Printed Name App', -ignature ., DO NOT WRITE BELOW THIS LINE S-I'S-- L-S - , Lst._- I -303 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 p 000 Valuation Occupancy /Pc -I MCES System -` Plan Review Code Edition ALd•/s SAC Units (25%_100% v ) Zoning ft, -1 City Water 5._ Census Code 4/ 3 4 Stories / Booster Pump #of Units ( Square Feet /6 3., PRV - #of Buildings / Length 1-4 Fire Suppression Required - Type of Construction SS Width "3p REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice 8S..Water 4f Final Pool: Footings _Air/Gas Tests _Final At- Framing V30 Minutes 1 Hour Drain Tile . 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: i f , Building Inspector .6. RESIDENTIAL FEES ] Base Fee V,3/ 7...1- /0 3 3 ' ' c 7 ? d'a Surchargese ?G Plan Review S6' Gy MCES SAC City SAC Utility Connection Charge SSW Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 , V L P i oneer Ens i neer i ng 7831883 82-'-'- V1 --- - ---- * 2422 Enterprise Drive * ,... PIONEER Mendota Heights, MN 55120 (612) 681-1914•Fax 681-9488 I .F, ..---.-,....,,..... _. ----- ........ 19 SURVEYORS • CAVIL ENGNEERS s * engineeFing LAND PLANNERS• LANDSCAPE ARG-DlEcTs 625 Highway 10 Northeast * Bloine, MN 55434 * 4 * (612) 785-1880-Fax 783-1883 Certificate of Survey for: The Rottlund Company, Inc. ,- VVI-louse Address: Coventry Parkway. Eagan, MN Model Name: Fairway Customer; MQQtZ \\ . )'q StT 63'.. ta., • c, A.) 94 I 7:‘ ..,iv z,P kia61 >1 1 . _ _...er ,,,z- , . .... a/ ... .10 - -.... / •--.. - le' ift '-- - ' IONS DIVISION // .s.4 ...e. ••••• , _____. 2 *9' /1 ' / .. , crap 1 , / ov. 40 b. go- 7 3 Its t 43 // jtyi.$ ._ / Att7e-N. P'ettit • ,... / I / ? 0 .:... ' f4 OF 44 /./' s, ,,-, 4 ,c, 1 IL './ il:P..,, 21?-.1 'f•?49, i / • . , ' i.e7 " , ,(,)04 . ' 010 / ..,-,., - ,•,, • . e 1, i....--.- :, - , l''' 961 i.-4 s .--,,,. 'Iseilk, 9 / 16 C:) Wel ,.., • 0:675) A. / '-'" .4 ii:\;/0...'',,,,, -,-- •,../ /4 " , ''t'' i /10041k) -4 a• co v- J-- 4.<\ 4., . , ,,, „.....„f, .. /.4, , ., / „,,, .9.3. lobo -44 N . , Nitiajr ,. / 04it 440. o : &<.. ith, ,if. ........ I fit '1k qo'• ciliz, ,i, 4--- icoi /At N 004-.4. N 61'487 4 .... Tzt. -,?,,s, / ..... .• -.....N., --,- / 4C,s.... •--",i aV5:3'3 , 0 . 4, •-• ?>, 3 .) N' . N. "..... r . 6...., ' (ED "••••,,,,, ',56 x„., ......._ • lip2 VY(.0.12 •P, ..., , . -.s_ b '-',...,.. S'qqq° • , !.:, \ A ,4e ,• ,-, -..,, -----...... •• ,,, .' 2 , . -,•,„ L r 4 i•4, 41 ,,,, Pe . ‘,..„..... bt'''', ,‘.." •••aiiiiall1111111, P, .'41!••,'''''4 =-• .;;1"""5 ",,-,,,,. /(...-- "..-..... '5 fi Z.*•QL.—-21; - NOTE- CONTRACTOR MUST VERIFY ALL DIMENSIONS .16 M 11 9 .0 Denotes Existing Elevation PROPOSED HOUSE ELEVA11ON x pc-a:0 Denotes Proposed Elevation ----- 1.14G141,V4... 1NG. Dt.P . Lowest Floor Elevation::V93 .13 =--z---= Denotes Drainage & Utility Easement Top of Block Elevation:: 90.1,97 • —,--Denotes Drainage Flow Direction —0- Denotes Monument Garage Slab Elevation: 90/, 50 , • . —s— Denotes offset Hub Bearings shown are assumed LOT2_, BLOCK 1 _, COVENTRY PASS • DAKOTA COUNTY. MINNESOTA • I hereby certify that this survey,plan or report was pr-,red by ma or under my direct supervision and that I duly Registered Lend Surveyor under the laws of the State of Minnesota, Dated this gLtIday oL 14 A.D.19 ? 5 e/073 cell Pfot sr eh.) ,,..,. ,j Scat e: 1 Jach=301.2. . RO ERT O.SIKICI-1 LS.REG.NO.14891 0.11.10.1•MOW aPPIPW 1237 89102.02 • - • R-95% 7831883 06-01-93 03: 52PM P002 #48 For Office Use 1(C-1 a * ° Permit E AGAN "r Permit Fee: 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: buildinginspectionsacitvofeagan.com L !2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 q Site Address: 6— 5/1 Tenant: Suite#: -0001V4,1100M �� E T ✓11 f L 6 6 � � Name: Phone: �� $6 ��7S� 4 P y p: 53 �k Address/Cit /(Z. Name: �"�i l L � EJl pC 1 �' License#: L C 7 38,6 7 #t, Address. • • 7 �`�(�SVi i h 1,� City: �y4c State: Zip: 7 / Phone: 0(Q, i('f '7 S/ �� Contact. Z Email: i�ey e r t gY @.a.1) New Replacement _Repair _Rebuild ! lodify Space Work in R.O.W. Type of Work — — — /' Description of work: I 1 r —o o� �BD � Wim Nd / RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) Permit Type • Septic System Add Plumbing Fixtures(Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.aopherstateonecall.org 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. 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 st-rt 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 .f plans. 56e ze4- x - , ' Applicant's Printed Name Appl'c• Vs r• at e FOR OFFICE USE; Reviewed By: Date.' Required Inspections: _Under Ground Rough-In _Air Test _Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: