4608 Fairway Hills DrBUILDING PERMIT To be used for FIRg!
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
C= Est. Value :1.000 Date M&
Site Address aw tPwTRtav gIy1,8 ps
Lot 2_ Block I SeGSub. FAI AY NI _ C
Parcei No.
W Name NI1Q i BHBLLE? AMDE!!?Y
? Address 4608 FAImY HILLS DR
0 City EAGAti Phone b83-4495
, o Name b?7'-N-I:LO
?Q Address U? 1?i HVY 13
?- City BUKNSVILI.E Phone t_494--07S8
[ }
Nama
Address
City Phone
, I hereby acknowlege that I have read this application and state Ihat the
Inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and,Eity ot Eagan Ordinances.
/; -
? Signature of Permitee
A Building Permit is issued ta• - HEAT-14-GW ?
on the express condition that all work shall be done in acco dance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
? Building OHicial
Occupancy
Zoning
(Actual) Const
(Allowable)
# ol Stories
Lengih
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Sit6 Well
MWCC System
Ciry Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Of1.
Vanante
10325
FEFS
.4 3
81dg. Permit -341-00_
Surcharge - 50
Plan Review
SAG City
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposit
SMI Parmit
S/W Surcharge
Treatment PI
Road Unit
Pazk Oed.
Copies
TOTAL ZS- S0
' Permk No. PermR Holder Date Telephone #
WATEfi
SEWEE;
iPLUMBING
H.V.A.C.
ELECTRIC
Inapection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Flnal Htg.
Orstat Test
Final Plbp• Plbg. Inspecfor - Notify Plum6er
Const. Meter
EngrJPlan
Bldg. Final
Dedc Fig.
Deck Final
well
Pr. Disp.
, . CITY OF EA
r^e • 3830 Pilot Knob Road, P.O. Box ;
! ,r PHONE:454-
? ,a
To be used for BASIMM FII4ISH Est. Value $1, 300
? Site Address _46011 •IAVwY HI ? S Dg
Lot 2_ Block I- SeclSub. FAIRVAY flILL_4
Parcel No.
W Name ?NS CQN&T [n'TION
3 Address 1091 T'IFEwNIf DR
0 City EACwfd
Phone 452-6721
,o Name
? City Phone
?W W Name
W
?z Address
a W City Phone
1 hereby acknowlege that I have read this applicaiion and state that the
intormation is correct and agree tQ comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
• Signature af Permitee - -.r*',• . . ?
A Building Permit is issved to: SONS CONSTRUCTIO?1
on the express condition ahat ali work shall be done in accordance with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt #
Date-?
Occupancy
2oning
(Actual' Const
(Allowable)
# ot stories
Length
Depth
S.F. Total
S.F. Footprints
On Si1e Sewage
On Sfte Well
MWCC System
ciry water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
?.
FEES
Bidg. Permil 35.00
Surcharge 1.?
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meter
Acci. Deposit
S/W Permit
S1W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL 3d'00
` PermN No. Permk Holder Date Telephone #
WATER
SEWEA
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Dste Inap. Comments
Footings I
Foundation .
Framing . ZZ bs
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace - -27-
Final Htg.
Orstat Test
Finel Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Final
weu
Pr. Disp.
`` • CITY OF EAGAN 17247
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for $? ?/GAR Est. Value s127,000 Date aMU R 27 , 19 89
Site Address 46" FAIQ1iAY HILLS DRIYS
2 I PAIAi?fAY BILLS '
Lot Block Sec/Sub ? ?FFICE US E OHLY
. IL-3 141
P3fC21 N0. Occupancy - FEES
1
com Zoning = ??'a
W Name N (ACtual) Const Y1L Bldg. Permit
IA RiiAY HILtS Dft .
.
o Address lAlbwable} yiL 63
54
452
5355
EACM Surcharge .
-
City
Phone # or sfones ?
?J
s
Plan Review 367.01
Length •
o Name SAME Depth 49o5 Cit
SAC loosa
,
y
?¢ Address S.F.Total - a
S7s
SAC,MCWCC ?
'- City Phone S.F. Footprints -
t
C
W
s$??a
? On Site Sewage _ a
er
onn
? W Name on Site well - water r?eter 9000
_? Address MWCCSystem jQ?Q?
¢z
a W
City Phone
ciry water ? Acct. Deposit
???a
PpVRequired S/W Permit
I hereby acknowlege that I have read this application and state that ihe Booster Pump xx S/W Surcharge
inlormation is correct and agree to comply with all applicable State of 228,0
Minnesota Statutes anct City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit ???a
A Building Permil is issued to: sMg CmIS't Plan^er - Park Ded.
an the express condition that all work shall be done in accordance with all Council _
?
applicabie State ol Minnesota Statutffs and City of Eagan Ordinances. gldg. pff. Copies :3
sl
128
Building Official
? Variance TOTAL •
,
Permlt No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
i
H.V.A.C.
ELECTRIC
Inspection Oate Insp. Comments
Footings t
?.d
Foundation
Framing
Roofing
Rough Ptbg. •d? ?
Rough Ht9.
lsui. 4S IZ- 5- ? ?YG
Fireplace !?-?? gq hs
Fnal Htg.
FinalPibg. -2,02 14
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Firtal Ds
Deck Ftg.
Deck Final
weli
Pr. Disp.
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(iAN, MN S5124
Slte Address
; m Name _
Address
! c Ciry -
, . -
_ Sec/$ub,,
, BLD(?. TYPF
D(
Res. ??
-?---
M
lt
u
Comm.
Phone Other
.. .. . - ? ? vi-?i h vL // ?•
Name '
?
p Address
City
Phone
' TYPE OF WORK ?
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. _..?_ CFM
Gas Piping Outlets # Other
PERMIT FEE:
S/C:
TOTAL:
T#
WOR=N
New
Add-on
Repak
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HYAC INCLUDES A!C ON NEYY
COHSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMI7)
COAAMAND FEE -196 OF CON TRACT FEE
APT. BLOGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIE
IAINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
- $24.00
- 6.00
- 1.50 EA. j
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
.
J ' SI(3NATURE OF
r
FOR: CITY OF EAGAN
PLUMBING PERMIT
. . I CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site Address ?
_
Lot 2 Block .
m
?g Add
c City
? Addi
? Cfty
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLOGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
5TATE SURCHARGE PER PERMIT .50
(ADD $.50 S1C PER EACH $1,000 OF PERMIT FEE)
For Office Use Onty
IT # ?-
BLDG. TYPE
Res. ?
Mult.
Comm,
Other WORK DESCRIPTION
New x
Add-on
Repair
RES. PLBG. ONLY • C OMPLETE THE FOLLOWING:
NO. FIX TURES TOTAL
? Water Closet - $3. 00 $ q -_
Bath Tubs - $3.00 6p, -_
? Lavatory - $3.00
?-
Shower - $3.00
Kitchen Sink - $3. 00 ?
UfIf18VBIdB[ - $3.0 0
? Laundry Tray - $3. 00
? Floor Drains - $1.5 0
Water Heater - $1 .50
Whirlpool - $3.00
Gas Piping Outlet s - $1.50 / 5-'7
(MINIMUM -1 P ER PERMIT)
Softener - $5.00
Well - $10.00
Priva[e Disp. - $10.00
Rough Openings - $1.50
PE RMIT FEE:
ST ATES SlC: • `?
G RAND TOTAL: ?: .?
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
?
OFFlCE U SE ONLY
METER # ?1-6'°21a I/ PERMIT DATE
CHIP #? Q12 73V5?7 9 - PERMIT # ! 105Q
METER SIZE S B.P. RECEIPT # 4361
ISSUE DATE ' F 1- B.P. RECEIPT DATE 10/ 30
- PRV X BOOSTER PUMP
SITE ADDRESS
LOT -BIOCK SEC/SUB
APPLICANT:
ADDRESS:
CfTY, STATE ZIP
PHONE:
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE•
PERMIT REOUESTED
X SEWER X WATER - TAPS
- COMM/IND ? RESIDENTIAL
,14- NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
OWNER: ` s EAG OFiDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: IGNATURE WHEN METER ISSUED
PL.EASE ALLOW TWO WORKING DAYS FOR PRaCEBSING. CALL 4644= FOR INSPECTIONS. FOR STORM
SEWER PERMtTS, CONTACT ENQdNEERiNGi DEPT.
?
?
?
?
?
?
0
?
?
?
ca
?
?
r
m
U
? ? ! 1 1
? ? I •
(Urtifiratt u# (Orrupanry
titp of (tagan
Ep#1arquut Df IdNm iriSpPtftDli
This Certificcrte issued pursuant to the requirements of Section 306 of the Uniform Brdlding
Code cenifying ilrat at the time of issuance thrs slructure was in compliartce with the varrour
ordinances of the City regulating building construction or use. For dre jollowing.•
SF D4JG/GAR 17247
ux Q.ssific.ciae R &ds. Rnrot xa. VN
0-uPa-Y TyPe ?,JS OQVS?I'4?.?TIQ1 ? ?1600 FAII?JAY?l?IS IJRNE , F?1('N COOOL
o? ot e?aa;? , B, FA?IAY HIIJ.S ST
? ? ?ty DEMM 28, 1989
Bwldng
POST IN A CONSPICUOUS PLACE
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
14??? I 3830 PILOT KNOB RD - 55122
651-681-4675
New Constmclion Requirements
• 3 registered site surveys showing sq. R. of lot sq. h. of house: an?ll roofed areas
(20% maximum lot wve2ge albwed)
. 2 copies of plan shaxing beam 8 w(ndow sizes; poured (ound desgn, etc.)
• 7 set of Eneryy Cakulations
• 3 copies of Tree PreservaNon Plan if lot platted after 711193
• Rim Joist Detail Opfions selecGOn sheet (bidgs with 3 0r less uniLS)
DAiE /a-n`f'o/
JOB SITE ADDR
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Jh
TYPE OF WORK /?%m
APPLICAP
ADDRESS
PAGER #
S '_7 O.o-D
RemodellReoairReauiremenis
• 2 copies of plan
• 1 set of Energy Calculations for heated addi(ions
• 1 site survey for extenor addi6ons & decks
• Indicate if home served by septic system for additions
io-ii'V f
?
VALUA10N Ga? -
FIREPLACE(S) _ 0 _ 1 _ 2
` GJ2 -29S_ ?i//L
CODE.SSaG,Y'
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ VIINNESOTA RULES 7670 CA'PEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Enveiope Calculations Submitted
MINNESOTA RULLS 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechaniril Svstem Includes:
Sewer/Water Contractor:
CELL PHONE # L1Z-Z 5iS- 9//Z FAX #
\Vater SoCtener
\Vacer Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #:
Iawn Sprinkler Fee: $90.00
No. of R.I. Baths
Phone #
I'ee: $70.00
'I'I?
Phone # ?? .
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 coRect, arid agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc?eJ
Signature of Appflcant/c'
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1lO7
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - lvtulti
? 03 Ot of _ plex ? 09 07-ptex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-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
? 31 New x 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handaut to applicant
Valuation Occupancy A -3 MC/ES System
Census Code 4 34/ Zoning /Z' / City Water
SAC Units 0/ Stories Booster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final Other
?Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
?Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
FinallC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Building Inspector
4? /'%?isit 17D '
Total
CITV OF EAGAN 19025
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
BUILDING PERMIT Receipt # c 1 ?5 08 -C
To 6e used for FIREPLACE Est. Value $1, 000 Date MAY 7 1 9SiteAddress -4608 FAIRWAY HrT.t. DR
Lot 2 Block 1 SeGSub. FAIRWAY HILLS
Parcel Na _
a Name MIKE & SHELLEY ANDERSON
o Address 4608 FAIRWAY HILLS DR
City EAGAN Phone 683-0495
o Name HEAT-N-GLO
?a Address 3850 W HWY 13
m
? City BURNSVILLE Phone 890-0758
? W Name
???-, Address
a W City Phone .
I hereby acknowlege that I have read this application and state that the
information is wrrect and agree to comply wilh all applicable S(ate of
Minnesota StaNtes and C?ityof Eaqan OrdinanCeJ's? rI
? Signalure of Permitee
A Building Permit is issued w: HEAT-N-GLO
an Ihe express condition Ihat all work shall be tlone in accordance with all
applicable State of Minnesota Stamtes and Ciry of Eagan Ordinances.
Building Otficial
Occupancy
2oning
(AClual) Consl
(Allowable)
M ofSlories
Length
Depth
S.F. Tatal
S.F. Footpnms
On Sile Sewage
On Site Wetl
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bltlg. ON.
Variance
OFFICE USE ONLY
- FEES
Bldg. Permit
Sumharge
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meler
Acct. Deposit
SM' Permit
SNJ Surcharge
Treatment PI
Road Unil
Park Detl.
Copies
TOTAL
25.00
.50
2S.S0
CITY OF EAGAN N2 19091
_ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
/?
' PHONE:454-8100
BUILDING PERMIT Receipt# `? ?
Tobeusedfor BIt?EMENT FINISH Est.Value $1,500 Date MAY 21
Site Address 4608 FAIRWAY HILLS DR
Lot 2 Block 1 SeGSubFAIRWAY HILLS
. OFFICE USE ONLY
Parcel No. OccuPancy _ Fees
Zoning
Neme SONS CONSTRUCTION (AClual) Const Bldg
Permit 35.00
w - .
?
Addres5 1091 TIFFANY DR
(AJlowable) -
1
00
0 City EAGAN Phone 452-4721 # olStories _ Surcnar9e .
Plan Review
Lenglh _
F Name Depth Ciry
SAC
i - .
g¢ Address S.F.Total -
SAC,MCWCC
? City Phone S.F. FOOtprints _
t
W
C
? On Site Sewage - a
er
onn
W w Name On Site Weil
Address -
MWCCSystem - Water Meter
?z
<w
City Phone
ary waier _ Acct. Deposit
PRV Re9uired _ S/W Permit
I hereby acknowlege that I have reatl this application and state that the Booster Pump - SM/ Suroharge
information is correct and agree to comply with all applica6le Stale oi
Minnesota Stalutes and City ol EagamOr
di
n
a
nce
s
. Treacmem PI
?
t
-
/
?/
?
?
?
.?z? ?r d CK
Signature of Permitee APPROVALS qoad Unit
A Building Permit is issued to: SONS CONSTRUCTION Planner - park Dea.
on the express condition that all work shall 6e done in accordance with all Council
applicable State of M
i/n
nesota
Statutes and Ciry of Eagan Ordinances. BIdq.OH. _ CoPies
,
?
Q
I I1SLffl ?1,QAl,?'??
Builtling Oflicial
vanance -
TOTAL 00
36.
CITY OF EAGAN N2 17247
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512?1/ ?J
BUILDING PERMIT PHONE: 454-8100 I C`7 rJ`?'
Receipt #
Tobeusedror SF DWG/GAR Est.Vaiue $127,000 Date OCTOBER 27 1y89
Site Address 4608 FAIRWAY H]
Lot Z Block 1 Sec/Sub.
Parcel No.
w Name SONS CONST
? Address 4600 FAIRWAY AILLS DR
City EAGAN Phone 452-5355
o Name SAME
I
$¢ Address
? City Phone
r
W W Name
Address
aw City Phone
1 hereby acknowlege ihac I
information is correcf and
Minnesola Statutes antl i
SignaWre of Permitee
A Building Permit is issued to:
on the express condition that
applicable Sta[e of Minnesola
Builtling Olficial
read thi applic tion and s1a1e that the
tonrrt? wj)Y(all applicable Stale ol
;hall be tlone in accordance wiih all
and Ciry of Eagpn Ordinapces.
OFFICE USE ONLY
R-3 Ml
Occupancy FEFS
Zoning Rl
(AClual) Const
yiL
Bldg. Permit ? 7?''
?• OC
(Allowable) ?vn._
SurCharge
63.5(
u of Stories
Lergih
43.5
Plan Review 367 .OC
Depth -4k-5 SAC,Ciry 100.0(
S.F.TOIaI - SAC.MCWCC 575.0(
S.F. Footprints -
580
0(
On Site Sewage _ Water Conn .
On Sile Well - Water Meter 90.0(
MwCCSystem XX_. 30
0(
Ciry Water ? Acd. Deposit .
PFV Required SAN Permit 20.0(
8ooster Pump x- S!N! Surcharge 1. 0(
228.0(
Treatment PI
APPHOVALS Road Unit 340.0(
Planner - park Ded.
Council
Bldg. Off. _ Copias
$3
128.5(
Variance - TOTAL ,
"?i 7/
/O/51-yU
Iff 64133
4,
Requesi Date '
5
20
1 Fire No. Rough-in Ins ion
Requlre09
? Ready NOw CXWII Notiiy InspWa
/
/ 9 EX,.es ? No wren Reeev?
I a Jicensed contractor O owner hereby request inspection of aDove alecirical work at:
JOb AtlEress (SireM. Box p Roula No.) Ciry
4608 Fariway Hills Dr. Ea an
$eUqn No. Township Name or No. Renge No. Counry
_ Daktoa
Occupant(PRINT) Pliorre No.
Sons Construction 451-5355
Powm Suppiw MCrass
Dakota Electric 4300 220 St. W.
ElecVical Convaclor (Compam/ Name) CoMrecta§ Licanse No. -
Joos Electric Co. AMOi&95 I
Meiliig AtltlrBSS (Ganhxlw or Oxner Making InstalWlion) ?
2104 Great Oaks Drive Burnsville MN 55337
Author¢e0 SgneNre (COnVactor/Owner MeNi ala -)
Phone Number
?
?- 431-4755
STATE BOAPD OF ELECTRIC
Griggs-MltlweY BIEy. - Raom ¢173
7821 UnlvMlly Ave., SI..Poul, NN 55104
vroM Ie72I 642aeoo
THIS INSPECTION REOUEST WILL 'NOT
BE PCCEPTED BYTHE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See Insimctions br completing this form on Dack o1 yellow ropy
a 64133 - °X" Below Work Covered by This Request
ee-ooooi-oe
f9o
ew AAd qep. -• TypeoiBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Building Dryer Other (Spacily)
Comm./lndus}rial ' Furnace
Farm Air Conditioner
Other (specily) ConVaaor§ RemaMS;
x
Basement
Compute lnspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee F Cirouttsffeetlere Fee
Swimming Pool 0 l0 200 Amps 0 to 700 Amps
Transformers Above200_Amps Abovei0o Amps
SignS insoecar§ use Onry: TOTAL
Irrigation Booms 30. 50
SpeCiel Inspection
AlarmlCommunication. THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby RO1re"-'" ' C oete
certi that the above ins ection has
?Y P
been made.
Final . p•-? :! ..•. ? y
L?v
Dete? a?--?l
OFFICE USE'JNLY
This repuest roitl 18 monlhs Irom
7
9 cL
0 6 410
Fequesl Date
11-13 - 8 9 Fire No. Roug n nspectia
Re i .
? Reatly Now W iIl iNOtiy inspector
Yes ? N. hen Reatly?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Ftltlress (Strael. Box or Rou?e NoJ
4608 Fairway Hills Drive Gity
agan
Section No. Township Neme or No. qange No. Counly
Dakota
Occupant IPRINTJ
Sons Construction Co Phone No.
. 452-5355
PowerSuppiier
Dakota Electric Atldrass
Farmington, MN 55024
Elecllical ConVactor (COmpany Name? Gonhactor5 License No.
Midland Electric Inc. 041610
Mailing Adtlress (Contractor or Owner Making Installetion)
14055 Grand Ave So, Suite E, Burnsville, MN 55337
Aulnori Nre (conhactoGOwner Makin Installati I Phone Number
892-6688
MINNESOTA STATE BOARO OF ELECTPICITV f-
GrIggs-Mltlwey eltlg. - Hoom 5113
1821 Univarally Rve.. St. Vaul. MN 55104
Phone (612) 642-0800
iHIS INSPECTION flEOUEST WILL NOT
BE ACCEPTEO BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
1? ?A?/?g REOUEST FOR ELECTRICAL INSPECTION ee-oaom-m
?
-?C See inslrupions lor eompleting this lorm on back oi yellow copy ???
Q V 41 O X" Be/ow Work Covered by This Request '? ,?; ?
%VN e Add;Rep. Type of Building AppliancesWired EquiDmenlWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryar Other (Specify)
Comm./Intlus[rial Fumace
Farm Air Contlitioner
Other (spacity? Conrtactor's Remarks:
Compute Inspection Fee Below:
S Other Fee # Service EmranceSize Pee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 nmps
Transformers A6ove 200 _ Amps 700 _ Amps
SignS Inspecrors Use Only:
O? TOTAL
Irrigation Booms (7/ '?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO THS.
L[he Electrical Inspector, hereby Roug?-in oaie -'4 ?
fv
certifythattheaboveinspectionhas
been made. Flnai oa
.• ?
OFFICE USE ONLY
This request voitl 18 months Iram
. ? ?
SII7GLE FlMILY DiTELLIBGS
2 3ETS OF PLANS
9 BEGISTERED SIiB 3DA4EYS
1 3ET OF ENERGY ClLC3.
1989 BIIILDIAG PERMIT EPPLICATION
CITY OF ElGAN
?
l?LTIPLE DYIELLIHGS
2 3STS OF PLANS
9EGISTfiRED SITE 30RYES3 -
(CHEC6 iiITH BLDG DIV. )
1 3ET OF ERERG2 ClLC3.
,
.
COl84ERCIAL
2 SETS OF 1RCHTlECTURAI.
i SlHDCfQItiL PLANS
1 SET OF SPECIFICATIONS
1 SE! OF ENEBGT CALG4.
MULTIPLE DiiELLINGS 9EN1'AL DNIT3 FOH 3lLfi ONITS I f.OF DBITS
iOTEt iDDRFSSES FOH CORPER LC1T5 - COATA?CT08/801EOHNEA MDST DL4I6AASE iiHICH iDDRFSS
I3 DESFAED. BO CHAN6FS iIILL BE LLLOiIED ONCE SOII.DING PERMIT 15 ISSUED..
3EWER 3 i1ATfiR PEIMIT FEES lAD lCCOUAT DEPQ3Tf F6ES 1iILL Bfi IACLIIDED i1TfH !HE BOILDINa
PERMIT FEE. PAOCFSSING ?IME FOH 3EWEA AAD WdTER PEAMITS IS TNO DdYS ONCE A PERMIT 8lS
BEEA (DMPLETED INDICATIAG l LICENSED PLUlBER.
PENALTY APPLIFS WEiENs PERMIT IS NOT PAID FOR IN 39ME MONTH IT IS REQUESTED.
LOT CHANGE IS REQOESTED ONCE PERMIT IS ISSIIED.
,@C7 2 a 1989
To Be Used For: R-3 Yaluation: +b-!!7? Date: OCt. 19 1989
,ike Address 4606 FATI&1SY [3III,S ]RivE
Lot 2 Block 1
Parcel/Sub OOM hTILL,g ygr AmrrKv
Owner _ pap,p =
Address 1-ill ST. PDA2EI+S H,VD
City/Zip Code EAG4lJ m 55123
Phone 452 5355
Contractor 9Q?S QSM4321IQ7
,ddress 4600 FAIlaAPY tlIIt? LRIVE
Citp/Zip Code FI3N m 55123
Phone 459-!i355
trch./Engr. mxTUN ntt4rrta;
Address 46rr1 F?,rM,mv FmrG mnp.
Citq/Zip Code F02S rTt 55123
Phone 0452-5355
127,ow?
Occupancy
2oning R-1
Actual Const v-N
Allorrable V - N
• of 9tories
Length
Depth 1-I9'bi
S.F. Total
FootprinL S.F.
On site aexage
On aite well
MWCC 3yatem ?
City water ?
PRV required 70?
Hooster Pumg _,
AYPHOiA3S
P2anner
Council
Bldg. Off.
Yariance
FEES
Bldg. Permit
Surcharge
Plan Reoiex
SAC, City
SAC9 MWCC
Nater Conn
Aater Meter
9cet. Deposit
S/W Permit
S/ii 3urcharge
Treatment P1.
Road Onit
Park Ded.
Copiss
SDSTdTAL
Penalty
TOTAL
/s'e W
U
? VA, ?.uATioKl
GARAG? ' .
?5?2x2y ? q4S x rs- ?
.
3srm
, ? i57
?- ????.
---- .
3au 3Z. ? '
??o
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r S e
?---
11
IZb 57Z
• . ..
EXTBRIOR.ENVSLOPB 8N8$GY CODB COMPUTATiON WOBKSHBBT
'Ib Determine darpliance with the Minnesota Energy Code
(Sectian 502 of the State Amended 1983 b1adel Mwgy Cac7e)
Project Title
Site Address A1j08 F1.1i2.4?( Ntuf? Dp-111E EAGAp•I Mn! 5512-3
?
1. EXPOSED WALL CALCULATiONB
AREA OU' VALiE ARFA X°U" a
A. Opaque Wall .
l. Masonry/Concrete '
3. x s
b. Y =
2. c.
Foundat an Wa Gx x .
a. [4• Z5, x . o'! ? 4. 71
3. b.
Frame WaM x .
a. Insulated Area x . 04 = 4?. Cl
b. sFraming Area (Ave. 158 at 16" x) .
340• I x . ih ?
C. Framing Area (Ave. 10i st 24" oc) s •
4. Peripheral Flowc Edge/Rim Joist
a• ZZO x -04 = b.r-,
b. x =
8. Glazing
l. Windows
a. ?
.,?.(O x ?
_ ?`?- Si
b. _
_
4-0 x .41 ? i R.. P)
2. Doors x .
C. Doors
1. Fbod
a. solid 2D Z
b. With etarm x ¦
2. Metal x ' .
3. Overhead X n
4. Other x .
D. TOTAL FTAIL ARFA, sq. ft ........ ...... ....... 211 P)
E. Zv"Plw of ARFA x"U" ................... ...... ZIo2 lC)
II. 800F/CBiI.ING CALCULATIONS
A. Roof/Ceiling LZSUlated Area 11014A, x • D L m 3?-• 2?-l
B. Roof/Ceiling Framing (Ave. 158 at 16" oc) x a
C. Rmf/Ceiling Framicg (Ave. 10$ at 24' oc) 1`I9 -4 x . a Z n?
D. Skylight x o
E. TDTAL FYJOF/CEII+It? ARFA Sq. Pt .............. 1-79 4
F. rnarAr. oL? AREA xOr° .................................................. 3? 8?
llL BOiLDING E1JV8LOP8 87'sQUIREMENTS
TOM ARFA gJUJjRm "q• ALLOWASLE
(Ftcm I.D & II.E) (Franl V.) (Area % "U")
A. ncposea wa11 s 1_.? 1 e5 x . i 1 = 2?1 b8
8. Roof/Ceiling: 1'1414 x .OZCo ?
C. TOTAL ar.TCi,sanrZ HUA.DING IIdVVE[OPE (Zbtal of A& B above) ... --34.5 . CoZ
IV. ACTUAL BUiLDIN(3 8NY8LOP8
ACTUAL
(ACea x 'U')
A. Exnosed iVall (Frpn I.E) ?
B. RooE/teiling (FrCm II.F)
C. ToTAL ACiUAL BUILDIIG ENVFMM (Total of A& 8) ............ ?L???.-`i'l?
•(IMats coft nqulremeatt 1f lesi tAaa III.C)
V. REQUIRED "U" VALUES
netached one ard tNU f.amily dwellings
* tlulti Family Residential Builclings
(3 stocies ar less in height)
+ All Other Oonstruction Zypes (3 stories or less)
* All Other Crnstructial 7ypes (More than 3 stories)
• Based an 8007 hestiny deyres days (Ipls/St. Paul)
A4Just `U' ralues acwrdinyly for ot6er locations
CERTIFICATION
I hereby certify that I have
Minrnsota State Energy Code.
wad a FnOF/(EILING
.71 .026
.238 .033
.238 .06
.28 • .06
the abave inf.ormatian and that it ooaplies with L
BCSD 3-89
CC/SA9/6574
.
1491 BUI'I O? ?PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCU TATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PE RMITS IS TWO DAYS ONC E A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER .
MAY , 5 RECD
To Be Used For: B/931'-*NFri/7' Valuat ion: Date: !?-/.S c?? _
Site Address Y(p OFFICE USE ONLY
Lot ? Bloc k I
Occupancy FEES
Bldg. Permit
Zoning Surcharge ?
Parcel/Sub 7?17 ? 1f-z24s Actual Const Plan Review
Allowable SAC, City
Owner h'117LZ-- ??2Sa+tJ # of stories SAC, MWCC
Length Water Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
S/W Surcharge
Phone On site sewage_ Treatment P1.
On site well Road Unit
Contractor 6 l34(/S CL'?cJSiyc-uC770-'-0 M47CC System _ Park Ded.
City water Trail Ded.
Address / do/ ?`r
%r M ? PRV _ Copies
Booster Pump _
City/Zip Code {a!W S.S/??- SIIBTOTAL
APPROVALS Penalty
Phone Planner I.ot Change
Council TOTAL q .d
Arch./Engr. Bldg. Off. O.f',
Variance
Address
City/Zip Code
Phone #
ZZ8?2 ? agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
I
/ qaa S_
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MIILTIPLE DWELLZNGS
COPIIQERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PL9NS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WFIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS
PERMIT MUST SHOW A LICENSED PLUMBER
. n,/
(Ym /Jv
.?I'''r?,,,,q.,(
To Se Used For:?Q???"'( ?U r6? Valuation:
Site Address
Lot '` Block _f_
Parce
Owner
Addre
City/Zip Code T? rlw ,ljLZ-51
Phone
Contractor{t'm? '/(/' (/j,p
Address 2?j2 k) ? /3
City/Zip Code?/? ,?337
Phone p !(/ -Q YA
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit ?sd o
Surcharge =^ D
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Phone #
PI) y' agrees that all work shall be done in accordance with
(Signature of o tractor)
IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
// 7-2. M Date :
ONLY
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PERhIIT 4 `7 l > 1p 9
RESIDENTIAL PLUMBINfi PE2MTC APPLICATION
CI1Y OF EAfiA1Y
S$SO PILOT KPOB RD
f.El6A2N, M.Y 55122
651-691-4675
Please complete for:
I single family dwellings
: townhomes and condos yvhen permits are required For each unit
? backflow preventer for irriqation system
RECEIPT DATE I ';?& -GJ I
SITE
OWNER NAME: :
i/
TELEPHONE #:
INSTALLER NAME: Mn+{-{aetj) Zarfi2I5. INC • TELEPHONE #: (.51 423 -3,730
(AREA CODE)
STREETADDRESS: it'Z36 0arrottS )? J
CITY: ?, aSeMAUn'f" STATE: MA/ ZIP: S:5-668'
Place a check mark next to the oermit work tvoe
I I New residential dwelling unit under construction and not owner/occupied $ 90-00
I? Add-on, modification or alteration to existinq dwelling unit, including: S 50.00
? • abandonment of septic system
? • new installatioNrepairlrebuild of RPZ I
I • lawn irrigation system
? • water tumaround !
Nature of work:
I
_ I Septic System, new/refurbished -
I
S 225.00
• includes Ccunty 8. Ccnsu,ting Inspector fees
• requires MPC license i
State Surcharge S 50
Total $ So.So
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applica6on, sWte that the information is corcect, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanPs responsi6iiity to notify [he property owner that the City of Eagan assumes no liability for any damages caused 6y the City during its
normal operational and maintenance activities to the facilitles constructed under lhis permit within City propertylrighFOf-way/ea3ement.
//Je.NOw'\ Xti.Il
SIGNA URE OF PER ITTEE
Updated VO1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-9675
New ConsWCNon Reauiremenis RemodeVReoalr Renufrements
• 3 regis[ered sAe surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lol coverage allowed) . 1 sel of Energy Calculations for heated addffions
• 2 copies of plan showing heam & window s¢es; poured found design, etc.) • 1 site surveyforexterior add[fions 8 decks
• isetotEnergyCalcutations . Indicale'rfhomeservedbyupticsystemforadddions
• 3 copies of Trea Preservation Plan'rf lot plafled after 711193
• Rim Joist Detail Options selection sheet (bidgs with 3 or less uniLS)
DATE VALUATION
SITE ADDRESS q?aO D a.??Wc?-c,I (lI S MULTI-FAMILY BLDG _Y _N
TYPE OF WORK V-ey'r6-? cL d.c?ir`c?e? FIREPLACE(S) _ 0_ 1_ 2
SELA ROOFING & REMODELING
APPLICANT 4100 EXCEISIOR BLVD.
ST. LOUIS PAR , M 4'
STREETADDRESS Ipqpppinsn CITY STATE_ZIP
TELEPHONE #Gl2-Sf23-5(O?F(n CELL PHONE #
FAX #
PROPERTYOWNER iI-e- ?c@IIirSCrYI TELEPHONE# Cc?s -? - oq4S
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY MINNESOTA RiJL&S 7670 CATEGORY 1 MIN ??7(p
(d submission type) • Residential Ventilation Category 1 Worksheet Submltted • Ne ? e
• Ene rgy Envelope Calculations Submitted 2002
-'1
Plumbfng Conhactor. Phonc # _
Plumbing syscein includes: Water Softener Lawn Sprinlcler ?ee: .?
Wafer Hcater No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heal Rccovery System
Phone #
Phone #
Fce: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnatureofApplican?' Q/ 4'??
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date /^ I z-2- I 'D -4
Site Street Address I-AW 0rS ,11 b'Sv'2-. Unit #
Property Owner Telephone # (6$'f '72 9-
Contractor Telephone # ( )
Address City State Zip
The Applicant is: 7-'-Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
? replacement _ additional.
_ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Totai $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
LA22`? Po PPL-i''`- ?3C
ApplicanYs Printed Name Ap ic ' Signature
OCT 27 '89 10:45 TO CIT?' OF ER6RN
TRI-LAND C0.
SURVEYiNG
SERVICES
FP.OP9 HFiUGE,E I Df_. I:ELLER ,FA T-090 P. 02
87
SITE PLAN FOR:
SONS CONSTRUCTION
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
J
t?
>
s?.
LEGAL DESCRIPTION: LOT? ,eLocKI, FAIRWAY HLLS
ACCORDING TO THE RECORDED PLAT
? THEREOF DAK,QTA COUN7Y,MINNESOTA
SCALE: I"=30'
AO
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id
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i?opo?n , 35
10 NoosE
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?? _- a s \
a P?c. . I LOT 2
1 '
5 I ?n ?, DRAINAGE B UTtt.IT?
?
9Iaa G ;.??G;kN I4I.20
? ?EV1E1l?€b
.....m.-.,.
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a...,l?????
RAGA?? E1vGI?T??xa1v? DOT
oSTER pUMp
REGUMCD
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LEGEND ??T ?? q7jpN$qT SERVCE EXTEN310N W?N?ws
o DENOTES IRON MONUMENt PROPOSED GARAOE FLOOR ELEVATION = /=
* DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVAt10N =
DENOTES EXISTINO SPOT PROPOSEDBASEMENT FLOOR =?vr;
ELEVATION ELEVATION
(/029'!)DENOTES PROPOSED SPOT
ELEVATION
_?DENOTES ORAINAGE DIRECTION
I hKeby co?flty that ihls survey,plon or
rsport wus prepared by me or under my
direet supxvision and that I am a duly
Reqistered land Surveyor undor the
Lowe of tAe Stcte of Minnesota.
NOTE'• VERIFY ALL FLOOR HEIGHTS WITW
FINAL HOUSE PLANS
Brodtey J. SwenW, Mn. Rsg. No.15235
Date',• ?v???!
Use BLUE or BLACK Ink
For Office Use I
1
City o Ea an I Permit q
1 Permit Fee: ICJ
1
3830 Pilot.Knob Road i 1
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I Staff-
Fax: (651) 675-5694 !
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: /I YV ~OV ~I 1 l I I L ~'l Dr
Tenant: Suite
Resident/Owner Name: pd 1'{/(r Phone: 01 ~?,e)- _1 "Y 7 -I 1S ~o~
ICI
Address / City / Zip: a) a ~oZ
Name: Wenzel-Plymouth Plumbing, LLC License 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work -New _Replacement -Repair _Rebuild - Modify Space - Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Lawn Irrigation RPZ PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures Main Lower Level)
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 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)
TOTAL FEES $ _N/A
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.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I 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 plan
x Carl Michels X-
Applicant's Printed Name Appli ants Si nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155736
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 4608 Fairway Hills Dr
Lot:2 Block: 1 Addition: Fairway Hills
PID:10-25600-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Aryn C Vastola
4608 Fairway Hills Dr
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature