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4387 Hamilton DrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I lliihl l I i iFJ? I'!? I I 1N??I??F! ! i?INfi r,IH PERMIT SUBTYPE: s n 1 uf ? N PERMIT TYPE: Permit Number: Date Issued: , APPLICANT: TYPE OF WORK: 0; •,1 i r I I 1,1c; ti 1 I I t I t 1 N(+ ?r?• i .•ti. NEu 1e1 x ia? a:?'x 1.4' ' I IIU I I Nli f'//V Hc ? ? ? PermYt No. Permft Holder Date Telephone k 51VY PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dats Insp_ Comments Footings I Foundation Framing Hooting Rough Plbp. Rough Htg. Isul. Fireplace Final Fllg. Orsat Test Fnal Plbg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ft9. G - ? -3 _ 10s? `. ? . Deck Final CkW Well ? hJ Pr.Disp. "P"VM- 04C 'fr& SK &.?? ?, r?B I CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 ---I I - i ? i DATE 19 RE?, I J , aMOUNT a 4 8 DOLLARS ,m ? CASH QJ CHECK +- -W- I ('1I J ? '-) -t!'. r- ..S-I o F, Ii', ? 14 c, ,, U b r C 14-1T6 Yelbw--Paetlrg Copy PirJc-FNe Capy Thank You . BY SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot KrSob Rd. Eagan, MN 55122-1897 METER # PERMIT DATE 7/9I 9I CHIP # PERMIT # 111Z?' METERSIZE B.P.RECEIPT# ?Z4-?7u ISSUE DATE B.P. RECEIPT DATE _ PRV - BOOSTER PUMP DATE JUQs (+. `1991 . ? ? j SITE ADDRESS ? /6387 UNLLTON paIY6 I LOT "! BLOCK --SEC/SUB LBXINGT0N P?E 6 APPUCANT: pAR;SH MARKETIIiG 3?I:4 EL ADDRESS: 3799 E8IARNOOD Lti CITY, STATE F'AGAN Zlp K5123 PHONE: 452-6544 PLUMBER: ?M HESS1At1 FLi1MB1NG ADDRESS: 121 REDWOOJ DR CITY, STATE APpLE VA'LEY ZIp 55124 PHONE: 432-6895 OWNER: 5AM AS APPLICAM ADDRESS: CITY, STATE ZIP PHONE: PERMIT REQUESTED __X_SEWER -*--WATER - TAPS COMMiIND X NEW -y_ RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Qomestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. X \/\w.. V __ 1C [_ I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE JULY 9, 1991 .0 UFFICE USE ONLY METER #??q!V_6 PEAMIT DATE 7 I9I 91 CHIP # Q161 3 S/ 6 PERMIT # 12123 METER SIZE S erJ u S B.P. RECEIPT # C114376 ISSUE DATE B.P. RECEIPT DATE 7/9/9i - PRV - BOOSZER PUMP SITE ADDRESS ` 4387 liF,hj1LTON DR1VE lOT h BLOCK 1 SEC/SUB LEXINGTON PTE b APPLICANT: PARISH MARKETING & DEVEL ADDRESS: ?k799 BRIARWOOi) LN CITY, STATE ,AGAN ZiP 55123 PHONE: 52-6644 PLUMBER: TOM HESSIAN PLUMEING ADDRESS: 21 RED[,i00D DR CITY, STATE A PLE VALLEI ZIP 55124 PHONE: 432-6•:)9s SAr^E AS APPLICANT OWNER: ADDRESS: CITY, STATE ZIP PHOkNE: , PLEASE ALLOW TWO WORKING DAYS 9OR kOCESSING. CALL SEWER PERMITS, CONTACT ENGINEERING DEPT. PERMIT REOUESTED ?L SEWER X -. WATER - TAPS - COMMIIND , RESIDENTIAL x 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 COMPLIf WITH CITY OF EAGAN ORDINANCAS SIGNATURE'WHEN METER ISSUED 454-5220 FOR INSPECTIONS. FOR STORM ,? .? r .. ? . . ,. r? 0 . (gtx#t#tratr uf (Orru?aury `Citp of Cagan Brpvft? n# Nwtdi" inpertion This Cerrifiaate iuued pursuant !o lhe rrquirementr of Sertion 306 oJlhe unrjorai Buildkg Code cenhfYing thct c1 the tirrrc of issuanae lhis structwe ww na aonrpliaruae wuh the mrious ordinaircGS of lhe aty regulakng.buildiRB rnnmwcdort or uv- Fvr theJollowing: vx asoTsmam _S,F L1,feIG,4-,,z? R eme. R:,.* xo. 19 I 8 2 ow.pwxyrypc R-'If[v11 yD,6g Dib? PD 8-1 we c,m. Vn - Parish Mktg A&W= 3799 Briarwood Ln 6 Posr na A coHSaIcuous Puce ?rq 3AY V'iEVW 726-4508 CITY OF EAGAN . . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDINGPERMIT PHONE: 454-8100 Receipt # -- To be used for SF ?/GAR Est. Value "Z*000 Date Jul Site Address ' Lot b Block Parcel No. n..`.?'. 1 w3 ^2 1Mi16'NN DBlY6 S2C/SUb. LEx1MOM Ka 6 OFFICE USE ONLY Occupancy R'3j M""Z FEES - - zo,,;,,g p0 a-1 W Name .......... ....n?... ?..... ? ..?.?.?. ; Address »" NRlARWOn LM ° City EAGM Phone 452-6644 ,00' Name SAM ;¢ Address 1- City Phone I hereby acknowlege that I have read this application and state that Ihe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee J..1,a?1 `-, , -t? - ?_ A Building Permil is issued to: p?iBH ??? aDM on the expreas condition that all wo?Ic shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.e (Actual) Const VR_ Bldg. Permit S 559,00 (Allowable) Vfk--- Surcharge 41'00 * oi Stories 41 Plan Re i 36j *00 length v ew Depth ? SAC. City 100000 S.F. Total - 650'00 S.F. Footprints _ SAC, MCWCC On Site Sewage _ Water Conn 64•? On Site Well ? Wa1er Meter 43,00 MWCC System 30000 Gry water , 3q_ f+cct. oeposit i ? PRV Required _ S/W Permit 3? ? 0 Booster Pump - S1YJ Surcharge 050 Trealment PI 276*00 APPROVALS Road Unit 370•00 Planner Council - Park Ded. BIdg.OH. -- _ Copies a • ? Vanance - TOTAL s Permit No. Parmit Holder Date Telephone # IrJATER ?f 9 9?E?IVER T?i,l}(, `7Ge/?, a? ! C) PLUMBING p?Q 6 7 ?.e. y ro?' H.VA.C. yw"000 ELECTFIIC Inspection Date Insp. Comm«+ts Footings 1 G ? I o SS Foundation ??,/9? i . ? Framing ? ,J c -? D ? Roofing Rough Pibg. ' -? •9/ Rough Htg. Isul. ? i:'•':, n?? ? h6f S?/7?t ? /y? ? Freplace Final Htg. Orstat Test Final Pibg. .?3 Plbg. Inspector - Notify Plumber Const. Meter Engr.JPlan BId9. Final ,Z ? G 7 Dedc Ftg. Dedc Final weu Pr. Disp. ?'- - RE: JULY 10, 1991 DATE: 4387 lIAFl1LTON DRIVS, L6, Bi, LEKINGTON POINTB 6TH XX Your SQwer & Water Permit for the above property has been completed. It will be held at the Public Works j2arage (3501 Coachman Road) until the meter is picked up. BE SURE TO 'CALL PUB?1t WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. .; r ' lYour Sewer & Water Permit for the above property cannot be completed for the following q reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must 6e confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address: 4/f?? Lot Blk ! Sec/Sub 061, ? MEMEMPM These items were/were not complate at the time of the final inspection. -02 Yes No y ? Final grade (6" from siding) L--./ Permanent steps - garage V_-*? Permanent steps - main entry v Permanent driveway ? Permanent gas Sod/seeded grass ? Trail/curb damage 7? Porch Basement finish Deck 41_? Please verify with the builder the removal oE roof test caps from the plumbing system andthe shut-off of water supply to the outside lawn faucet before freeze potential exists. rQ?j a? RfLIttE0XlE11 White - City copy Yellow - Resident copy Pink - Contractor copy _jI CITY OF EAGAN N? 19382 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING ?ERMIT Receipt # C-. e y Tobeusedfor SF DWG/GAR Est Vaiue $82.000 Date JULY 9 91 Site Address 4387 HAMILTON DRIVE Lot 6 Block 1 Sec/Sub. LEXINGTON PTE 6 OFFICE USE ONLY Parcel No. acupancy R-3, M-1 FEES Z0"'"e PD PARISH MARKETING & DEVEL R-1 w Name (Actuap Consl ?LII.._ Bldg. Permit $ 559.00 3 Address 3799 BRIARWOOD LN (pumaeie) W41.00 ? City EAGAN phone 452-6644 p ot Stories Surcharqe Length 41 Plan Review 363.00 ;iF Name SAME OBplh ?LEL SAQ City 100.00 0,¢ Address S.F.Total - SAC,MCWCC 650.00 City Phone S.F. Footprinls - On Site Sewaqe Water Conn 660.00 ? W Name on sne wan 95.00 ? W Water Metar ?; Address MWCCSyslem XX 30.00 ¢z AccL Deposit <w City Phone cirywater XX PRVPequired _ S/WPermit 30•00 I hereby acknowlege that I have read this application and state that the Booster Pump - S(yy Surcharge • 50 infortnalion is correct and agree to comply with all applicable State of 276.00 Minnesota Statutes and City of EaganA Ordinances ? TreacmeN PI SignatureofPermilee ?.?.< rw-- 1 4APCROVALS RoadUnit 370.00 A euilding Permit is issuetl lo: pARISH MARKETING & DEVE Plenner - Park Ded. on Ihe express condllion that all work hall be tlone in accordance with all Council _ applicable State of Minnesota Statut antl City of Eag Ordinan?es, gldg ory _ Copies $3,174.50 Building OMicial y Variance _ TOTAL ?" REQUEST FOR ELECTRICAL INSPECTION BJM- ?'?` q EB-00001-0e ll? $ee Insimctions for completing this iorm on back ol yellow copy. C/ ??1 105. 55 'X°Below Work Covered by This Request ew Adtl Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Olher (Specity) Commllndus[rial Furnace Farm Air Conditioner Other usyecity) ('qntractor's Rema J rks -gSMT. Compute Inspectian Fee Below: 8 Other Fee # ServiceEnirence Size Fee k CircultsfFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above200_Amps Abovet00-Amps Signs inspecto.'s use onN'. ? ....-_'. 70TA? .f-e Irri9ation Booms ? Special Inspection % Alarm/Communication THIS INSTALLATION MA ORD CONNECTED IF NOT Oiher Fee COMPLETED WITHIN TH . I, the Electrical Inspector, hereby 1119n-m • oa;?? certity that the above inspection has been made. • F;,,ei , OFFICE USE ONLY 7his repuest vuitl 18 monihs from K 5 0 5 , R uest ire No. ugh-in Inspeclion Re - ed? . ? Ready Now ill Notify Inspedw tl l l R Yes C? No y hen ea I i licensed contractor Xwner hereby request inspection of a6ove electrical work at: Jab tlress IStreet Bw a ROUte No. Ci?y 9S12 ami /?Vj r' Section No. Township Neme or No. Range No. Couny Occu antIPRINT, _ Phone No, e ?S Power SupPiier Atlaress Eleclri at Convactor (Company Name, Conlrodarg License No . . lof) al M% k g IConVactor or Owner Making Installetionl Ftl eu Authonze °alure I onVaclo,,Owner Meki Inslallanon? Phone Number ' V r ?i a ? 63 s56 7 . -? MIHNESOTA STATE BOAPD OF ELECTHICITV THIS INSPECTION REOUEST WILL NOT Gri99%Mitlwey BICg. - floom 5173 BE ACCEPTEO BY THE STATE BOAflO 1821 Unlversity Ave.. SL Vaul. MN 55104 UNLESS PROPEfl INSPEGTION FEE IS Phone(812)602-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ' J 2??? 4 See ingructions lor comqeting Ihis lorm on batk ol yellow copy 'X" Below Work Oovered by This Request ??"? f 6 5 ? 3 ?- ?'/v ew Add Rep. TypeofBuilding AppliancesWiretl EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Conhxtor's Remarks' Compute Inspection Fee Below. F '. Other Fee # ServiceEmrenceSize Fee # Circud4Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Ve100 _ Amps Signs Jnspecror5 Use Only: v TOTAL Irrigation Booms G / J ? S Special InSpection Alarm/Communication THIS INSTALLATION MAY BE OR D DISCONNECTED IP NOT • OMer Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oete certify that the above inspection has beenmade. Finai a?e OFFIGE USE ONIY TM1is repuest wid 18 monlhs Irom ? 1 Cs ?' ? / o ? 6 3?. J 23324 6 ,?? , ReQUest ?ale - Fir o. Rough-in Inspec[ion l W ll N I t Require0? nspec or AReatly Now ? i ati y V?D Q,Z G ves ? No wnen Reatly9 IX licensed contractor ? owner hereby request inspection of above electrical work at: Job AtlOress (Slreel. Bog or Rou NoJ City 4 13S7 1 Am,G i46A?1 Seciion No, Township Name or No. Range No. Cou Aa jr'0T14 Occupant (PRINTI 1 Phone No. -??? ?r? ?oB3- 95G Power SuD? r c- Atltlress Elecvical Co r(Company Name ?pnuacmr5 Lbense No. ??45e i? zi CA o<<l3z Maniig Atlpress ILOntracto r Owner Making Installa}'on) r ??v rnG n Lr? numorizea Sign ure IGonvacrorv l Phone Number = 2' -d 33 MINNESOTA StATE BOARD OF EtECTHICITV THIS INSPEGTION REOUEST WILL NOT Gr{ggs-MiEway BIAg. - Room S193 8E ACCEPTEO 8Y THE STATE BOARO 1821 UnWereily Rve., St Poul. MN 55100 UNLESS PFOPER INSPEGTION FEE IS Plwne (612) 642-0B00 ENGLOSED . nEQUEST FOR ELECTRICAL INSPECTION r ? See insimctions mr complafing fils brm on back oi yellow copy. "X" Below Work Covered by This Request EBo000bo8 I ew A .'ep. ' TypeofBuilding AppliancesWited EquipmentWired ? -? Home Duplex Range Water Heater Temporary Service Electric Heating ApL Building Dryer Other (Specify) Comm./Industrial FurnaCe Farm Air Condifioner Olher(syecity) Compute Inspeclion Fee Below: Gonrcaclor's Ramarks: # Other Fee # ServiceEncrenceSize Fee # Circuits/Peeders Fee Swimming Pool I Transformers ?- 0 to 200 Amps Above 200 _ Amps 0 to 100 Amps a 0__ Amps SignS Inspectors Use Omy: TOTAL S Irrigation Eooms ? 0 ? ?J Special Inspedion I Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN 18 MONT 1. the Electrical Inspector, hereby it h t h 6 i AOUgrvin oaie '7 7 cert y t a t ove nspection has e a been made. Finai OFFICE USE 9NLY This reQuest voiu 18 months imm ?? /ada = I rdi`? p 21 8 ? ? • ? ReQoes? Da?e /?? Q?/ 5 re No. Rough-in Inspedion Reqw tl? ' C Featly Now ?I Notih' Inspector R tl ? W n ` / _ ves C No en ea y I2icensed contracror D owner hereby request inspection of above electrical work at: Job Aa(Jres ISrteet. or FaWe No.I 3 -7 Ciry Seclion No. Townsnip Name or No. Range No. Coun ? L Occu IPRINT) Phone No. Cy . P er p Lar Aatlress ? Eiec iwl Con ractoia y Nam / Conhacta Gcense No. ?s- Mailinq Atltl ss ICOnVacbr or pwne, Ma4mg InstallaLOn? ? ? Aumo?rze iSnatore cOnvai wner Ma'eing Instaliationi ? Phone N?mber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway &eg. - Room S473 BE FCCEPTED BY THE ST/TE BOAPD 1821 Unlversity Ave.. Sl VaW. MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone (612) 609-0800 ENCLOSED. City of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 3 ` 7enant: ------------------ ? For_O(1_ice_Use I j Pertnit#: ? Permit Fee:' .,?n03 -, ? ? Date Receive?tl: j I ? I StaH: I I -----------------? 2009 RESIDENTIAL BUILDING PERMIT APPLICATIO? d9 SiteAddress: ??.3?? ?_._-/-L__ n? ?? ? ??S?G6c Suite #: I RESIDENT/OWNER Name: ?qv S+"tv!?t 5 Phone: Address / City /2ip: Y3,87 #4m i/A, d r EFe pn " Applicant is: 1--'Owner _ CoMrector TYPE OF WORK Description of work: `/ -11 , IY?t% ?{C M ' Construction Cost: A3, °dL> MWti-FamilyBuilding:(Yes_lNo? CONTRACTOR Name: ldr i5 License #: `/?7/ ? Address:c, y : -7 ? ^H Zi St t ? 6 p a City: l w e: n GRc.[- ? Phone: 5_?X3B Contact Person: 7-To e COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CatCgOry Su6mitted Su6mitled (4 Subltlission type) • Energy Envelope Calculations Submitted In the last 12 moMhs, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No N yes, da[e and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water ConVactor: Phone: NOTE: Plans and supporting documents that you submit are consfdered to be pu6lic /nformation. Portions of the informatlon may be class!/led as non-public if you provide speclflc reasons that wauld permit the City to conc(ude that the are trade secrets. I hereby acknowledge ihat this iMormation is complete and accurate; that Ihe work wili be in conforcnance with Ihe ordinances and crodes of the Cily of Eagan; that I understand this is not a permit, but oniy an application for a pertnit, and vrork is not to start withoul permR; that the work will be in accordance with the approved plan in the case of work which requires a review and approvala x ?O G 4Gl ° ? x l/ ApplicanYs Printed NameJ Appl' nYs Signat re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation. Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addkion Alteretion Replace _ Fireplace _ Porch(3-Seasan) _ Storm Damage _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior AHeretion (Multi) Lower Level _ Pool _ Miscellaneous C3 ea..7Loo w.- X Interior ImprovemeM Move Building Fire Repair _ Repair Siding Heroof Windows _ Egress Window Demolish Building' Demolish Interior Demolish Foundation Water Damage 'Demolition of endre building - give PCAhandoutM applicant Valuation Plan Review (25%_ 100%_j Census Code # of Units # of Buildings Type of Construction 3. o00 _ - Occupancy Code Editian 2oning Stories Square Feet Length Width Footings (New Building) Footings (Deck) _ Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final ? Framing Fireplace: _Rough In _Air Test _Final ? Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers _ Sheetrock Final ! C.O. Required ? Final / No C.O. Required t° HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector Fl,t tfee INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: e aLncK: I APPLICANT: 4387 HAMILTON DR STEVENS JAY LEXINGTON PpSNTE 67H (612) 653-9567 BUILDIMG 021252 @6/23/93 i ?. .. _ _ ? PERMIT SUBTYPE: TYPE OF WORK: DEGK NEW DE3CRTP7ION 10'x 14' 12'x 19' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 021252 06/23/93 SITE ADDRESS: P.I.N.: 10-45090-060-01 4387 HAMILTON DR LOT: 6 BLOCK: 1 LEXINGTON POINTE 67H DESCRIPTION: -? 10'x 14' Build3n? .,Permit Type Building Work Type U8C Occupan`cjlti ---? ? ? ? 1z'x 14' DECK NEW R-3 d2p o? ? ??? ?Wm REMARKS FEE SUMMARY: Base Fee $25.90 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - STEVENS JAY 4387 HAMILTON DR EAGAN MN 55123-2603 (612)683-9567 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L > ? APPLICANT/PERMITEE S ATURE .G. _. ' ' t ... PERMIT applicat.ion and state that the with all applicable State of Mn. ? ??(PSUED BY: SIGNATURE REACTIYATE _ GITY OF EAGAN G PERMIT APPLICATION 93 BUtLDIN 681-4675 PERMII # 16PTI 9-1 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy, calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy 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. ?Date ?_ / /953 Valuation of work 210?.00 Site Address: y3 I1A14 /L TUN Drive STREEi SUITE 0 Tenant Name: (commercial only) i.ox Gl? 0 BIACK I SUBD. e%i? n ?sf /a P.I.D. M ___ (o dd. ?u 5 0 9 0 Descri tion of work: ec ? The-applicant is: Owner ? Contractor O Other (oes«ibe) Name Sk-vens JL ? Phone ? 8 3-SS41"_ Property LAST FIRS Owner n N JJR? y3?7 PA M1c Ta vF Address STREET STE N `5S/ ?3 • ?G ? Ga Q/1 State Z;P City Company aWhPi Phone COntfBCtOf Address License # Exp. City 5tate Zip Company Phone Architect/ Engineer Name Registration rY Address City State Zip 5ewer & water licensed plumber Protessing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the informatian is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 3 OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch O 05 SF Misc. ? 06 Ouplex ? 01 4-Plex 0 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ?L15 Deck WORK TYPE ? 31 New 32 Addition O 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36, Move ,s,.;j . l;;46 Ba?laenti n+sh ? 17 Swim Pool 018 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. -- City Water UBC Occupancy ? 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq. ft. Fire Sprinkler Length lo r? ' On-site well Census Code f c Depth 12 xrU` On-site sewage SAC Code ! APPROVALS ? Planning Building Assessments Engineering Variance REtZUIRED INSPECTION S ? Site Footing ? Framing ? Insulation ? Wallboard Final ? Draintile ? fireplace Permit Fee ,?S,Dfl v.a.tia,: g " Surcharge Plan Review License MWCC SAC City SAC Water Conn: Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P}. Road Unit Park Ded. Trails Ded. Copies Dther Total: SAC % SAC Units .• ,I-EGA? DESCRIPTION: LOTBLOCKJ-, LEY"NGTON Pp1NY'E 6th ADDN , ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA 58 26.5g 8„E S89°50'21"E s 54.10 b n ? I DRAINAGE 8 UTILITY EASEMENT ? LOT 6. , LOT 5 (3i c\j -7 l iUO / L ? - la"E w 1-? -?-- ? tt a ? O ? ? I Z N? 61 1 < tvy. ,44„ «?. ?,?r- ?,. LEGEtdD - 13.5 A' ? 14 lY-Z)?--? ? i ---- ?iE?-1 .--- --i - N I M11 0 Rz 155; 80.71 HAMILTON o DENOTES IRON PAONUPAENT * QENOTES ? WOOD HUB SET 9^p-1 DENOTES EXISTING SPOT ELE VATION DEMOTES PROPOSED SPOT ELE VATIOPI 7 SCALE:I"-30' QP.OVoSED 4 L?L SPLrT) kJALCOUT 3RD LF?4 DRIVE ? k,?ALKarr i.;/.Gl/qrionl = gSs.1 INVERT ELEVATION AT SERVICE EXTENSIONa PROPOSED GARAGE FLOOR ELEVATION • y'+" . PROPOSED FIRST FLOOR ELEVATION = ? PROPOSED BASEMENT FLOOR = ?ti8 i.L E LE VAT I ON ? DENOTES DRAIMAGE DIRECTIOfd NOTE'• VERIFY ALL FLOOR HEIGHTS WITN FINAL HOUSE PLANS CEUISEL: _?Jt''I'!I - ?A2 MOu.t ?/ME..ISa.I;. I/l?lj-GC?? ?V'-?Fi I herOl9y c*rtify tAat thic ;?plQn ar ropo?t aoa pravored dlroot •upofVirim .,.. .. _ LOT 7 ? r1 63' LU ? ? O O Q z FCb?r NJC 9 ? `t? L ? eL ? CITY OF EAGAN PLUMBING YERMIT SIIBD?. (612) 681-4675 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN YERMITS ARE REQUIRED FOR EACH UNIT. LDATE U5E ONLY PT L R ?/ ?? 3 - J ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST ADD ON REPAIR Cy OWNER NAME: c 5 e 5`f SK'Vln $ SITE ADDRESS: INSTALLER: C Wrle/' ADDRESS: 73P. H7t M i L TU/) U, CITY: ?6G 6, n ZIP: 5S/ ?3 PHONE bT 3- c7 S? 7 &. -r SIGNAT[TRE OF TOTAL STATE SURCHARGE .50 TOTAL: $15 PLEASE COMPLETE TSIS PORTION FOR ALL COMMERCIAL/INDi1STRIAL BUILDINGS. AI.SO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE $ERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: _ INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP; CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ $ (SIGNATURE) COMPLETE THE FOLLOWING: N0. FIXTURES EA. REPAIR/ADD ON 15.00 _ SHOWER 3.00 _ WATER CIASET 3.00 _ BATH TUB 3.00 _ LAVATORY 3.00 _ KITCHEN SINK 3.00 _ IAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFPENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 _ W. TURNAROUND 15.00 CITY OF EAGAN FOR CITY IISE ONLY Y°jy 3830 YILOT RNOB ROAD EAGAN MN 55122 PERMIT # PHONE (612) 454 8100 RECEIYT # 06 7 lSkC?NICA?`:`PERMI'?! DATE: 5ID8NTIAL'#; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 ? .<> . . . . TOWNHOMES/CONDOS RHEN PERMITS ARE REQUIRED FOR EACH IINIT. -------------- WORK DESCRIPTION NEW CONST ADD ON ? REPAIR _ OWNER NAME: ljdt? SITE ADDRESS: `7-00 07 X't'e,,. i,or:11_ sl.ocx I susD.(?a/• INSTALL.ER: Riirnciiillo Ncating P. AlR Ina 12481 Rhode Island Ave. So. nDDxsss: Savage, MQI 55378-112 894-0005 CITY: ZIP: PHONE #: FEES ADD-ON MINIMUM $15:00 HVAC 0-100 M BTU 00 ADDlTIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: 50 TOTAL: / S ? ? S ATURE F PERMITTEE 4A? o -a qJ ??TIt4£RCiAL?iNbUSTRIAL;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND TNLTI-FAHILY BUILDINGS STHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUSD. INSTALLER: ADDRESS:_ CITY: PHONE 2IP: FEES 14 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1:000 OF PERl4IT FFA. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: S $ (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN ` 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 MWIMT FOR CITY IISE ONLY PERMIT # RECEIPT #ZO DATE: ------------------- WORK DESCRIPTION / NEW CONST ADD ON _ REPAIR _ OWNER NAME: N0. ? 7 . ? ? '7 ° - SITE ADDRESS: 7 J O ( IAT:? BLOCK L SUBD. tj _?o Ei _ INSTALLER: ? TOM HESSIAN PLUMBING, INC. ADDRESS: 121 REDWOODDR _ PLE VALLEY, MN 55124 _ CITY: ?? Zf^I/P??• - PHONE 7?? fJ ' !J DWELLINGS 6 COMPLETE THE FOLLOWING: FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 ? WATER CLOSET 3.00 ?- BATH TUB 3.00 3 LAVATORY 3.00 ? KITCHEN 5INK 3.00 LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 WATER HEATER 3.00 _3 FLOOR DRAIN 3.00 3 GAS PIPING OUT. (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE .50 TOTAL: S 3d. ov ?QMMERCiALjI21ptTST&IAL; PLEASE COMPLETE THIS PORTION FDR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MIJLTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. --------------- ------ ----- ------------------------°--.__-__--___--___-___----°- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: . ZIP: PHONE #: FOR: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. ------------------°------------------------------' FEES 18 OF CONTRACT FEE. STATE SIIRCHARGE - $.SO FOR EACH $1.,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $_ TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN • 3830 PZLOT KNOB ROAD EAGAN, MN 55122 PHONE (612) 454 8100 "G"?t'rA?{;mm FOR CITY USE ONLY 3?7 PERMIT # RECEIPT # D T DATE: ? 1???Nx?l13:7: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & .3.......a ..... ..:::::....:... ....?. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ----------------------------°------------------------- WORK DESCRIPTION FEES NEW CONST IV- ADD ON REPAIR OWNER NAME: n'4g(5 ?4 nlRkt SITE ADDRESS: '1397 /'?A/71rLtcsvi 47GZf1/f LOT: G BIACK ( SUBD. G'?K I &yTa.r' p?6VTc` (>?$ - - ? INSTALLER: aDnxESS: Burnsville Heating& A/C. Inc. 124$1 Rhode Island Ave. So. cizY:_ Savage, MN 58I#fi8•1122 894•0005 PHONE #: ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 4.d ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM .00 OF 1 PER PERMIT GC SUBTOTAL: $ z 7 STATE SURCHARGE: .50 fo TOTAL: $ 7 SIGNATURE OF PERM EE ?C4MMERGtAT,/TN?T7$I'1?TAL:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWPIER NAME: C:TE ?.DDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EAC:1 $1,000 OF D°PIMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN ? 2 1991 t 1'NG A IT APYLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PI.ANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 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 f2EQUESTED 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 IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Single Family , Valuation: SZ, OlJC) ? Date: 7-2-91 Site Address 4387 Hamilton Dr. L-? Lot 6 Block 1 Parcel/5ub Lexington Pointe 6th Owner Parish Marketing & Development Address 3799 Briarwood Lane City/Zip Code Eagan,Minn. 55123 Phone 452-6644 Contractor same Address City/Zip Code Phone Arch./Engr. Address City/Zip Code OFFZCE DSE ONLY FEES Occupancy M'1 Bldg. Permit -559.00 Zoning 1."D R- 1 Surcharge q1 ,a D Actual Const V- N Plan Review 363,00 Allowable V- N SAC, City 1D0.00 # of stories SAC, MWCC $O-OD Length ? Water Conn. 660,00 Depth ??[.,' WatEr Meter 9?? i, ou S.F. Total Acct. Deposit 30,0 O Footprint S.F. S/w Permit 30,00 S/W Surcharge iSO On site sewage_ Treatment P1. 2 l?,00 On site well Road Unit 370,00 MWCC System ? Park Ded. City water t/ Trail Ded. PRV Copies Booster Pump _ APPROVALS SUBTOTAL Penalty Lot Change TOTAL ? S 5 ?- tnJ / Planner Council Bldg. Off Variance Phone # v. agrees that all work shall be done in accordance with (Signature of Contractor) . all applicable State o£ Minnesota Statutes and City of Eagan Ordinances. t? Ga na-G-c Z2LlHo x +s' = G(oor? , ?- .2 A-vZxa? = se?' 13 Y2 X 8?cs ? Lt C> I I I I?c Iy s!ss sH H .? • ?i 5/?( O?Z $2? DOo ?~ ? . _. + TRI-LAND C0. SURVEYING SERVICES 1875 PLAZA DRIVE EAGAN, MN 55122 CERTIFICATE of SURVEY ` for = PaRISH MARKETING 8 DEVELOPMENT LEGAL DESCRIPTION- LOTf;L,BLOCKI, LEXINGTON POINTE 6th ADDN ACCORDING TO THE RECORDED PLAT THEREpF DQKnTA COUNTY,MINNESOTA 584055'48"E 26,55 S89°50'21"E 3 ?--- 54.10 n e 6r I ? i DRAINAGE 8 UTvTY EASEMENT LOT 6 LOT 5 N . i \ q'q I M LOT 7 ? q ? w . _. ..: _ . F3.5 - W Ii ? 4 ? r? ' SCALE:I"=30' ? O . 7 t o ? ? ----- O 0 I 5 a? 9 5 -!4? o e ._ ? . ' ? O 0 a Z 1,Ail _ _ . .. -- . '.. ?tg?l ...... 1 Z 34-55 ? RF,?x , i N ? ' ?t I N ? No6 °990' ?m a , - -J° - - ? _ T - ?v,- ' $S? ? °58'44'9-"?4-" R=1552.38 80.71 HAMILTON DRIVE ? ...- ? E AGAN EIVGINEERTIdG DEP`1' 4 LE449u, SPLrr) 1JM-eouT 3RV L-r-? LEGEND?"' k1M.K4xsr r,51 GVWno?l INVERT ELEVATION AT SERVICE EXTENSIONz o DENOTES IRON MONNMENT PROPOSED GARAGE FLOOR ELEVATION= , o DENOTES WOOD FIGB'?S?T PROPOSED FIRST F100R ELEVATION =? ?S?= DENOTES EXISTING. SPOT PROPOSEDBASEMENT FLOOR = 0161 .-1 a ELEVATiAN ELEVATION , ?9$g ? DENOTES PROPOSQD SPOT i ELEVATION ? DENOTES DRAINAGE` DIRECTION NOTE ? VERIFY ALL FLOOR HEIGMTS WITN y, . FINAL HOUSE PLANS ?EV?SEC ?ISI9i - 1KEAe /-)ovsE I Mr? csAifyD?epa thaf this survey,plan or roDu?t rw nd Dy nw or unMr my direct suprvision ond ihol I am a duly Reqistered Land Survey?c,updw fl?o Laws of iM State of Minptfofa. Brodby J.(?*inson, Mn. Rey. No. I5233 Date - < • U.Jta1:R L t`xi.u?TO," ECXTEIt?Ott rNVLiAD',.: AV1iItAGF. ,.U•' CO;qPU7'ATSOI! si'rE: nDDiu::,s CQN'PtNC'fOk PP?TE L='?c.!'IISL•^.L' WG:?::i1:} a]C'i! ioOCarpC 04 CdCtI. 2. Tocal r;,,c,;.cei:.inq arem ...... /di _sy. f[. x .025 = ?8.2 .etai expe)sed wa1.1 arer, abcvr: Eloa: - OBOli.O . 3. TGCd.1 v$:" W 1P.d 0'A d?,?.G•8 .................................. ....... . ..... .. . .......... ?L C. T::t-dI .31.dincj O'ldSC do:?t' d:Cd ............. ................ - -- t?. :iJC31 C^_I:l dC(9 '-':71.1 dl:t_' -5 ................. ...............• ? c. iec.,i aj:l erani:,q a:ea caveraqn 10?S ..... ................ f. ia 1. n? = Wa 11 ..:s re.i a`??v ?. : lco : . . . . . . . . . . . . . . . . . . . . . . . . . . . J?•.C_. g. ':'otal .im ;c,ise area .... .................. ................ 17•3 ;:?C$1 e_rr,il?jn.i iO'.i:tfjuLlpII 9CC8 ? lJ, S ? h. .............. ................ :. Teta? net ?:sur.?ac:cn :,re a atr:v? gr?dn ..... ................ LiCCCY^,i.:1?_' -L" ss:ue aF Lac,f; wall seqment. d._ f G S_ 3__ X ?, ??,. J'r a? S7? b. x ', J l. r 0 ;7.,? C . •?'W • s! X •. U" a. ? x„u,. 6 . a ?,. o . •,,,, o . c? ?: , ., ] .. ...................................Tc,tal dC ituin nJ ir3 tho same aa, ar ienr, chan i tem pl. You IuIvu wot clie SnC??? t oc suc Goor,tc ;z. 7 ? Tota: cxpo5c1 rouf! ceil'tny a[ua O ; T'Pta1 skyli.9h: azea ....................................... 'r.. 7'oca: roof/cci:.ny F'Caminy -:,rao (avursgu 10'r.) ............. 1. To*_ai net :nsu:iated :ooF/ccitinj a[ea ..................... Do;.o.m;m; °U" va:uf: :or cach reof/cciling scyment. ? . v x „ U., ._--- k. x "U„ p? . '•y x ..U„ 4 ............................ . ......Toca: F .0p P''? ;F tctai o° h; is tke srzme ns, rr :ee9 =haa 42, you have met tltic intent oE 55c 600c cci`_. ?,'01>n ?'" f? ( a27.? ? !' ?rc?r+? I`Z ( o??.y , 77?+?? ?+el. Al?e:na::c 6;:ilding Envolope Dnsiryn 6o UCL't12e envelcpe systca methx:, '-hc values establish-id by thu ti)C sum of it:;r A. e4 she11 ncc be greator chun the swn of item3 XL dnd 03. z?e.z . ?zb,9 I._ z V « 2. -- - - - , ?. 7 . a.???? z '? 5?.? ? PERMIT N REACTIYATE ? 1430 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 INGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy --- calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is 9ssued. Date 12- / 21 / qZ Valuation of work 5ite Address: y3-67 Ma,n; I?C„' 1r STREET SUITE f Tenant Name: (commercial only) IAT _6? BLOCR ?_ SIIBD. j P.I.D. A? Descri tion of work: QL 3'4 e„e 1 The applicant is: ?$I Owner ? Cantractor O Other (Deaerl6e) Name S6 o S Phoi-te 6 8S = 9567 Property Owner LAsT FIRS w??k , 7zG - yse?S qddress 43 f7 Nsw„ Ilo ? D r STREET STE R City Er.`oGn State MAI Zip 55I2,3 Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engtneer Name Reg9stration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 3 water permlts is two days once area has zen approve . I hereby acknowledge that I have read this aPplicas:ion and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?2 Signature.of Applicant: ? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition 0 04 SF Porch ? 05 SF Misc. WORK TYPE 13?_31 New ? 32 Addition O 06 Duplex ? 07 4-Plex ? OS 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations ? 34 Repair GENERAL INFORMATION O 11 Apt./Lodging 11 12 Multi. Misc. ? 13 Garage/Accessory ? 14 fireplace ? 15 Deck O 35 Tenant Finish ? 36 Move r:? • -Ef 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2-3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump ?' of Stories Footprint Sq. ft. Fire 5prinkler Length On-site well Census Code y3c/ Depth On-site sewage 5AC Code APPROVALS °,- Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ?g)D L?La_ Fwistj ? Site ? Footing A;Z Framing O Insulation ? Yallboard ? Final ? Draintile ? Fireplace Permi t Fee _7? S,°r-- v.iuncron: Surcharge . so Plan Review ' License MWCC SAC City SAC Water Conn. Water Meter . Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Cop ies Other Total: S SAC % ?- SAC Units -