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617 Lantern Ct Use BLUE or BLACK Ink - For Office id" 1 City of Permit I Eaja 1 cf 3830 Pilot Knob Road I Permit Fee: I Eagan MN 55122 I Date Received: Phone: (651) 675.5675 I Fax: (651) 675-5694 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: L Q k LCAj'1 -C\ QA Tenant: 0~ ;?C~ 't ,~CUG_h L J Q Suite RESIDENT / OWNER Name: EJ ~O U)-SCY_ l a-t-\ 3 j 0 Phone: L051 - 2W-1 Address / City / Zip: f-\ Ec~~ L CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License 1(3512-1 I~ 3451 W. Burnsville Parkway Address: -Suite 190 City: State: B(~ISVille, MN 55337 phone:2 Contact: ~1LACI\, Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: _~j apgo NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.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 plaLAU LLY"QLLI- Applicant's Printed Name Applicant's Signature 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 Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - A 1 n MN i Permit City of EaLan I I Permit Fee: 3830 Pilot Knob Road I i Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2010 MECHANICAL HHANICAL PERMIT APPLICATION Date: s1T'MkQ Site Address: Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: (271 M 7- Yei CONTRACTOR Name: 'a ` , Address: City: m State: Zip: ` lam- Phone: tD 6'y d2 6 V, Contact.y ~U 6,0m I: TYPE OF WORK New Replacement Additional -Alteration Demolition Description of work: qOTE: Roof mounted and ground mounted mechanical, equipment is required to be screened by City ~ .,Cocie. Please contact the~Mechanical Inspector for'information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction _ Interior Improvement V Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank C_ 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) 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 Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE CALL B EFORE 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.0otiherstateonecall.orn 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 planlin the case of work which requires eview and approval of plans. x iC Ji Cx ~1, - 91, 11 Applicant's Printed Name Applicant's Signature 5 .TOR .,QFFICE USE. .,-Reviewed By: Yt~;Date Required Inspections: Under Ground _ Rough In Air Test Gas Service Test'!' r In-floor Heat Finale Exterior HVAC Screening Inspection CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: i'; i1 1 I h M c r PERMIT SUBTYPE:' , r; ?? ,. .. , TYPE OF WORK: l?E5l:fiIF7 ft1N 0f+f!!/`1N R F:1> A i 1{ f>.ERi)0f-'?7f?0N UAMAi;k INSPECTION DA • D• Rf"NARF ti: b't AM RFVI WF0 FiY MtKc ttlIRC.Y PERMIT TYPE: Permit Number: Date Issued: ! / rl - .i .. ? ... p .. i APPLICANT: Permit Holder Date Telephona # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING lIl? bC! ? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. I F' 10 Ea an, Minnesota 55122-1897 t?•°;` 9 Date Issued: (612)681-4675 ,. , SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ?.? r+ r,aMinn e I INSPECTION .. . D• I iFiK`:: PLAN RF`V1FI.If"f3 [tY M1.KC Hfll?s k .,4 ? Permk No. Psrmit Holder Date Telephone i ELECTRIC PLUMBING HVAC Inspactlon Date Inap. Comments FOO7INGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TES7 INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ? v E? r? CITY OF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i:H I r PERMIT SUBTYPE: TYPE OF WORK: t? r?{'ATR iI+1l.lt6WIN00U Rt'FAIk INSPECTION ., • .A 'A" ? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 7 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL < r? GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVI7V TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL '`rt0 CO WITKOr'i CITY OF EAGAN I ENG A.pPROV;".I. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 7o be used for S£ DWGIGAt- Est. Value i1 Zit 0OuG! Date EEB 19 T9 Site Address 617 i,A[iTli:N CT Lot 3.2 Block 3 SeGSub. .it•'?i""??". >i')J sOt: OFFICE USE ONLY Parcel No. occupancy FEES Zoniag w Name PIETSCi4 BU:Li)LI;_. (nctual)Const BIdg.Permit 73=•?'} 3 Address 9543 S:i:Ca L' (Allowable) h S 6C?, pq 0 ti City :AC?.ri Phone ?i61-3381 # of Stories bb' urc arge Plan Review _69.C? ; ' ? Length o Name `Q""?' oePm 4fi' snc ciry 100. zi- ? a Address S.F.Total - , g15 pd SAQMCWCC ? • ? City Phone S.F. Footprints - water Conn 580.00 On Site Sewage _ W¢ ? N3me On Site well - Water Meter 90.00 i i= Addf@SS MWCCSystem X?' jn Q? U_ a W ? Clty PhOfl@ City Water - Acct. Deposit • XY SM/P it 20•0 U PFVRequired erm I hereby acknowlege that I have read this application and state that the Booster Pump - SNJ Surcharge 1•? inlormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment Po 2= E' •00 Signature ol Permitee APPROVALS Road Unit 3?+'u •')t' A Building Permit is issued ro: PIET`.C: i- BL1I LMF F.6 Planner - park Ded. on the express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off Copies Building Official Variance - TOTAI 3.13 5. C?` ' ?a. 16'.54 ,,i ... . ]t . CASW RECEIPT ?. CITY'OF"EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNES(3TA 55122 DATE 19 xcEfrv?EO ? AMOUNT $ & lro ? CASH E3"CHECK DOLLARS Fan I I. .J ( I BY ?!:. r r F f: /'? ..?}` . .. __ ._ While-PaYere Copy VeIWw--POSting Copy Pink-File Copy Thank You SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # 1 0) W) SEWER PERMIT # , METER y22 3sa 37 B.P.RECEIPT# gl??- DER#?OoB?/ 30b' B.P.RECEIPTDATE 2 2(1/A? METER SIZE ??A R^ --« ISSUE DATE C?? a-?PpV - BOOSTER PUMP SITE ADDRESS rf42ti %?l'? C? LOT _BLOCK ? SEC/SUB APPLICANT: ADDRESS: ?Zg&ff I_k)'' ' CITY, STATE ' ? '? ? '??? ZIP PHONE: _ _tr; ! ?3?/ PLUMSER: ADDRESS: L51.85 .^,AR01`.T;L WaY ' CITY,STATE ZIP PHONE: Y? 3 OWNER: _ ADDRESS:_ CITY, STATE ZIP PHONE: 4u i --.3381 PERMIT REQUESTED SEWER WATER -TAPS - COMMiIND _ZNEW L RESIDENTIAL - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES; SI TURE WH METER ISSUED ???? ?4 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # SEWER PERMIT # METER# B.P.RECEIPT# -1416 READER # B.P. RECEIPT DATE ? ?? !f?? METER SIZE v ISSUE DATE "PRV - BOOSTER PUMP SITEADDRESS LOT -_BLOCK =- SEC/SUB ?u(??'• J' _ ?+? i APPLICANT: r..?.?, . 7 /7» ADDRESS: - .? ? •:' r - . , <G ; ? .', CITY, STATE ZIP " I, PHONE: • `; i -'' J PERMIT REOUESTED { SEWER --WATER _TAPS - COMM/IND " RESIDENTIAL -41?NEW - EXISTING •, ?i i `1 PLUMBER: ADDFtESS: >>' ? 5 ?' `''?1-`SF_?. 6.`?''? I AGREE TO COMPLY WITH CITY OF CITY, STATE ZiP . EAGAN ORDINANCES: PHONE: _ .? ,.' . __.. ' ADDRESS: _ CITY, STATE PHONE: - ZIP 51GNATURE WHEN METER ISSUED _4AR1 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. PERMIT # CONTRACTI Site Address Lot ? i PLUMBING PERMIT CtTY OF EAGAN RECEIPT k 3830 PIlOT KNOB AOAD, EAGAN, MN 55122 DATE: 7-i? PHONE: 454-8100 Sec/Sub BLDG. TYPE WORK DE$CRIPTION Res. New ? Mult. Add-on Comm. Repair ? Name ??.Jcf ?7f1E'e o?6?qf? ?IEIa ?c Address c City "Phone ? Name rl??3/1' 't= ;Y. `? a•?_, 3 Address ?J5?? O Ciry ?.s ?Eo-?llE Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES l Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES T? OLAL J Water Closet - $3.00 Bath Tubs - $3.00 q ? ?+ _Lavatory - $3.00 --/_Shower - $3.00 --/-_Kitchen Sink - $3.00 _Urinal/Bidet - $3.00 _-I-Laundry Tray - $3.00 _,L__Floor Drains - $1.50 Water Heater - $1 50 /, ;'2 Whirlpool - $3.00 ___?-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) -Softener - $5.00 _Well - S10.00 _Private Disp. - $10.00 ? Rough Openings - $1.50 FEE: ??L = II STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ? ?-a ? CONTRACT PRICE: Site Address m Name ca Addre c City L .. .._ _. . r . PERMIT # MECHANICAL PERMIT /7 ' Cf CITY OF EAGAN RECEIPT # ? 1J; ,y /' • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 Sec/Sub Phone Name Q) c Address p City e<! k- 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 FEE: S/C: TOTAL: FEES RES. HVAC 0-100 M BTU -$24.00 ? ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERdAIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APL BLDGS. - COMM. RATE APPL.IES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 ? MINIMUM COMMERCIAL FEE - 20.00 ? - STATE SURCHARGE PER PERMIT - .50 j (AQD $.50 S/C IF PERMIT PRICE GOES ? ti BEYOND $1,000) ? _r. BLDG. '?YP?E Res. ?? Mult. Comm. Other WORK pION New ? Add-on Repair SIGNATURE OF pERMITTEE : FOR: CITY OF EAGAN , 1 .t . • fs i y . Ter#ifiratp vf (Orrixpttnry titp of Cagan arpartment nrf luilDing ,$ns;rrriiun I'". This Certificate rssued pursuant to the requiremenls oJSection 306 of the Uniform Building Code cenifying that at the time of issuance this structure was in compliance with the various ordinances of the Ciry regulating building construction or use. For the following.• Use Quatifiplion SF ??IGAP, Eag. Pe,n;, r,a. 16159 om„P.ncy Tra R3/M 1 zonins uatoc, R 1 rra c.sc VN own« or euwa;ng PIE,'T9CIi TiUKLDM Acidness 9543 BIRM I[SM, EAM suaang naam 617 I.ADTfQN D(XIEtT Locality 132, B2, OOUPffirY K%dAW DW: .Tune 13, 1989 ' . Bu' g Vmcnr POST IN A CONSPICUOUS PLACE ' i, BUILDIMG?PERMIT CITY OF EAGAN ,, . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 To be dsed for SIT ?'+/W Est. value $1280000 Receipt # 161154 Site Address 5f f ' • " R'' k.l Lot 81ock Sec!Sub. OFFIC E USE ONLY Parcel No. Occupancy F" 3 i-1 FEE5 it- I Zoning w Name (Actual) Consl V7-N Bldg. Permit 73P'•00 3 Address (/+llowable) l44.00 o Surcharge City Phone 4t1-13E! # or scories 46' Plan Review 369.00 Lengih ? Name oePm 4h? sac ciTy i?•? Z . ¢ o Addf2SS S.F.TOtal - S75•00 c j SAC,MCWCC ? CIIY Phone S.F.FOOlprints - Water Conn 580•D0 On Site Sewage w Name On Site Well - Water Meter 90 GO + F _? Address Mwcc syscem ? 3if ? ¢ _ ? Acct. Deposit • aW CiTy PhonB City Water ? S NJ P ??•? PRV Required ermit , I hereby acknowlege that I have read this application and state that the 8ooster Pump - S%W Surcharge' r•oo information is correct and agree to comply with all applicable State of . Minnesota Statutes and City of Eagan Ordinances. Treatment PI ,? . ? ? ?"' •??' Signature of Permitee APPROVALS Road Unit ???• ???? A Building Pertnit is issued to: PIE7$GA BUI1.D$N$ Planner - park Ded. on Ihe express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ Copies 6uilding Otticial Variance - TOTAL 3,,175. 00 . Permit No. Permit Holder Date Telephone # WATEB %?" A .?2,-tx4? Q SEWER PLUMBING ?c 74, c Z(o?«??? H.V.A.C. ELECTFIC n /'7p p p % ?S/ 3 ?C' c• InspeCtion Date Insp. Comments Footings I Foundation Framing Raofing Rough Plbg. Ip Rough Htg. Isul. Y/ J , ' Fireplace )G Final Htg. - Final Plbg. Const. Meter Plbg. Inspecbr - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. Ll , (L/, s ??' 9 590?v ,? 3? ? ? ? 76 °r Request Date 3 3! ? Fi e No. RougMi s ecti n R uir ? ? ReaAy Now ill Noliry Inspector R ? d s ? No en ea y Icensed contractor ? owner hereby request inspection of above electrical work at: A?, ,bb Adtlress (Street, Boz ar Route No.) / ? V e 1 A j Ciry 4?"'!-c ./ 1 ..i . [ LJ ' Section No. Township Name or No. Range No. Cou?My Occupant(PflINT) 1v,c_UA,,4 Phone No. Power Supplier Address AzI ? ?? c_ Eleciric oMrnctor (COmpeny Name) CoMrecto?r's`L?icense No. ? ?? V ? l Mailing Address (Conlractor or Owner Making Instellauon) /? L? ? Z?? F - / r . "_ a vli? /? Authonzed Si n re to ner?M i s Ilatlon) ntr Ptrone Num6er ?l?. . L . . G.,L / 7 / MINNESOTA STATE BOAHD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bltlg. - Room 5773 BE ACCEPTED BYTHE STATE BOARD 7821 UnNersiry Ave., St Paul, MN 55104 UNLESS PqOPER INSPEC710N FEE IS Phone(612) 642-0800 ENGLOSED. 313?/t?r'g REQUESTFOR ELECTRICAL INSPECTION ?'• es-ooom-o? ? See instruclions for completinq ihis torm on back of yellow copy. ?/; 3C? 9 1-9t9Qi "X" Below Work Covered by This Request e Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace . Farm ' Air Conditioner Ollier (speciy) Cpnhador5 Remflrks: Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Sw?imming Pool 0 to 200 Amps ,Oa 0 to 100 Amps , Sransiormers Above 200 _ Amps A Amps Signs Inspectar5 Use Onty: TOTAL SO + Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby if Rough-in oate,` ? cert y that the above inspection has been made. Final Dale,. ? . L • )?'' OFFICE USE ONLY This requesi void 18 rtanths trom &/c?VVF/ty 7 ? 78 695 Request Oafe -? ` ire No. Rou - Inspection R i d? ?eady Now ? Will Notity Inspector ? ? L ? No When Ready? I licensed contractor ? owner hereby request inspection oi above electricai work at: Jo6 Address (Street, Box or Route Na.) Ciry 1-7 LII' v I ?? v /F?0'f..T- Sec[ion No. Townahip Name ar No. Range No. Counry , 77f- Occuperrt (PRINT) . Gc9I LLC.Vvt I-tV66q" Phorre No. 5-0 3 6 Power Supplier Address Elecuical Comredor (Company Name) t-b c..c.? ELe?-T2t? Conh ctork License No. - f ? 0/ZZ Mailirg Adtlress (COniractor w Owner Making Inslallatlon) c z- - . 7 7 AutFwrized SignaNre (ConVaqw70w Making I tall tio ) /? ? W ? . p. C_ Pfwne Number Z.-Z7 -?7 0 MINNESOTA STATE BOARD OF ELECTRICfP/ V THIS INSPECTION REQUEST WILL NOT Grigge-Midwey Bldg. - Room 5773 BE ACCEPTED BY7HE STATE BOARD 7821 Un(veraity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. LJ/??/8'g RL3QUEST FOR ELECTRICAL INSPECTION 00, See insirucNons for compleling this torm on back of yelbw copy. 4` 176 g 5 X" Below Work Covered by This Aequest • ee-ooom-o7 N c/_7z,1411 ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range . Temporary Service Duplex Water Heater Electric Heating Apt. Buitding Dryer Other (Specify) Comm./Industrial Furnace Farm ? Air Conditioner Other (specity) Contredor§ Remerks: Compute Inspection Fee 8elow: # , Othar Fee # ServiceEntranceSise Fee # CircuiLS/Feedars Fee Swimming Pool 0 to 200 Amps ,(;W ` 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Si9f15 Inspeclor5 Use Only; . TAL Irrigation Booms v ?? ?o. S? Speciai lnspection _ Alarm/Communication Other Fee < < I, the Eiectncal Inspector, hereby c th rtif t th b Rough-in r OeZZ Date y e a e a ove inspection has been made. Final . OFFICE USE ONLV . This request void 18 monUs from - BLDG. PERMIT NO. ? / 5 1? 01-3210 Bldg. Permit -7 3c? CC• 01-3422 Plan Check ; ) 01-3445 Surch./Adm. ? X0 ? 01-3446 SAC/Adm. ? 7J ? 01-2155 Surcharge ? 75-3860 Road Unit o c?c-) + 20-2275 SAC J? (c' ? 20-3865 Water Conn. ° ac' 20-3868 Water Trmt. ? 20-3716 Water Meter C ? C)? ?--' 20-2252 ACCt. Dep. , L> o c: 20-3713 Water Permit ? v (-)C) ? 20-3743 Sewer Permit (D C'' 79-3866 Sewer Conn. I o C ?'c> 28-3855 Park Ded. TOTAL ? O ? DATE: 3/2t89 . RE: 617 LANTECtN CZ•+ L32, B39 COU19TRY flOLIAW xx Your 5ewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until ihe meter is picked up. BE SURE TO (*L-rPUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. -`/pur Sewer & Water Permit for the above property cannot be completed for the tollowing „ res asons: ?, - • . -? 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 be 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. r, CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. NO CO WITHOUT CITY OF EAGAN ENG APPROVAL 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $128, 000 N9 16159 Receipt # q 1s(2 p Date FEB 27 , 1989 Site Address -617 LANTERN CT Lot 32 Block _3 Sec/Sub. COUNTRY HOLLOW Parcel No. W Name PIETSCH RUT7 DF.RS o Address 954"i RTR[:H i.N City F.AI:AN PhOne 461-3381 Name SnMF' Address City Phone 1- W¢w Name LZ Address a W City Phone I hereby acknowlege that I have read this application and state that the iriformation is correct and agree to compty with a appli tate t Minnesota Statutes and Ciry of Eagan Ordin? es. Signature of Permitee / A Building Permit is issued to: P TSCH BUILDERS on the express condition that all work shall 6e done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official .,(J OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (Actual)COnst V-N BIdg.Permit 738.0? (Allowable) V-N Surcharge 64.00 # of Srones - Length 66' Plan Review 369.00 oePm 46' SAC, City 100.0 0 S.F.Tolal - SAC.MCWCC 575.00 S.P. Footprints - On Site Sewage _ Water Conn 580.00 On Site well - Water Meter 0 90.0 MWCC System _XX_ Ciry Water xx Acct. Deposit 0 30.0 PRV Required xx S/W Permit 20.00 Booster Pump - S/W Surcharge 1-00 Treatment PI 0 228.0 APPROVALS Road Unft 34n _ nn Planner - Park Ded. Council OIdg.Oft. _ Copies Variance - TOTAL 3,135.00 City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone:(657)675-5675 Fax: (651) 675-5694 D APR 3 0 2009 - ______________ -J/,, ? j Pertnit #: 7Jv( / lN j ? Pertnit Fee: C9??E' ? Date Received: L 7??v -V ? I ? I Staff: I I __-I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: LO i Site Address: kA4, }wk ?T Tenant: Suite #: ?? -L 1? 4' e&lrri C ?^? 6;5" 6d RESIDENT ! OWNER - 4 le - Phone: Name: (.X 7 ? 4V k Address ! City 1 Zip: (O l Applicant is: _ Owner )< Contractor TYPE OF WORK Descnption ofwork: /' ua-jPv Construction Cost: Multi-Family Building: (Yes _/ No CONTRACTOR Name: Re4ln0 -eW6tta License #: ?/ /} -C? r Address: 3o?.c? ",pD7,(?''([iN,t1[, I IrcAJ City: &640/VV State: Mkit. zip: ,175123 Phone: 6I2. 9-75 3973 Contact Person: TAtl i DUic-k?&° COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 sUbmission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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 supportinq documents that you submit are considered to be,pubiic informationc Portions of ? the informaSon may be classified as non-public if you provide specific reasons, fhat would penriit,fhe, Crty ta ` , ., ? conclude fhaf the are tradesecr,ets ,. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and wdes of the City of Eagarr, that I understand this is not a permit, but only an application for a permit, and work is not t 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 appro f lans. x ? ? ( ?u? x Applicant's Printed Name ApplicanYs Signature Page 1 of 3 (' . DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3Season) Storm Damage ? ? Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (ScreeNGazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORKTYPES ?'1 ?? ?j?? l?/t?l?ul??L' _ New _ Interior Improvement _ Siding _ Demolish Buiiding" _ Addition _ Move Building _ Reroof _ Demolish Interior \4 Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Vaiuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Occupancy _nMCES System Code Edition yVIV kW7 SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width _ Footings (New Building) _ Footings (Deck) _ Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final _kC,Framing Fireplace: _Rough In _Air Test _Final ? Insulation Meter Size: _ Sheetrock _ Final / C.O. Required ? Final / 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 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ? ??? ??? ?n (YL , D r2 6 Page 2 of 3 RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS: New Construction Requirements ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ? 1 Soils Report if proposed building is to be placed on disturbed soil ? 2 copies of plan showing beam & window sizes; poured found design, etc. ? 1 set of Energy Calculations ? 3 copies of Tree Preservation Plan if lot platted after 7(1/93 ? 20% maximum lot coverage allowed ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) ? Minnegasco mechanical ventilation form Remodel 1 Repair Requirements ? 2 copies of plan showing footings, beams, joists ? 1 set of Energy Calculations for heated additions ? 1 site survey for additions & decks ? Addition - indicafe if on-site septic system Office Use Onl y : z,y ? ' ?E Certificate' of Survey ReceivecJ ? - ? = ??• ? - - ?,Soils Report?;i ' ' - ,:- ? . 1 ?ka v .? ve L ? Tree PreServation Plan ? Tree Preservation Required? ? ? On-Site Septic System - -? Page 3 of 3 ? CITY OF EAGAN 3830 Pilot'Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMITTYPE: BUILQING Permit Number: 0 3 2 2 2 9 Date Issued: 0 6/ 12 / 9 8 SITE ADDRESS: P.I.N.: 10-18275-320-03 617 LANTERN C7 LOT: 32 BLOCK: 3 COUNTRY fiOLLOW DESCRIPTION: ,.?.? ftER00F-STqRM Bui1d'i°i4,g, Permit Type hSuild3rrg"WArk Type d „"-Gertsu;s Cod,434 , ?. A3 ¢ ?1n F' PT n ?n, --?.?y?.?` dYP w , p a_k.i*•...r'? ?x Yg tpN t .a. ": REMARKS: PLAN REVEWED BY MIKE BARCK FEE SUMMARY: CONTRACTOR: - BERWALD ROOFING 2440 N CHARLES NORTH 5T PAUL MN (612) 777-7411 DAMAGE S7qRM DAMAGE REPAIR ALT. ftESIDENTIAL tfq n± §? t4 y_ FiR u« c` 2 i ! At ff i4 n. n.y ? ':.a \.:s 3 . d APQiicant - sT. Lic•OWNER: 17777411 2001568 LINDBERG BILL S7 617 LANTERN CT 55109 EflGAN MN 55123 (612)688-6418 Z hereby,aokno,wl.edge that in'?ormat3on is:correct`anc 5'Catut'es and `C3.ty o'F Eagar APPLICANT/PERMITEE SIGNATURE ISSUED BY: SI NATUflE 2? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD 55122 681-4675 New Construction Requirements RemodeVRepair Reauirements 4 3 registered sRe surveys ? 2 copies of plan ? 2 copies oi plans (inGude beam & window saes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 7 energy calculations ? 1 energy celculations for heated addRions ? 3 copies of tree preservation plan ff lot piatted after 7/1193 required: _ Yes _ No DATE: ZO CONSTRUCTION COST; ?Q?r? ? DESCRIPTION OF WORK: STREET ADDRESS: ?\Ll LOT: BLOCK: 7 SUBD./P.I.D. #: PROPERTY OWNER Name: Last First Phone #: ?? Street Address: Ct?,7?? City 'G? State: Zip: Company?? ?'Q Phone ??, 2? 4tA \ CONTRACTOR Street Address:-F-?`r4V? ? • License # Ciry \---?o . C=c c--- State: \nNZP Zip: ()`Zi ARCHITECT/ ENGINEER Company:. ? Name:_ Street Add Ciry _ Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. I hereby acknowledge that I have read this applicadon and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Penaity applies when address chang and agree to comply with all applicabi ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Phone #: Registration #: _ 5tate: Zip: ? 0%8 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging E3 02 SF Dwelling O 07 4-plex D 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-plex ? 13 GaragelAccessory ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ?vA 13ftAlte??? 36 Move ? ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous ,.?ir MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License ' MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. _ Other G913t?- q ---{-?•k-7--..,..... TOtal: §;?. ' , % SAC , i? I SAC-Units- Valuation: $ FERMIT V? CITY OF EAGAN 3830 Pilot Knob Road . Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-18275-320-03 DESCRIPTION: PERMITTYPE: BUTLDIN6 Permit Number: 0 3 2 2 4 6 Date Issued: 0 6/ 12 / 9 8 617 LANTERN CT LOTa 32 BLOCKc 3 CqUNTRY HQLLQW WALL&WSNDOW REPAIR ' Psrmit Type STORM DAMAGE 16 uilding'``W-ork Type REPAIR K,°Census. Coct,e 434 ALT. RESIDENTIAL ? E a v"a tra ?au a si f?Y ? r3 ? z? isC t rH ...., ?r.:r REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - 5T. I.IC.OWNER: DUTCHER REMODELING 16880758 2003599 LINDBER6 WILLIAM 3643 WOODIAND TR 617 LAN7ERN CT EAGAN MN 55123 EAGAN MN 55123 (612) 688-0758 (612)688-6418 I c : _ , I I,hereby aaknowied,ge that. I:ktaveT: reac? tha.se ??splica?C,i,an.°and= s.Gate ttiat .?G?e _. ` itiformation `is"?cvrrc°ct and agree 't'o "ciimp:ly with all apFlicableF SCete o? Mn`:P ; Statute?s and Ci-ty afi Eag?an O'rd.inances. APPUCANT/PERMITEE SIGNATURE 5?:Zq0 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNaB RD - 65122 681-4675 New Construetion Reauirements RemodeVReoair Requirements ? 3 registered site surveys i 2 copies oi plan ? 2 copies ot plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) • 1 energy calculations ? 1 energy calwlations tor heated additions ? 3 copies of tree presenation plan 'rf lot platted after 7/1193 required: _ Yes _ No DATE: 6 I/D ?? P CONSTRUCTION COST; 35, C-m ? DESCRIPTION OF WORK: 3TaY`W\ 1JLtn•vl1c.c-U,ti ? Ujct,I i v` W141dVaAs- 94r?./ STREET ADDRESS: b ?7 L_UM Y-?Yh Grf vCOT: BLOCK: ? SUBD./P.I.D. #: / Name: Ll h/Apet''?j W! /kCi?v?. Phone #: to U a-16¢I F PROPERTY Last Firsc OWNER / ,, Street Address: / F? 17 ?t.ufl ii' k C f City ?44t!L? State: ? 17, Zip: 5:5123 Company: -bo1t/Y(W &4"niy2 Phone #: 4 P0-0 ? S'A" CONTRACTOR ? ` ? ? Street Address: J6 ?;3 ??/GGi'y J? License # ,•?,tV() 3 5cl q 7 City &a,Gv*l State: mY? . Zip: :56I2 3 ARCHITECT/ ENGINEER Company:, Phone #: Name: Registration #: 3treet Address: Ciry Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang 1 here6y acknowledge that I have read this applicaUon and state that the info is corr and agree to comply with all appiicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No ? Not Required State: f'IrL' OF i i-`it:iiiN f:!?`:i!-!:!:I::Fi^ S TF.:!;MIh!!'d... PdOt; 760 DAA7.., 03139./9fi3 1"IMC:;; =10"3'.'•.ZOc'_ I!7•; ?dAME;: t1fiil...L..f::`r P'i:iC?!..fi :l:NC: 32iQ 9001 617 L.Aj1?TERN I.,Y 193.75 205 9001 60 LArart::Ri.! Cr 6.50 3r`_ it1 9001 `,'.:.?'I H!twl"i-IVI:N,ii: !AI 07,.25 2?..`5 9001 521 I-InWTHi;tRN':: i.,.( t:,,Clt) T ???!}:,:.E 399.50 ' -' ?ir?C{.?? C? 't HIU ..r7E1? ??; v rFi:f?r?`t:l' (? , U']1ER Irl:,; NANCY CITY S?,F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: auzLozNG Permit Number: 031670 Date Issued: 0 3/ 31 / 9 8 617 LANTERN CT LOT: 32 BLOCK: 3 COUNTRY NOLLOW P.I.N.: 10-18275-320-03 DESCRIPTION: s'. ? SWIM POOL NEW 329 NONBLDG STRUCT. arm P, mq? fa10?? REMARKS: PLAN REVTEWED BY MIKE BARCK FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: UACLEY POOLS INC 651 CLTFF RD BURNSVILLE h1N (612) 894-1480 (IN GRtlUND) ermit Type Qr.k Type VALUATIQN $199.75 $6.50 $206.25 - Applicant - 18941480 55337 I henreby,acknawled,g inforrtia'Ciori ` is "carr S=tatutes. and -Cftjr a $13,000 OWNER: LINDBERG BILL 617 LAMTERN GT EAGAN MN (612)688-6418 `? t? tt I-ri1 A,d ISUED Y: GNAT RE tio 998 BUILDING PERNYIT APPLICATION (RESIDENTIAL) CITY OF EACiAN 3830 PILOT KNOB RD - 55122 681-4675 New Construdion Requirements RemodeVRepair Reauirements ???•? ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & windaw saes; poured fid. design; etc.) ? 2 sRe surveys (exterior additions & dedcs) ? 1 energy celalations ? 1 energy ralculations for heated additions ? 3 copies of tree preservation plan i? lot platted aRer 7/1193 required: _ Yes No ,y °?° so v DATE: y? CONSTRUCTION COST; f? i DESCRIPTION OF WORK: ?IAIX/ 1N aA0VA1W STREET ADDRESS: LOT: ? L- BLOCK: -3 SUBD./P.I.D. #: ??1in?nrG?tlft??llUl' Name: 1,1&,6 /" lf C Phone #: PROPERTY Last First owxER ?/ 7 ?'/??P?/"/??if ? ??" Street Address: CONTRACTOR ARCHITECT/ ENGINEER 4? (f e [a Ciry ?i? Cr/}-? State: Company: ;/?gL L- ?-/ xz Street Address: 405 -/ C.. z, City 1*507 d,'j Zip: Phone #: License # Stste. Ztp. Company: Phone #: Name: Registrarion #: Street Address: City Sewer 8 water licensed plumber (new wnstruction onry): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicaW State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No - Not Required State: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling 0 07 4-plex ? 03 SF Addition ? 08 8-plex O 04 SF Porch O 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 0 31 New ? 33 Alterations P'32 Addition O 34 Repair GENERAL INFORMATION A , ? . ? S ? 11 Apt./Lodging 6 Basement Finish O 12 Multi Repair/Rem. 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous 13 15 Deck ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System ? (Allowable) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. s 2-!j Depth Footprint sq. ft. SAC Code 0)_ Census Bldg Census Unit O APPROVALS Planning Building _AAA.2> Engineering Variance Permit Fee Valuation: $ I 3, canc?, ?' Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit . SMI Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: v % SAC 03/23/98,._MON_11:52 FA% 612 881 7747_ LANDSCAPE/GARDEN ? 001 :, --,__ ._ ?«•??c 061-4JOU Rpr 2695 11:17 No.008 P,01,.. F ° R? a, / . ? N Ir ? , a :'- " ?:¦; ? % ??-'?' ?? I ,t 1 ? ? ?` ? / ,•?? V ?? ? w , ??1{?? , •. ? /?'/` ' ' ^ i ? • ,• ? ' . ? ? ??y ? " ?" I ¢,? 'ltn i ? I y ~f ~ a.. ?{! •y , . i I I ? .n ! ? •. 1 • ' „ - ' I ? ? 9 ? ? ? ? 7 ? ? ry s `'!c ?1R ? ?`v V ?t. @ ? t V ?j ? l fn y ,? h ! B ?.?P vs ? ,, h = ? 1 g ? ? ? • rn • r ? ? ? ? ? ? ? 1lO °T M ' ? . . „ ? i..J •i i'r! u... r 1'•t ?. r 1989 BOILDING PERMIT APPLICATION - CTTY OF EAG9N SIlJGLE FAMILY DWELLINGS I ? I INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS I3SDED. M[TLTIPLE DWELLINGS SENT9L IINITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTUAAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ' 19$9 - - itE82'= To Be Used For: S% / Valuation: Date: Site Address ?p/ h ??,??., (?-?• Lot -?.7- Bloek ? Parcel/Sub Jf U &A 4j Owner Address OSE ONLY Oecupancy -R 3 M_I Zoning Actual Const V_ N Allowable V-N # of stories Length 66` Depth City/Zip Code Phone Contractor hina 6u;hllreS Address 05?3 08i,41?JIiIA ?rl.?. City/Zip Code 64('Aa,J, //?n,. T/1. . Phone 7[P ?" 33 F-/ Arch./Engr. Address City/Zip Code Phone # S.F. Total Footprint S.F. On site sewage On site well MWCC System ? City water / PRV required ? Booster Pump _ FF.Is'.S Sldg. Permit ?Jb'av Sureharge yDo Plan Review Do SAC, City Op,oo SAC, MWCC 5 r?S,c"X7 Water Conn ,Co water Meter 90,00 Aeet. Deposit 3 a•DO S/W Permit 2 O.oA S/W Surcharge 1.00 Treatment Pl. 2Z$, 0-) Road Unit 391D.00 Park Ded. Copies TOT9L aPpsovAC,s Planner Couneil Bldg. Off. z7 Variance lf Council NOTEs Sewer & Water Permit Pees and aecount depoait fees will be included in the building permit fee. Processing time for serier and xater permits is txo days once a licensed plumber has applied for a permit at City Hall. •-* ? VAuu ATIoJ?J xzz= z?y z2XZLi : SZB ?1R2 x 15= ?1880 $sMT Zx1iB = 36? 13'?Z X 2-1 s? 378 I W/iZ X 3y'i2 : 7)h 2ycl1 = zz S%2X SY2 ?Z= ?? .._.- ?151?Ei4= 1331y ?? ? ?t,oon.• 1 ?---- 122y X y5. S15?G ? . L N? ?oz --? ly? X y?l rv ? yD ZX15= 8?y ?'? 9 = 42'?'3? I Z.?-- - • E .0 - I .?„ . , CITY OF EAGAN EXTERIOR ENVELOPE AVERAGE °U° COHPUTATION OWN E R: SITE ADDRESS: CP/l 449Mzr1e1V LT_ CONTRACTOR: A%TSG# i Betermine 1. Total exposed wall area 2. Total roof/ceiling area Total exposed Wa DATE:- 0-03/?? PNONE: ?'?/-WJ working square footage of each: a(7/lQ.S sq, ft, x. 11 •.• ? o? .C?/( .o. sq. ft. x .026 11 area above floor = ?2991p. S a. Total wall window area ............................ 23 q b. Total door area ................................... c. Total sliding glass area .......................... _ d. Total fireplace wall area ...........o...e......... e. Total wall framing area (average 10%) ............. • f Total net wall area above floor ................... , a/6 /•3`/ . g. Total rim joist area .,.......e,.....o............. .? aa Tatal exposed foundation area = ??-o`Zy h. Total foundation window area ....... ............ ...> --?" i. Total net foundation area above grade .............e _? a2y Determine 'U° value of each caall segment: a x ' U' b. 4 x 'U' . _ / X ' u' d. h? x ' U' e. X ' u' = a/. ¢! x ' U' g. 9StL(. x ? ' U' % h. x 'U' _ i . „ai-af_ x ' u' k2- 34 ...... a 0 ...e. seee....ooae. 0eess??aeo Total If item 113 is the same as or less than item 411, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area J. Total skylight area ....,e..o ...................e.. _w_ k. Total roof/ceiling framing area (average 10%) ..... 1_ Tntql nPt insiilatari roof/(-.eilina araa-------------- r r l • • ? ,' T1etermine 'U° value for each raof'/ceiling segment: J. a x vUv k. 4.3_05' X su= 1. /,60,),, y5 x 9 U, 4 • e a ?•• e•• r a? e??? s??? e e a e e e e?? ? s?? c s s? u a s s s a e.a .e o.a n s o a lotal ? Zf total of #4 is the same as or less than ik2o ,you have met the intent of S8C a006(c)1. Alternate Bui3.ding Enaelope Design I'4 utilize the total envelope systam method, the vaiues established by the sum Df Items #3 and #4 shall not be greater than the sum of Items 1t1 and ff2. + 2. 3. + 4. _ ---- a a , ? 40? Clty of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? -- Far orfice usa ------- ?. I Pertnit 7?: k I ? ? Pertnit Fee: ? ? I ? A ? Date Received: ? ? I ?p I ? Staff: ---- ? - ---------- - - 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: VJ /? a so -4-2 Y n C'T ? renant, Suite #: RESIDENT / OWNER Name: Ca+'rr I L L t Phone: (, S 1- lo SE' G1l / 8- Address / City / Zip: fs7 I? Y?n C?- 2,9 S c?-. Il'lnI S S le) 3 CONTRACTOR Name: '' a-,-N H r. erv ' Ci4icense #: C)S`3 S f S '00^ Address 0 40" ria l --?`-A ,.. State: rn? ZiP: <? - CA Cit,: Phone: Contact Person: Y1n i K e S c: Z- TYPE OF WORK _ New ? Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: e Y`^ ?--Q i"n °''' 11o %4 ? PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener Lawn Irrigaton Add Plumbing Fixtures _ ? RPZ /_ PVB) Main _ Lower Level) SepGc System _ Water Turnaround New Abandonment RE S: ? 0.50 Mtnim m ater Heater, Water Softener, or Water Heater and Softener (inciudes $.50 State Surcnarge) $30.50 Lawn Irrigatlon (inciudes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, SepGc 5ystem Abandonment, Water Tumaround" (includes $.50 State Surcharge) "Water Tumaround (add $165.00 if a 5/8" meter is required) $100.50 Septic 5ystem New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ nnr1 rfY'IPS Of H1A C:11V Of ? i hereby adcnowleage mat tnis inrormaaan is compiece ana accuratn, uiM uro wvlm mn w.........,. ...... ...... ..._ "_--_.--- -- ---- • Eagen; mat i undarscarid mis is noc a permrt, 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 cwe of work which requires a review and approval of Plaru. x 1?'?i V1? App icent's PHnted Name x ? ? p canYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough-In Air Test _Gas Test _Final SCALE : 1" = 30' o~ ~gZg ~ ZB•0~ . , , 00 ,o DRAINAGE AND UTILBTY EASE ~o Z ~ MENT N ~ i ~ yg,~ / c, LOT 32, ~LOCK 3, COUNTRY HOLLOW, ~ i ~ \ DAK~TA C~UNTY, MINNESOTA. ;~y,o~ ~ _ T _ _ ~ _ ---r_~___ _ ~ $ i rg69.o, a ~ , ' ~ / ~ . ~ , / , 4, ~ ~1 ~ I ~r~ ~ i ~ ` ~ \ ; ~i~~.:~ ~ . : ~ . . . . . ~ . . ~ : l 1 i ~ ' ~ . . ~ ~ . . ~ ~ ~ ~ ~ . ' \ ' s so _ \ s ~ ~ ~Q z - , ~ ~ ~~s'o~ ~R" ~ \ 9~ ~ \ ~ \ \ i---- ~ s z 3. o~' T9NG ELEVATION \ , ~ _ _ _ _ _ DENOTES EXIS \ 30 FRONT ~UiLDING SET~ACK L{NE \ ~ ~ ~ 8 Z 4. DENOTES PROI~SED ELEVATION ~ ~ \ ~ \ . ~ ~ti~ ~ SURFACE DRAlNAGE , ,w~ a INDICATES D6RECTION OF ~ ti )RA1 AGE ~ o ~ \ , M~ ~ o m 1, ~8Z \ ~ ~g~~ ~ ~~o ~ti, Gb~~ ~-~/zJ ti ~I N 4-. ELEVAT6~3N ~ > o ro rtiM h,az,~zi SZ 33 = F9NISHED CaARACaE FLOOR J \ ~ ro~ a ~ ~ ~ ~ti, o ~ ~ oo ~ ~ ' ~o ~ ~s \ ~ P~ ~oo, ~ • qq ' ~ 6~°,~ RQ 1 ~ ~ m"' a~ ~ h g P o;. 6 /o ` ~ ~o,. ~ ~ fry ° N~ ~z% 10 '~G,~ , y ~ X m '0 Q ~ ~ 4~ ~ ` p~ ' ~ / ' , ~ ~ ~ ~1 y. „ ~ ` r o 5~ ~ ~o ~ ( ~ ~ ~ ` ~ ; ; , ~ ~i > ~ r ?o o p A o A ~b' ti ~ ~ f ~ 1 ,'pl pQ y~, ` ~ m' ° ' ° h ` ~ , ~ , ~ \ a . . , ..r ~ ~m, o o ~ ~ ~ `h [ G ~ ~N~ ~ Q 0 00 p v ~i J ,~~,N ti' ~ a~,~~ .v ~ , G ~ ti ~ ~oo D ~ . . ~ iR .oo\ ~ ~p~ ~ Q" ~ . . . ~",}T ~~~,...m~,~a . . \ ~so o,3 0o L~ m' ~ ~ J,' h; \ 0 a •sa `o, ~ i~ti ~ ~ ~ ~ . ~ ~ 2 . o ~ ~ ,p~ ~ I ti i , a ~ ~ g~ ~ ~0' N ,i ~ ~ , 'n~ g~v~~ ,°~,m~ ~ ~~1/ . ~~.;~a~.s~~s~~~,..i ~ ~ \ l~J/ ~ .6:a~~L"sP.~3 ~i6~°~ ~i d .3. ~ h ~ a ti / b.~, a ~G l~ /o ~ ~ ti C~ ~ P , ~ _ ,8Z2~z/ ~822 ~ . z~ . . . ~ ~ ~5~ , ~q ~ , ~ , _ . _ . _ . < DESIGNEO CHBCKED p~ - . SHEET REV - JILDER I HEREBY GERTiFY 7HAT THIS PLAN WAS ~I 1"REPARED FOR. PREPAREO BY 0.9E GR UNDER MY DIRECT - '~d ORAWN OATE CONSUlTO~~ EN~BNEEA~, q ~ ~g SUPER41510N ANO THAT I AM A ~UIY - %T Z'~Y'89 ~t~~NEns ~~d ~a~p sua~ ~o «tio ~~ie~EYaR . REGISTEPED . SCALE p UNDER 7HE LAWS Oi TNE STATE I tl~ ; = 30' ' ~ ~ ~ I Of MIN 50TA. - - . . . . J08 NO.A OF o 2043, o l XF. ° ~ -I N0. DATE BY REMARKS ~ ~ ~ ~ e DAT ~/~F-B9REG.NO . . ~ '3 00 REVISIONS 1000 EAST 1461h STREET, 9URNSVILLE , MINNESOTA 55337 PH 432 0 ~ t=or'Office Use - 1 L Citapn y o7 i Permit 4110~ of E 3830 Pilot Knob Road I Permit Fee Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 ( I Fax: (651) 675-5694 1 Staff 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION 1* -7 Date: Site Address: w l G+ -te r r C Tenant: Suite RESIDENT / OWNER Name: Cps r r i v,- L Phone: GS )-Lo 98- 6 91 S Address / City / Zip: CP I L_ A-t y g ~ C. .S _)a13 CONTRACTOR Name: 14 e- s o r vim. S' e 'r v c r license 6S 9 S S 9~ _ibs k2 0, V~ ~.j Address: 0 0 a City: ~ Q v\ State: Mit) Zip: Phone: ~n ^ Q9 Contact Person:hY1 i KR c; v~ Z_ TYPE OF WORK _ New y Replacement _ Repair _ Rebuild _ ~ . Modify Space _ Work in R.O.W. Description of work: T1,N O &.e j '4e. r" 1 4 PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) L- Main _ Lower Level) Septic System Water Turnaround New Abandonment RE S: $$0.50 Minimum ater Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) *Water Turnaround (add $185.00 if a 518" meter is required) $100.50 Septic System New ($10A0 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 1 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 1 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 "i~n~the case of work which requires a review and approval of plans. y~ E2 ~ 1 t' SC t'1 I x ~:J x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Requited Inspections: -Under Ground -Rough-In Air Test -Gas Test -Final PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA076938 Eagan, MN 55122 . Date Issued: 03/14/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 617 Lantern Ct Lot: 32 Block: 3 Addition: Country Hollow PID 10-18275-320-03 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When w all studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. s heetrock) has to be removed to install a smoke detector. Tim Schenk El der-Jones Building Permit Service 1120 East 80th Street, Ste. #211 Bloomin gton, MN 55420 952-345-6040 Fee Summary: Surcharge - Based on Valuation $3K $1.50 9001.2195 BL - Base Fee $3K $88.50 0801.4085 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen William P Lindberg 1920 County Road C West 617 Lantern Ct Roseville MN 55113 Eagan MN 55123 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115223 Date Issued:09/24/2013 Permit Category:ePermit Site Address: 617 Lantern Ct Lot:32 Block: 3 Addition: Country Hollow PID:10-18275-03-320 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Fireplace:1,MAIN FLOOR, ESCAPE-I30-C Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Erik C Olson 617 Lantern Ct Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r----------------- For Office Use I 1, i I City O Wan Permit 11 ] , 1 Permit Fee: 3830 Pilot Knob Road i Eagan MN 55122 Date Received: Phone: (651) 675.5675 Fax: (651) 675-5694 Staff: I L----------------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / Site Address: _Z/7 44q ~ Unit • Name: ) '040,W 11~5r,'L aSQ,1511 Phone: fwi eat Ow ner Address / City / Zip: 1,/ 7 L K A4^ 7 Applicant is: Owner ✓ Contractor i✓p~Gr /~-rdG r TypeOf Work Description of work: Construction Cost: ~6~a u.. Fy u} .a Multi-Family Building: (Yes No _e<_ Company: 1~5xtkiContact: Contractor Address: no 16 / (avi.. <w-- ~4 zo City: _ 4e k.-I-001 State: ;94- Zip: Phone: (6I!!2,eyZy- Zgg14 License Bt:/V"Do Lead Certificate /U+A'T- 4096 ( I 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: LNQ_ ta ixs. a~fd enrriform. aft@t~ y be c/a ied as xton•~prxbt~ if you prade.P.ecXfic r~ear~s ftaat;tnow~dP~ta>zt tie Crt}v:o -..~..m,-, ~_.zN... _ oon~iwde ~t~at. ~f~e. • ane trade sects, CALL BEFORE YOU DIG. Cali 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.aooherstateonecail.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 plans. 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. x ,f~~ 15?,46 f ` x k~_Z, Applicant's Printed Name Ap cant's gnatur Page 1 of 3 Use BLUE or BLACK Ink For Office Use 0#111 City of Eaaau ::::ee : `( ° Ob 3830 Pilot Knob Road Eagan MN 55122 Date Received: 7'(('I Phone:(651)675-5675 Fax:(651)675-5694 Staff: 4(5 /2017 RESIDENTIAL BUILDING PERMIT/ APPLICATION Date: 7 l '3 / /7 Site Address: 11 1 C.o ' Unit#: Name: e-(711(.. Phone: (47S- o t . ZLfl - C Resident/ ( Owner Address/City/Zip: (O(1 L C4 n I-exv ( I G 6k. ar V Applicant is: k Owner Contractor Type of WorkDescription of work:L o 0.1 eV- k',v 1 i ��1n L t"e.«,4 Construction Cost: 2_C t C) C:'0 Multi-Family Building:(Yes /No X ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: • License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be Portions of the information may be classified as non-public if you provide specific reasonwould-fitit to; conclude that they are trade 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.00pherstateonecall.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. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 ays of permit Issuance. X Applicant's Printed Name Appl ant's Signature Page 1 of 3 (Q(7 ZAK -c(n C+ i( l `6� DO NOT WRITE BELOW THIS LINE 1 )-0 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) Exterior Alteration(Single Family) Milir_ Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Jo Lower Level Pool Accessory Building WORK TYPES New ?C Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair n Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION z � , Valuation Occupancy j2& ( MCES System Plan Review Code Edition W✓/ z©-lc SAC Units (25% 100% )6) Zoning (Z ~) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction if B Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: 40_ Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O.Required Foundation Foundation Before Backfill p HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile >0 Fireplace: tf' Rough In )© Air Test 16 Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation )Ci 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: 1-6 W1 X`1 k 1 y A- , Building Inspector RESIDENTIAL FEES L/ Base Fee /j / 6 5, fl--, Surcharge 6 / 0 o Plan Review MCES SAC / ,,J e,a ( e d�! L v `j 12C' o,ti ._. City SAC A2 e A OA I Utility Connection Charge S&W Permit&Surcharge • Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA145600 Date Issued:09/15/2017 Permit Category:ePermit Site Address: 617 Lantern Ct Lot:32 Block: 3 Addition: Country Hollow PID:10-18275-03-320 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Erik C Olson 617 Lantern Ct Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature