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810 Great Oaks Lane PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA093728 Date Issued: 04/30/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 810 Great Oaks Lane Lot: 2 Block: 2 Addition: The Woodlands North PID:10-75890-020-02 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Tony Boerner 2090 County Road 42 W. Burnsville. MN 55337 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 1.552.00 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Ton's Appliance Richard H Graham 2090 County Road 42 West 810 Great Oaks Lane Burnsville MN 55337 Eagan MN 55123 (952) 435-2442 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink For Office Use City of EaRdfl ; Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: _ _ _ _ _ _ _ _ _ _ _ _ _ 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: -6 Phone: Address / City / Zip: W--42 C4 CONTRACTOR Name: ~~czi% /az License .CT''`S Address: city: State Zip: ~~~Llf Phone: Contact: Email TYPE OF WORK _ New _ Repl ement _ Repair _ Rebuil Modify Space Work i R.O.W. Description of work: 1 S ~ i r l PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.gopherstateonecall..org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 4 L,4i & l~& a x Z~- a:t~ Applicant's Printed Nam App ' nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final 0712712010 09:52 S R Mechanical f AX)952OM1484 P.0021002 Use SLUE or BLACK Ink I--------- - - - l For Olflpa .U$*, I i Parton#: J I I ( City ofEata~ ,C 3830 Pilot Kno 1 Permit Fee: ✓ b b Road Eagan MN 55122 j Date Received: Phone., (651) 075-5675 I Fax: (651) 675-5694 i Staff. 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: Ulo C vT J /n - Tenant: Suite; RESIDENT I OWNER Name: coirSr~ss~o7lt min Phone: Address I City r zip: CONTRACTOR Name: nec'h r~ License DA I A /7 Address: ~ 3 ,Zo O CC city: e-4, ((Teal state: f_L' i Zip: Phone: 252 - 233 ~ V !'3 Contact: , 1. (')Email: TYPE OF WORK Now Replacement Additional ,Alteration Demolition Description of work: OVe, 2- Jrl d 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 L_ Install I _ Remove) 11 rI r When Installinglremoving tank(s), call for inspection by Pro Other C ~ WKf ' Marshal and Pk,mbi In actor RESIDENTIAL ,FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $.5.00 State Surcharge) $95.00 Fire repair (replace bumed out appliances, ductwork, etc,) (includes $6.00 State Surcharge) $ • TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installetion/removal OR Contract Value $ X1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Eoa Is loss then $10,014, Surcharge Is $ 6,00 - If the ZwJI dEa la !j, $10,010, surcharge increases by $,50 for each $1,000 Permit Fee Surcharge (i.e, a $10,010-$11,010 Permit Fee requires a $ 540 surcharge) M$ TOTAL F119 QLL BEFORE YOU DICE. Call Gopher state one call at (861) 454.0002 for protection spinet underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www,aooheratateoneeait.ara I hereby acknowledge that this Information Is complete and accurate; that the work will confomtanoe with the ordinances and codes of the City of Eagan; that i understand this Is not a permit, but only an oppricativn for a permit, and wo is n t to start without a permit, that the work will be in accordance with the approved plan in the caserof work which requires a review and approval of pia ` AppllcarWe Printed Name Appilcaffs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground , Rough in __41r Test _„Gas Service Test _In-floor Heat -Final _ Exterior HVAC Screening Inspection Use BLUE or BLACK Ink F -For--- Office-Use----------- ~ I I City of EaKd JUN p.Llr Y i Permit ~ H 1if I Permit Fee: / ! 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Dater Site Address: g(VD-T ~5 Tenant: Suite RESIDENT / OWNER Name: D1&V-- i~pt}{><M `T16 '020 Q(.L Vl h) Phone: (3 J' - a y° ~'-t Address / City / Zip: `>Q 1:*a45:A0-C_ Db-V Lwf,, `~P IZ3 Applicant is: Owner Contractor TYPE OF WORK Description of work: Mane' U"00 M& i tt we t4bkl];F:2 I l> w' ~-"rM L Construction Cost: 5-0 k- Multi-Family Building: (Yes / No,k) CONTRACTOR Name: JAW Qm w , kL,,p INCLicense Ujul{ Address: t) J Ut1 W Wr>-cA-t t; MI5 City: ! 1bwp State: A4 Zip: Phone: `15_1-1 17-6 Li1!~ Contact: LAA kmS Vwww~ Email: I u~~d° +ot2(k~t`✓mtt n1>(.~~'~'1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xu AA)4~ Applicant's Printed Name A p icant's ignature Page 1 of 2 OAKS tn . / DO NOT WRITE BELOW THIS LINE lQ" SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level Pool Miscellaneous _ Accessory Building L f~ i f-s' X1,1 WORK TYPES ~l 'J11 o0fuL L S4 _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION , i Valuation 'T`1' Occupancy MCES System Plan Review Code Edition? SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) 4- Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge S~ L k.. F Plan Review MCES SAC f 1 r? City SAC i Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 CITY OF EAGAN ? - • 3830-Pilqt Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 Bt11LDING PERMtT • ?? Receipt # • To be used for st DW/G"% ;271,000 5ite Address - S10 aBEA? OAK$ LAl16 Lot 2 Block 2- Sec/Sub. ? ?DIARM NO Parcel No, W Name G80RGE C MAURSR OOilS? IlIC ? 0 Address ZOl W TitAVBIiR9 2RAlL City ;'y1Li.E Phone 84"904 } F Name S? Ou ¢ Address ? City Phone U¢ y? W Name Address <W C i t y Phone I hereby acknowiege that 1 have read thi9 application and state that the information^is correct and agree to comply #01h all applicable State of Signature of Pem A Building Permit is issued to: on the express condition that all work shall be done in a a all applicable State oi Minnesota '*atutes and City of Eagan Ordinances. I Building Otticial .. '. O OFFICE USE ONLY M-1 ocupancy FE ES zoning (Actuaq Const yttt_ Bldg. Permit $1,238. 00 (Nbwable) r?-- Surcharge MA" # or stories - 9 Length Pl? Review 0s.00 Depth 30-- SAC, City 1120,00 S.F. Totai _ SAC,MCWCC 6??? S.F. Footprints - On Site Sewage _ Water Conn 669•90 On Site well Water Meter 951" MWCC System xx ?.? Ciry Watef x Acct. Oeposil ??? PRV Required - S/W Permit Booster Pump - S/W Surcharge • ? 276'00 Treatmenl PI APPROVALS Road Unit 370•00 Planner Council - Park Ded. BIdg.OH. ? _ Copies VarianCe - TOTAL =4+390'00 , - Permit No. Psrmit Moldar Date Telephone # WATER SEWER - PLUMBING H.VA.C. EIECTRIC InspeeHon Date Insp. CortwnMts Fooiings,l Faundation C 15 ? 1"Je Framin9 71,11 •5 S • 'y..,_.r - Cr..? (e Rooling Rough Plbg. Rough Ht9• 7 70$ U ?Pe lsul. 'y -i? •9j ?^ ?ie 9ll?l? Fk?aw 71el_l 4rZ Final Htg. - -9 Orstat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final /+4 " t -LCl- 4v t s Deck Ftg. Deck Final Well Pr. Oisp. v.ktr#t#tr?te uf Orr??aury Citp of Cagan MpVatttPttf Af W11tbtttg Jt[SppttiDYi 77ris Certifuale issued pursuant 1a the requiremer& of Seclion 306 oflhe Uniform Builfiiag Code cutifJ+ing rhat a1 the tinu of issuaaae ft structure K+rrs in rnm,pliance with fhe various ordinwraes of ihe Gty regulaling building corrsouaion or use- For 1he following. u,ccbssmetfin_ sF nvr_Icsu gAv, Perm& Hm 19?1 o=w„qTyM- R-3 M-1 zoisnwKC R-1 rYMcQ•9 V_N o,w«acsmImoc- !GFnE!'F C MAUBFR Aaa= 201 WTF,AVELERS IR &11d*AddMs 187n ruFeT neKC r_w L,nft 12 g2- TuF f,dppDL.ANDS NO DM POST IN A CAHSPICUDUS PLACE SEWER & WATER PERMIT CITY OF EAGAN , 3830 Pilof Knab Rd. ;-,. . Eagan, MN 55122-1897 DATE JUNE, 10, 1991 OFFkCE USE ONLY METER #??4667U.3 PERMIT DATE CHAOI Z k ?0''7 PEAMIT# 1-210'3 METER SIZE B.P. RECEIPT # fSSUE DATE B.P. RECEIPT DATE C 13 `? 1 - PRV ? BOOSTER PUMP SITE ADDRESS t'' 1C' G2EAT OAiC,S' LANE LOT ? BLOCK 2 SEC/SUB TilE WOODLANllS NnkTH AOQRESS: _ CITY, STATE PHONE: ZIP PLUMBER: GEfiZ-RYAN ADDRESS: 14745 S ROBERT T?? CITY, STATE RGSEMOilN'C ZIP PHONE: 423-1144 OWNER: GEORGE C MAURER "UONST ADDRESS: a W TRAVFLERS TR CITY, STATE BvRNSV1LLE ZiP 55337 PHONE: 894-$944 PERMIT REQUESTED X SEWER X WATER _ TAPS - CaMMI1ND Y, RES14EfVTfAL X NEW - EXISTING r-Lawn Sprinkler Meters are to be Installed ' Ah'e?ad of Domes ic Meters on Water Line. , qredit WILL Nf?T iyen for Deduct Meters. ?? ? ?11 ? ?I GREE TO COMPLY WtTH GITY OF EAGAN ORDIN/INCES /'1' SIGNATURE WHEN M£TER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS,_CONTACT ENGiNEERING DE?. _„?? i,, _ SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE - t'•``? 1(?, 1 ;??1 SITE ADDRESS ' 10 GUAT QAit.S LOT ? BLOCK 2 SEC/SUB ?ILE i APPLICANT:- ADDRESS: CITY, STATE PHONE: PLUMBER: r, "Ni`''N ADDRESS: 0745 S :tUYi'r.'RT TR CITY, STATE RGSEMOUNT OWNER: ,GORGE :: I4AUREii 40NST ADDRESS: 201 `? TRAVELERS T. CITY, STATE ?URNSVl.?.r.L ZIP 55'37 PHONE: 894-8904 i , OFFIC E USE ONLY METER # PERMIT DATE t: i 3C/?i1 CHIP # PERMIT # 111$3 METER SIZE B.P. RECEIPT # ` I - 11 C ISSUE DATE B.P. RECEIPT DATE QC' l 13Z9 PRV BOOSTER PUMP PERMIT REQUESTED X SEWER x 1NATER - TAPS COMM/IND ? RESIDENTIAL NEW EXISTING Lawn Sprinkler Meters are to be Installed Ah' ead of Dome * Meters on Water Line. Cre dit WILL NdT : he Viyen for Deduct Meters. • X ,li, .;•;?'?ls"';r?. ?r???'1_c TO COMPLY WITH CITY OF SIGNATURE WHEN METER ISSUED INSPECTIONS. FOR STORM CITY OF EAGAN Np 192 1$ 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 * BUILDING PERMIT PHONE:454-8100 Receipt # To6eusedfor SF DWG/GARf Est.Value $271,000 Date JUNE 10 J9 91 Site Address $10 GREAT OAKS LANE Lat z Block Z SeGSub. THE WOODLANDS NO PBfCBI N0. Oceupancy Zornng w Name GEORGE C MAUREK CONST INC (qctual) Const ; Addfess Zfll W TRAVEI.ERS TRAIL fAllowaWe) ° Cjty $'VILLE phone 894-8904 #orsrones o Name SAME Lenglh oeptn ;i 0 Address 5 F. Total ? (?,Ily Phone S.F. Footprints On Site Sewage ?w Name on see weu ?? AddfCSS MWCCSystem a W Clly Ph n0 Cdy Water PRV Requirad I hereby acknowleg Ihat ave read t plication and state that the 8ooster Pump mformalion is corre t d a ree to co ly 'h all apphcable State ot Mmnesota Statutes a d iry t Eagan O s. Signature of Permitee APPROVALS A BUAdmg Permit is i53uBd t0: rEOlgilp Planner on ihe express Condition thal all work shall be done in accordance all Council applica6le State of Minnesota Htutes and City of agan Ordinances. Bldg. 011. i Buildmg Oificial Vanance .r OFFICE USE ONLY R?3 M-1 R-_L _ FEES ;1,238.00 135.54 05.00 100.00 650.00 660.00 95.00 30.00 30.00 .50 276.00 370.00 VA- Bldg. Permit Vn- Sumharge $&_ Plan Remew 50- SAC, City XX XX SAC,MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI fioad Unit Park Dea. CoOies TOTAL ,x,4,390.00 ?s ?r ? /oa ?o p _17 6 894:1? A6 rFequest Da[e t Fue No Raugn-in mspecLOn RaqmreEl -- ? Reatly Now ill Notlfy Inspedor WM1en Reatly? / ?e$ (- N. Ilicensed contractor --I owner hereby request inspection of above electrical work at: JoD /+Utlress (SVeet Bo Route No ) City • Secvon No Tuwn p Name or No Ran/g?/1 No County . OccuPantl PoNTy?k . P gJJO _ ?^ i Pnwe Suppiier Aatlress -- --_------ ?? nir? ctor'ShCense No Eiec!n Vacta ?G pan Name Co • / % 7 i MaA,ne nve or Ow. aNing In allahonl I Aumonzed 6? ater onvacto A ne+ Mz' Insailauon --?J-2 5?5 Pn n umber MINNESOTA STATE i OF ELECTRICITY Gnggs-Mieway Bldg. - Foom S-173 1821 Onrversity Ave, St Pavl. MN 55104 Phone (612) 61 THIS INSPECTION REQUEST WILL NOT BE FCCEPTED BV THE STqTE BOARD UNLESS PROPEP MSPECTION FEE15 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ? See rnstrucuons tor completmg tnis forrn on back oi yellow copy 9 "X" Below Work Covered by This Request - EB-00001-08 FVew Add Rep - TypeofBmldmg - - AppliancesWired EqwpmentW?retl Home TRange Temporary Service uples Water Heater Electnc Heating 7 4 Apt Bwlding Comm./Intlustnal ?Diyer ,iFF6rnace Olher (Specdy) Farm Air Condtlioner OIther ?specAyl Coniradors ilemarks I --i _L Compute Inspechon Fee Below: > ? ^ Other I Swimmin Pool -? 9 I Fee # ServiceEn7ranceSize e 0 to 200 Amps . V Qrcmts/Peeders to 100 Amps - ee eo 7ransformers ?Above 200 _ Amps A 100 _ nmps Signs inspector's Use Only TOTAL G?j? trngauon Booms Speaallnspechon ? Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITNIN 18 TNS. I, the Elechical Inspecror. hereby Ro.yn,n certdy that ihe above inspec0on has been made F,,,ai oa . ?l I OFFICE USE ONLY TInS request voiO 18 mo;lths IrOm Address: 810 GREAT OAKS LN Lot Z Blk y Sec/Sub THE WOODLANDS NORTH These items were/were hot complete at the time of the final nspection. ' Date: JANUARY 7 1992 Yes No Tnspprtor, Final grade (6" from siding) Permanent steps - garage ? Pexmanent staps - main entry Permanene driveway 117 Permanent gas Sod/seeded grass Trail/curb damage Porch 8asement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of vater supply to the outside laum faucet befo=e freeze potential exists. ? R[MAE?MRP White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT RNOB ROAD ., EAGAN, MA7 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /d 0 :. DATE. • It"Xp?::°: PLEASE COMPLETE IIPPER PO&TION ONLY FOR SINGLE FAMILY DWELLZNGS TOWNHOMES/CONDOS WHEN PEflHZTS ARE REQUIRED FOR EACA ONIT. WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ ow[aEx NnrE: GCsU- mCcel2E/L dw37-- SITE ADDRESS:_ U lU^ ieEnT /dWS GAtI/L LOT: ..J, BLOCK o7 SUBD. T/:EGGen?2&G11t4dS 4O INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. nDDRESS: 14745 South Robert Trail CI'nt: Rosemount, MN zip: 55068 (612) 423-1144 COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 ? I r? WATER CIASET 3.00 ' Y ?- BATH TUB 3.00 dS0 Y.? LAVATORY 3.00 ? KITCHEN SINK 3.00 3ad C IAUNDRY TRAY 3.00 .§r5' /J ? HOT TUB/SPA 3.00 WATER HEATER 3.00 ? FLOOR DRAIN 3.00 ?? / GAS PIPING OLTT. (MINIMiJM - 1) 3.00 ,f ROUGH OPENINGS 1.50 r ' oTHER jWs.'uK _ 0 & 0 _ WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL $ Ka4'eSv ST. SURCHARGE .50 i TOTAL: S C9 S• v? .. . ,_ . CDMMEItGI??Nb?$3'?&Tl!'??'; PI.EASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS ANI 2i[TLTI-FAMILY BDILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACt DWELLING UNIT. CONTRACT PRICE: OWNEP, HAME: SITE ADDRESS: IAT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: FEES 18 OF CON"TRACT FEE. STATE SURCHARGE - $.50 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 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 "w"w4mv FOR CITY DSE ONLY PERMIT # RECEIPT # O DATE: ? 1?$iAEN'?`xAL;;' PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X ADD ON REPAIR OWNER NAME: SITE ADDRESS: 7? 1(J LQrPLJf U(.li`?. LlhYlC LOT:? BLOCK ? SUBD ?OOJ&WJ4?• INSTALLER: r ADDRESS: J?_I I d r CITY: ZIP: PHONE #: FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL SO M BTU 6 00 GAS OUTLETS - MINIMUM On OF 1 PER PERMIT SUBTOTAL: $ 3?•? STATE SURCHARGE: .50 TOTAL: $ ?%• 5O ? IGNATURE OF PERMITTEE J"i(Yl0.n0. -??L& ra0.ceS COns%A1c7r2,r I- 1-Ft?rv1 t d:? -4- V2r1?in G L? C033M$ACIIl,S?I?I?SITSTll?AS:l; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: _ SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ (SIGNATURE) FOR: CITY OF EAGAN LCT ,? BLOCK ?2- SUBD. AcQt C/??? i c?k?y' RECEIPT N oyq711 & DATE 5//41/9? - 1994 CTTY OF EAGAN i IRRIGATION PERMIT (FOR BACKFLOW PREVENI'ER) COMNiERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: /y1 A x? 1G li 4 5' ?-1 Commercial GPM P/ Residential (boulevards) GPM Existing residential Area/address to be urigated: ;? / 0 G ?z xR -t- 0 /q K s L /i "' ? Installer: ,D /%:? L 0 Y p z ?3 G Owner ? Plumber [)( Sueet address: /a /x Z--r 9T- 9 y iH S'T - City, state & zip code: Lj Lo °--,7 ' N CnT V N :'n ^r Phone #: Owner Name: D /c i` ? k /?,4 A m g 6 /-c 576 G Sueet address: T16 G 2cl-r-r o f+ K ? LA • City, state & zip code: E- G A u Phone #: Irrigation contractor, if different than installer: 60u!+ c, T y 7:?2 R I 619 T i oPj Telephone #: ??-rioa I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie City of Eagan ordinances. Signatu? /??•vy? Title If construction activity occurs in public easement or City right-of-way, signature of property owner is required. The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. Property Owner Date Approved by: Q rDate: M_ A Y IT (? 9 4- PRV ? Yes Z No New service ? Yes 10 No Meter Size & Cost Fees due: d9•S--D Calculated byr,?? ?? PROCEDURE FOR IRRIGATION SYSTEMS . 14 1. A site plan must be submitted to the Engineering Deparhnent for review before installing an irrigation system. A permit to work within City properry/public easement/right-of-way may be required. 2. Jerry Wobschall, Finance Department, will calculate pernut fees as follows: a. Commercial proiect: $ 25.50 irrigation system permit to cover installation of backflow preventer. $ 50.50 water pemut fee onlv if new service is installed. $100.00 per tap if installed by City. b. Residential project: $ 20.50 irrigation system sprinkler permit to cover installation of backflow preventer. $ 50.50 water pertnit fee if new service is installed. $725.00 ner connection - WAC. $348.00 ner connection - water treatment facility. c. Existing residence: $ 20.50 irrigation system permit to cover installation of backflow preventer -(not required if backflow preventer previously installed), however, plan and application must still be presented for approval. d. Met?r Ch3faP: Zf gallnnc nPT m?niafe are lecs rhan 25, a 1" meter wi11 he required at a cost of $165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $775.00. This information is to he supplied by the designer of the system. 4. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Pubiic Works Depamnern may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A. M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. . ,?IV Z 1991 SUIL:,ING PERMIT ?P Z CITY OF EAGAN SINGLE FAMZLY DWELLINGS MJLTIPLE DWELLINGS COPAfERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - fi STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPEEIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WIiEN: 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 PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. $ w ? To Be Used For: Valuation: ? Date: Site Address 6x) CA(J1k)p--- Lot 2 Slock 2 Parcel/Sub &74. Owner/?Y63J'-?L ? M1411i2?/Z (/?,l?i'?_ /Ak Address 41A ijJ 11Vi1/tjtdS-> (KN/L City/Zip Code jp-?fU'f- MW Phone(lZ f71 4 /'JID4- Contractor ??oe- Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code ZrIIj OOO+ OFFICE IISE ONLY Occupancy Zoning R-1 Actual Const V•AI Allowable V - N # of stories Length ? Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water 4e PRV _ Booster Pump _ FEES Bldg. Permit P238,00 Surcharge I z5.5'D Plan Review YDb", Ov SAC, City 100.,60 SAC, MWCC 4-9p, 00 Water Conn. Gbaoo Water Meter 5.00 Acct. Deposit 30.0D S/w Permit 30,00 5/W Surcharge 1SO Treatment Pl. '2 76.OJ Road Unit 3 0100 Park Ded. Trail Ded. Copies SUBTOTAL APPROVALS Penalty Planner Lot Change L Council TOTAL Z?/1L Bldg. Off. Variance ? ? -eW d Pho # agrees that all work shall be done in accordance with (Sig of Contractor) nature all applicable State of Minnesota Statutes and City of Eagan Ordinances. vALuA-n o ?1 . , Gn2 AGE' s 3yx?:k = 9S? `? ?? 3 = C sz? C4 f35 m? Go 34= 0'2'60 1 ?1c> C 1?? S X I? ? ?J sx 3= ?S I"z x 6 ? c? 17 x3= s? ?l k 25` = 22? i? ? u2-Cl 157" '?toc?.. as m-r= 2 y 2ti 24 6 ? K S"3 = ?- 3SfXY2-- l sYi 6 / oYL x ?oiz : ll o 6 k /6 .:- a! ? 060 ?s3= l 3 0 z.? tT ? Isr?»K 639,sv 17? k x 3?s?= S?jB, a^? 17, 3ti ? 3c/ov(' )3ou3-1 I 23,< X Gs i, - Sby,7 ?rz So S. 1' ,J u ?.'71, 0?? ?,vuos : 1 35 , s? I 3 Z S-° o?90irF3j RESIDENTIAL BUELDING Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 a 414 .`k Is, New ConsWCtion Reaui2meMs RemodeUReoair Reaui2menk Offce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. tt. of house; and all roofed areas 2 copies of plan Cerl of Survey Recd (20% maximum laf coverege allowed) 1 set of Energy CalculaUons for heated additlons Tree Pres Plan Recd 2 copies ot plan shaxing beam 8 window s¢es, poured found design, etc 1 site survey for additions & decks Tree Pres Not Reqd isetoFEnergyCalculations Addition - indiceteit on-sifeseptksystem _On-siteSeplicSystem 3 mpies of Tree P2servaEon Plan if lot platted afler 71153 Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units Date /3 ?-- O- / ?d Construction Cost ZJi 600 Site Address Q&-KS („tiJ UniUSte # A-) 5StZ Descti o rk G Property Owner (L?4ery-64y4A_ Telephone # 46) Contractor J__ A3 . Address ? City State /`.) ZipTelephone # ??) ?CS ? -?o c7.? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category t Worksheet (J suumission rype) Submitted • Energy Envelope Calwlations Submitted Licensed Plumber Mechanicai Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone # ( Telephone # ( ? Telephone-# (___.) II ? (s ? ?.. _ ? „:. I? SL" .'_ ? LJfI; ,I I hereby apply for a Residential Building Permit and aclmowledge that th ??uifo yrmation is compleYe and accurate; that the work will be in conformance with the ordinances and codes of t? City of Eagan and tHe State of MN . - -- - Statutes; I understand this is not a permit, but only an application for a permrt--and'wort-cis-not=ol 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. ,ola.r'la 3fj/aietGr G? &W? ApplicanYs Printed Name Applicant's Signature .'WXTGRCOR IiNVGLOPIi AVEkACIi "U'• CO`IPU'I'KCLOt!' El ?EORGE C. MAUftEEt CONSTRUCTION, =. Addcess 201 West Travelers Trail, Thone 894 8904 Burnsvilfe, n --?- o};:il bescription oE Proper[y: l,ol'Rlock 2 Addltion The Woodlands Ilatc orth i cc Address 810 Great Oaks j,ane Eagan hIId AVERAGE LINI•'.AL FEGT OF F.XPOSED 14ALL A}tEA AUOVE CRADE ?(o,s ?- ' ' aln level r IV' :i FL?7 SCJ,S I.incal ft. of iramed wall above grade 143,1S x ` lieight of wall 9-C> •• 'jL?il,r-.f7 -l- C_?•?t??ii.?: I`?S,S _ -?-?? ??t???.<;)?> - im jotst aren l.iuenl Et., of Z7 O rim x heiglit of riro ot+er level l.incal ft. of framed wall aUove gradex heioht of wall. , <r l.ineal Ft. of masonr wall above y grade x height above gYade cl,3 ,P?L. TOTAl, wall area a6ove grade including windous and doors = 1'3UL9, c~.&r ! Ltl1)UW5: Area x "U" value I:d:c b type q. fC. ? x "U" +_ (lI) (1 q. fe. S x "U" (u) (r q. £t. 'zCj X „il„ ft. Z, X ???i" u ^(II) (:: - X u r, sy. ft. 7: °L"? ----- *_ _ ?lI)(h - „ ?? ;q ft. a "ll,r - - : ?? ?? CG=_'.X 2 - 3 sq. iL-._ •- X ..????______ _ (ti) (;. sq. x ft. H, ??Up' ?U)(f sq. c? EC. x "t1" . ec. 33,?1 ,; --- flu,l -- 10 ,T . ft. I , D X Iltill >= (u) u n . ft. 0 x nU.r-- -:- (U) (? 1. 11 . ft. X ?lull ,_ a 11 F?f . Ct. .? 7C ntin ???] (p 11 11 . ft. x "U"----- ,-- n n sq. ft. ' x °II" ? `(?•)(;. " " g?g, q2 .41 4?e8 ? UOUIiS: Area x U 7 value ? t' .$ i ?? ?, ?- >L•?l:c & tYPe _ , !? - - s q. ft. x U . , ? , a (ll ) i „ „ ?,° F?aNr 5q. fr. _ 2c?,oL X "?+«??L. _°_ "-- sq. ft. x "ll" ? (ll) (? „ sq. ft. x "[1. _ (U) (I 13? -- ^ ? ' / - ul'AOUG tJALL CONSTRUCTION; Area x°U" value ?..,`. .?. FRAMED 1JALL (total area less ' opening, fcaming members in neGa21 refer- wall, rim jolst area & m asonry) ? cnce Erom sq. o?x Et.?3? g, ! u??n ??, .OJ • I'3't. ?? ???) ?? attached - Framing members in wall sq. , _s _4 x ft. „ . - U ?" = ?i_??n ??') ?? s;hcels Rim iolst area sq. ===`? ft, ? P!asc?nrysar=a a ,o '?e grade • sq. ft. 414?3° IM_ .243 1'OTAL lJall A[ea Including CS=/. Q Windows & poors TO'CAi. (U) (A) "??? ._..w?.?• , .OfAi. (ll) (A) l'r\LUf•:S ???i = AVC, °1??• 0 f f?__ UR'Ili!:I) BY "PO'l'AI. WAI.L ARIiA „ _V21/'.I?GY? Fllnlmum i7" or less [or. 1 b 2 famlly dweLlinPs ??Ilnlmum .22 or less Eor a11 o[her Uu1ldLngs ':Uf(;: [ f ?veraF;e "U" values as ralculaCed aUove do not meet the F.nergv Code rcauLcements, [lik! "Alcrnate Linvclope Dea[Fn" as indLcnted on Ynge 5 may be used. ... .??...I iu:, :s . • ? ? . ., 1'ngu 'L r i , upnquu v:ill pni u , . , . '• r • . • It-Va l??e , . •i ... F'It?t;l,lltr) FIE,IOGItS IN cu {:AGI^5 . i. ? ,•? . i • ? i' . ; . ?i , I ?i I, ?. '•i ??t.. ? . .. ? • '1. I • . i • ' ? . ?. . , . . '? ' ? _Fr+!„+ - ---;--- ??_ ?. I . ! • •...._ I . ..... :r.r,urlnr nir F.ils 'sidlnE; Slicntl?ing ?L???? C?II ?Y?7? ?.7 noft uoud ' 1fn .dry aull • Intcr.lar air filro ?f?•? 4?38- 45 68 ' To•rAt, g ' I I C'?J Ulr 1/R . U , _ FItANlitl t7nLI? Extcrior air Eilm 37 Siding • Slicatliing ' ?z, 'II2,,2? batt insuln[ion dTy HO11 InCerior ntt Ellm .6R :7TOTnt_ n 4J U ° 1 ? K . + • . . ? U ? • ? l? '1 '--7 )ExCerior air film SLd1np . ' ? ?--? . S}IGUCII?n? .. . ^^ . 2iC.?(L! . ? ? • • ' . ? • , Aoft + ? ? InPiIJ nCinn q • ? Interlor air Fitm .68 ? ? • ' TOTAI. F •c ?.2,?( ? "-X.7 U r 1/R ? U "?-...,. ? . ~??.r. ??. ,I ..?. . Insulotlon .? ? ' • _ • .]'7 I lutarloc_nIr ? .? I . • ? . .. • . ?,(c?? • F'xteriur air Film ? cancrete ? l?lnck ?__?_ _ _? .:rr::? .. :. . _.. . ? ... ._._.... . , . .. . .. ?.:. -. .. . , ? =?' '•'r: ..'c_a:;j...;.'--- - -- ? .. ?'?F1? l ' • -SutpLdo n1 Llm --°--• ?---•-_ ?: Ineulntlon ,(_' -? I •_•- ^ nrY„oil. .45 Intari? or air (t7a ? 61 . ?TOTAL R_.. U?1/R" ? U„' ? ^ ?, , • .. . . r , • ? ,I ? ;• ,.; ?.. .? ? • ' '? ' ' ' QutniJa nfr •.Ineulation '? . y"' nrywaii .45 In[atior eic ftlm • . ???' Tornt n ? ° " 1/R , u w . . _.. pu[aiJa air [ilm ,ly HuiLLuli-in _ uf3"?_ • , . ---•,l]._.. Inaulatlon ' . • Nood ducking ' • ' __"'-----_._,:.... _.........._ Intariot alr filtn TOTAG R •• . . . U ? ??R . . . • u w . )F/CEILINC1 ,Lq-c?i ? ?q ? fAL ANE.1i i . k. 6q • • ? • , . . ? caLl rnfecence 'Z„ • x u o n D ? 'L ?53 ?m uhove. <.?( ? ??? q?un ;I icriba openinge s`"? t x q. 8 , -? ' . (u)(n • cc. (U)(n u roof n?n X 89. [t. .. (U)(p . 11u1 :I x B9• x lvl sq. tt. [ (?i) (A . Ilx ?n aq, t. (U)(A x . . . aq. Lc. ?ll) (A ' • To'fALS It. IAL (U) (A) VAI.UCS ' ' . V10lU bY TOl'Al. It00P/ • " AYc ll lL[tiC A(lEA ?J?.L?1(? " " . ti elUC7k: U .OS tur vent.tlnCcd ruo(o . , ' .10 Enr nll otlicr eanxtructlon it:z f f ?wcrntvr vnlu,114 aa r.nlrulnhvd nl- nvi• do not m?Wk • ... ? c • [(ut F.npcr.r_: Coda rr.qulr.:menCa . r. 1.. 1.,?•.. .'.1 ?:?1?,..?.? 1.. . i . .. . . . . ? .. , . ? ? ??I'.? . ? ,• . , ? ' . r , '... II??• .??.... ? • ? ' . i•-:I ' . . . ??• ., , , , , If total of #4 is the same as or less than #2, you have met the intent of SBC 6006(c)1. pLTERI1pTE BUILDING ENVEIAPE DESIQV To utilize the total envelope system method, the values established by the sum of Items #3 and #4 shall not be greater than the sum of Items #1 and #2. 50t6.868 X•I! ? Zq09•71q X•OZ-h' 1. 557 - 95 + z• 6z. 65 = 6? 3. 4 + 4. l'7 • 'ri C7 5' I . ~~~,~~R, ~-r ~ ~ ~ ..r~„~.~~,~.~,..,.~ ~ ~ ~ _ , . , k ° , i _ :7 . ~ , ' . ~ ~ " , ' W . ~ ~ , , . ~ , a _ ~ . , . . • ; F. , ; ~ . ; ; , , . ; . . ' ' : ; , , - , r ; , . , , ~ . { : . ; ~ . . , r ~ ~ , , . , , . ~ ~ , . , , , , , ; , ~ . f:. ; , , . , . i , , . . , , ~ , . , . , , . ~ . . . k:.. . . ~ ~ . . r,; ~ ~ , , . . ; , ; , , ~ ' ; • „ - , ,'r.. ' ~ , ~ ~ , , . . . , „ . . , ~ ~ i ~ ~ , . , . ! . . . . . ~ - ' . ~ ' . . , 1 ~ . _ : . ~ ~ . . . . . . . .f , . . . . , . . l.~ ~ ~ ~ . . _ , : . , , . . , . . ~ ' ,f . ~ . ~ . . . . ~ . . , ' ~ , . ,y , . . ~ . ~ . . . . . l ' : , , . 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(a ,o 5?°° `,? ? 5 31°? /?'? /`\ I ?? ? ? ?,q / / ? \ o ? I _ ? I o ? I ?890 °' i889-°? ,??N6 ? ? clbbl? c wA?? ($8??? ?9'1EP o oSPD ?p.5o ?, /$5?,?) p,?7 p N f.? J l 1?.33?0 ° 33 ° W? 23.83 ? ? ? ? o ? oP?S?p ? o c? I m W P H4uSE I? ?y a.oN v? 00 6.OD ?? m W 30 $, ? ? ?g,aa o ?7,oa ,, ?? 27.83 0 2533 I p?CK (8`19 ? o? -L ? ?g86.5? ?g?9_ ? F?3W? ?BS6_o, L D 7" 5 85a. o, (850, o) 0 ? /64. 3/ N 89 ° 53' Z/ ?? E I MEflEBY GERTIFY TNAT THIS PLAN WAS FNt?1NEER5, PPEPAREO 8Y ME 08 UNOER MY DIRECT ?nd IAND SURVEY0?5 SUVERVISiON aHO T?AT ? Mq? oI? ?v , RE6ISTERED ?ND SU?VEYOK UNOER TME LAWS OF THE STATE OF KINN SOTA. , DAT ' ' ? RE6.N0. 60 5 E, MINNESOTA 5533? PH 432-3000 '' ?.1 ? /?/? ?? /J ? - ?- ? ., ?? ' /8$?,?? l ,? ?886.0, ,? 9?,? i ??Qy? o? 9 ? ????? 9? .ys y9??F F ?? ??'o 2 .? ? 34' FRONT BuILDANG SET?ACK LINE t? - ?, ,; - ` __i _ _ ? ?. ) W o _ ( I ? w ? -` I ? ? u, I N _ m I I I I I I ? 15 ? o i SCALE : 1" = 30' NORTH LEGAL DESCRIPTION: LOT 2, BLOCK 2, THE WOODLANDS NORTH, DAKOTA COUNTY, MINNESOTA. (887_0? pENO?ES EX1ST{NG ELEVATION (887.7? DENOTES PROPOSED ELEYA710N d?"-' INDICATES DIRECTION OF SURFACE DRAINAGE gS8-?a = F1P1iSNED GARAGE F100R ELEVATION 879 50 = BASEMEi?T FLOOR ELEVATION 888.50 = TOP OF BlOCK ELEVATION DRAINAGE AND UTIIITY EASEMENT ??.?. ? , ? `? cB65,5? ? ? (865, 5) ? ?? ,°°,°_° t ????? E? I E. N0. DATE BY REMAAKS OESIGNEO CHECNED oRnwn oaTe 7: T, 6•4•9i SCAIE ?^ ? ? ?? ' .7? JOB n0. 3608. Dl ? ?? PREPARED FOR: E I T U TIa PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA102582 Date Issued: 12/27/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 810 Great Oaks Lane Lot: 2 Block: 2 Addition: The Woodlands North PID: 10-75890-02-020 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. 952-445-2840 Dayna Gardner 505 RANDOLPH AVE Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Bonfe's Plumbing & Heating Richard H Graham 505 Randolph Ave 810 Great Oaks Lurie St Paul NIN 55102 Eagan NIN 55123 (61)228-9071 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature • or c 9 Use BLUE or BLACK Ink For Office Use f 110 j Permit 1 1 1 2 j City of Ea I Permit Fee: ~ ''C. 3830 Pilot Knob Road l I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I1 Fax: (651) 675-5694 1 Staff: 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION AV Date: 1131 711 Site Address: ~316 G KW d t,fNE Unit Name: JJi- Phone: Resident/ Owner Address / City / Zip: OIIJ OP'' T 6`f-5 V41vf Applicant is: Owner __X Contractor Type of Work Description of work: t Construction Cost: $ Z ~i 6a) Multi-Family Building: (Yes / No ) Company: A 52MIb5er) ,M16/V&l(.D_ Contact: 1'INy`1 chMq afcA_ Contractor Address: 061 W,109,9A7/L 4VF_ S City: U(1t/4 State: A_ Zip: `i' Phone: ~l 2 l S' 111-55 License gG V106-7.0t Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of that would permit the City to the information may be classified as non-public if you provide specific reasons conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro 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 ch //I F' U e Ion x Applicant's Printed Name Applic nt' Sign ure Page 1 of 3 i G~~ Oak-s l cuv DO NOT WRITE BELOW THIS LINE I SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi X Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation X Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy i~ MCES System Plan Review Code Edition JlM 00? SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review ~1 r MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge ,r Treatment Plant Copies TOTAL Page 2 of 3 !" #$%&'()'*+*, -./$%'"&0-1 -EO*,$E*2 -./$%'53/4-.167889Q: <*%-'!==3->17:?8:?@:7; -./$%'#*%-+(.&1--./$% A$%-'6>>.-==1''M7:''P.-*%'I*R='D*,-'' 0#$%& ''0())**+ ''=K9'A)$-+)8'E.K /12 !346"VU34304303' 789 <-=E.$0%$(,1 :;<'=>?9 @98*)9+*-$ A.&'=>?9 @9?$-%9 298%.*?*+ Q;.+-%9 `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ity of Eagan Permit Type:Mechanical Permit Number:EA149832 Date Issued:06/12/2018 Permit Category:ePermit Site Address: 810 Great Oaks Lane Lot:2 Block: 2 Addition: The Woodlands North PID:10-75890-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Richard H Graham 810 Great Oaks Lane Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature