4382 Livingston Dr
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CASH RECEIPT
?".
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? •
,
.?
DATE
??,?: ?;? ?? ? V ? l, G C ?; i lbr9??? ?)?i ??i.rryl .
? - - ?
AMOUNT I S
V ?
Thank You
BY ?
C </ ?/ ? V While-PaYer3 CNPY
Ysibw-POatiwg Copy
.. Pink--Fde Copy '
& DOLLARS
,m
O CASH KCHECK
Fon ' I '??I,J J?._) ° ?
..H:.7 . , . , .. ' . ' • ,,. . ?'» :`, .' . ... . . . -,
., FOR03DECK /91 06/06/91 , . .
?. CITY OF EAGA
? 3830 Pilot Knob Road, P.O. Box 21-1
PHONE: 454-810
BUILDING„PERMIT
,, , , ' ; ,;:
Tc be used for .- , ?; ''"' Est. Value
Eagan, MN 55121 18y55
; r
.. ,- • - ?'?i
Receipt #
Date JUNE xs . , 9 90
Site Address 4382 LIVIiif.'BTON Da
Lot 8 Biock 3 Sec/Sub. LUI ' IPOjN"
Parcel No.
W Name jOE liiLl.Llt NQzs
Address 18133 CEDAIt AVE S
0 City F?'VMW Phone 431-2001
o Name s?
,
g< Address
9- City Phone
?W Name
? ; Address
a W Citv Phone
I hereby acknowlege that I have read this application and stale Ihat Ihe
iniwmation is correct and agree to comply with all applicable State of
Minnesota Slatutes ano'Cily ol Eagan Qrdinances.
f . .?.. ,?J ' . ?y i•_!?i. :. i:' ?,,....?._...
Signature of Permitee'•
JOE lflL(iR Sam
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Cily of Eagan Ordinances.
Building Official
OFFICE USE ONLY
R-3 14-1
Occupancy IPD I&3
Zoning -W-111
BId9. Permil
(Aduap Canst
(Allowable) - Surcharge
A' of Stones
Length
Pian Review
Depth - SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Sile Well Water Meter
MWCC System
?-
Acet. Deposit
City Waler
PRV Required _ S/W Permit
8ooster Pump - S/W Surcharge
Treatment PI
APPROVALS '
qoad Unit
FEES
43.00
'75.00
100•00
600.00 :
625.00
90.00
30.00 '
90.00
•50
252.00
355,00
Planner - Park Ded.
Council -_ •
BIdg.Off. _ Copies
3.077.
Variance - TOTAL
' - permk Np. PermR Holder Date Tebphone N
ATER
I
LUMBING
(,
P
ry 0
H.V.A.C.
ELECTRIC D 7? ?
Inapeetion Date Insp. CummeMs
FOOGng61 ?7 Q C?vl?
Foundalion ?
Fwming 'j 2
Roofing
1
Rough Plbg.
Ro+9h Hi9 ;71jd
isul. O
Fireplace •
Fnal Htg.
Fn21 Plbg.
Const. Meter 1AA PIb9. Inspecior - Notity Plumber
Ergr./Plan .
Bldg. Fnal
Deck Ftg.
Deck Final
Well
Pr. Disp.
eu •
' 9 rvR viuw tiao vu?.
-
MECNANICAL PERMIT PERMIT #
-
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122
DATE
CONTRACT PRIC?.- - PHONE: 454-8700 :
Site Address - ' BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub?. New ,
Res
.
? Name Mult Add-on
? Address Comm. Repair
c City Phone Other
FEES
? Name " RES. HVAC 0-100 M BTU -$24.00
c qddrggg ADDITIONAL 50 M BTU - 6.00
O City Phone (RES. HVAC INCLUDES AIC ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMI7) - 1.50 EA.
TYPE OF WOtiK _ COMMlIND FEE - 1%OF COMTRACT FEE
Forced Air M BTU APL BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOOSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Ai
C REMODELS - 12.00
r
Ond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets # (ADD $.50 S1C PER EACH $1000.00 OF PERMIT FEE)
omer ?
PERMIT FEE:
SIGNATURE OF PERMITTEE +
SIC:
70TAL: - FOR: CITY OF EAGAN
. .,' PWMBING PERMIT For Office U nly CITY OF EAGAN PERMIT?
-r/80U ?
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # ;
PRICE . PHONE 454-8100 DATE:
Site Add ss BLDG. TYPE WORK DESCRIP N i
Lot Block 3 Se /Sup ReS' New ?
?i Mult. Add-on
Comm. Repair
ev"
(D Name Oftr ?
y Address ?
? Cit Phon RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- y NO. FIXTURES TOTqI?
Water Closet - $3.00 $ 1 j
` Name Bath Tubs - $3.00
c3 Ad s Lavarory -$3.04 ? j
O Cit? Phon fz l`! Shower -$3.00
Kitchen Sink - $3.00 ?
i
UrinaVBidet - $3.00 ?
FEES Laundry Tray - $3.00
COMM./IND. FEE - 1% OF CONTRACT FEE ? Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES ? Water Heater -$1.50 ?• ? i
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 ?
MINIMUM - RESIDENTIAL FEE $12.00 Z Gas Piping Outlets -$1.50 ?
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIn •
STATE SURCHARGE PER PERMIT .50 So(tener-$5.00 ?
(ADD $.50 S/C PER EACH $1, 0 OF PERMIT FEE) _ Well -$10.00
? Private Disp. - $10.00 ?
?;? ' ? Rough Op$nings - $1.50 ? j
U. G. Sprinkler System - $12.00 ?
SIGNATURE OF PERM EE PERMIT FEE:
STATES S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ?
? ?....,.,.r
r
,
.? '. . . '!!
a s
. ' Trr#tfirafe of (Orrupanrn
(Citp of Caaan
iorpwtttm af %i[ding inspertinn
77ris Cer1rJ'uate iccued pursuan! wtlee reqrdmnerttsojSarlion 306 of the uniform Buifding
Code certilJ'+n8 tha[ a1 the iime of issuaxa thissYrucYUne mzs in rnmpliance with lhe various
ordinaners ojthe C7ity reS+dalirt8 bw7ding ovxmuclion or use For Jlie foUowiag.
thea,akafio, UX/Q4R Mg. Famk Nm 18055
0?7?1= F3411 Zoning DbWa-P1/R I Type cam VN o?otWAI(wg A"E Zm T ER CLT1S't A"- .
POST IN A CONSPICUOUS PUCE
,e..,._.... .?..-„r?.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY UF €AGAN MErER #?I ???` 9 G7S7 PERMIT DATE 5r= r!9n
3830 Pilot Knob Rd. CHiP #(Jj 7C/0G PERMIT # 11474
Eagan, MN 55122-1897 5 p? nx B.P. RECEIPT # ??`
METER SIZE 5g
J? ?°L
qD B.P.RECEIPTDATE
? u[t ==; = 1. 1;' `i C ISSUE DAT?
DATE ?!
_ PRV - BOOSTER PUMP
I SITEADDRESS?:?..g Livingston Drive
? LOT-BLOCK 3 SEC/SUB Lexington point 5th
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
r PLUMBER: To Hessian Plumbinx
? ADDRESS: 121 Bedwood Dr.
I CITY,STATO PPle Valley AN ZIp 5 i124
_?W/1IAVYAp
PHONE: 4 3 7 b 8 9 8 I AGFifEE TO COMPLY WITH CITY OF I
OWNER: Top "i iI e*' ?Om-.e EAC'jfAN ORDINA
ADDRESS: 1 R1 31 r P+? ' r AvP u NCE % CITY, STATE Fa r i n t n n ZIP 5 '? !' 2`; 1
PHONE: i SIGNATURE WHEN METER ISSUED
PLEASE ALLOW/TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM I
SEWER PERMITS, CONTACT ENGINEERING DEPT.
_i
PERMIT REQUESTED
__X_ SEWER ?i WATER - T
COMM/IND -
X_yNEW
EXISTING
Lawn Sprinkler Meters are to be InE
Ahead of Domestic Meters on Water
Credit WILL NOT be given for Deduct,M
CITY OF EAGAN J?o ?$055
3830 Pilot Knob Road, P.O..BOx 21-199, Eagan, MN 55121
PHONE: 454-8100 C?
BUILDING -' J V
PERMIT Receipt #
To be used for 3 SF DWG/GAR Est. Value $86, 000 Date JlJNE 25 , 1990
Site Address 4382 LIVINGSTON DR
Lot 8 Block 3 Sec/Sub.LEXINGTON POINTE JTH
Parcel No.
Im IName .TOE MILLER HOMES
o Address 18133 CEDAR AVE S
City FARMINGTON phone 431-2001
¢ Name SAMF
0
V q Address
?- City Phone
?
?
yVj W Name
?
?; Address
a W City Phone
I hereby acknowlege that 1 have read this application and state thal the
information is correct and agree to comply with all applicable State of
Minnesota StaWtes an PIP ity ot Eagan iqn As.
Signature of Permite A .
A Building Permit is issued to: OE ILL R HOMES
on the express condition that all work shall be done in accordance with all
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 M-1 FEES
Zoning PD .R-1.
(Actuaq Const 3L--N Bldg. Permit 577.00
(Allowable) V-N
Surcharge 43.00
d of Slories -
47 '
Plan Review
375.00
length
Depth 54 ? snc, city 100. 00
S.F.TOtal - gpC,MCWCC 600-00
S.P. Foolprints -
On Site Sewage _ Water Conn --L2-5?U0
On Site Well - Water Meter 90 - 00
MWCCSystem ?
?(
A?cL Deposit 30.0?
City Water
PRV Required _ S/W Permit 3n _ no
Boosler Pump - S/W Surcharge - 50
Treatment PI 252- n?
APPROVALS Road Unit 3 5 5_ nQ
Planner - Park Ded.
Council
BIdg.Ofl. _ Copies
Variance - TOTAL 3,077.50
a 38400
Requesl Date.
(?. Fie No. Rough-in Inspecfbn
Requiretl?
? Reatly NoW ?1(Jill Notity Inspecta
? Yes ? No . ?Nhen Ready7
I? licensed contractor xQwner hereby request inspection of above electrical work at
,bj?b ACtlress (SVaet, Box or floute No.)
I $2 Li Vl) ;t
'
b CL .
C'1J1
'
$ettion No. Township Nam0dir No. Renge No. ' Cqurrty ,
bioxkOTak
OccupaM (PRINn Phone No.
. , 011` e-
Power Suppli qddress
Electrical Contracror (Cpmparry Name) CoMredorg License No.
Maiting Atldfess (ConhxtOf Or Owner Meking InStallBtion)
3g t-? ??- `1-:
Auth " ed Signature (Contra r/ Ma Instellation ? Phone Number -
113Yo --? I
MINNESOTA STATE OARD OFELECTRICITV THISlNSPECTION REOUEST WILL NO7 . ..
Gripgs-NIAway Bldg. - Room 5779 BE ACCEPTED 8Y THE STATE BOARD .
182/ Un(varalty Ave., SL Paul, MN 55104 . UNLESS PFOPER-INSPECTION FEE IS
Pla^B (612),642-0800 ENCLOSED.
QY/41A.2-
a H40n
REQUEST FOR ELECTRICAL INSPECTION
? Sce insimaions for cumple[ing Ihis form on back ot yellow copy.
'7C" Below Work Covered by This Request
ee-aooof.aa
? ?MR?
ew Add Rep. Type of Building - AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciry)
Comm.Jlndustrial ' Furnace
Farm Air Conditioner
Olher (specity) Contractork Ramarks:
Compute Mspection Fee Below:
# Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
$19f1S Inspector§ Use Only: TOT
S?
Irrigation Booms ?
? • ?
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE;ORDEREQfDISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 MO THSc' /' r i
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has
been made. F;,,ai ??`ri
? ?'1'1-_? Date
OFFICE USE ONLY . ? This request wid 18 months from
7?3 ss? REQUEST FOR ELECTRICAL INSPECTION ??q;;?-/ 7
? See insiruction` tor compkting this iortn on back ol yellow copy. 7??o
6`) 70 7 "X" Below Work Covered by This Request
ew Acid Rep. „ Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
01her (specify) Contractort Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance Size Fee s/Feed ers Fee
Swimming Pool 0 to 200 Amps s
k
4
Transformers Above 200 _ Amps 11 Amps
SignS Inspector's Use ONy, ! a TOTAL
Irrigation eooms
Special Inspection
Alarm/Communication THIS INSTALLATION IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby
tif
h
h
b
i Rough-in
f
y t
cer
at t
e a
ove inspect
on has
been made. F;,,ai
?
?
OFFtCE USE ONLV
This request void 18 months irom
7?/3/9a 975B"l
@ 5 -o 707 ' A6
fiequest Date
7? 1 ?? 9 ? ire o,
, ugh-in Inspeaion
e uired?
? Ready Now ill Notiy Inspector
h
R
d
?
Ves ? No en
sa
y
I licensed contractor 0 owner hereby request inspection of above electrical work al:
Job Atldress (Street. Boz or Route No.) Ciry
4382 Livingston Drive Eagan
Section No. Township Name or No. qange No. Counry
Dakota
Occupant(PRINT) Phone No.
Joe Miller Homes 431-2001
Power Supplier qdtlress
Dakota Electric Farmington, MN 55024
Electrical Coniractor (Company Name) Contractor's License No.
Midland Electric Inc. 041610
Mailing AddreSS (Contractor Or Owner Making I nSlallation)
14055 Grand Ave So, Sui te E, Burnsville, MN 55337
Aulhori ra ICOntradonOwner Making Installation) Phone Number
892-6 8
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Grl9gs-Mldway Bldg. - Room 5173 BE ACGEPTEO BV 7HE STATE BOARD
7821 University Ave., St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
P one(612)642A800 ENCLOSED.
...ddmmmmbiusmm? _
K-qoto
e??b(k5
.------------------
; ;
j Permit#: ?06-6-2 C j
? Permit Fee: O'Ov ?
j Date Received: e?O
I ? I
I Staff: e ?
I
- J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? Ej Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone:
Address / City / Zi .
Applicant is: _ Owner ontractor
TYPE OF WORK Description oS work: ?
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: ? Q License #: d???LIN
Address: `JrG??`"I) IY?PMCX'iCV? A11F' N.
City: ? IIC??Y%1"JI L'? State: Mlv Zip: S!5080
Phone: IOJ] "-i? I•`"I &v Contact Person: Kncen
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submi3sion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
N(7
TE Plans arsuRplL?tJrtg pc?u
ai?sulet?
sub?nM?t'at
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.
i hereby acknowledge that this iniormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City ot
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 ot plans.
X
a? ?" ?
x
Applicani's Pe Applicant's Signa re
Page 1 of 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
5 a? l? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conslruction Reaulremente
• 3 registered site surveys showhg sq, fl. of lot, sq, ft. of house; and ?II roofed areas
(20% ma)dmum bt coverege allowed)
• 2 copies oi plan showing beam 8 whidow sizes; poured found design, etc.)
• lsetotEnergyCalculations
• 3 copies of Tree Preservation Plan if lot platted atter 7/1J93
• Rim ,bisl DetaH Options selection sheet (bldgs wHh 3 or less unfts)
DATE 6 " 1 v? O y
7 RemodeVReRalrReauiremente ?
• 2 copies of plan
• 1 SetofEnergyCalculationsforheatedadditlons
• 7 site survey for extedor addhions & decks
• Indicale N home sened by septic system for addftions
VALUATION r r?'/34r8 12'
SITE ADDRESS Glr3ff,?I- 1? zlt_ MULTI-FAMILY BLDG _ Y &"N
TYPE OF
APPLICANT
<
?
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS???'y??L+.?.?G.7?u•-??ti CIP-gaie:?*?STATEA'&- ZIPS?F337
TELEPHONE # ELI PHONE # %S)'a9?'aG`i3 FAX #
GvGi0 -9a `i-l3i?
PROPERTY OWNER ,:,? TELEPHONE #6'S/- 'y34- 33,P7
COMPLETE THIS SECTION FOR •%NEWa RESIDENTIAL BUILDINGS ONLY
Energy Code.Category _ MINNESOTA RULES 7670 CATEGORY 1
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure ot Applicant
OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
n
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
° # OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - 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.
To Be Used For: Valuation: Date: tc- pm "
Site Address Jb? ? U1 -J OFFICE USE ONLY
(Z 3 %,
Lot Block
1? 3 M-?
occupancy
Zoning PD SZ-1
Parcel/Sub Actual Const V-N
? Allowable
Owner # of stories
Length
Address Depth ,5N'
S.F. Total
City/Zip Code Footprint S.F.
Phone On site sewage_
On site well
Contracto MWCC System ?
City water ?
flddress ? PRV
?
Booster Pump _
City/Zip Code
S _
APPROVALS
?
Phone 6 r Planner
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code ?
FEES
Bldg. Permit 07;C?0
Surcharge 100
Plan Review 3175100
SAC, City 1 10
a
sAC, rtwcc rcol DO
Water Conn ?Z5'Uu
Water Meter 170,00
Acct. Deposit $O1DD
S/W Permit
S/W Surcharge ?$O
Treatment Pl. 262 100
Road Unit 3 SSG I?
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL 301r),60
Phone #
? . 1
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, • • . .
Unn or Tvro Fetully llv?ol11tig pNlier
n11. oi:lior ?G-? - : Hi?e Addrene ' •
(:outl•notoi•ep 'ddo lv4,, •
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L]. U E; AL E' EE:'1' V k' N `^I H .. • •
EXI?? ;EU YIALL .f t, above grad'e
. • , '1'U'lAL FlXF'VBF;U WALL AIIFJ1 f3q. F'1'.
UL'MIUF: Y1ALL U0119'lItUUTlUIit IIUII Yal.ue x Axea , .
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ro[arouoe L' nun ? 0714 X pct. F"1'. 0 e ???(A)
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LBL 3 CITY OF EAGAN
PLUMBING PERMIT
SUBD. Ldgl• 5 ?- (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS.
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ------------------------------•
WORK DESCRIPTION
?
NEW CONST NO.
? -
NAME: Grea sO It C. -
, - -
SITE ADDRESS: y?J%a Dr;ve
REPAIR
ADD OWNER ON C
INSTALLER:
ADDRESS :
CITY: ZIP:
PHONE
. A _ 4r
CITY USE ONLY
RECEIPT /e:51 ?61135
DATE 3 / 4+ 9 ,;--
ALSO, FOR TOWNHOMES AND CONDOS
--------------------------
COMPLETE THE FOLIAWING:
FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00 X
SHOWER 3.00
WATER CIASET 3.00
BATH TITB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FIAOR DRAIN 3.00
Gt?5 FIPING Ot7'i .
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. T[JRNAROUND 15.00
STATE SURCHARGE .50
SIGNATURE OF
TOTAL: S,/ V.J''?0
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL C0144ERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
.. ? LII
19
91 BNG PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALGULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES ilHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: r!/*i iSf-F Valuation:
Site Address W ?ING-S7zx? L)f?,
Lot ? Block
Parcel/Sub
Owner
Address
City/Zip Code
Phone 3 y?' 2 5 r ?
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
(Signature of Contractor)
Date: 2- 7 -qJ
OFFZCE USE ONLY
FEES
Occupancy
Zoning
/y/C
Actual Const
Bldg. Permit -
_
Allowable Surcharge
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner I.ot Change --?-
Council TOTAL !Y/G
Bldg. Off.
Variance
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,
????
t 1991 B ING PERMIT APPL CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
( I REGISTERED SITE SURVEYO
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
?
?
COMMERCIAL ?
f?
2 SETS OF PLANS 2 SETS OF ARCHITECTCTRAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT 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.
To Be Used For: DECK Valuation: ?? Date: .S .?d 'l?
5ite Address ?K31z ?jdiA4f77JN //l
Lot ? Block ?
Parcel/Sub ?e?%/Y,'?-p?
(?
Owner `? 1'0?-r?cic, tl ?>r3?IQ..
Address
City/Zip Code 4-?54a+ ?W`t ?5s/A3
Phone p"S? 0 7
.3Y0?3l1
Contractor
Address
City/Zip Code '-
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
FEES
Occupancy Sldg. Permit
Zoning Surcharge ?
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length 8140 Water Conn.
Depth /y X/ g Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit _
5/W Surcharge
On site sewage_ Treatment P1.
On site well _ Road Unit
MWCC System _ Park Ded_
City water _ Trail Ded.
PRV _ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL -- ;ZS7?-o
Bldg. Off. D$. -?`$/
Variance '
T? agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
RESTDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
141it??? t4 t .,;V
Sa?-7, 7s
New Construclion Reouirements RemodeVFteoair Reauirements Ofice Use Onlv
3 registered site surveys showirg sq. ft of lot, sq, it. of house; and all roofed areas 2 copies of plan CeR of Survey Reod
(20°/a maximum lol wverage allowed) 1 set of Energy Calculations for heated addiflons Tree Pres Plan Reod
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons & decks Tree Pres Not Reqd
t set of Energy Calculations Addition - indicate if on-sfte septic system _ On-site Septic System
3 copies of Tree Preserva6on Plan if lot platted after 711193
Rim Joist Defail OpGons selection sheet (bldgs with 3 or less units
Date Construction Cost
Site Address ) UnitlSte #
Description of Vi'ork W 0}L? QG(, Q/1Q? L/1d0(? ??1
???? . W
Mld
il
`Bld
i
F
1'4 ?
?
k
?
am
t
-
y
g _ Y ? N Frepl
(s) _ 0 _ 1 _ 2
e
i
Property Owner 0
Telephone # ( ?j??) Z/S& ' S`c?
?o 7
Contractor MINNESOTA RUSCO, INC.
Address urmtm nVe City
State ph 957-g35M f9X 952-935-9544
? zip Telephone #( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) ' Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # j
Telephone # (
Telephone # ( I
1I D
I hereby apply for a Residential Building Permit and acknowledge that the informatiop is comnlete and ac?urate;
that the work will be in. conformance with the ordinances and codes of the City ofEagan ? an t 1e S?t`afe of MN
Statutes; I understand this is not a permit, but only an application far a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ? C
J
Applic t's Printed Name Applicant's Si ature
b3?k 7
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 6 // ! 1/0 / 6 el_
Site Street Address e2. ??,?ccc-e.? Unit #
Property Owner ? Telephone # -A3 .5;,2
Contractor Telephone #(/ 5! )??oJ'r??? ?d
Address City State /I , Zip 5'/ 3
The Applicant is: _ Owner i---Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 i f a 5/8" meter is required)
Other:
Water Softener Y Water Heater $ 15.00
/
l
t di
i
rep
1,
acemen
_ t
onal
ad
Lawn Irrigation System RPZ_ new _ repa' uild $ 30.00 I
-
?
State Surcharge QPR 2
k ?,,h $ .50
Total
B
y ;;
1
$
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Deb ?e n ?: nc?. l.?J? • XY?inaG.
Applicant's Printed Nam Applicant's Signature
2006 RESIDENTIAL PLUMBING PeRMR aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweilings.
43,p cc)
Date / /
Site Street Address ,3 r. Unit #
Property Owner ?Telephone #(6Sl ) yS/l, - -5-3S"?/
Contractor Telephone # (1??Bot
Address ?D 1 ?J ^ - u` c City " ? _ State ?? Zip
71te AppUcant is: _ Owner )LContraCtor _Other
Septic System _ New _ Returbished Submit 2 sels of plans and MPC license Indudes County fee
$ 100.00
Per as-buitt $ 10.00
Alterations to existin9 dweliin9 $ 50.00
_ Add plumbing fixtures. This fee indudes installation of a water softener and/or water
heater at the same time. If you are instalNng oniv a water softener and/or water
heater, do not complete this section; move to the next sedion and Gheck the
appliance(s) you are installing.
_Sepfic System Abandonment -
_Water Tumaround (add $130.00 if a 518" meter is required) ? 0
Other:
_ Water Softener _ Water Heater $ 15.00
_ new _ replacement
? lawn Irrigation _RPZ ?PVB $-new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
$
i nereDy appiy ror a rzesiaendai Plumbing Pertnit and adcnowledge that the infortnation is complete and accurate; that the
woric will be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but oniy an application for a permit, work is not to start Hrithout a permit and work wiil be in
acxordance with the approved plan in the event a plan i to 6e reviewed and.approve ..
?
ApplicanPs Printed Name ? ApplicaM's Signature
}' . I
!JV-
TRI' LAN D C O? CERTIFICATE OF SURVEY FOR:
SURVEYING
SERVICES
1875 PLAZAORIvE MILLER CONSTRUCTION
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION; LOT 8 ,BLOCK3 , LF-XINGTON POINTE 5th ApD.
IN
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
SCALE:I"=30' v? ?S
OR? ?
1? C ?N 9'9 ?,'22g ? _4s
N ?
7 ?
?b CP C4_
N? \\ G
VNO
LOT 9
Zaa? `?
5 9?St..9
0
?
LpT 7 Jrb LOT 8
cr
•? ? DRAINAGE B UTILITY EASEMENT
?'bS89°59'17"W K?) -"k??
By'?
I3ate
EAGAN EN
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I henby csrtity that this survey,plan or
r eport was preparsd by me or under my
direct supervision and that I am a duly
Reqi:tered Land Surv*yor unMr th•
Lawa of ths State of Minnesota.
DEPiC
PRoy oSED bPI.IT- ?hJTIZY" ' WALKoJY .
INVERT ELEVi4TION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = `t8l °
PROPOSED FIRST FLOOR ELEVATION = q&r 5
PROPOSED BASEMENT FLOOR ° 977 5
ELEVATION
NOTE * VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J
oate -
R e p. No. 15235
I
/
7a - 11.'F'
TRI_L'AND c'O? CERTIFICATE OF SURVEY FOR: •.<:'
SURi/EY'IbyG
SERVeCES
hi/? ? . ;
1875 PLAZA DRIVE ?
EAGAN, AAIPI1dESOTA 5512
-
LEGAL DESCRIPTlQN: LOT8 ,BLOCK3, LEXWGTOPI POItdYE S1h ipp.'
ACCORDING TO THE RECOROED PLAT
? ? . THEREOF AMQTA COUIVTYt MINNESOTA
? SGALE: I"=34'
j'AJN C9i/o B3 ?8'. SS
b
-? :
VkY ?/?
, Y? ? (S ^? .? (y/.
/
??.??
.? V
N "
o ,.
?
?r
?
.: , ?.
r
, .
V
1,
,o
7
v?2
tVe ,? ??
:
h T :.
/ `•(,X ?\ y
. ??
,. .
.
?1? .JU
za?
4
LoT 7
r) ,r
;.
.
,
.?
1
LOT 8
• 1 ? DRAINAGE 8 UTILITY EASEMENT
M 1n ,: :' .•; ?.^.
q91
LEGENQ,
o pEWpTES IRON MONUMEtdT
o DENOTES WOOD HUB SET
DENOTES EXISTING SP07
ELE VaT10P1
DENOTES PROPOSED SPOT
ELE VAT I ON
? DENOTES DRAIPIIAGE D?RECTIOM
i hsrek cortfty that this surewy, pion or
rmport woa proDored py ino or under mr
dirocf wp.rvisicn arb that 1 am a duly
R.Qistersa Land SurvOyor unft tM
Law: of iha Stofo of M(nnesota.
?
s.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4382 Livingston Dr
Lot: 8 Block: 3 Addition: Lexington Pointe 5th
PID:10- 45074- 080 -03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
PERMIT
City of Eaan
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
Permit expired without required inspections. 9/25/09 CE
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
$50.50
Owner:
Greg D Solie
4382 Livingston Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Mechanical
EA088810
04/21/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117864
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 4382 Livingston Dr
Lot:8 Block: 3 Addition: Lexington Pointe 5th
PID:10-45074-03-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Heather Connell
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Greg D Solie
4382 Livingston Dr
Eagan MN 55123
Connells Custom Exteriors Inc
1125 S Frontage Rd, Suite B
Hastings MN 55033
(651) 438-2973
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA127538
Date Issued:10/06/2014
Permit Category:ePermit
Site Address: 4382 Livingston Dr
Lot:8 Block: 3 Addition: Lexington Pointe 5th
PID:10-45074-03-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Deb Larson
8815 209th St
Lakeville, MN 55044
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Greg D Solie
4382 Livingston Dr
Eagan MN 55123
(651) 456-5387
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
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Use (1
i 4 i • „E AGA N_" rCEIV�•.D
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29 2018
MAR
Permit Fee: l "'
Date Received: J t/ it7
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(a�cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: ��' t -e- Phone:1 5156—J3g '7
Resident/ j` Q
Owner Address/City/Zip: 933 Lr v t1"c S "
Applicant is: Owner Contractor
'. : (
Type of Work ' Description of work: ,/` (I*(NI 6 1 CICai i � C�
—
Construction Cost: `e-) Multi-Family Building:(Yes /Nok)
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
tr4 License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
?D
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 public information. Portions of the information may be
I classified as non-.ublic if,ou •rovide s•ecific reasons that would •ermit the Cit to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Gree St ti
LA:1--'
Applicant Printed Name A Iicant9
's Sf nature
PP
4 .
DO NOT WRITE BELOW THIS LINE q-e-' L i v,i•A4,6 0A. Ag- • /t/'e='l
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family ✓7 Garage Porch(4-Season) Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
t. 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 z
Valuation ,36369..ad Occupancy A 6 -1-( MCES System
Plan Review Code Edition Q SAC Units
(25% 100% i ) Zoning 7.1-7 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings _ Length Fire Suppression Required
Type of Construction 1/73 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) j,0 Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: Footings _Air/Gas Tests Final
_p Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: _Stucco Lath _Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , BuildingInspector
JÔØ'? i27//6///4 p
RESIDENTIAL FEES ^i °X 2, 2( ® z qi. 59
Base Fee a/J
Surcharge
Plan Review 40 �,5, Ocj
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
7
;
TRI -LAND CO . ,
SURVEYINd CERTIFICATE OF SURVEY FOR:
SERVICES // /47gG"9--3
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1875 PLAZA DRIVE
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EAGAN, MINNESOTA 5512 4V3,s---z 2; v;ne, S7t),--) 2)2.. •,.'
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LEGAL DESCRIPTION: LOT AL,BLoCK_31_, LEXINGTON POINTE 5th ADD,
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ACCORDING TO THE RECORDED PLAT
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THEREOF DAKOTA COUNTY,MINNESOTA
N SCALE: 1"1430'.. ,
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DRAINAGE 11 UTILITY EASEMENT
60 S89•59117"W 133.56 940,
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LEGEND •:":.
INVERT ELEVATION AT SERVICE EXTENSIONs--.
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR .,. ,
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION .
4e. — DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
• ?" ,t
I hereby certify that this survey,plan or
report was prepared by me or under my ,:4
.
direct supervision and that I am a duly Bradley J. Swenson, Mn. Reg. No. 15235
. i Registered Land Surveyor under the
Laws of the State of Minnesota. Date:
-i
, -
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157445
Date Issued:08/20/2019
Permit Category:ePermit
Site Address: 4382 Livingston Dr
Lot:8 Block: 3 Addition: Lexington Pointe 5th
PID:10-45074-03-080
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 -
Greg D Solie
4382 Livingston Dr
Eagan MN 55123
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature