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4761 London LaneCITY OF EAGAN 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? . ' PHONE: 454-8100 BIt?LD1NG PERMIT Receipt# Tobeusedfor ;n-.: Est.Value -5. Date 19 SiteAddress ?+_/6i LnNtN)N LAr'P Lot 15 Block g Sec/Sub. BRI'iTANY" lOT'If Parcel No. s Name !.LiiYd ;tJP.,t.i.k S ASSOC:. lN:;. = Address %4530 °CNHOCK AVE. ? , .. City a -np?-:. YA LLK'*)hone ?-32-1737 , o Name `%AME ? i Address ? City . Phone uW W Nartie y ? g Addiess ? Q W City Phone I heieby acknowledge that 1 have read this application and state that the in(ormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee BuildingOfficial OFFICE USE ONLY A Building Permit is issued to: --.'?? ??. on Ihe express condilion that all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. On Site Sewage Occupancy MWCC System ? Zoning On Site Well _ (Actuaq Const City Water X (Allowable) PRV Required Z: # of Stories Booster Pump Length Depth S.F. Total footprint S.F. APPROVALS Engr./Assess. _ Planner _ Council _ BIdg.Off. _ Variance _ FEES Permit Surcharge Plan Review snC, cty SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL R-3/M-1 y_q )2 55 5 8?8.00 . S2.50 414.00 1`J(1.il0 ' 573.00 ? ? 530.00 90100 ? 7? 4. (Ml aza.00 s:.ao ' 3.311 SQ . CASH RECEIPT ? ? .' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ' i onre NECEIV?EO . I I ? Y , 1 I AMOUNT $ ? 8 DOLLARS ?m ? CASH V CHECK Fan 1 r I l BY While--PayersCWY Vellow-Poseng Copy Pink-File Copy Thank You lr-- SEWER & WATER CITY OF EAGAN 3830 Pilot Knob Rd. i P.O. Box 21199 Eagan, MN 55121 PERMIT OFFICE USE ONLY PERMIT DATE I WATER PERMIT #%'? -i SEWER PERMIT # METER # 'J ? B.P. RECEIPT # `1 n' ? ` k J READER # Li S B.P. RECEIPT DATE METER SIZE fullf ISSUE DATE yINI= X PRV - BOOSTER PUMP SITEA?DDF?iESS ? , ( `- e h"0:'? L?e LOT1?tsLOCK SEC/SUB APPLICANT: ? ?;? ?1 ? ? ? ? • ? ADDRESS: CITY, STATE • v? ZIP PHONE: ? - 3 PLUMBE ADDRES CITY, ST PHONE: PERMIT REOUESTED ? SEWER - WATER _ TAPS - COMM/IND RESIDENTIAL ? NEW - EXISTING I AGREE TO COMPLY WITH CITY OF E{,GAN ORDINANCES: I OWNER: j ADDRESS: SIGNATURE WHEN .TER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STO SEWER PERMITS, CONTACT 'I ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF E/AGqW,, 3830 Pjlot I:ntSb Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS 'u'I/ , ._ L0T ?= BLOCK ;SEC/S ?. ? APPLIGANT: - t ADDRESS: CITY, STATE PHONE: , PLUMBER: . . / ? ? I ADDRESS: ' CITY, STATE PHONE: ';`;)`4 _ ? OWNER: ' ADDRESS: CITY, STATE OFFICE USE ONLY PERMIT DATE WATER PERMIT # + - SEWER PERMIT # METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE - PRV - 800STER PUMP ? PERMIT REQUESTED IT ? - SEWER - WATER - TAPS - COMM/IND `- RESIDENTIAL Zip S.S! ? h> NEW _ EXISTING I AGREE TO COMPLY WITH CITY OF ? WAN ORDINANCES: ? .; 5 SIGNATURE WHEN METER ISSUED PERMITS, CONTACT w , Permit No. Permit Holdar Bate Telephone # Plumbing ?' ?<J'` ?^ •;?? l??n ? % ????? H.V.AC. "el /'/.???G Electric )A/C1/y /a? - Saftener Inspection Date Insp. Comments Footings I a ,7,B Footings II Foundation Framing Roofing RoughPibg. cr -?? Rough Htg. ,((, ,• Isul. ? <. Fireplace Final Htg. Final Pibg. /y-e? Bldg. Final cgrc occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. 9cse?? - __ _I ? ...-? (grr#i#irate of (Orrupaury Citp of (eagan De.parhnrttf uf luilbircg Insvrrtiun This Certif cate issued pursuant to the requirements of Section 306 of the Unrform Building Code cenifying that at the time of issuance tAis struc[ure was in compliance with the various ordinances of the Ciry regu(ating building construcrion or use. For the following.• UseCiassifintion SF UX/GWlu BWg.Rrmit No. 1?15 ???P?Y?'Pe ?/1?1 I ZoninBDLUOcI PD/Rl 7ypeCons[. VN OwneroCBulding UAffD WELLE &ASSM. naa? 14530 PIIrNocY, AvE., AX. ewia+ng naaress 4761 jaQV IANE "lgy T.15, Rt, TiRTTTANY I(tna Da,e: DFfFMBER 4, 1989 , euiwiWg Officiar?17 POST IN A CONSPICUOUS PLACE , I PERMIT # _ . MECHANICAL PERMIT RECEIPT q _ ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: NTRACT PRICE: ,. , PHONE: 454-8100 For Office Use Site Block Sec/Sub ? Name m Address c City Phone L Name c Address p City Phone ' TYPE OF WOfiK Forced Air M BTU Boiler M BTU eat er M BTU nd. R M BTU $ n CFM Gas Piping Outlets # R -"` Other $ ? FEE: S/C: TOTAL• U BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDtTIONAI 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - t PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES L BEYOND $1,000) SIGNATURE OF PERMITTEE FOR. CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 SiteAddress U7& 1 La lot 'B)gck ?,' lbi Sec/Sub y Name ? Address " c ... ?a?. < Phone fT City ij , ? Name c Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 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 BEYOND $1,000.00) ,- i/ / , .... . ' # ! PERMIT N RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ / ! Bath Tubs - $3.00 3 ? - J?Lavatory - $300 ! Shower - $100 ? Ki!chen Sink - $3.00 3-> ? -Urinal/Bidet - $3.00 ! Laundry Tray - $3.00 ! Floor Drains - $t50 ! Water Healer - $1.50 • Z- 4 _Whirlpool - $3,00 -L_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn -Softener - $5.00 -Well - $10.00 _Private Disp. - $10.00 Rough Openings - $1.50 SIPi AT E F PE IT'[tE' -/ FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: • . CITY OF EAGAN 16015 - ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?T 1? O PHON E: 454-8100 BUILDING PERMIT Receipt# q O?JCJ? To be used tor SF DWG/GAR Est. Value $165,000 Date JANUARY 6 ,19 89 Site Address 4761 LONDON LANE Lot 15 Block 1 Sec/Sub. BRITTANY lOTH Parcel No. OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _x Zoning On 5ite Well (Actual) Const a Name LLOYD HJELLE & ASSOC. INC. Cirywater W „ PRV Required = Address 14530 PENNO.,K AVE. o Booster Pump City APPLE VALLEYPhone 432-1737 a o Name SAME ? ` Address ? City Phone Name City I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable Slate of Minnesota Statutes and City ot Eagan Ordinan?ces. Signature of Permittee A Building Permit is issued ta_I,Lp}[D_-F]J$I,I,F,-_g_A ^ . ? on Ihe express conditi that all work $hall be done in accoroanc(3?Se with: applicable Stale of M nr esota Statu,t?s and City of Eagan Ordinances. x (Allowable) -xL # of Stories Length Depth S.F. Total Footprint S.F. R-3/M-1 PD/R-1 V-N V-N 72 55 APPROVALS FEES Engr./Assess. Permit $ $68.00 Pianner Surcharge 82.50 Council Plan Review 434.00 BIdg.Off. SAC.City 100.00 Variance SAC, MWCC 575.00 Water Conn. 550.00 Water Meter 90.00 RoadUnit 325..00 Treatment P1 --22B-G0 -parusOther 51 -M TOTAL $3,303.50 1F-4 BLDG. PERMIT NO. IS (,-0 -f' I 5 ?S 1 (>&21 01-3210 Bidq. Permit 01-3422 ? 01-3445 01-3446 J 01-2155 75-3860 ? 20-2275 ? 20-3865 p ? 2o-sssa 20-3716 ? 20-2252 ? 20-3713 C-' ?- 20-3743 79-3866 28-3855 Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL L .? I bq ! ? Cb ? 5 ?5 i 3D5 00 cOC? a5 55 a a R o0 ?v Request Date '? / Fre No. R h-in Inspection ir es ? No ? Ready Now ill Notify InspecWr When Ready9 I icensed contractor ? owner, hereby request inspection of above electrical work at: Joh Address (Street, Box r Route No.) Ciy Secti n No. ow hip Narne or No. Range No. Counry Occupflnt (PRI T) . Ptqne No. Power 5 p Address . ? EI rical Contractor (COmpany Name) v- 17 Contractork License No. ? Mai i g Address ( onlreclor or Owner. Makirg Installation) • ?. \ ` ' r ?d ? AutMnzed Si nat (Contr wner I I tion) Phone Number MINNESOTA STATE BOA OF ELECTRICITY THIS INSPEG710N REQUEST WILL NOT Griggs-Midwey Bldg. oom 5-773 BE ACCEPTED BYTHE STATE BOARD 1821 UnNereity Ave., St. Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS Phone (872) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL WSPECTION es-ooom-m lo. See instructions for Compleling Mis brm on back ot yellow copy. y'Q ?(pO E 74?916 X" Below Work Covered by This Request ew d Rep. Typeof6uilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Fartn ' Air Conditioner Olher (specify) ConiraMOrS Remark5: Compute InspecTion Fee Below: # Other Fee # Service Entrance Size Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Q7 Transfortners ? Above 200 _ Amps Above 100 Amps Signs inspectorg Use Only: OTAL S? Irtigation Booms 10 ??? ` Special Inspection Alarm/Communication Other Fee C I, the Electrical Inspector, hereby Rougn-in • ce ?! '1 certify that the above inspection has been made. Flnal Da r? OFFICE USE ONLY This request void 18 moMhs from ,. ,1 T , . 7 4 915 flequest Dete Fire No. Ro h-in Inspection R d? ? Reatl NOw Zelill NMif Ins ector Q? ?e es ? No y y p When Ready? I icensed contractor ? owner hereby request inspection of above electrical work at: Job Adtlress (Street, Boz or Roula oJ City Section No. Townshi ama or No. Range No. Counry Occupant (PRINn aLd& 9- ddda'-ca&,t,) Phorre No. 3 Power plier Atldress Electrical ConVactOr (COmpany Name) ConVador§ Lic ensa No. 0,,-- n Mailing Address ( nhactor or Owner Making Instellation) 3 ? ihorized Si (Cq r ner Ming Ins i n) Phone Number MINNESOTA STA7E BOARD F ELECTRICRV Grigga-Mitlway Bldg. - Room S173 1821 UnNersNy Ave., St. Paul, MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BYTHE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION ?-« ea-00001-07 / ? See instmctions tor completing this form on back ol yellow copy. SQ? ?Q 74915 'X' Below Work Covered by This Request e Add Rep. Type of Building AppliancesWired EquipmentWired Home Range emporary Service Duplex Water Heater Electric Heating Apt. euilding Dryer Other (Specify) Comm./Industrial Furnace Farm ? Air Conditioner O[her (specify) Con[rador's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CirouiGSlFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS lnspector5 Use Only: ? OTAL ?ry? - Irrigation Booms G ,. ! Special Inspection Alazm/COmmunication Other Fee I, the Electrical Inspector, hereby certify that the a6ove inspection has been made. Rough-in Final ? 47 oate oat ?. , OFFICE USE ONLY i This request vaid 18 moMhs irom ?-l ? / 14 _ 2007 RESIDENTIAL PLUMBING PERnniT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please com lete for modifications to existin residential dwellin s. ? ?.,60 Date ? _ ! o 1 (2 / 4 ?0? Site Street Address / ? / (.. v L 2 Unit # Property Owner Telephone # ( ) Contractor o-e Telephone # Address A to V''D'' S? City 410/0VVr' State ?N Zip ME The Applicant is: _ Owner & Occupant '26 Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . 0A1 141` a' `r Irvi` hNov"? Alt ti ti t i ll d 4 $ 50 00 era ons o ex s ng we - ing tm . _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. lf you are insfalling onlv a wafer softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment ? U _Water Turnaround (add $136.00 if a 5/8" meter is required) APR 0 3 2007 Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 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 accordanc e,with the approved plan in the event a plan is required to revie ed and approved. c?U?. &9'` ApplicanYs Printed Name Appli anYs Signature -----------------, i ?k0?1?se i ? .? I Permit Fee: I ? I ? Date Received: I j Staff: ? I - ----------------? 200$ RESIDENTIAL BUILDING PERMIT APPLICATION ??? o ? Oate• ?`? SIYe Address; Tenant: Sulte #• Ph : RESIDENT/OWNER one Name: Address 1 City 1 Zip: Applicarn is: _ Owner ?ontractor f V ? L ?- 2 TYPE OF WORK Descripuon of work: 1 q Z miIv B Iding: (Yes _ J No? Multi- Fa Construction Cost a? CONTRACTOR Name: ? Address: VJ Vt State: nii Zip: ? i ty: C lvlU? P n qZll t ? ??j^ ? ? erso : act -- n Phone: 1, -- ?iJ? COMPLETE THIS AREA ONLY IF COPISTRUCTING A NEW BUILDING Minnesota Rules 7670 Gateaorv 1 Minnesota Rules 7672 Energy Code • Residerrtial VeMilation Category 1 Worksheet • New Energy Code Worksheet (;8tegpry submitted submitted (4 submission type) • Energy Ernelope Calculations Subnitted In ffie last 12 moMhs, has the City of Eagan Issued a permit for a simller plan based on a master plan? Yas _No If yss, da+.a ar.d addrsss cf rn=tar plan: Licensed Plumber• Phone• Mechanical CoMractor: Phone: Sewer & Weter Contractor: Phone: . ` ` 0 ?'b?1?`'?titt?r`rr?t?iX?iA: A'' 90s PlB fl?elZd???7!1?1 at?/mB??t?bi1?Y? ??1?+: ? ? .? (4 r ? tfr? f?r?plm?t7?n rria??!? c/as.si?`iea? as n01e?!l,r? fl`'?,tIliow" #I?N?D?d per?r)?? ? ? • ? i I hereby aclmowledge that this information is complete and accurate; that the rrork will be in confortnance with the ordinances aaKi coaes oi tne Urty or Eagan; that`I Understand this is not a pertnit, but only an applicaUOn for a permit, and work is not to.start without a rtnit; that the work will be in accordance with the roved plan m the case of work which requires a review arxi approval o ans ., _ . _. ? ? _:•.? x PllcanYs?? Pdnted.Name APplicanYs Signature ?? 13 Ap J LrJ ?'? N7 MAY 0 2 2008 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-57.5-5694 ? New Construction Requirements RemodellRe pair Requirements Ofttce U5B C3t2 lY 3 registered site surveys showing sq. fl of lol, sq ft of house; and all roofed areas 2 copies of plan Gert cxf Surrey Reed _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres P18n ftecd, YN; 2 copies of plan showing beam & window sizes; poured found desigq etc 1 site survey for additions & decks Tree pras Requieo Y N 1 set of Energy Calculations Addition - indicate rf on-site septic system OrFSite $eptic System Y_ N 3 copies of Tree Preservation Plan if lot platled aHer 711/93 Rim Joist Detail Options selection sheel (buildfngs with 3 or less units) Date 3 ? I v SiteAddress /? S Construction Cost Unit/Ste # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone Contractor Address /BPi /.?rit? State ?/V tQ?'i?n,?G?4- .i SH? ?L //0 Zip S?U7? City ? - 51' ?G?•?; ? Telephone #(?h COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catesorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # f I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ardinances and cades of the City of Eagan and the State of MN Statutes; 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 whic?tr(i I? ?anz approval of plans. ?•) L? l??L ?? ? ; w? n.R t. 4 2005 ??d/L Sc1,4 /lcr2 A? ?Ii, Applicant's Printed Name Applicant's Signature ! " f -x fLk ' OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ?O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work TYPeS , P ? )7- 0 j'? ? 31 New 0 35 Int Improvement ?, 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories `Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Canst ? Width REQUIRED INSPECTIONS FooUngs(new bldg) FinaUC.O. ?Q Foodngs (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Bri ck _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ _ Retaining Wall Approved By: , Building Inspector ------- Base Fee ----------------------------- - -------------- ------- Surcharge Plan Review MC/ES SAC City SAG Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other , . . - ? . Total -- Glo yd N? e/% H?Es 1?4?1$? . c?r?sv?,rn?u ?Nc? IIf411S ? /9g9.oi JE1'lI1NNEiIS nnd ?n?iu ?uuvEVOns CornplmM, INC. ? .1000 EA9T I46111 SifiEE7, BUIINSVILLE, MINUESUTA 65397 PII 432'3000 Cerfiif6cafic of Survey Legal Desci'ipt1011: LOT 15.? BLOC1? !3RlT74-VY iOTH ,AUD/T/ON, O4K074 Cov/V7Y1 Min/N?50711 (94q.? ) DENOTES EXISTING ELEVATION (9S-0.5 ? UENOTES PROPOSEU ELEVATION -w INDICATES DIRECTION OF SURFACE DRAINAGE 950.8? = FINISHED GARAGE FLDOR ELEVATION - .? EAGAN WED By / i 7 / ? 0 UfzA/NA 6 E AND 5C<Il? ' /'= 30 + ?, UT/LlTY ?SENItNT h / ? \ aDc ? / y ? ?A6 ° ?-? nIi . 5 65 IZ ?5 ?, o, \ ? `°I• '1• 6 ? N f ?6 y-? p po i,dq? °° ? \a p Qpy6 Pr Y L „ Q?o?SE "' ?,y •--.,.?..e__._._,.....?,. . \ ?i ? ?oQ v%\°°p'=? /? u? Ddte .? ? NS ?.? GFiN ENGIIvE?,RIN6<_? ? ? ? ? P¢pP' o `ay ' ?qb97 ZZ 5 30' F2oN7- BU1L011v16 y Si.. .w7G ._ L...?..r . I lq?? 1? ??j1b\ PAN, • `???IFIED lkyj*/ 1 tivaby oertify 1liatihls le a true end oorreut representntfon vi n lroct uf lnnd us shown and descilbed herenr .,d As prepnrod by ma un ihls 3 day of ?1'4!`?UARY RFViSEU //,ff8g G144N6E nr f.:LE,= ' ?60$5 r IAlnn. Rey.Ho. 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pcrmits are required for each unit Date R, Site Address 0 6 / L°,Pocoy CiJ Unit # Property Owner 60gm0,j TF L FE A T elephone #( ) Contractor MA-j"Utftk) 1)44Jtfl.S „?WC- StreetAddress /,4?230 (?WClit,54.L W, ? City ?.?V'touaJ? State ?rJ Zip to ? Telephone #( 4V) 7 Z 3 - 3730 Bond #: Egpires: The Applicant is _ Owner 41, Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger airconditioner _New _Replacement ? other State Surcharge $ .50 Total JUN 0 8 2004 $ I hereby apply far a Residential Mechanical Pernut and acknowledge that the info ?Brn?naa?s?ofiipieT?'?ate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the chanical Codes; that I understand this is not a pernut, but only an application for a pernut, and work is not to start without a pe ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. '/QIL?21 ? C?ry j},rJC?? Applicant's Printed Name Appli ant's ignature (o ??XZ 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. ? s UJ Date4?! 3 / D+f- Site Street Address '416 l d??,i„???nt Unit # Property Owner Telephone #(&5-11 9d5- O=G3 Contractor A 1-4 k 7') &A -g', o j ?Jk o . Telephone # ( /o,5-7) 4,143 - 39'l3D Address /5a31) e kl?,o uv,a G )liq City ,? No rr .a „ 1 Statewz) Zip 'Azzla! The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling ?Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water ::tener WaterHeater _ ement _ additional $ 15.00 _ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 St2te Surchargs $ .50 Total $ SO-6D 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. ApplicanYs Printed Name Applican s Signature 50 q? 4- ,_1? . RESIDENTIAL 67 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT ICNOB kD, EAGAN MN 55722 851-881-4875 New Conetructbn ReaulremeMs • 3 registered sRe surveys &howing sq. tt. oi lot, sq. ft of house; and all roofed areas (20% maximum bt coverage albwad) • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 set of Energy Cabulatbns • 3 copies of Tree Preservation Plan tl lot platted atter 7H/99 • Rim Joist Detail Opfbns 5election sheet (bldgs wrth 3 or less untts) DATE ?/ ! ?/ 1OO SITE ADC TYPE OF APPLICANT STREET ADDRESS V02 61?Co nd ?i ?'- TELEPHONE #t 7I`1)30 - 36 CELL PHONE # AULTI-FAMILY BLDG _ Y ?N FIREPLACE(S) _ 0 _ 1 _ 2 'fI 4 Gv\ STATE?ZIP &I FAx #?) 0 PROPERTY OWNER ?- v r ?5 / [?r1 ?`? ( ?Y'P? TELEPHONE # Akt_ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 D 0 submission type) . Residential Ventilation Category 1 Worksheet Submitted • • Energy Envelope Calculations Submitted I?o?h?t LI MAY 2 0 2002 Plumbing Conhactor: ___ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Confractor: Air Conditioning Heat Recovery System 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 appiicable State of Minnesota Stptutes and City of Eagan Ordinances. Signature of Applicanf 4? 4?? OFFICE USE ONLY Water Softener Water Heater No. of Baths Phone # _ Lawn Sprinkler No. of R.I. Baths RemodeUReoah ReaufremeMs • 2 copies of plan . 1 set ot Energy Calculatbns for heated addilions • 1 site survey for exteAoraddllions 8 decks . Indiqte ii home served by septic syslem for additions VALUATION 51?6 D o/ • v n Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 DOUGLAS W. FENSTERMAKER AUG 4761 London Lane . ; Eagan, MDT 55122 651-683-9466 doug_fenstermaker @stockamp.com August 29, 2000 Ms. Pat Awada Mayor City of Eagan 383 Pilot Knob Road Eagan, MN 55122 Dear Ms. Mayor: I read the recent article in the August 26`h issue of Thisweek entided: "Eagan continues to abstain from the Met Council program". I wanted to add my support for you and the other members af the City Council that continue to have the courage to oppose the `bribery, extortion and interference tactics" used by the Met Council to gain amtrol over local affairs. Taking a nickel of their money will lead to loss of local control over land use planning issues. You, as an elected official, have every right to prevent appointees af the governar and other bureaucraRS form usurpiug amtrol over those areas for which your citizens believe you were elected to be responsible and accountable. Regional contrNs over tand use will victimize cities and the"u citizens. If I have a problem or complaint, I can take it to you or the rest of the Council as the most local and direct form of government You then have to decide and balance the best interests of the community and your own political career. This is a good system, in my view. Doing what Minueapolis or St. Paul wants dane inside the Eagvi cowmunity removes local control and accountability. I support your position and encourage you and the rest of the City Council to "stand a(one and stand firm" in this matter and stay away form the lure of money from the Met Camcil who wish to manage land use on your behalf. I am sure they think they can do it Uetter tlian Pagan's elected officials. I believe most of your locai constituents are with you on this one. ? I?-?`rely Doug Fe termaker ?• 1989 BUILDING PEBkIT APPLIC6TION - CITY OF EAGAN ' SINGLE FAMILY DWELLINGS l? / INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS NOTEs ADDAESSES FOH CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRFSS I5 DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT I3 I330ED. MULTIPLE DWELLINGS RENT9L UNITS FOR 3ALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT.9 1 SET OF ENERGY CALCULATIONS COMIl+IERCIAL INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 5ET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 165 OOD' JAN 4'1? To Be IIsed For:SiNLGC,hMI??/ ???q'?Valuation: i Date: Site 9ddress 4-1 ?1 OFFICE USE ONLY Lot 15 Bloek I Occupancy 9"'3 M° ) FFsS3 Pareel/Sub h'1hITTANy IbTH AAvi'r/as Owner LLO`/-D j4?6LLt=. 'g ASSbG INC, Address 1 U 53p ELK NOG UE . City/Zip Code APPLE VA LLCY 55 i24 Phone 14 3 Z- I rI J? (z-R'XkCjE> Contraetor S 1`?? Address City/Zip Code / Phone 9reh./Engr. Address City/Zip Code Phone # Zoning L) Actual Const Allowable V -N # of stories Length '7l'- 0" nepth S.F. Total Footprint S.F. On site sewage_ Qn site well MWCC System ?/ City water ?J PRV required ? Booster Pump ` APPROVgLS Planner Couneil Bldg. Off. 1 L11$ Variance Couneil Bldg. Permit g?v•?? Surcharge Z? Plan Review q344, OD SAC, City / D OO SAC, MWCC ~J5 5,? Water Conn, Water Meter 901co. Acet. Deposit 10,o S/W Permit 10, ?v S/W Surcharge /,[D Treatment Pl. 7?210 Road Unit 325,-co Park Ded. Copies TOT9L Cf NOTE: Sewer & Water Permit fees and aecount deposit fees will be included in the building permit fee. Proeessing time for sewer and vater permits is tvo days once a licensed plamber has applied for a permit at City Hall. VALu?ATIO0 ??5c31 = 182x 14= `7514 8 11°!(. ?07? I? ? 1yc? UX?m ?X1= ?.? I`f Y? ° gc? lu?y x i3- I s-T cj-,? ?G-M-F- ) y 9 y 12xib= /2? .?.--- 16,ly xU9= r?to86 Zz? 14 ??Z ?3/?1 ?2ycZ=2.? I I 55XLI O?= 56s(??? ?(gqGS ( 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS ? CONAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: r ? Valuation: Site Address Lot 15 Block ? Parcel/Sub ?,TJ?y lnt? ,???. Owner Address City/Zip Code 'bRe, Phone 4c5,z - f = Contractor C?j Address City/Zip Code Phone Arch./'Engr. Addres City/Z Phone Date: OFFICE USE ONLY On site sewage , Occupancy MWCC system _ Zoning On site well Actual Const City water _ Allowable PRV required # of stories Hooster Pump , ? Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit Planner Surcharge Couneil Plan Review Bldg. Off. SAC, City Varianee SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL P--",? - ?.._... ._..? ' • OWNER - SITE ADDRESS CDNTRACTOR UATE PHDNE. __.432.- 1IVI •- Determine working square footage of each. _;jL ? '?•5 1. Total exposed wall area ...... 33?-"7s? sq. ft. x Z 2. Total roafJceiling area ...... L"12?8 5q• ft.,x oZb ._ ° ?.'fotal exposed wall area, above fioor = Z9K9, a. Total wall window area ...............:..:........ b. Total door area ................................. S?,S c. 7ota1 sliding glass door area .....1??Wt??r?:s.-•-• •? d: Total firepTace wa11 area ................. ::..... Z9Q y e. Total wall framing area (average lOA)...:........ 7?? S'• f. Total riet wall area above flaor ................. g. 7ota1 rim joist area .:........................... _ 3Q6 .aq _ Total exposed foundation area = I?'1,Zg h. Total foundation window area..................... .. 12' i. Taal net foundation area above arade ............. I7-'7.2K Detera?ine "U" value af ea=n wal] s?e:?ant. a. V 19. 3 ? ? •?- _ b. S?. S X „U„ - c. ? AS X d. - X „Uii ' e._ Z9a'? X . 10 = ?--- . f. Z32S?8 X °uII , aq3 = 140 . 9. 3os. 9y x °u" LZ, ZA_ . n. ?o x ^uM ;. IZ17 ,zY x °u" .. ?-r 1 9 I t i T ° 3 . .............. ............._. .... ? . a o , - If item A3 is the same as, or les s th an item =21, you have m°_t the intent of 53C 0-005(c)2. EXTERIOR ENYELOPE AVERAGE "U" . 1 _. . e . :?. . . .? ? . .. . . . • ' ' . . - . _ '_ ' . . , ? ? , -?- . ? ,? .; , • - . . . . ?'?? ? ? ? ?, .'': ?. • ' . ; ?,: `,. :?'. ..',. , _ ?. - ; ..,.? - . . . ,. ? ? ? • Total exposed roof/ceiSing area =' 1'l Sv Total gross roof/ceiiing area , ........................ Total skylight area "- .. k. Tatal roaf/ceiling framing area .........,.. ?ri8•8 . 1. Tatai net insulated roof/ceiling area....... I(ma9? Z Determine "U° value for each roof/ceiling segment. . : . ... . • . _.. _. •. __.. . ? 11Y L • 11N • A k. X nU't 024' ? Z 71A LN°`°' ''Z'3t.1147301 OVf.b. • . ' .. . . \1?,5 . • 1•. I?? IZ n„U" .l??i _a •; 2, IS R`Sa (t'e 3.1? , .. , 4 ......................... T0tal 9 .. . . . / .. . ? If total of A is the same as, or less than f2, yoo'have met the intent of SBC G006(c}I.. . - . • . ' , ? Ta uti7tzed the total enveTope system method, the values.established by the sum of items 03 and #4 sha17 not be greater than tfie sum of itens 11 and #2. t 2. 3. ? + 4- _ MA.2ERIALS Therrn. Besistance "R" Exterior Air Siding Material _'(Ps?Iw ",%to $heathiTig 2. °v Iasulation 5heetroc.k - .95 .li, Interirne Air .17 Studa I PtA i" RSm t , 5 ,• . " CoriC. $].kg. I, 28 +?t : 13Z! , . . . . . . .. , .. • ' . :' ' . . _ . . • . . ' . ?•. :. ;3.. ? c -- --.... + - I tr• " . . . ... ... ?.? . ... . ., _ _ . . .. _ . ... . .. ? f Crv is??.- , ..L ??14"?"n'Tw""? ! ?• L _ • N? e/% fN?s fl0t3E (Q;uii i?Eis p ?d`??iiiiu"`3un?g`?9•oi EfV GI?VEE(iING COM(?f?N4', tNC. No IOOU EAS T 146111 S7flEET, BUIINSYILLE, MIIiIIESUTA 65397 pll 432'3000 Certificafic of Survey Legal Descriptiorl: LoT is, Bc.ocr< ER/ T71q ,1lY DAKoTfJ CDUN7Y, M//l/NESoT•4 5 c<Ia . /" = 30 , 210 - 5 650 ?Z.i)e ?q?A.bl ?-- Li`?EV?E'OW By s . ?... \ Date 1-s-e?E3 s ? ?, f o l Z1-iGAM ENGIRTE.ERIN?<_N?? i \ ?s-• , l1 30' F?eoNT 601L..O/N6 S? .TQ4G.? L ? ? ? % y' 'I ,% 5b 9qb 4 1 hsreby nartlfy Ihut lhls 1s s 1? and ovrreut representetlvn nl o lrao-t of lond as shnwn ond desailbed herenn As prepered by ms on ihl• 3 d6y nf _ ilAnivARY ? 19 89, REVISEU I14189 GI*7N6L? or- 6tE'i fnlnti. Rey.llo. /6085 foTN ADD/T/ON, ?949.2 ) DENOTES EXISTING ELEVATION (95'0.5 ? DENOTES PROPOSED ELEVATION r- INDICATES DIRECTION OF SURFACE DRAINAGE 950, 83 - FINISHED GARAGE FLOOR ELEVATION 01 l4kh o? , , 0 DRA/NA6E AND UT/L17Y EA9EM6A17- . h kp'h, n?y \ s/? ? ol 6 qb?.0 00 \ 1?? ? \ v %) L ?5 - rp `? ? •?p 0 ?- ? lt? 19 . ?8e . ^ \ \\ ??oo?qROa ? \ kl 6'• ?a . ? wo? / ? E ? \° ? 3 ar? , 2h ip E ' N\I ? Pc? e3 ° a 6 p?' ? ? 5`q5o g3? o ? 5 ?o . a^1 , `` . ??1 CITY USE ONLY L ? BL / RECEIPT #: 4?10?505 SUBD. (/V3 DATE:OrO 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PiLOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH N-0, TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 ;c - Hot Tub/Spa 3.00 ;c = Water Heater 3.00 :c = Fioor Drain 3.00 :c = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 :c = Water Softener 5.00 x Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 = Afterations " to existing 20.00 = Water Tum Around 20.00 STATE SURCHARGE ?a.'TAE. ? FENSTERMU1KER DOUG 4761 LON[lON LANE SITE ADDRESS: EacnN , MN ssizz H 683-9466 w OWNER NAME: INSTALLI STREET CITY: .50 $6'so PHONE #: ( ) 1141 STATE: ZIP: OFFICE USE ONLY L BL SUBD. RECEIPT #: DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUndustrial buildings. ? multi-family buildings when separate permits are W required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUL'TION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YE5 _ N0. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of 2oniiii fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: .? ZIP: ? PHONE #: ? N APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: ?-7 o??- zoo7RESIDENTIAL BUILDING rERMiT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsVuction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roof0d areas (20°k maximum lot coverage allowed) i Soils Report if proposed building is to be placed on disNrbed sal 2 copies o( plan showing beam 8 window sizes; poured found design, elc. 1 set of Energy Calcula6ons 3 copies of Tree Preserva6on Plan if lot platted after 711/93 Rim Joist Detail Options seletfion sheet (buildings with 3 or less units) Minnegasco mechanical venfilalion form RemodeURepair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated addifions 1 sile survey for addi6ons 8 decks Addifion - indicate i(on-sife sepG'c system Office Use OnN Ced of Survey: Recd _ Y _ N Soils Repor[ _ Y _ N Tree Pres Plan Recd _ Y _,N. Tree Pres Required Y N On-sileSepficSystem _Y _N Plat1C afP_ f'Cft7Sl('iP_CP('i ClllhiIC IIIfACftlatlotl 1117lESS VOLI Stat@ th@V ar@ tr1de S@Cf$t 811d th@ 1'@8SOI1. ? Date 0'S Construction Cost Site Address -{ 71v1 I.ProbP9-4 •4*"jri Unit/Ste # Description of Work az, y???? ? 4nt ?r*44?s Multi-Family Bidg _ Y?N , Fireplace(s) _ 0 2 PropertyOwner 1,2 ? Q f7ew &-+By 7,'-uAr,0-- Tclephone#(?j?71) ?Ots?S?ilo Contractor 7 Address ?(r6 &A%K4r,? ? CitY ? State J?N Zip Telephone #&Z.)` gr0 "VY" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • 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 D`? _ Y _ N IF yes, date and address of master plan: ? d ` ZffP Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the inTormation is compiete ana accuraie; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 ork which requires a review and approval of plans. _ Ap i acl nt's Pr' ted Name ' anY ignature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg )d 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Wo rk Tvqes (? ?°im otio 61, IS 4-7'k ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair '?f 3? Alteretion ,. ? 37s=?, y Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement w `Demolition (Entire Bldg) - Give PCA handout to applicant D2SCript100: Water Damage `Yes Valuation d? 0 Occupancy Plan Review V 100% or _ 0 25% Census Code ? Zoning SAC Units Stories # of Units Sq. Ft. # of Bidgs Length Type of Const V Width _ Footings (new bidg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final X Framing ? Fireplace _ R.I. _ Air Test _ Final ? Insulation ? MCES System City Water Booster Pump • . pRV Fire Sprinklered REQUIRED INSPECTIONS _ Sheetrock FinallC.O. ? FinaUNo C.O. .?, HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Srick _ Windows _ Retaining Wall Approved By: Y , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total L-U Sj?? PERMIT City of Eagan Permit Type:Building Permit Number:EA110024 Date Issued:04/18/2013 Permit Category:ePermit Site Address: 4761 London Lane Lot:15 Block: 1 Addition: Brittany 10th PID:10-15009-01-150 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 . Jocina Hammer 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 - Scott Vergin 4761 London Lane Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA123055 Date Issued:05/28/2014 Permit Category:ePermit Site Address: 4761 London Lane Lot:15 Block: 1 Addition: Brittany 10th PID:10-15009-01-150 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. Thomas Joshua Peine 780 Iglehart Ave St. Paul, MN 55104 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 - Scott Vergin 4761 London Lane Eagan MN 55122 Urban Pine Plumbing & Mechanical 780 Igelhart Ave St Paul MN 55104 (651) 888-2275 Applicant/Permitee: Signature Issued By: Signature