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4772 London LaneCITY OF EAGAN = ? ?'" ? •" ; , .. -. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt# ' Tobeusedfor `} :'?',QGtii: Est.Value $143,Uu0 Date mAx 4 Site Address 4772 L(!r:Ul+lV LN Lot - 4 Block 1 Sec/Sub. H'' 1+1UY 10'1'N Parcel No. a NBme 1Ll1.LxPSV'1 til.yill. lliC = Address 12611 F'A?itCkf'.N nvE o Cyty APPLE YALLE`Phone 431-1100 uQlName S? I o ? Address ? City Phone VW W ?y Name H= _ F, Address Q W City . Phone I hereby acknolvledge that I have read this application and state that the informa[ion is correct and agree to comply with all applicable State of Mrnnesota Statutes and City of Eagan Ordinances. Signature ot Permittee - A-Suilding Permit is issued'to: ?`??•i'?t -.*? : ? ?SLC+ii:, ? I?.C orTthe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY OnSiteSewage _ Occupancy A°3 H-1 MWCC Syatem Zoning R-3 On Site Well (Actuai) Const V-'K Ciry Water ^ (Allowable) Y"y PRV Required X # of Stories Booster Pump _ Length Depth 421 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 714•00 Planner Surcharge 71.50 Council Plan Review 3 57 •(X) BIdg.Off. SAC,City 100.00 00 '50 Variance SAC,MWCC • water Conn. `? 5? • ? WaterMeter 67•00 - RoadUnit 323•W 204.00 Treatment P1 Parks :.,03.:;. 50 TOTAL T....? ?.._.._.-...,....?., BLDG. PERMIT N0. `t? , ._ _c.-i • - Y '-V I_..?I ' . 't ?. ? j? r"' i ? c?r' ?- -?--j -1a 01-3210 Bldg. Permi 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 1?7r3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. ??3?-3855 Park Ded. TOTAL IU4h CASH RECEIPT CITY OF EAGAN ' l ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE flECE?NED ? AMOUNT $ .? .? & OOLLARS im ? CASH CI CHECK . ? ..,, . . . ? . _ . ? FUND OBJECT AMOUNT . I I I Thank You 0 . k N tA? BY Whdc PayarsCopy . ?.•. '' Yello?POStirg Copy . . .. . .' Pink-File Copy . . ?- T^^ iia lNSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ' I r' I '•''' 3830 Pilot Knob Road Permit Number. <3 43C3:i.1 Eagan, Minnesota 55122-1897 Date Issued: ?o!06 / 9 7 (612) 681-4675 ( SITE ADDRESS: ; ?? r •i ?,; ??i t _ :sraUUPa ! FMt 1'1 1 APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: PEF'ATft - C?ESfRIPTiOM fW1N00l.l AfF'tACi'?!F? f iN;?i Permit No. Permft Holdsr Dete Telephone! ELECTRIC PLUMBING HVAC Inapactlai Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN 14 9- 3 ? 3830 Pilot Knob Road P.O. Box 21-199 Eagan MN 551 21 , , , PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value t 14' Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy ? Parcel No. MWCC System _ Zoning On Site Well (ACtual)Const a Name , ? nC City Water x (Ailowa6le) W z a? Address ?'?•` PRV Required # of Stories , , ? City 'Phone BoosterPump ? ?rcgth ; Depth p Name S.F.Total o? Address FootprintS.F. U< ? City Phone APPROVALS FEES a pjW Name En r/Assess. 9' Permit ?= _ . Address Planner Surcharge i W City Phone Council Plan Review Bldg. Off. SAC, City ` I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of . Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee ? Road Unit A Buildin Permft is issued to: 9 Treatment P1 "? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statufes and City of Eagan Ordinances. parks Building Official TOTAL _ Permit No. Permit Holder Date Talephone # Pfumbin9 '` ? $'? / H.V.AC. ?/?? Electric •, ? t et. ^,?c?$°79 ? fi Softener Inspectlon Date Insp. Commenta Footings I & Footings II Foundation Framing ? ?fJ s40;FlT - P,a,PAIl S'Tuf' - - Roofing Rough Plbg. ?. Rough Htg. s Isul. ? Fireplace Final Htg. Final Plbg. ?i Bldg. Final Cert Occ. .?? . ? Temp. LP Deck Ftg. Deck Final Well Pr. Disp. (Etrtifiratp nf (Orrupttnry Citp of (Eagan DPpa1't13IPt[t Df llidbiM JWPCtiDi[ Thrs Certifuate issued pursuant to the requirements of Secdon 306 of the Uniform Building Code certifying thar at the time of issuance this structure was in compliance with tke various ordinances of the City regulating building construction or use. For rhe following: Uee Classifiution SF DC/t'aAR Bldg. RrmLL No. 14-,?14-. ? pccupancy Type R3/M i ;.+ „" 7eov4 Diavict Type Caou owo«orBumiq lt"!i2y'79CR+i Bl.S1RS, TW: Addivas FAM?'`.?3! ALti, APPi:: S2ti, +}, MWW'V i,rLir guilding pdd= . , ._ . . . _ laulity Dae: Building Official POST IN A CONSPICUOUS PLACE .. • ? •. _ ` PERMIT # ? MECHANICAL PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55722 DATE: MY IJ CONTRACT PRICE: PHONE: 454-8100 Site AcJdress 4 f 1L L-Onaon Lane Lot 24 Block 1 Sec/Sub g:-lttan lOfih Additi.c ? Name Cemz-Rvan Pa:d? m Address 14745 Sout>i pobert 22 c City FoaPlstount. Mf' phone1.2; Name Tollefson nu+7 a c Address 12617 Fa±roreAn I;o Cib r°LZPlta Vg?!^l4 M?Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other t nn M BTU M BTU M BTU M BTU CFM FEE: ? a. So S/C: 'g0 TOTAL: 2 6.w BLDG. TYPE WORK DESCRIPT Res. X30(X New X'iC1LX Mult. Add-on Comm. Repair Other FEES R[S. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PENMIr) - 1.50 EA. COMM/IND FEE - 1%OF CONTRACT FEE APT. BLDGS. - COMM. R,4TE APPLIES TOWNHOUSE R CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) / 114"??; SIGNATURE OF PERMLI'T? FOR: CITY OF EAGAN T PRICE: ., :,-: , . - Block ? ' Uw • Mult. Add-on ? Name Comm. Repair m Address ?`? Y ??U• ? . b I (> Other c City wzvti TA?wPhone Z RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES TOTAL /F `water Closet - $3 00 Name c Address ??th Tubs - $3.00 ?LLavatory - $3.00 J 0 3 City " ; -? v K* c? Phone ZOv / Shower -$3.00 u d_ ?-Ki!chen Sink - $3.00 ? 4) d FEES Urinal/Sidet - $3.00 T 00 d $3 ZL COM M/IND FEE - 1% OF CONTRACT FEE ray - . aun ry APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 _ /-- - L TC1WNHnl1RF P. CnNll(1 - RFS RATF APPI IFS Water Heater -$1.50 7 ? ? CITY OFtAGAN Permit No: Date: 3830 Pilot Knob Road g/p No: Date: P.O. Boz 21199 Eagan, MN 55121 ?-14-88 5- 5-^s Owner. "'--74zefson 3vilcer$ . *,nn ot; Y.,?a T,.'G ~1 '<-{r ? ?:, • ? , . Site Address Plumber: 1 { . ': . . MWCC: - CiiyChg: Acct. Dep: . . !' ? Permit Fee: Surcharge: ' Zoning- 'j No. of Units: I agree to comply wifh the City of Eagan Ordinances. By SEWER SERVICE PERMIT Conn. Chg: I SQ -: Acct Dep: t 4_ tN1pa Permit Fee: Surcharge: - S(1...t Tr. Plant 204__dArei Misc.: CITY OF EAGAN 3830 FFl), Kno6 Road P.O..Box 21799 Eagan, MN 55121 Zoning: _ No. oT Units I agree to comply with the C(ty ol Eagan Ordinances. By 1 1 WATER SERVICE PERMIT ? Permit No: ! . . Date: ' - Meter No: ?1 -0 3 /s3 9.3 7 Size: 9'N:' RT oc?fC Feader No: ll P?l? U.P? Date: ?/?er Owner. Toa_tefson Builders SiieAddress: %- 7' Plumber,_ <rU•i;t, r,nu Conn.Chg:=;n n?. Acct. Dep: Permit Fee: Surcharge; Tr. Plant - Meter. Misc.:?? ? 'r l Zoning: No. of Units: t 1 agree to comply with the City of Eagan Ordinances. WATER SERVICE PERMIT CITY Ov EqGAN Permit No: 9660 Date: 6-14-88 3830 Pilot Knob Road Meter No: Size: P-O. Box 21199 Reader No: Eagan, MN 55121 - Date: , CITY OF EAGAN (v2 14 9 4 3 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $143,000 Date MAY 4 ,19 $8 SiteAddress 4772 LONDON LN Lot 24 Block 1 Sec/Sub. BRITTANY lOTH Parcel No. m Name TOLLEFSON BLDRS. INC = Address 12617 FAIRGREEN AVE 3 0 City APPLE VALLE)Phone 431-1100 UQIName SAME I o ? Address ? City Phone__ U¢ W W Name ?W _z,, Address _ u wa W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordina ces. Signature of Permittee 4?s? A Buildin9 Permit is issued to: TOLLEFSON BLDRSi INC _ on the expresscontlition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_-blw?-?K 1 OFFICE USE ONLY On Site Sewage _ Occupancy R-3 M-1 MWCC System X Zoning _ R-1 On Site Well (Actuaq Const V-N City Water X (Allowable) V-N PRV Required _ X # of Stories Booster Pump Length . 701 Depth -4 -2'- S.F. Total Footprint S.F. __ APPROVALS FEES Engr./ASSess. Permit 714.00 Planner _ Surchar9e 71.50 Council Plan Review 357.00 Bldg. Off. SAC, City 100.00 Variance - -? SAC, MWCC _ 550.00 WaterConn. - -5 59.Q0 Water Meter __67_._.Q-O Road Unit 325.00 Treatment P1 _204.00 Parks TOTAL 2,938.50 `Z/?? REQUEST FOR ELECTRICAL INSPECTION . EB-0000?1i-C06 ??"???? 1 See instruc[iuns tor ccxqiYatins this fwm on back of yellow copv. E'26'8 79 "X"" 8elow Work Covered by Thrs Request New Fdd Hep. Type oi 8uileing Appliancee Wired Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt Building Dryer Electric HeaUn , Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk F8ff17 Othr.r pecify Other ISner.i(y) ? t er Suocify ther Oiheu Compute lnspection Fee Below p Fee Service Entrante Size H Fee Feeders/Subteeders k Fea Circuitg Z. aj U to 200 Am s 0 to 30 Am s ? 0 to 30 Am 5 Above 200 qmj)s 31 to 700 Amps ,?.5D 31 to 100 Am s Swinuning Pool Above 100_Am s Above 100_Amps Transformers Irrigation Boon-is , Par ther Signs Special Inspection s? - OTAL flem»rks ??..s .? ,Q J Rough-in Date r Electrit Inspector, erehy c tify that the above Final D (Me - ?A nspection has baen mede. ThiareQuestvo1018monthsirom TlC! %orvIF This request voidGj i77??i'? ?/??-? ,P1 ?Jl 18 mon[hs ifom l?? </ E 2687 85o7q ? ? ,?t 00 Request ate Fire No. Ro h-in InsVec.tion 1 /'?.jY ? Re u?red? I]YReady Now ?•- ill Notify, Inspec- X Z? " "U Q Ves ?No 7 lor When fleaAY ? Licensed Elecirical Contractor ? I hereby reVUest inspection o( abova Owner electrical work installed aC Street AAdrg, Boz or Ro te No. )? 7? 2- c??'1 [?e ne- City ecuon o. Township Name or No. a?ge No. Co ty Occupant PpINT) ? ? L?'? s Phone No. P -Xa Address . . a?-,-?-? crn?? Elec cal Contractor ICompany N ie) - s?? n ? c?l? Contrar,tor's License No. o Mailing Address (Contrac/tor or Owner Making Instailation) Autho - ed Signature ontrac d wner Mak' Installation) Phone mber 296 MINNESOTA STpTE BOARD OF ELECTRICITY THIS INSPECTION HEOUEST WILL NOT Griggs-Midway Bldg. - Room N-197 BE ACCEPTED BY THE STqTE 80AND t1NLESS PNOPEN INSPECTION fEE IS 1827 Universitv Ave.. St. Peul, MN 56104 Phone16121642-0800 ENCLOSEO. W4?r R EQUEST FOR ELECTRICAL INSPECTION .r. 8??,/ ? See insiructians for cornpic+,ting this form on 6ack of yellow copy. v' ? 4 ""X" Below Work Covered by This Request -?- Nell Hdd R80. Typa of Bullding Appliancea Wired Equipmenl Wired • Home Range Temporary Service Duplex Water Heater Llghtiny Fixtures Apt. Buildmc7 Dryer Hectric Heatni Commercial Bldy. Fumace 1 Silu Unloader Industrial Bldg. Air Conditioner Bulk Milk Tnnk Farm Otnr.r PPr.i1v Olhc. (SUCr.ifvl t er $pecify 1 - Other l c,omUUte Msnecrion fee eelow p Fee Service Entrence Sixe b Fex Feeders/5ubfeeders k Fee Circuits 0 to 200 Amps 0 to 30 qm s 0 to 30 nm s Above 200 qmpy? 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Pdrtial.' Fee - Signs Speciallnspection S ? ' T Rerrarks 'Z AL Fj iE /) i? Rough-in Date ' . .. 1. th al Inspector, hereby certit that the ab v final D'te y o e nspec6on has been • ? ? made. Thls request void 18 montlis from 181months from'd61"?/Fv `y E 11414 /, 2 v ?-$'Aa " Raquest Date S?-7 ?? Pire No. Rough-in Insuection Required? ?ReaAy NoW UWill Nolify, InsDec- ? [?Ves ?No tor When Ready 0 Licensed Elec[rical Contrector 1 hereby revuest inspection of above ? Owner electrical work installed at: Streel Address, Bok or Route No. q7 -7z eocz Citv ?t a eCUOn o. 7ownship Name or No. Rang No. Co ly 'IJ ? OccuDant (PRINT) ? !/ Phone No. ^ 4 Po r SupVlier ? Address • ( ( Electrical Contractor (Company Name) / ? ? ? Contrar,to 's Liw?n./se No. o? -3 ?C. ??? ? '? I , MailinB Address IContractor or Owner Makinylnstailationl 7 ? Gd 1-4-rcJ - Auth ed SiOnat I'e (C tractor/Owne akinp Installatiun) z'? Phone Num6er ?rc . MINNESOTA STATE 80AHD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT Griggs•Midway Bldg. - Hoom N•191 BE ACCEPTED BV THE STqTE BOARD 1821 Universitv Ave.. St. Pxul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. `??? V&0 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 ?v New Construction Reauirements • 3 registered site surveys showing sq. ft, ot lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 set of Enercgy Calculations • 3 copies of Tree Preservation Plan ii lot platted after 711193 • Rim Joisl Detail Optioris seledion sheet (bldgs with 3 or less units) DATE 5--?- C2 z-- SITE ADDRESS TYPE MULTI-PAMILYBLDG _Y _N _ FIREPLACE(S) _ 0 -0_ 2 APPLICANT? STREET ADDRESS I ZZ 617C9llel, o?+/ S CITYPJv?rysvr'//c STATE /Vg"ZIP Ss33Z TELEPHONE # 70e' 6cf5_9 CELL PHONE # FAX # 15`z POV-8946- PROPERTYOWNER 1,?,-llrci? lJl05 ?41tp TELEPHONE#6S/- ?SG-U$a.R_ -----------------....................... ------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLTLFS 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Phone # Plumbing system includes: _ Watcr Softener _ I.awn Sprinkler Fee: $90•00 Water Heater _ No. of R.I. Baths No. of Batlis Mechanical Contractor. Phone # Mechanical system includes: ? Air Conditioning Fee: $70.00 _ Heat Recovery System 5ewer/Water Contractor: Phone # -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc? -1-1 Signature of Applicant OFFICE USE ONLY ? l_-A l ,"-1 `S RemodellRepair Reauirements • 2 copies of plan • 1 set o( Energy Calculations for heated additions • t site survey tor exterior additlons 8 decks • Indicate'rf home served by septlc system for add8ions VALUATION Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 :?.b.o.r.yw:?,.,..?..?.ya..i.:...o.y._f..y,?...o-.?:.b•.y::.ii?:o::.?d .r: .ry ..y.?y. ? ? . ,. „ :,,. . ?•,,,:r-. .. , :; .? . ? .r.. .?.,,..:?.:;,.:i??,.:::.,:.,..,?F;.:,+lt., , h::??.:,: ? Y,..?.?..i ..,r,C r.:'-21' i:; . ... _:. i.... nY?. ? ?r.r +".i'9..i7...i.?f[.l'....li r., .5..?..?::1 ?''"'^' ..f'ti.?'oH.... 'li P\..;'t,. ,..., ..,r?...1 .,. ._ ?'IfJ .:? n...`=6 j .. ..., ... ?..; J _, ...I't?;?n .1 ;.?,4{_.?.CJ.w 7.l. [ll-! j ^' ?'1 7(?i(:. 't::i r' .:. ? . _ „ e. i /. j i`t'r:i•51_!; !:i:i...:t:+[R-X"•i!c:s.s ':?:J??Z....»? :::Ii?yi'y.?.t ?{-r_i. rrrf::. .f ? r?o-.l'fI'.??`nl ; :.. f?: ? .i ...;F{.=''??nf'^n?r ..'?.. ..,...,?..: F..J.-!"?.x:i•. i._.t ?: ?c?c r7;..4?..?.? 4772 , ?.1:.yp.?t..?,,? ? :?I : i •. 'C ' : ......... 2..._.I` ..: ..:.: ..t' C r.(i 6..,. ,.... ? .. ? ..,., ? ..c?'1 I??r'.??_ `. ,.:?i!:L???i; r• A.. ...r.;:?4)it. A': i??„C:....! ...?,.Ci?? ??4? ?.. CLi..:_' WH U;ER .0n i\'ANCY PERMIT ^CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, MinneSOta 55122-1897 Permit Number: 030933 (612) 681-4675 Date Issued: 10 J 0 6/ 9 7 SITE ADDRESS: 4772 LONDON LANE LQT: 24 BLOCK: 1 BRITTANY 10TH P.I.N.: 10-15009-240-01 DESCRIPTION: (WINDOW REPLAGEMENT) Builsiin?°Permit Type SF (M2SC. ) 0'$u!,?da.r+sj:";Wt??k Type REPAIR Cen$us 434 ALT. RESIDENTIAL s ~? 1 6 A`?S 6 I 3 eI??`? @ N n i F ? S a . . . a.... .,... x fr.. _... . .3ffi' ' ? ?? s""4j) REMARKS: FEE SUMMARY: VALUATION $7,009 Base Fee $124.75 Surcharge $3.50 Total Fee $128.25 ?. CONTRACTOR: - Applacant - ST. l.zC OWNER: RENEWAL BY ANDER5EN 15024777 2004063 HASKAMP BILL 350 73RD AVE NE 4772 LQNDQN LN FRIDLEY MN 55432 EAGAN MN 55122 (612) 502-4777 (612)456-0868 ,., I he.reby ,ackndwledge that Z have? Tead thi? `aPP??cat??n aff 8 stWt e tliat L'?kre °, . Y aPpe?:?`??'.Stat$ o??Mrt? infr??rmatn 3.s coreect and ?gr.ee, ta cPmplp??i wi?fi?°?1?1 raPp =b e??i . • 1''? ?au " 1 I 3 i?eti w NEi.y ??n o-? 7 S:i x 9ta"" ??i ?'? ?? ? AP?ki Ai7 ? 19 ?atc i3f @ y? ?yt??Ik y? r j? t?nd Lr??y ?el?.?`i y? G?g.?ifl SFr?no?`?'1a (_ ,.?.?.._._ ___ . . ... . _ , _ __ . ?-,.e.a ...,. . ...... . .. ? _._ ...,?? :._.._.....,?o.._•___ _ _....__..?? _,._ .. ? ,_,... ? _ _...xr? ? APPLICANT/PERMITEESIGNATURE -'IS UED?Y.??? gsGNAIURE? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?{z,b, Zs 3OQ35 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 6814675 New Construction Reauirements BsmodeVReoair Reauirements ? 3 registared site surveys ? 2 oopies of pian ? 2 copies of plans (inGude beam & window sizea; poured fid. design; etc.) ? 2 site surveys (exterior additiona & dedcs) ? 1 energy calculatfons ? 1 energy calculations for heated addRions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: G'-5 C)CONSTRUCTION COST: 0? ? DESCRIPTION OF WORK: Rt,--- ecA cE SWIrrPOrfS /„4 (-i UmC 9-Ji n-} COG)')(JCk::TE oJE?-?NlKcorf.l, STREET ADDRESS LOT 14 411 Z. LOr-t 00rI LA nNc ' BLOCK .1_ SUBD./P.I.D. #: PROPERTY Name: NA SteAM P- (? «-L Phone #: 4 s6 • dg?$' OWNER LAP ?l1? i oQ"4 ? a ? ? ?'NL Street Address. - - ^ - City: -CA6ar? State: (YI ^4 Zip: - S122. CONTRACTOR Company: KejQNA,L gq AN(??`2S CrJ Phone Street Address: 3SU -T34-0 aE" HE License #: Z-??63p City: r2l ouc:q State: M'J Zip: Z- ARCHITECT! Company: Nf A- Phone #: ENGINEER Name: Registration #: Street Address: Ciry: State: Zip: Sewer 8 water licersed plumber (new construction only): . Penalty applies when address change and lot change arc iequested once permit is issued. I hereby acknowledge that 1 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. C? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required t - y 1988 BUILDING PERMIT APPLICATION - Cl'fY 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 WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE QNITS # OF UNITS INCLUDE 2 SETS_OF PLANSt. CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.;- 1 SET OE ENERGY CALCULATIONS CONIlMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY`CALCULATIONS To Be Used For: ' Ualuation : - Date: S'o7 - 8g -z Site Address A177c2 4LaA)dU 1,442E Lot adl Block _? - Parcel/Su Owne .5 ? X, Address City/Zip Code Phone Contractor S4M p, t}s 4 6 h ?E Address I City/Zip Code Phone Areh./Engr. _ Addreas City/Zip Code OFFICE USE ONLY O? _ N 3 ' On site sewage_ Oceupaney P,'3 MWCC_system Zoning R-? On site well Aetual Const Y-N City water Allowable V-t.l PRV required ? 4k of stories Booster Pump Length.. D _ Depth y21 S.F. Total Footprint S.F. APPROVALS - FEES Engr/Assess Permit 214,00 Planner Surcharge "714 j u Council Plan Review 3517,00 Bldg. Off. . SAC p City 100 100 Variance ' SAC, MWCC 550, OD Water Conn .550,00 Water Meter 60, 0D Road Unit 3Z5,00 Treatment P1 Z.O , AD Parks Copies TOTAL - - Phone # VqLuzr'ioN Zy X ?Z= ?88 x2o- 520 2 x I? ?(zyl ? X !o ? (?a) ? iLI ? r o g 3? l?P?SE???r.IT 14x ly= 196 ?2 u IZ = /yy t?t ?c ? ?I = 19 6 ly x iya 14 X 38 = 53Z /2o8 eK 13 = )5'7vL) T3Sr»z - 1 z,>% zx,z _ 12y I '41 P ' 10 7y? ?----- ?2sia u y5. u2 L NU ZG rC 30 - 9 8$ ? yC Z (o =- 5 Z ux Sla II I2. X y9 = Syy tY ------- --- ) tiz6'7o i ToL?FSOn? ?O u ? CD?ISUlTIHO E1141NEfq5BUIL.DIEI?S Hp ?Uf1VEYOf11 %:NGINEERING pUf11+Ens ond lA C O MPAN Y, i N C. 13e?.oN4%6i 1000 EJIST 1461h STREET, BURNSVILLE, VUMESOTa 5t337 PII 1=2'D000 -Y C4e 7--Z z?Z C cz.?e c? c'- i L6r 24. B L1OC!< I, BRfTtANY 10nI ADd1770N, a4KO]'zl CjpUN1Y, MINNESC77'A ( q4?,? ) DENOIT-S EX1ST7lVG U.'VAT10N . DFIVCfT"ES PRCaRx.EO E1.-EvA7i0N IAIDIC,q71-5 94-6.93 = r-INiSNEu (9i3_9o) ? V ;a?• 30 FRONT SETBACK ? v 53 `?Q 5 / D(m ?9?11/Q ? qp? I guiwiNG UNE UI RW-T70N OF SURFAC.L VAAlAlAGE GAR.AGE F1.OOR EI1.A?70N . `?,... R??UM. D ?5 ? o ?. - • b 0 --- 11r ? ?6?.? ,?q3 (?P? c7'\' '. ? . ..,. - ^ ? ? _ - •?, _ ,.:? . _ ., . ?p '?? i ?a.:.??-?, ?y ., . .'- •,? . " v? ?y ?O ,• /R \• S `` ?•+? `-O Q qa6' \ ?j ?`S. •, v Io?y`? ,?? SCALE 00, 0 ? 1 1 ? J \ ? . ?_ ti ?-..?, ? .\ \ ? r . ? s?. • ss°? ?3? ? / \ r \?f _ : 9 •?, \ ' , ?, ? ? J ., . ? , ,, ? • ,?- , ,,,; ?, ,-•,, ?Q i : - ?, . DR,4tNAGE /1Np t1MI..ITY EA.SE.MErVr' s.•oJ ?•,. ? - °f I heriby certify that thia ie a t:ue and correct rnprseantition o aiacot ljnd as shoxn'and deeoribed herean.• Ae preparad by me on this ?Z'$ Y 19 0 . • • , CITY OF BUILDIN(3 DEPARTMENT ' • •, -EXTERIOR ENVII.OPE AVERA(iE l'U?l COMPUTATION -+?"y ? :• (Tv be submitted with building permit appli.atian) one cr Two Family Dwe111ng All Other COI7tI'QCtOT ? • .•a; „??, ? -.?_.,.. . _... 0 wner-???!'LLLfAI??? Site Addrese _Lpf•?? aijkI ??, rr^r?Prv WrH ?N Date Phone LIIaEAL FL'ET OF EXI'OSED FlALL Yt• above grade ???1 TCITAL EJDOSED 1YALL AREA SQ. FT. o?AQUE lVl:LL CUP;STRU'aTI02It "Ulf Uslue x Area Detail -??? ft "U ' .3 x SL? . ref erence f f fl x SQ . from ?lpll_ . n4(? x 5Q. attached {fUll x SQ. st?ee t s itu x S?-J. nUn x SQ. WII1 D05VS: "U" Value x Area FT. U (U)(A) FT•_????U)IA) FT. 7.5h (U) (A) FT. _ (U)(1k) FT. _ (v)(A) FT. _ (U)(A) fialse & TyPe IiUi? 6 Q n n - •q x S. FT. S _ ./ =?(U) (A) n it npn x SQ. FT. = (U) (A) „ ??U?? x (v) (n) 1,?u?? x s . FT. _ Q (U) (A) DOoRS: "U" Va1ue x Area M ":ce & Tyoe ?-TZ• Tt?c,?i/ nUn • ?? X SQ• 11 n „ -L?ln n?n .4'1 x sGZ, of to X SQ. uU u _ x SQ. TOTALS ToTni. (U) (A) vxLUES A ERAaE ifUll /.S¢.93 - DIVIDT;D BY TOTAL FIALL AREA Z•!?.( /G? AvERAaE; "U" .115 or less for 1&2 family dwellinge RUOF/CEILINas TOT/lL AREA: ' FT.?.QC-) (U)(A) FT. FT. ?-_ J/?(U)(A) (U)(A) FT. _ (U)(A) (U) (A) Detail reference 'lUitd_7z x SQ. FT.- q--30= J. 7(u)(p) from flUit x SQ. FT. . (U)(A) attAChed sheets. nUn x SQ. FT. _ (p)(g? Describe oneniriga irUl? g $Q. FT. (U)(A) in roof. roUte x 3 InP ?-= Q• •._.?_ (U) (A) TOTIIL M(A) YdLUES DIVIDED BY t 'PO2'ltL ROOF/CEILIId(3 AREA q3o (0) AVE;RAQE "U" pn5 f ?--s . or ventilated roofe. ' ?,.. ly :.y• ( . \ on65iiLTr ?r? ? c D V?I?LL 9 aD x ?6 -? .?b -? ?s +?rs ) CoNC . - 67 X (&o t3g +-34 404> = .ELM To ? - ?3 x 4-5Z4'o-4f5L) = _ /V06 . oU %.46 -jE 187. 5g * zq- x6b = lo. oo x 3 = 30-0 zo x 36 =.?-r. O l 5. d z4X36 = ?•D X 1 = _ ?. o .. ; . ?? . . , . . ?. 3° STL u?! f 5L = Z8• DD . z ? ?r-? ?.? = Zr. ov ?? _ ?uT1U _ _ -¢Z• OU 9 , i `?r• • • i ..?? " ,- . . ? 3l x 30 = qgo ? W?- CiM ?. ?I , .. . LboEs 9i.Oo , 60-?- , . ,_ . , . , ? , - ? . r ' ? . _ . . . . . _ . ( ^4 , ' . .? " .. - . ? 1 .?,. . , _ .. , :. _. l ? '. • F i APFLICATION 1=0R PERMIT SEWER AND/OR WATER CONNECTION ? ..................,...,.F..R.?.,. . NdPE: PAYMINf OF FEE AT TIME OF * r,eriacaTTOrr ooss taom mrr- ; . * SfI'IS1TE APPRGJAL OF PERFffT. ,*t ? * r ; ItvseDCrioN oF sLWM AND/ox wnxm ; ; rNsrarLATtoNS wua, Nar sE scIDVr.eD ; ,*k i!NPIL PE[iNIIT HAS BE@] APPRCNID. ? ity oF ecigcan (PLEASE PRINT 1) PROPERTY P,DDRFSS: LEGAL DESCRIPTION; PRESENT ZONING/PROPOSID USE: ? CON29EF2CIAL/RETAIL/OFFICE ,iV R-1 SINGLE FAMILY Q INDtiSTRIAL =1 R-2 DLPLEX ('itvo Lnits) Q INSTITUTIONAL/GOVERDIMENT ? R-3 TOWNHOLSE (Three + L?r;iits) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( . Lnits) IF EXISTING STRL'CT[JRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mont Year 2) ... . NANIE; b ADDRESS: CITY, STATE, ZIP: PHONE: P For City Use 3) ' :?• NAME: ?- Plurnbers L1Cense: ADDRESS: LW- -' Active I Expired CITY, STATE, ZIP: Not recorded PHONE: Ll MAST-ER LICENSE # - Sta Initia 4) e^mtgugvu ? NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) ONNECTION TO CITY SEWER 6) kakatak***irirh?t**?F**?e?e****:F:k ie*sY ?F*****tk?Y*?r:k*****:k****it?k?lr*ir**/e?k*******************it*at:F*ttkirk?k?k?t***Ie?k*k?c** 4 ? k THE GOLD COPY pF 7qIE Pg3MIT WILi, gE SENp DTRFrirr_Y TU PUBLIC WORKS 710 FACILITATE MEPEE2 PICK-LiP. * ? PLEASE ALTAW 1W0 WORKING DAYS FC)R PROCFSSIIVG. SONIEJONE FROM TfM CITY WILL CC)[JPACT YOL IF TBME ? " ARE ANY PROHL.ENIS. * TO CITY WATER F-I QT'IIEF2 'FOR CITY USE ONLY PERMIT # ISSUED d Pd w/Bldg. Permit $ $ $ $ $ $ $ $ $ $ $ TRUNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 2n $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $__ I7" 1 I,$ TOTAL 7?' . i'L/ RECEIPT R- EC IpT DOES UTILITY CONNECTIOLV REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERILVG NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLLDE CORPORATION STOP) $ SEWER TAP ACCOUNT DEPOSIT - SEWER $ , 5 • ?'? ACCOUNT DEPOSIT - WATER ?- $ WAC $ SAC r TITLE: DATE: I . . , , . , C;lTY O!= Y:;;f'AN PATF1: . , 10/26199, . _ ? ' . . . N;;,M«: (:AS I.?'NE 1L_45y SNG, .:?`.J 00q:' . 4M LONP^t,! q_N 20i 9Pl';. A772 Lil\tPflft >_i', r . g ? . . y . ' . . .. . ?-?7. r;,???,nF;a; ?M?c••????•? T6 C?, `a , ? r 1J. . ? ,???o ) ? 1999 FIREPLACE PERMIT APPUCATfON CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 68l -4675 Date: /0 b, s /! 1 Descriprion of Work: Construct new fireplace _Gas _Masonry _ Alterations to existing ? Install gas insert onlv &/ r,o A?? _ Install gas line only Qther Job address: `y ?1 ),-0 f) dprl L.. GtlI.Q? Lot: Block: ' Subdivision/P.I.D. #: ?. Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: gQSkQpn a L(/ 1/!!Lp 1'V1 Phone #: pSI - 7S?o- 6 gbg PROPERTY Last First •- OWNER Street Address: 50-^? - City JState: Zip: : . Company: ` Phone #: 40 1? a?b-6 aa o , ? • , !68 C II8, C. (area code) FuRErr_acE - 4806 R,ntledge Street INSTALLER Street Address: py.o,. i nlre, 11AN 65372 City Company: GA5 LINE INSTALLER Street Address: City State: Zin: _ Phone #: (area code) State: Zip: _ 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. RECEA/Tr._« ! Signatute OCT 2 6 1999 i BY: I PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA089428 Eagan, MN 55122 . Date Issued: 06/01/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4772 London Lane Lot: 24 Block: 1 Addition: Brittany 10th PID 10-15009-240-01 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: CNS Construction Robert Preiner 2150 Dodd Rd 4772 London Lane Mendota Heights MN 55120 Eagan MN 55122 (651) 552-9886 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA089429 Eagan, MN 55122 . Date Issued: 06/01/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4772 London Lane Lot: 24 Block: 1 Addition: Brittany 10th PID 10-15009-240-01 Use Description: Sub Type: e-Siding Construction Type: Work Type: Siding Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: CNS Construction Robert Preiner 2150 Dodd Rd 4772 London Lane Mendota Heights MN 55120 Eagan MN 55122 (651) 552-9886 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA090665 Eagan, MN 55122 . Date Issued: 08/14/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4772 London Lane Lot: 24 Block: 1 Addition: Brittany 10th PID 10-15009-240-01 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Haley Comfort Systems Robert Preiner 122 West 3rd St 4772 London Lane Hastings MN 55033 Eagan MN 55122 (651) 437-0338 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature 0111812011 23:46 6519948701 JANECKYPLUMBING PAGE 01 Use BLUE or BLACK Ink r------- -----_----1 ~ Permit - [ -7 -7 ~ I City of Ealan I I Permit Fee: 3830 Pilot Knob Road ! I Eagan MN 55122 Date Received: Phone; (651) 1375-5675 p f I Fax: (651) 675,56534 INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date; Site Address: m , J- Tenant: /S,,uite Name: r C}ri~ 1' Phone: U151 . 1 1 4!✓~] RESIDENT I OWNER Address t City ! Zip, iq ?7 l 1 &4-72 e- f C Na !-1 R ~V L'oense . ~J~~~ Rddress: ' O l city: l AJ CONTRACTOR State:! Zip: Phone: Contact: ~U4 Email: d la ✓ d o /(-t, &LL~A4 PLUMBING (Within the building envelope) SEWER & WA TER (Outside the building envelope) TYPE OF WORK Sump Pump Repair "Repair Other: re jam- UM1 L.R•J7t Other: DESCRIPTION Description of work: Oh *ln4 e x r/C.,' I Lmv FEES $55.00 I Each (includes $5,0o state Surcharge) TOTAL FEE $ "Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application, A list of contractors can be found by visiting www.ci ea an.c l flow or City Hall at 3830 Pilot Knob Rd, CALL- BEFORE YOt1 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, yrww.oopherstateonecail-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 a ropp ved plan in the case of warts which requires a review and approval of plarr6 x Abr 4 X A`-Pfl Applicant's Printed Names A lioant's Pp Signature , f~t F IW1=ICIW L1 r R+~rri d Dil ~uii^ed rrf~itf'ti~ --~IJrldar ~rbun~i ,;,,~I~btigh~frt' ;~,.._-Fitiwar 12f t� Use BLUE or BLACK Inky 4 p F E �1 1�`C For Office Use L Z( :tcq ti(J p� � Q A , ',_ CJS ::: _ : ' 2� . 3°! : IC �gc r s x S° Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: 7 Phone:(651)675-5675 I Fax:(651)675-5694 L b aiidlnq nsr7ections(d)citvofeacfan cot Ca-tAl_ck 0Yl 2017 RESIDENTIAL BUILDING PERMIT APPLICATION 12/13/ 17 Date: 12-4-17 Site Address: 4772 London Lane unit#: y Bob and Maureen Preiner i #, Name: Phone: Resident/ 14772 Londa Lane Eagan, MN 55123 I Owner i Address/City/Zip: E i Applicant is: Owner X Contractorl ` New kitchen window in existingfrom soffit remova openirg,remove kitchen soffits,insualtion repairs on exterior wall and f Type of Work ; Description of work: ® Construction Cost 7'500 Multi-Family Building:(Yes /No X ) Company: McDonald Remodeling Contact: Jeff Heikkinen Contractor Address: 6015 Cahill Ave Suite #100 Cid: Inver Grove Heights I i MN 55076 651-554-1234 jeff@mcdonaldremodeling.com IState: Zip: Phone: Email: License#: BC205832 Lead Certificate#: NAT-29585-2 1 If the project is exempt from lead certification, please explain why: Built after 1978 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING t In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? i Yes No If yes,date and address of master plan: Licensed Plumber: Phone: i € Mechanical Contractor: Phone: i ISewer&Water Contractor: Phone: i L Fire Suppression 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 C' 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 citvofeacon.corn/subsr°ribe. 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.acpherstateonocall.,rrg 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. xJeff Heikkinen x ��4 Applicant's Printed Name Applic gr t' atin Page 1 of 3 . s /y-7`/SV3 DO NOT WRITE BELOW THIS LINE 777 Z62‘,7a7e4 Z--Ki SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) -+,( Single Family T 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* _ Addition _ Move Building _ Reroof _ Demolish Interior icAlteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window — Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 9),,,ov Occupancy ),,c T MCES System Plan Review Code Edition (' SAC Units (25%_100%\S.) Zoning g City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required 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 Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final XFraming 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS XInsulation 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: '\ Building Inspector X00 t ,17.4 RESIDENTIAL FEES { ) '( Base Fee i� k i''I`°� ( i/ IG Surcharge )C''''/I '. p i, �r(j Plan Review V MCES SAC VA19 , '') City SAC ; ) °) 11 9 ( 0 Y 2-' 7L 0 Utility Connection Charge ecY30 , VV 9r' 0 0 S&W Permit&Surcharge Treatment Plant 9 0 V Copies ��°" ""' TOTAL "� �,., Ll b I Page2of3 For Office Use Permit#:E AG N //^/ CL Permit Fee: Date Received: 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 citvofeagan.com L 2018 RESIDENTIAL1 PLUMBING PERMIT APPLICATION Date: rl_j � Site Address: T 7 7 Z dc> I-L Tenant: gc '6 J' r is% Suite#: 2 Name: 69r-c_l Lr c Phone: Rest entitN, Address/City/Zip: 7 7 a A. o� L tl Name: �� X� !U�,� j�lGt �.� 4�,'G,S •License#: Conti ter Address: 2,- 3 2 7 /� i- c-,. kir City: State:!�'`. Zip: 5.. 4 cr Phone: 6. Z —7 ( Contaci�c°�� G �� SEmail: � ?�X C' i -j2/ t/moi L✓�,1 �qh�.� (c�� New Replacement —Repair —Rebuild Modify Space _Work in R.O.W. Type 0 WQrk — — — Description of work: �L C .�Y I ,4 , /, 4h /�>'<,o S• <, RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/—PVB) Permit TE:i Add Plumbing Fixtures(—Main/—Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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. www.gopherstateonecall.orq 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. 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 7/ems f"-4c-4 Applicant's Printed Name Applicant's Signature I"( R OFFICE Swl r • Required Insp01- ections Under Gr�cl • h ltd Ir Test es F M Related It ns: deter, adio Rea v anortreter Sia :