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4475 Fawn Ridge Tr Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use I r~ { I Permit 411100 City of Ea a~ ~ I Permit Fee: V I 3830 Pilot Knob RoadI I Eagan MN 55122 C(49~ VI Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: i - 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: -7 s ~i1~~1 lS r Ca I~ Unit M Name: Lo r1 'Phone: RESIDENT / OWNER Address / City / Zip: T7 7S ELi,3n Ri Jae,. rc~ i Applicant is: X Owner Contractor TYPE OF WORK Description of work: 5p l ac.Q ! wil - rl-f- Pa LA 1J~31►-0uo Construction Cost: Multi-Family Building: (Yes / No X ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orn I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x bof C~ (1~-Zrsol/) x Applicant's Printed Name Applicant's iinature Page 1 of 3 CiTY OF EAGAN Remarks ' Addition FAWN RIDGE ADDITION Lot 20 Rik 1 Parcel 10 25800 200 01 Owner street 4475 Fawn Ridge Trail State Eagan, MN 55123 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF, y? 1981 229. 35 - 11.47 20 STREET RESTOR. 19$4 499. 46 - 49.95 10 GRADING i 1981 61.26 - 4.08 15 5AN SEW TRUNK '7 19$1 205.44 - 10.27 20 SEWER LATERAL ?7 `7 1981 33.07" 1.65 Sewer Lateral ? 1981 23.57- 1.18 20 WATERMAIN WATERLATERAL 73 19$1 43.67- 2.18 20 WATERAREA 176 1 205.44' 10.27 20 Water Lateral ' 1981 27.68- 1.38 STORM SEW TRK 1985 557. 79' 37.19 15 STORM SE LAT- 1984 222.51- 22.25 10 CURB & GUTTER ' SIdEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN t?? ? ,?; ?"._,°?' 3830 PNot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 `'? " 12690 PHONE: 454-8100 ? BUILDING PERMIT Receipt SF $62,000 $6 8ite Address 4475 FAWN R I DGE TR Lot 20 Block 1 Seclsub. FAWN RIDGE Parcel No. Erect 15 Occupancy k3 Remodel ? Zoning PD Repair ? Type of Consl yr1 Addition ? No. Stories Move ? Length 38 ^----. _? n .. Sq. Ft o Name S? Approvals = ? ¢ Address Assessment ? ciry Pnone Water & Sew. ? Q Police F = Name Fire Address Eng. i W Ciry Phone PI nner I hereby acknowledge t hat I have read this application and state that the Council gld Off??? information is correct a nd agree to comply with all applicable State of g. Minnesota Statutes ahd City of Eagan Ordinances. APC Signature of Permittee , - Var. Date BURI2 OAR BLDRS INC Permit a .S l y. V U Surcharge 31.00 Plan Review 15$650 5,4C 575.00 Water Conn. 500 . 00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copie , 0937. 00 Total A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable?tate oi Minnesota Statutes and City of Eagan Ordinances. Building Official --- ?c ' I IPWmN No. I Pe?mit Holder I DNe I TNephone N I Date Pibp. Hty. Final Occ. Ftp. Frmy. Dkp. WPM Block ? Name m Address , C ciy Name c Address y' O Ciry ? ! -1Y TYPE OF WORK Farced Air Boiler Unit Hester Air Cond. Vent Gas Piping Outlets # . -. • ?c? . :V PERMIT # , MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8160 SC PTION BLDG. TYPE RI WORK DE Sec/Sub ? Res. New f _- r- Mult Add-on Comm. Repair •, . , ; 1 Other w „ M BTU M BTU ? M BTU ?'? M BTU CFM FEE S/C: TOTAL: FEES RES HVAC 0-100 M BTU 00 -$24 . ADDITIONAL 50 M BTU . - 6.00 - ,, (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) MINIMUM - 1 PER PEfiMIT) GAS OUTLETS 501 - 1 ( COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES . TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODEIS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 ? STATE SURCHARGE PER PERMIT (AQD $ 50 S/C IF PERMIT PRICE GOES - .50 $ . BEYOND $1,000) FOFi: CITY OF EAGAN PERMIT # MECHANICAL PERMIT RECEIPT # CtTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 ? Site Address ? - r ' ? Lot Block ? ? Name _ g Address c City _ ? Name c Address ' p3 City , TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM BLDG.TYPE Res. Mult Comm. ? Other GAS WORK DESCRIPTION New Add-on Repair FEE S/C: TOTAL• FEES - $24.00 - 6.00 BTU - 12.00 - 6.00 - 1.50 EA. :ONTRACT FEE FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN PERMIT # CONTRACT PRICE Site Address ? a Lot Block r Sec/Su ? Name L?? m Addres ? w ? 41 ,c( .S Cit?, L Phone - ` '/ T_ ? Name u%? << .i v l-cf c 3 Address p City Phone FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMi1M - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATUFiE OF PERMITTEE FOR CITY OF EAGAN Res. New _ Mutt Add-on Comm. Repair . Other NO. FIXTURES _?Water Closet - $3.00 ? Bath Tubs - $3.00 Lavatory - $3.00 XShower - $3.00 L Kitchen Sink - $3.00 ? L.awwry i ray - W.w - - oor rains - $1.50 ' Water Heater - $1.50 Whirlpool - $3.00 ?Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE STATE S/? °2 ' ? " .? ` GRAND TOTAL: PLUMBINt'3 PERMIT RECEIPT # C7?G ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8700 NC '" BLDG. TYPE WORK DESCRIPTION INSPECTION REC4RD ??ntro, No.- o? s? ' CITY OF EAGAN PERMIT TYPE: ??1 T!. It t IIH 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: 061 s2f92 j (612) 681-4675 SITE ADDRESS: 1. 0 7; ;+0 1410+: r_ I APPLICANT: 4 4 reI FAWN Rr:a6c tR wk':, rkuh qAaIE4 i FawN RIOAE (biz) 669-7646 PERNIIT ?SUBTYPE: t1A'.Mi N i t 1N ! SfR E:i ronr;f " irt A-! Ily t N TYPE OF WORK: nt TF*nrrOa 1 f- - -1 ? .?.r Permit No. PermR Holdsr Dste Telephone # S/W PLUMBWG ?O ?!'?.• HVAC ELECTRlC ELECTRIC Inspwtlon Oate inap. Commenta FaoUngs I Fourxiatbn Frandng 42 / Roofinp Roug,Plbg. 6-15-v 1p Ra?gh Fit9• . Isul. Flreptace Final Htg. OrsatTeat Rnel Pibg. Plbg. InspeCtor - Notify Plumber Const. Meter ErgrJPlan '4.-Flnal Dea Ftg. Deck Finel Well Pr. Disp. N WATER SERVICE PERMIT cm oF eAoA 3830 pllot Kr,ob Road PERMIT NO.: P.O.. Box 21199 DATE: - - Eagan, ?IIN 55121 i Zoning: No. oi Units: Owner. Addreas: Site Addess: -Plumber: ection P4641, Meter No.: ,W???5ize: ? ? ??? ?? ?Reader No : l agrae !o comply wHh the Clty S r h?s: , 5 - ? Ordinances. RE F z sn._,? ?._-r , Total: - ? ? Date Paid: ? $Y Insp.: J ate of Insp.: ? I ' Z'7 ? -- - CITY OF EAGAN SEWO SERVbCE P?ERMI? 3830 Pi1ot Knob Road p?IT NO.: P. O. Box 25199 Eagan, MN 55121 DATE' 1 R i No. of Untts: Zontno: Burr Oalv: BL3rs. QwMr. _ Addrou: Site Add Plurnber. 4!7 U' ? ?ew h M?OI! wMr !M ?? yN? C°^nKH°n Cha?? 5 Ollnd - AccouM DeP?t: 1 OVdlw?eas. j ! {1 -? Pgm+it Fee: Surchoroe: BY Misc. Chaross: Doh of Irop.: TO¢W: p,oft Pold: .- I nsp.: ? CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N- 12690 . I PHONE:454-8100 f'' ) BUILDING PERMIT Receipt# ?? ? 7obeusedfor SF DWG/GAI2 Est.Value $62,000 pate SEPTEMBER 26 19 86 SiteAddress 4475 FAWN RIDGE TR Erect 13 Occupancy R3 Lot ZD elock 1 Sec/Sub. FAWN RIDGE Remodel ? Zoning PD Parcel No Repair ? Type of Const. VA . Addition ? No. Stories w Name BURR OAK BLDRS INC Move ? Length 3R 3 Address 11461 GOLDENROD ST Demolish ? ? Depth- Ft S 4r ° COON R S 757-8157 ??t ?a+? Int. lmpr. I t ll ? . q. Y ns a = o Name SAME ? Q Address ? City Phone w W Name . ?n Address a W . Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct an agree to comply with all applica6le State of Minnesota Statutes d ity of E qan Ordinances. ? 4.itl?L Si9nature of Permitt ee A euilding Permit is issued o: $UR OAK BLDRS INC all work shall be done in accordance with all appli)epblel$tate of Minnes-c Assessment Permit S 319.04 Water & Sew. Surcharge 31.00 Police Plan Review12$s 50 Fire SAC 575.010 Eng. WaterConn.504_.00 Planner Water Meter 63 _ 50 Council Road Unit 2 9 0- 00 eidg. off. 9/26/86 Tr. Pl. 1 5fi _ 00 APC Parks Var. Date Copies? O a Total ' on the express condition that Statutes and Ciry ol Eagan Ordinences. Builtling ,hi= dq e= ve,d /0/3o/?k: C= 7 9?'G 18 monUs Irom C 64803l-- Request Date ' Fire No. RouBh- inI nspection Ne ?retl? ? ) ?fleady ?( Nuw ?[J Will NotifY. InsPec- 26 - ?- ?? Yes ?NO J ror Wh¢n Peady Licensetl Elecvical Convxctor . 1 here0y raquast insoection of ebove ? Owner elechicel work instalied at: Sveet Address, Boz or Noute No. ,s F 7' ca Ciiv ° ? ecuo. o. Townsnip Nama or No. Hange No. Cow y Occu ant IPRINTI M Phone Nn. Po e?iar ? AdtlressJ ?W?/r?//` Ele ic a l Contracmr iCom any Name) c tr Contra ctor"s licanse No. ? / / ? ? If-?? C 1 / 7 ( -1? "' ? Mauine ?+tldress ICOnvactor or Owner Meking Instailationl 8 ' ? asao W Co ? c0 owy . e? AuMor" a nrtecta wnor Making Installationl Phone Number ? P?o - 9b/l MINNESOTA 5T E BOAND OF ELECTRICITV TMIS INSPEGTION NEQUEST WIIL NOT Grippa-Midway BIdB• - Aoom N-781 BE ACCEPTED BY TME STATE BOAflD 1821 UniversitvAvs., St. Peul, MN 66104 UNLE55 PPOPEN INSPECTION FEE IS Phone(67Y)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See insimctions for completing Ihis lorm on back of yellow copy ???3j /• eaoaooi.oe ? g/? ? 142783 '"X'B ?uy? ` O/ elow Work Covered by This Request e Ad ' -W._pj TypeoiBUilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Wa[er Heater Elec[ric Heating Apt. Building Dryer Olher (Specify) Comm./Industrial Furnace - Farm Air Conditioner OMer (syecity) CaNractor's Remarks: Gompute Inspection Fee Befow: ?Srn?pot $ ? # . Other Fee # ServiceEntrance Size Fee # Circue5lFeeders Fee Swimming POOI 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps ve 100 _ Amps Signs Inspecmrs use only ,SD Irrigation eooms ?O Special Inspection Alarm/Communication THIS INSTALlAT10N MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby Rou9n-io oa ?_? ?z certify that the above inspection has been made. F;,,ai oa» --?? OFfICE USE'JNLY Tnis request voitl 18 months lrom • REQUEST fOR ELECTRICAL INSPECTION 4rh EB-00001-05 ? See instructions tor comoletine this form on baek of yellow copy. S,? V 7 (`,fl Qn a "X" Below Work Covered by 7his Request "eAFdd'1 Nep.I -TYPe o1 BuilEing 1 Apolianeea Wlud I Equiumani WireA I ice ce M Fee ServicaEntrenceSixe k Fee F k Fae Circaits a U to 200 Am 5 O 30• 00 0 tn 30 Am Abov e200 qm?y 31 [0 100 A s Swimming Pool s Above 100_Am 5 Trensformers .516 Partial.?Osher Fee I ? I Signs ? I ISpecial Inspection t/ ertr?rk5 $(?'? fj'D TOTAI FF?E , //?s -' - ? - ? - certify that Me above Finel ection has beon ? TMa repueat vo1E 18 monthe trom - i 7 d-- /'i)/C/(o / I J?Z783 0 i,_ , 3061-15 Request Da?g/ ?? ? ?j Fire No. Rou n-in sp ' R ired? s C?NO - ? Reatly Now Will No6ty Inspecror hen Ready? I u iicensed contractor ?-ewner hereby request inspection of above elecfrical work at: Job Atl ress (SVaet. Box rn te No.) Ciry SecUOn No, Towns ip Name or No. Ranga No. Counry (PPINT) Occ -I h ?CS 11 ???{ Phone No. Pawer upplier AtlOress Elecincal nlraclor cOmpany Name) omE o wnE-r ConVatlor§ License No. Maiii Ftlaress ( onvactor or Own¢r Making Installalion) LY? ? tl Signamre (COntracroNOwner?Making on) li?a Phone umber ? 6?r1- yt I? 5 MINNESOTA STATE BOANp OF ELECTRICITY Grigga-Mitlway BIEg. - Room S-117 1821 Universily Ave., SL Veul. MN 551p0 Phane(612) 662-0800 THIS INSPECTION REQl1EST WILL NOT BE ACCEPTED BV THE STATE BOnRD UNLESS PROPER INSPECTION FEE IS ENCLOSED. RESIDENTIAL 5 BUILDING PERMIT APPLICATION CITY OF EAGAN J 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conenuctlon Reaulremairia NemodeVHeoelr Heuulremanta • 9 registered stle surveys showing sq. lt. W bt, sq. ft. of nouse; antl Al roofeA areas • 2 wpies of plen (20% mazimum lot cpverAge albwed) . 7 set of Energy Calculatbns for heated a0dillons • 2 copies ot plan showing heam & wintlow sizes; pauretl fourW tlesign, etc.) + 1 58a surrey for exterior addAbns & decks • 1 set of Energy CaWlatbns . Indicate H home served by septk system for atltl8bns . 9 coples of Tree Preservatlon Plen tl lot p18tteA sfter 7/1199 . Rim Jold Detail Optbns selectbn aheel (bligs wt 3 or less unAS) DATE VALUATION ?pp, oa ? SITE ADDRESS 44 -75- f?-L? A?? -? MULiI-FAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS ISZ T A RkIc-ktA) L. l CIN ?L'?M(? 1_grfWATE A6hIP ?12 ,5? TELEPHONE #-h?G '- 801,R CELL HONE #. 3oQ ' Iq I z- FAX # 4?4/- Cl 5-7 PROPERTY 1,1) bdCa-.?5 TELEPHONE # COMPLETE THIS SECTION FOR -NE1N,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • ResiGential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted PlumWng Conhactor: Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: Sewer/Water Contractoc Phone # Phone Fee: $90.00 1R ? ? H L'I? n i JUN 0 G 2007 I hereby acknowledge that I have read this application, state mat the information I ; aw mply with all applicable State of Minnesota Statutes and City of Eagan ?inances. Signature alApplicont t, ? '+v? . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4f02 _ Water Softener ? Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System PERMIT ' Control No. 0561 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Bult,oIrvG Eagan, M innesota 55123 Permit Number: 000661 (612) 681-4675 Date Issued: 0 6/ 0 2/ 9 2 SITE ADDRESS: 4475 PAWN RID6E 7R IOTs 28 BIOCK: 1 FAWN RID6E DESCRIPTION: rBuildthg Permit Type r Build;ing`^lJork Type ? BASEPIENT FINISH ALTERATION , . , ., ,.- ? ?r 4 s ... L F y,t REMARKS: RECEIPT 1? FEE SUMMARY: 9ase Fee Surcharge Total Fee C a19t(-17 $35.08 ;.50 $35.60 CONTRACTOR: OWNER: - Applicant - WESTRUM DANIEL 4475 FAWN RIDGE TR EAGAN P1N (612)659-7546 I hereby acknowledge thaC Z have read this applicatian and stmte that tMe information 3s corrsot snd agrse tn cvmply witH a3l applieable State af Mn. Statutes and City of Eagan Ordinances. L J .C..(7y??.RJt APPLICANT/PERMITEE SIGNATURE ? ?JJ ISSUED BY: IGNA?`1 UR PERMIT t ' CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 MAY 2 3 RECp SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy catcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by tast working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date ? / aL /;?L Yaluation of work Site Address: qY7,S' ?..?? rZ,JS? 7f'c- f $TREET STE / Tenant Name: (commercial only) ?or i eLaK ?- ? we°' P.I.D. r Descri tion of work: l?uscu-e?.?-- The applicant is: O?Owner Ci Contractor ? Other (oescr+be) Name Wi?STve.(j- 1?.,:::i.-.; cl Phone property LAST FIRST Owner Address Lt`/?'s ?'??_ 2, ?se rt?'4? ? STREET STE N City State W ri ZipSS 1?3 Company Phone Contractor Address License # Exp. City State ZiP Company Phone ArchEtect/ Engineer Name Registration N Address City ? State ZiP 5ewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the informatian is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:?? OFFICE USE ONLY BUILDING PERMIT TYPE O OI Foundation O 05 Apt. Bldg 009 Basement Fin ish ? 13 Comm/Ind New O 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14-Gomm/Ind Add ? 03 Two family ? 07 Fireplace ? 11 Res. 14dd. ? 15 Comm/Ind Rem ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch ? 26 Public Fac. ? 17 Agricultural WORK TYPE 31 New ? 33 Alterations ? 35 Move ? 32 Addition ? 34 Tenant Finish O 36 Demolish GENERAL INFORMATION Const. (Actual Basement sq. ft. MWCC System (Allowable? lst F1. sq. ft. City Water UBC Occupancy 1?4 2nd F1. sq. ft. PRV Required Zoning Sq. ft. total Booster Pump # of Stories Footprint Sq. ft. ' Fire Tprinkler Length On-site well ? Census Code Depth On-site sewage 5AC Code APPROVALS Planning Building llssessments Engineering YarSance REQUIRED INSPECT IONS O Site ? Footing SrFraming ? Insulation ? Nallboard 51L F inal O Draintile ? Fireplace Permit Fee .35i 64'0 Yeluetim: S Surcharge .91o Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit 5/W Permit q S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: _q SAC % . SAC Units . • ' ? ,_ 71 1986 BIIILDIHG PERMiT APPL2CATiON - CITY OF EAGAN NOTS: ALL CONTRACTORS MITST BE LICENSED iiITH THE CITY OF EAGAP 3INGLE FAFIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DWELLINGS - RFSIDENPIAL RENTAL iIDiIT3 FO@ 3ALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECH fiITH HLDG. DEPT., 7 SET OF ENERGY CALCULATIONS COMlfERCIAi: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: Site Address H rj` Got ? Block I Parcel/Sub FA-w/J P-I06F Owner /yuRk O/}v( (??, ? _ Address 114f('t ??NdCuy?? ,J'?• City/Zip Code Ss?33 Phone )57- F15-7 Contraetor ? Address City/Zip Code Phone Arch./Engr. )Q?C45'$pd Address City/Zip Code ?Gl U G Phone If g? - '?/ 7O Qz"= Date: 4 Erect ?D Remodel _ Repair J Addition _ Move _ Demolish _ Int.Impr. _ Install Oecupancy 1205 Zoning Type of Const # of Stories Length ? Depth Sq Ft 9PFROVAIS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter , Council Road Unit Bldg Off Treatment P1 / APC Parks Variance Copies TOT9L ? NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOBNEB MDST DESIGNATE TiHICH ADDRESS IS D85IRSD. NO CHANGES fiILL BE ALIAiiED ONCE B[TILDING PERMIT IS ISSQED. ., v ? ? ? ?o? .cA ? ? i ,.,. . . ._. ..... .. . ..__ _ . .._. _ ._ . ., rr ?.'::? _.. ... _. . '. c.? . ,. ?. ? .. ,... _ . . .. I Ya&E 13 -- ? ROg Ep?y?q CaNS11171N6 E4dd3(HEfqS 9???Llei?? PiANld?A5 and 6AHD illAVEvQP15 ?NG ??mFflHY e INCa St100 EAST 146L1 57RE:.7, 6llRMSVILLE, &16HH£:OTA 8r337 PH A32°r000 ? oYL: L67 Zo) Bus?et i / . FAJ,.1 vto&-v r --? „ ? . D? lv?.1r?( ? WIe,.2aIE?n1. 25'? ? \ k ? ' \ ' t..L?•y, / . . ?C' ??!? .. , / \ , ?• . 4 ? .. < ?+ o \ ? 4C' r?l°\ ° t ?A?? ? ? ?4 ? .?'--.-..__ ?n ? •0 ? v ` . u? 1 iJrtL I?-y s, i?o / ?- ? .. . ?? . E/?`Ew'F??7 . , - , . -. ?? . . CLE.kcTIoJ. ?r,'C,+I h (410,0?, t??rES ?u? ?4e?'e'tQ.? r ,? ? L c> T" Vff ' ,t ;"t , ?,,- s_ ?) (? I?,,. i ?TT?? ?- -~? ?^ - ? ? ?,?i.yaED ?? b?F?+7?+hE F[cx'.?. Et£??A-Tea*? = . ?J09 ? ?Tj ...._ Z;bereby cas°tify Lhat this ,ia a t:ue and cflrs`ECt rspmeontaticss of a t:?Act oI ? an ohown' and deacribed hereon.. As prepared by fie ort 4his d?y ?f rt? r - €? , 19 8r. e - ?i e ?f e? ?,p ti . . . . ? ,' . liI8n.' 6L@ga riO e GG8 - , ????.,. . ' ? - . . . ., .< .. . , ....- CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xxxzWwxxxxxxxxxxwxx=waxw:xxwrxxx*RYi'E: PAYMFTfP OF k'EE AT TIME OF arrracATIotv ooFS Nom oOMMTUTE APPROVAL OF PERNIIT. irSPnclzotv oF sLWM ANn/at WATEa INSTAT.TamroNS wns. Nar BE sclED- UI,ID UNPSI, PERMIT HAS BEIN APPR(7VID. P ease Print 1) PROPERTY ADDRESS: y4,i7_5-- ?q,w?? ?-ra? ••• LEGAZ, DESCRIPTION: Lot Block Subdivision or Tax Parce ZD IF EXISTING SIRL'Ci[)RE, DATE OF ORIGINpi, B[7ILDZNG pERMZT ZSSUANCE: ' PRY03L') FSENT ZONING/PROPOSID LSE: (Nbn Q COhMERCIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY Q IAIDL'STRIAL Q R-2 DOPLEX (1t.o L?nits) ? INSTI2SITIONAL/GOVERWENT ? R-3 40WR]iIOC75E (Three + Units) ( Onits) ? R-4 APARTTENT/CONDOMINi[.T7 ( Units) 2) NAME: L?--.ec SiGLt Sec?.v 4 ADDRESS:? ttE ?'l 2i CITY. STP.TE, ZIP: ?j?^y ? ?-.w PHONE:_lpk7ty- -7zd o • ?; ?. 3) tvAME: ADDRESS: CITY, STATE, ZIP: 4) PHONE: Plumbers License: a Active H F.?cpired Not recorded Staff Initial 5) ?? r. , ?, : a • a• • ?? - C5--CON[,"1'ION ZT3 CITY SEWII2 ?CONNfX.?'ION M CITY WATER C] dTFIFR_ 6) PHONE: ?-?o7/-S7/S8, _--MASTII2 LICENSE# bO a7 6 9/? NAME:? ADDRESS: Z2 oC- iV,fo ?Lu/J '°? GJ CITY, STATE, ZIP: '? ' ??• ? PLEASE HOLD APPROVID PERMIT E'OR PICK-OP BY ONE OF AHOVE `PLEASE MAIL APPROVID PII2MIT 1iD 1, 2. (j) 4. ABOVE , A (CirCle One) -IN ,..y FOR -CITY USE ONLY PERMIT # ISSUED ? PI z 3 Pd w/Bldg. Permit FEES: $ $ CC?•S D SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLTIDE SURCHARGE) $ G 7 Sb $ WATER METER/COPPERHORN/0[7TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ / Jr?D-p ACCOUNT DEPOSIT - SEWER $ $ ACCOC)NT DEPOSIT - WATER $ $ WAC $ S 7 $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRL'NK SEWER A55ESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ CJd $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ED YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING AS A CONDITION . . SUBJECT TO THE FOLLOWING COIVDITIONS: APPROVED BY: TITLE: DATE: s7e-aGa7 craz#71 & aswebt3s. hec: cm o Near ..e. m;:•. ?. faau ExaPMrOx ENVr,oPE AtrMkGE «uO coMParaaaota f r?? owsm . " . ' na NQe ?+ /y?/ /?r?, d . ! ? V% O4c? -. f Y SITE A2317RES5 DATF MAP" (? I CI`I7?7 ?,.:.. ? CQ;qTRACTOR P5URR DAlC. P'RSiLOC:R12 ' PH0NE .[.'•? I?otermias wortelssg,sqvaro footage of aaeh •r;;; 1, Total eaposed wall area..m..o sq.ft„ x,.V) a °. 2o Total roof/ceiling areao,.... sq.gt< xjj:?_ 3. Total floor/cante area.....o. aq,ft. x,niQ = ! y. .; Total expasod wall area abova floor I 51 ?? O y , ' t A a. Total x*all wiridow areaa..e....e.....e......<e ?l"JoD r, , .. b, Total door areao.o......e.o......o....oveevee .C) ea Totsl sliding glass daor area.a<.94..00....6o .v ,.?%. d. 1`otal firaglaog caall ar?a........eevo>,e....o ? , e, Totul wall framing area (average ,o ? ? fo Total net wall erea abovo PI:OO1'uosensasaeeeeo 17-1110 i ? ge TO'f81 r Pj.81 j0?18't $y°@8saso..o ao+ 1 p Total exposed founda8lon as°oa w tle TOt.&l fOt17td8ti6A 4Jf.YldCH BTOBeoeea?oeo?e.oooeo ? 1 o TOl',81 II9't fO7ETtC1$tj.OYI 8E'B$ ab000 'g$°8d0 ........ ' t 0 ? . )? ._Y'e •et a .s?.o ssa. . o ...seo.ao . ..sas.eeee T 10t.8N..? ? IP item #4 is the same as, or less thaxi item #ie you have aet the intent of S13C 6006(n)2. t?atermitne "II" valus of eac6 erall segment 8e 4 1 J td b x nIIE1 " ' ?G "/ c . e i $ V Oo J? $ R pyp . .? M n 0, 1 L ?D P R $ °Q" ?Qn p i., s _ . x fl0" .04! - ??5- he f.e a p x A "D1/ "jJ°i s ORK W C?O lJ ct ? v Total exposed roof/ceiling arga ke skylight a?'.tu+fln.QOO Tatal /e.veP. •?p??••e.ee.a /ceili.stg f g area \ (a10916"o/C)sowee , .. (.n6259e4"o/c),.. > 1• Totsl net insulated roaf/C911j.Sdg 8I'68...esoa?rroa?.???• ? Datexycine °°IT" value for each roof/ca113ng sogmsjzst ' J. X oU°° - ke UJ ?O X "U" •??- _ , 2. C7 g uUn 50 •??ar?e?eeo??oe??seoeoaoea?eaeae?essoeesa??e?neee TOta1 ^Q If total of ?5 is the same as, or less than=#29 you have met thO iMtes,t or ssc boo6(c)ia Total exposad floor/canto aresa . ' 18• T0t&l fZOOPlcant e framin&T88 (u°.40E"a,?@ •ld?? ? o . m e o e e ? o , - --A. T0t91 riB'? 3TSS7t1.{"s? f?.Ook°?CaY2te e3'1`.?goooosmaeaoaaaaoseoao ,?_? . Detesmines `"IIF' value £or eech £Ioas°/cant, sep,ment ma x rao_ x ?i.. O, .oe??eeee?eas?.aesea???e?.eeeme??e??e?s?e?oc00e4 ee `10?.81 ° ? %f Cot..ai of ?6 is the namo as, or less than O? You haP@ met the intent of SBC 6006('c)3. i1LTEfiNATE BUI&DItdG &T;IZLGJt S DESTrrN To utilize the totel envelWe system method¢ tha values estc;bllshecl by tke sum of 3toms #+, #5 asd #6 sha11 Ad be'graater than the sUPt' of tteir.s #1 9 #2 ar.d #3• ay?a? 5 1e I97`3e' 2• (i-Je?.?? .• 'j• _ . ° ?•?"?j? ° ?,: .. . . tl. S. 1!e P? ?e a LIO?aQ?,. ; .. . ._ . .? m\ W?.? . . i ? . ms =? ; ,...: 71_, 3'SR.O 9TIID Int. Air .68 1°HRII YetS,`63tllGE. : Tzte 93r? ?.68 +. ?Vf/ S.R. Yd ;JY1CVl7 1/2p S.R. p45 wl SR• OC SlA+dWH ? '1/211 Vui6a p45 ? r 3tlld ?o.l? ?? ? ?1190 ' ?9?(? '? 25/329 sild. 2.o6 25/32o Biia. 2oe6 S3ding .("j 99cling E ?1 Ext. Air e17 ! ` E76$. &iY' al , Total ';RB7 = Total "R" = 27J?0'tj i/R ? ?op = 1/R _ nvll .- . .. ...... ._._. _. ' a ?-?-__...__.__.__ ....... . .... . . ... t,t ._ . i . ' . .. ?i THRU R7M Tnt. A9r e68 ? THRU CO%C HLOGK Izat. Air a68 .-?..- .: i . ?r ,'.J07ST G Insa ??,o ? C.B. (rZ: W)? a , Opt. Styroo Qpt. Inse i 2 1/2",rdood 1,89 Ecto Air .17 25/32n Bi]1io 2006 Qpt. 3.R. ? 53d931g rh7 OpL.o Sido Exte Air ,17 i ? ?Totsl Opt. Brick 1/R':= "ti" " . l l Total "Rq = 2A A? ° , ,,. 1/R = °°II° ??' ' - --- -__ ,A, ? ! k .^.. THRU CiWs 111te Ai2` e61 " .. THRQ C?`d e iiite AiL' ? .. e61 ? . rzDsEt S.R. cs,?°) =,? x?ascr?nraaN S.R. Clg. Hsmb. 4?35 ? Yaasa ( m) , s{?,p Ins. 5ti11 9Sr stiil Air e61 Total 1°Rtd = ?(q ' n :OZ Total eaRn 1 /R U" ? 1 /R = nun ? 7o ? ,..p %?. (hbnth/Year) PRFSENP ZONING/PROPOSID CSE: Q CODRMERCIAL/RE,TAIL/OFFICE OLR-1 SINGLE FAN1iLY ? IbIDCSTRiAL Q R-2 DLPLEX (Two L?nits) ? INSTIZLTIONAL/GOVgWM1T ? R-3 7UWNHIXJSE (Three + Units) ( Cfiits) q R-4 APARTNEN'P/COAIDOMINIUM ( Units) x??xxxxxxxx??xaxx?a:.:::xxxxxxx:x ? y NO'PF': PAYMMF:NS OF FEE AT TIME OF * APPLscaTTON DOEs Nom oONSTITUTE * APPROVAL OF PERNSIT. * r INSPECTION OF SEFFnSSt ADID/OR WATESt * TTlSTAL7ATTONS WII,L N0'P BE SCHED- , F ULED UNTb PERNIIT AAS BEM • ? ? APPROVID. * ? s ? » ----------------------- P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF E}ffSTING STRCCI[JRE, DATE OF ORIGINAL BUILDING PERh1iT ISSL'ANCE: 2) ? NAM: 2.4_&.-_ s; r Se cr a C.?.o?f t?- ADDRESS:?ts6 CITY. STATE. 2IP: PHONE: ??[y? 7C0 O CITY OF EAGAfV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 3) • c ?'• NP,M: PHONE__-4,./.n/-?/SP _ _MASTER LI(ENSE# 60a'769/.7 4) PHONE: ActiVe Expired Not recorded Staf Ial -5) n r• ?• •?• : a ? ?? P5._CONNECPION 'lO CITY SE.'4JII2 E!k' CpigNECTION TO CITY WATER Q Oi'I-IE,R_. 6) ?• r ADDRFSS: CITY, STATE, ZIP: a• .,. o NAME:-?v_.- tJ.o.[? ?_ •? .pUr ADDRESS: 77 a Jti?G, ?Lv,t? "Yl LJ CITY, STATE, ZIP: C] PLEASE HOLD ApPROVID PERNIIT FY)R PICK-fJP BY ONE OF ABOVE ,"(-•?.PLEI?SE MAIL APPROVID PERMIT 2+D 1. 2, Q 4. AHOVE ?? , „' (Circle one) .?FOR -CITY USE ONLY PERMIT # ISSDED ? PI 2- -3 . Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT ( INCLLDE SURCHARGE) $ S WATER PERMIT ( INCLLDE SLRCHARGE) $ 43 YD $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCL[!DE CORPORATION STOP) $ $ SEWER TAP $ $ % J?p p ACCODNT DEPOSIT - SEWER $ $ ?S . (/--() ACCOL'NT DEPOSIT - WATER $ $ WAC $ `J 7 S ?O'?J $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL RECEIPT #- RE CEIPT DOES UTILITY CO[VNECTION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY? Q YES IF Y ES, THEN A" PERMIT FOR WORK WITHIN PLBLIC ROAD WAY" MLST BE ISSDED BY THE ENGINEERING Q NO DIVI SION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: _ ?OT Z J/?? ?c*?O BL CITY OF EAGAN PLUMBING PERMIT SUBD.? (612) 681-4675 YLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERPfITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY xECEirT ? Co r9 i ?7 DATE (0 ' - 9?- ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST /,?Sm 7' ADD ON ?- REPAIR _ OWNER NAME: SITE ADDRESS: ..F ZNSTALLER: c`Xa, 0 , S^" ? ADDRESS' LN/ J F-? P,J5< T/Ll ) f ?ITY: EksG? ZIP: ss ? a3 x PHONE #: 4?>eIS SIGNATURE OF PERMITTEE COMPLETE THE FOLLOWING: N0. , FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 _ SHOWER 3.00 _ WATER CIASET 3.00 BATH TUB 3.00 IAVATORY 3.00 KITCHEN SINK 3.00 IAUNDRY TRAY 3.00 _ HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 _ OTHER WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 _ W. TORNAROUND 15.00 STATE SURCHARGE .50 so TOTAL: $ 1`S ^ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/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 J: _ INSTALLER: ADDRESS: CITY: PHONE $: CONTRACT PRICE: lY OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHAR6E $ TOTAL: (SIGNATURE) PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110422 Date Issued:05/10/2013 Permit Category:ePermit Site Address: 4475 Fawn Ridge Tr Lot:20 Block: 1 Addition: Fawn Ridge PID:10-25800-01-200 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 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 - Lori K Peterson 4475 Fawn Ridge Tr Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117890 Date Issued:10/24/2013 Permit Category:ePermit Site Address: 4475 Fawn Ridge Tr Lot:20 Block: 1 Addition: Fawn Ridge PID:10-25800-01-200 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 . Eva Lewis 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 - Lori K Peterson 4475 Fawn Ridge Tr Eagan MN 55123 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use I 3 GI City O1 Pn R n Permit I ' I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit I ` Name: 2eA192-31,IJ Phone: Resident/ 1 / ` - r I Owner # Address / City / Zip: `7 7Su4~ ^i I d C~ U Applicant is: Owner Contractor - Description of work: f (~1 f1~L ~l Type of Work j ' Construction Cost: ulti-Family Building: (Yes /No € Company: Contact: Contractor Address: L- 170' ~c City: C f11A+ State: y" lcj Zip: 5-5 q~1.0 Phone: of Sa' STT- 7 Vflail: I AJ ~I3 U i License OL 60 Lead Certificate fl If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: _ Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x x Applicanllifl Print Name Applicant's Signature Page 1 of 3 rgos 61 For Office Use I /It $�° • i0� : e % E AG N P5 Date Received- r�� 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginsoectionsCc�cityofeauan.com L SEP 0 4 2018 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name:UO I \I t j.LYL W'Q_,i Phone:(6/ Resident! ©Wner Address/City/Zip: `�-J /5 C tA)►� ;Ite Applicant is: Owner Contractor Description of work: QO41 ;5* .t.Ac \'� �'�t c �` cel ,�1j�OL9 'Type of Mirk 6 Construction Cost:`'��' k Multi-Family Building:(Yes /Noo) nr Company: Contact: Address: City: Contractor State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting rdocuments that`you submit are considered to be public information Portions of the informat on maybe r,.classified as non-public if you provide.specific reasons that would permit the City to conclude that Bey are trade trade.:Secret*.p_mv,f, 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. • t.(latti x t Applicant's��rinte�d Name ��� Applicant's Signature DO NOT WRITE BELOW THIS LINE ,L/q 7 omPIALM 6 T /2.-: 15/ -7Vi . ' SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) Multi ,Q Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex T Lower Level Pool Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* y.jAddition 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 Valuation 72/ L .b Occupancy .Th ,t ,MCES System Plan Review Code Edition ,e2,0)5. SAC Units (25%_100%/1/4 ) Zoning Pa City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction R16 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: /x Footings (Deck) Final/C.O. Required Footings (Addition) y., Final/No C.O. Required Foundation Foundation Before Backfill f HVAC_Gas Service Test Gas Line Air Test Hood Roof: Ice &Water _Final Pool: Footings _Air/Gas Tests Final 'ik. Framing 430 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: , Building Inspector RESIDENTIAL FEES Base Feeha- 4/ 1 v V Surcharge OT UN' 'VP' Plan Review 0 OAP MCES SAC City SAC I 62_ s i"0Utility Connection Chargey S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 �w wa `�t.,_'�'x+,•.ti!yr. i^x,%x,+ur :a-* 'zasrf�,.,:.�? °-r .,_ anti,N e 1 . -^ ....;- � Ana 4' / L � 5, P I3 -: x 0 / � � CONSULTING ENGINEERS g PLANNERS and LAND gU1tVEVaRS �r , ' n''' '' C01111PRNY INC. ., , ,, ,1000 EAST 14E^ STREET, BURNSVILLE, U1HHESOTA 55.237 PH 432-3000 `' '",,,, _ ,,, sr Al •- -- - -22o7E Lor 20> 8w4.14- 1 / F .4 04D J / //t /1.., D lxav4 ni 1 i.J,,1 rr24 , ,,. , 1,e'r° \ \ ' :\ 6. . „ \ , °T1 ".., Is q�" o (� , a P)$/ ®S.1; \ O C. S 1 .I - \. \odA yq /r �� ' \ , v t�Vs-- 1- ��51 �o \b . �' ) ° ' \ .% -0 - -,,t...; .' ',Ix, 1.. , . - .=. ' ' ---'-- '. --.3j7:1\-.,\ ' , Ap, Ilk odttt, t) .S` j'- i t.,T1 ur, ,i ?dAe L-P,.'tc ' ®e/-,, , _ - �I -ASEhhF��1 T q r u . -- i ` 1 : P 1 \7 ' a`o� 12, - 0 )r t 1 x11_., b, L_® T-' 2® -- cepoto) Deowes o,d t'v .•1•"`-'•----.*--.6'hlDkAA �S rDP R. o4 Or. c'�� I r — ( 4 '60P-r DFZAi..I �- C`, 14N, I • o� C;,0,-,•/Eo • '6.40e-,6c �ccc . . ELEJA-r cam..! r: 940 9,g22, ; off I hereby certify that his in a true and correct representation ofa tract of land as shown' and denc ibed hereon.. A prepared by 818 on thin /8/71 ' day of F i......... . ...44i001: i inn• Reg• o. 400,,r