Loading...
4817 Four Seasons Dr Use BLUE or BLACK Ink 1 For Office Use _q6Q?6' ina City of Ea dn ; Permit: Permit Fee: - ~~GS l 1 3830 Pilot Knob Road ; 6_1 ; Eagan MN 55122 M AY 6 2011 1 Date Received: I Phone: (651) 675-5675 .~~Cq)~ i sta Fax: (651) 675-5694 j i 1 J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION V9 7 ,ptJG!~ Se ( SQ 1-7S f7f^ ,-V 4Unit r Date: S_ / 411 )-0111 Site Address: Name: Q Is U It CILr r Phone: -,S RESIDENT 1 -47 OWNER Address 1 City 1 Zip: 1 0 ~ 7 / o ui"e .S' OfV V C Applicant is: Owner V/Contractor TYPE OF WORK Description of work: .~TQ f r /.?/I C/1 ~ 11 hock rinn r Construction Cost: Multi-Family Building: (Yes / No P,--) Company: Ef rh r t r~Pl^NrT n C Contact: 9c'Pl1 e' CONTRACTOR Address: G J t4 AV 5 City: - A VI Y1 C I ®I S State: Zip: YB0 Phone: 61Z-727-F76_6 License #:2063 T~7 l~ W Lead Certificate he)h r -31- 201 a If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) bi,idi H79 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. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonerall.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 1 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 l of ans. accordance with the approved plan in the case of work which requires a review and 7"(_'/r x 'u icant's Printed Name Appli s Signature Appl Page 1 of 3 r-60 (-r~S pr~L qjY63 DO NOT WRITE BELOW THis LINE SUB TYPES _ Foundation _ Fireplace Porch (3-Season) , Storm Damage _ Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family) Multi 1( Deck Porch (Screen/Gazebo/Pergola) T Exterior Alteration (Multi) _ 01 of Plex T_ Lower Level Pool Miscellaneous Accessory Building _ WORK TYPES _ New _ Interior Improvement _ Siding - Demolish Building" Addition _ Move Building _ Reroof - Demolish Interior - Alteration _ Fire Repair _ Windows - Demolish Foundation Replace Repair i Egress Window - Water Damage Retaining Wail "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy t- MCES System Plan Review Code Edition ~o-7 SAC Units (25%100% ) Zoning City Water Census Code "T Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction t ~r•~ Width F/ 4F REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final ! C.O. Required Footings (Addition) Final I No C.O. Required Foundation MVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests ----Final Framing Siding: Stucco Lath -Stone Lath Brick Fireplace: _,,.Rough In Air Test -Final Windows Insulation Retaining Wail: - Footings _ Backfill - Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee, Surcharge Plan Review f MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 WtL'tifiCQ#e of CCC1IpQ1iCv , (Mt) at Cfagan mepartmeat of 13xitbiug 3x6pection This Certificate issued pursuant to the requirements of the Uniform Building Code certi,fying that at the rime of issuanee this structure was in compliance with the various ardinnnces of the City regulating building construcrion or use. For the following: UscQassificalion: SF' Tic Bldg. Pem+ii No. 9.177 Oocupancy Type H3.MI Zoning DistricY R I Type Const. vu ow.a ocsu;lmng M CObEMIMON ne*ess 2.:500 r? dt n W; MMOTrF Building Addnst 4817 FCU-R SEA.? DRIVE l.ocaliry L2. B 1 • WM.+ IM tiCCUS 5TH , Da[er Burtldiog OfFiciaf ? POST IN A CONSPtCUOUS PLACE *F `1 ?' ' . . -- : -? . . . . . . . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4? ???•?' ; Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE AQDRESS: APPLICANT: ?. i ?+??f ? r•,?.??r? , ???? ? ,???,r r?v; PERMIT SUBTYPE: , i- TYPE OF WORK: r.r r w INSPECTION .. . „ i ra•.??i a, i i ??N f i NnI i I i 1 ? I r!! t f Ili M/1ftF ':, aJ? w F' i H 11 '>cjiuI I i -1 ? ! Permft No. Permit Holder Date Telephone N SNV PLUMBING Hvac y S 3 ?f p ELECTRIC 0 a.12 ELECTRIC InspecHon Date Insp. CommsMs Footings I Foundation Framing .i'• Roofing RoughPlbg. !J -v Roug?, M9. 9 lQ? Ui,l? 02.?? ISUl. Freplace -?a93 qld Fnal Htg. a tv ? ofsat Test Fnal Pibg. O Plbg. Inspector- Notity Plumber Const. Meter EngrJPlan Bldg. Final Z Deck Ftg. Deck Final Well Pr. Disp. 4*C.. /"/q' /i? AlIL 7?ST 3366S r //1DI r3 'fip Address 4817 FOUR sEasolvs n2Jvs Zip 5512 3 I.ot 2 Blk- I Sub wKZSrauNc WooDs sht THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: L4/q Yes No Inspector: Final grade (6" ftom siding) Pertnanent steps (gatage) r/ Permanent steps (main entry) ? Permanent driveway Permanent gas ? Sod/Seeded grass TraiUcurb damage ? Porch ? Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff oF warer supply to the outside lawn faucet before freeze potential exists. ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow • Resident Copy Pink - Contractor Copy P, 2928 Requesl Date Frte Na Rough-in InSpedion NOTICE: Vou Must Call Eleclncal Inspector 7-28-93 ImreE? ves G No IfA Rougn-Inlnspechan is Aequiret I Iffi licensed contractor ? owner hereby request inspection of above electrical work at: Jab Atltlress (Street Box or Route No ) Ciry 4817 Four Seasons Drive Eagan Sedion No Township Name or No Range No Couny Octupant (PFINT) Phone No FSB Construction PowerSuppher AtlEiess Dakota Electric Eleancal Coniredor (COmpany Name) ConVamors License No. Lazer Electric, Inc. CA 01110 MaAmg Atltlress (COniraclor or Owner Making InstallaLOn) 8383 Sunset Road N.E., Minnea lis, MN 55432 Author¢etl SiBnature (COnVactorNwnerMaking Installavon) Phone Number _41 1 ? ?WL4 784-3729 MINNESOTA STATE BOAflO OF ELECTHICITV THIS WSPECTION REOUEST WILL NOT Griggs-Mitlway Bldg. - floom 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Umvers'ity Ave., SL Pauy MN 55109 UNLESS PROPER INSPECTION FEE IS Plione (612) 862-0800 ENCIOSED. ?REQUEST FOR ELECTRICAL INSPECTION ? r?p See inshuclions for crompleting ihis torm on back oi yellav capy lol 02928 'X" Below Work Covered by TMs Request 0 ? ??? ?? ew Add Rap. Typeaf8uiltling AppliancesWrted EquipmentWired }( Home Range Temporary Service Duplex Waier Heater Electnc Heatmg Apt Building Dryer Load Management Comm./Industrial Furnace Other (SpecRy) Farm Air Conditioner OIM1er (specdy) Conlractor5 RemarksCompute Inspechon Fee Below: # Other Fee # ServroeEnlranceSize Fee # Circuns/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Signs Inspector5 Use Only -_ TOTAL Irrigation Booms \ ? 96. 86.50 Special Inspection ( Alarm/Communication THIS INSTALLATION MAY BE ORDE ECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT o? ( I, the Electrical Inspector, hereby Rouqn-in Z/ certify that the above inspection has been made. Finai OFFICE USE ONLY TNa request vaid 16 manihs fmm INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 RECORD PERMIT TYPE: Permit Number: Date Issued: auxLozNe 021223 06/15/93 SITEADDRESS: 1Q7; 2 gLOCK: 4817 FOUR 5EASON3 DR WHISPERING WOODS 57H PERMIT SUBTYPE: SF DWCr 1 APPLICANT: F S 8 CQNST ZNC (612) 890-3000 TYPE OF WORK: NEW INSPECTION FOOTINfa .. . FRAMING .A IMSULATION FINAI FIREPLACE i REMARKS: 5& W PLBit - SCHULTIES PLBG I--- - - _ - --? ? -+CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Perrnit Number: Date Issued: ?%30 ? BUILD G 021223 06/15/93 SITE ADDRESS: P.I.N.: 16-83954-020-01 4817 FOUR SEASONS DR LOT: 2 BLOCK: 1 WHISPERTNG W0005 STH DESCRIPTION: 8,tt.1],di"1 Permit 7ype SF OWG ?6vi.ldittq Wqrk 7ype NEW 'UBC OceupaneS41 R-3 M-1 , Corlstrupt3oFT T-, e V-N ZOf1?tt4Y ?-*`-z R-1 gu3.?ldi.ng Lecvgth ? 72 Bui.lding Width 44 i c???? ? ?-lI ?? REMARKS: S& W PIBR - SCHUL7IES PLBfa FEE SUMMARY: Base Fee Plan Review 3urcharge SAC sac % SRC Units Subtotal VALUATION $706.00 $458.90 $59.50 $750.00 iae $1,974.40 $119,000 MISCELLANEOUS $1,744.50 Total Fee $3,718.90 CONTRACTOR: - Applicant - sT. LIC OWNER: F S B CONST INC 18903600 0003885 F S 8 GQNST INC 2500 W COUNTY RD 42 9 2500 W CtlUN7Y ROAD 42 BURNSVILLE MN 55337 BURN5VILLE MN 55337 (612) 890-3000 (612)890-3000 ? I hereby acknoalodge that I have realf th3.is appkication an•d state that the znforMatian 3e corract and agxee to comply Gfittt all aRPlieabke State af 74n,. StaCUtes a»?cf City of Ear4an Qrtiiaances. L.ou Rj;rL 1U SSUED B : SI NATUR I 2EACTI'VATE ? PERMIT # ifall all CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPUC LV'L?D MAY 2 5 1993 SINGLE & MULTI-FAMILY --------------- 2 sets of plans, 3 registered site surveys, 1?n'ernJY' calcs. COMMERCIAI 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 2'5- Yaluation of work 120oao ???c.- sf.?4sa..r ?? • Site Address: 41S!17" STREET SUITE M Tenant Name: (commercial only) IAT C2 BIACK L SUBD. 5 7t wv?? Y.I.D. N GJrfiSQfn,- L Descri tion of work: 5 DW G• The applicant is: ? Owner LrGOntractor ? Other (o"«;ne) Name "? s;'? - Phone Property LAST FIRST Owner Address STREET STE !t City State ZiP Company /Ae. Phone 9?Po-30cY2 Contractor Address o2500 rs ei 1& ??'?? License #cavn3ARs Exp. City State r'/w Zip gS317 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber A?r/j??? . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read is applica ' n and state that the information is correct and agree to comply with all licable e of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Useg&ntFi h T16 W02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O h 17 Sw m Pool4op ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch 0 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck O 20 Public Facility ? 21 Miscellaneous WORK TYPE 0 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INF ORMATION Const. (Actual) V'-A1 Basement sq. ft. MWCC System (Allowable) U- N lst F1. sq. ft. City Water c3 UBC Occupancy R-3 M_k 2nd F1. sq. ft. PRV Required Zoning R_1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. fire Sprinkler Length '7 -Z_? On-site well Census Code Depth On-site sewage SAC Code Cel'' T3 ? APPROVALS j( t ? r „ti Planning Building Assessments Engineering _ Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation E3 Fireplace Permit Fee Surcharge Plan Review License MWCC SAC c; ty sac Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: sAC % ? SAC Units v tuet;o9: S Oc7D? ?rRR• . 3?xzc?= ?6 i z n a = C2?) ?3Sm T' ; '6 Y 6 tc , yZ X3g? 13x ? - i3X u = 3?11= S?cZV= ISq6 (j <,3) 33 ISIS ?c(S% ?»r7 ? 1 S i ZZ?2J ° IS2??s?%- ll X -7i`l , • 06i04i93 09:41 JfXHES R. HILL 002 ? SURVEYOR'S CERTIFICATE . ? fp x?ss , Voi 134.10 N89050103°E_ :.__-_.e.oo---?r: U) ---.. g?/ io ?I id 0) ? ??N ;i ? ?a• ? ? W ? ? Q I W ?l yj ? '?g? I ? ? z N (? \S 20 Z ZI "N I 0 .j ? I ax N ?I?, ?j 5 N a I" '?!, I IO ? .._ ?-IHOO?er^,'?'? h ? N `; ~ &?1 889.5 ? ? , 134.10 n? ga?o7o31i ? .: ? ? 'SI '?-?'? ?+ a EAlsAN IiOTEj NO spECFiC Soi49 iNVESTGqTiON NAS BEBN COMPLETED"; DN TTtls Lo7 BY TItE SURVEYOR. TFE BtIITABIl,11Y';OF 50145 70 SUPPORT TF1E SPFCIFIC FIOUSE PqpPOSEp [S NOT 7NE RESPONSlBIlI7Y • OF THE SURVEYDR ?- DENOTES PROPOSED SllRFACE DRAINAGE O DENpTES IRON MONUMENT S£T • DENOTES IRON MONUMENT FOUNp X000.0 DENOTES EXiS71NG ELkVAT10N (000,0) DENOTES PROPOSED ELEVATION NOTE; BUILDINfi qIMEHSIONS HMOW?1 ARE FDR HORI OM" TICAt' L.OC- • ATtON 0 BTJt?Y ON4Y: $EE nRCtinBCTUa?. Pp?t 9ux.owo 6 PdtN1DAT10N D{MEHSfDNS. . SCALE: 1 INCH - 30 FEET PROpOSED QARAGE FIOOR -1$G.'7 . fEET PROPO5ED LOWEST FLOOR -7791, FEET QROP05E0 TpP OF BLOCK-`j?. ? FEE'f WE HEREBY CERTIFY TO FSB . THAT TH13 IS A TRUE ANO CORRECT REPRE5ENTATION OF A SURVEY OF THE BOUNDARIES OF; Lot 2, Block 1,•WMISPEitING WOODS FlF7N ADDITION, accordinp to-the reoDrdad , plot fheroofo DokoM O;.unty, NUnneaofo, , • IT DOES N07 PURPORT TO SHOW IMPRQvEM?TlTS CR ENCROACMNlENiS, IXCEPT AS SHOWN• AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISIOId 7HI5 29RD DAY OF MAY ,1893. EXIS7iNk3 EI.EVAYION 9qWN ydEqg SIG : J M R. HILL, INC. 7AKEN FROM PLAN4 'Pfi0Vt0EU BY OTHERS. oO" JOHN C. LAR$ON, L4ND SURVEYOR MINNESGTA LICCNSE NUMBER 19828 s m ? ? Cn D Hi ' inc James R ? ? m W m ? ? W a n? . . ' . o W o ?" a z ,? m ? . PLANNERS / ENGINEERS / SUFiVEYORS ?: m 2500 W. CTY. R.D. 42 6 BURNSVJLLE, MN; 55387 ?$12-N0•6D44 R-94'6 612 890 6244 06-04-93 09:43AM P002 1f31 Buil . der License #0003885 FSB Construction, Inc. 2500 W. County Road 42, Suite #9 Burnsville, MN 55337 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION PLAN #: 540 DATE: "5/24/93 OWNER: FSB CONSTRUCTION CONTRACTOR: F58 CONSTRUCTION SITE ADDRESS: 4817 FOUR SEASONS DRIVE PHONE: "890-3000 _--------------------------- " 1) TOTAL EXPOSED WALL AREA * 2) TOTAL EXPOSED ROOF/CETLING AREA WALL AREA CAICULATIONS: * TOTAI WINDOW AREA * 70TAL DOOR AREA * TO'TAL GLASS DOOR AREA ^ TOTAL FIREPLACF WALL flREFi TOTAL WALL FRAMING AREA NET IN SULRTION WAl_L AREA " TOTAL RIM .]OIST AREA TOTAL FOUNDATION AREA(EXPOSED) " TOTAL FOUNDRTION WINDOW AREA Ifi item 3 is the same as, or less intent of 2 MCRR 1.16008 A and 0. ROOFJCEILING CALCULATIONS: TOTAL SKYLIGHT AREA TOTAL ROOF/CEILING FRAMING AREA NET INSULATION ROOF CEILING AREA Square "U" Footage -------- -- Factor ------- 2325 x 0.11 = 255.75 1845 x 0.026 = 47.97 275 x 0.41 = 112.75 84 x 0.07 = 5.88 42 x 0.41 - 17.22 46 x 0.36 = 16.56 139 x 0.08 = 11.12 1320 x 0.043 = 56.76 210 x 0.04 = 8.40 160 x 0.16 = 25.60 0 x = 0.00 -- 3) ---------- TOTAL = --- ?"s? -254.29 than item 1, you have met the 0 x = 0.00 185 x 0.026 = 4.80 1661 x 0.022 = 36.53 -------------- ° - 4) TOTAL = 41.33 Ifi item 4 ie the same as, or less than item 2, you have met the intent of 2 MCAR 1.16006 A and 0. I hereby certify that the building here descr3bed meets or exceeds the State of Minnesota Energy Conservation Act. PA ? 2?c k3 Signature Date 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF BAGAN / 3830 PILOT KNOB RD - 55122 7 7 ? 3? ? 651-681-4675 New Constructlon Reaulremenfs ? Remodel/Reoair Reaulremenfs ? 3 regbfered sHe surveys showing sq. H. of lot, sq. ll. of house and gLI roofed areae (20% maximum lot eoverace allowed) D 2 copies of plans (show beam 6 wlndow sizes; poured Ind. deslgn; e1c.) ? 1 sef of energy calculalions ? 3 cepies of hee preservaNon plan B lof plaHed alfer 7/1/93 DATE: -7-3 0^ I - + DESCRIPTION OF WORK: STREET ADDRESS: 2 copies of plan 1 set ot energy calculaflons tor heWed addRions 1 sMe survey for exAerlor addMions a decks CONSTRUCTION COST: q'-'5-00 LOT: -,,2- BLOCK: SUBD./P.I.D. #: ?J Name: &kj1(N?I .7RVe- Phone#: 1651-M?3ffl' PROPERTY Last First OWNER ,?n,?, (1 C? -?? _ Street Address: 7 Q/ / i OW JK-Fr3O" ) v?• City !R-l.l State: yK'fJ Zip: SSI Z 2- CompanyTl'IM?I(./? F7w?Wf! l.u"?y*01b'SPnone#:L17-_ -7o-7 - bRS?! • (area code) CONTRACTOR r ,/??? Zo I(p9 3H,y .3,?,p0lr Sheet Address:1Z147 N(Ld1 ?G? nT4 • S' License # Exp. City jj I.tW-til$ (M (A State: 1'K ? Zip: SS .3.3 7 ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration #: City State: Zip: Sewer 3 water Ifcensed plumber (reauired for new constructlon ontv): Penaly applies when address change and lot change is requerted once permM Is Issued. I hereby acknowledge thaf I have read this appllcafion, state that the information ls cortect, and agree to comply wRh all applicabl State of Minnesota Statufes and City of Eagan Ordlnances. Signature of Applicant: ?-" OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Recewed _ Yes _ No _ Not Required ' ? . ? .?.,>;.. . 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT. NO. FIXTURES E&CH TO / Suno?ER 3.00 - ? - WATER CLOSET 3.00 I BATH TUB 3.00 ? ?- LAVATORY 3•00 --?- KITCHEN SINK 3•00 -? ? LAUNDRY TRAY 3.00 HOT TUB/SPA 3 ? - / WATER HEATER ? ? I FLOOR DRAIN 3•00 -? GAS PIPING OUTLET • minimum • 1 3.00 ? ? ROUGH OPENINGS 1.50 W.ATER SOFTENER 5•00 ------ PRIVATE DISP. • Dercry. iic. 15.00 U.G. SPRINKLER • eome uneer const. 3•00 ALTERATIONS - to ausunq 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE OWNER INSTALLER: ? ' itqv^. 121 RcCVdOOD D91VE ' ADDRESS: OPPI F 1/AI I t-v r.nni c4n4„? - CITY: STATE: ZIP CODE: PHONE #: ( ) ??E z??.?-- SIGNATURE OF ERMITTEE ` MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCTION ADD-ON A/C P.DD-ON FURNACE DATE JLt Ly FEES HVAC: 0-100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6.00 GAS OiTTLETS (MINIMLTM 1 @ $3.00 EACH) I - ADD-ON/REMODEL (Exisr[NG coNSTxucTION) $ 15.00 STATE SURCHARGE .50 TOTAL d 2 G SITE ADDRESS: d! l rULC& 1 T/iJU?vJ (1/cc OWNER NAME:EI?_? ('O (J ,STY?S,J._,(• i ((Z41_ TELEPHONE #: P: - __?OQo INST CIT'Y STA'I'E: A IV ZIP CODE: s? T TELEPHONE #:? S?S rI ? Co D SIG ATURE F E / 2005 RESIDENTIAL MECHArTICAL 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 peamts aze required for each wn[ ?3c??Nl Date??/??/ SiteAddress Unit# P O Tele hone #((psl ) D O J' 5,UY ? roperty wner p Contractor SEDGWICK FJOdTI"Ir pAlr r , ".^'*'TIING LLC Street Address zu City State • Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner A/ Convac[or _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _ Replacement v air exchanger f?f/n JnQjj, \/Ofd 3 airconditioner _New _Repl acement other State Surcharge $ 50 Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with ihe ordinances and codes of [he City of Eagan and with the Mechanical Codes; that I understand this is not a pemrit, but only an application for a pemut, and work is not to start without a pemut; that the work will be in accordance with the app W gf wg,.%?. ? e es a review and approval of plans. Applicant's Printed I3ame- - Signature ?, I 0 C' 2 s2G05 ??7 g3 zoos RESlDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ? 1 ? I site Street Address d,? - 1 7 C14 Unit # ProPertYOwner Telephone # -r-cr,--? Contractor Address , ? '3l Telephone# qn:-ZA)m City 1r /? State4?&L ZiP The Applicant is: _ Owner ? Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Include$ ?00. Ofee $ 50.00 Alterations to existing dwelling Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insfal7ing onl a water sofiener and/or water heafer, do not complete this section; move to the next section and check the appiiance(s) you are instailing. _Septic System Abandonment Water Turnaround (add $130.00 if a 518" meter is required) Other: Water Heater ? $ 15.00 ? Water Softener - _ new ? replacement ? Lawn Irrigation _RPZ _PVB _new _repair _rebuild I $ 30.00 State Surcharge g 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 accor ce with the appyqved plan in the event a plan is required reviewed approved C) A p icanYs Printed Name Appli anYs Signature Use BLUE or BLACK Ink J r - - - - - - - - - - - - - - ~ I I City of Emn PermitI I I Permit Fee: 3830 Pilot Knob Road I I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 ; Staff: I Fax: (651) 675-5694 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 Site Address: Tenant: ~PC Suite RESIDENT I OWNER Name: (1 f~~-~ / ~l Z- (AS --/,ZPhone: <kl - fT2- ~_Cj Address /City /Zip: CONTRACTOR Name: CA ✓~''t if License Address:9-6/9' i 7 "~~,c 1V City: State _ Zip: 3,::i j Phone: 17~2- Contact: /Vx t~f- bbl b>r'1 Email: TYPE OF WORK New _ Replacement _ Repair _ Rebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL _25 awn Heater Water Softener Water `Lawn Irrigation RPZ / 1< PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.om 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'rc~-c x ~ Applicant's Printed Name Applicant's Signature EFORtOFFIC'E USE Reviewed By: Date: ired Inspections: Under Ground Rough-In Air Tesl_Gas Test Find