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4476 Mallard Pl Jun 24 11 07:40a Josh De¢iel 763-3$5504 p.1 Use BLUE or BLACK Ink l ~ ~ I ForOlfice...k4o - - rka City of Ea Perm l Permit Fee: - ® l 3830 Pilot Knob Road 1 l Eagan MN 55122 I Date Received: l Phone: (651676-5675 t staff Fax: (651) 675-5694 CL 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Gate: -►i Site Address: '`l7rr~ce~(ur~Cf1 t✓-- - Tenant: Suite RESIDENT I OVMER Name: Y. r r- r t Phone; Address I City I Zip: II CONTRACTOR Name: 1 `S' License - [acl(Oc)~ Address 3 U l City: Pl,Ac ei<< ) State: / Zip: 5 }-7 Phone: ~(P ~ 1 Contact De r, e Email TYPE OF WORK J„ New ~ Replacement ~ Repair _ Rebuild _,n~Modify Space _ Work in R.O.W. Vescrl Lion of work: ;q5 w1 0.4 Aiq S:r PERMIT TYPE RESIDENTIAL Water Softener _ Water Heater Lawn Irrigation fiPZ I _ 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 Abartdor%ment Water Turnaround' (includes $5.00 State Surcharge) j 'Water Turnaround (add $1136.00 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 DUG. Cal Gopher State One Call at (651) 464.0002 For protection against underground utility damage, Gall dg hours before you intend to dig to receive locates of underground utilities,. www.voQhcrstatGOnccall,_or_q I hereby acknowledge that this Information is complete and accurate; that the work will too In conformance with the ordinancas and c*das 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 wlthotn a pornmil: that the work will be in accordance wdh/t~he approved plan in the case of work whlrh requires a review and approvpl of Iarls/"^ , x Ga Lt V!•Zi ~ ~ x y Applicant's Printed Name A ticant's Sig #ure FOR OFFICE USE Reviewed By. Date: Required Inspections: Under Ground _Rough-In _Air Test Gas Test Final Use BLUE or BLACK ln~ 4T" Permit City of Eapi I Permit Fee: ` I 3830 Pilot Knob Road I t Eagan MN 55122 JU 1 + 2011 j Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff. I ~ ~ J .2011 RESIDENTIAL BUILDINIG PERMIT APF 1_i,A [G.J1N'C~ Date: 3 Site Address: Unit Name: L= s Phone: RESIDENT I ii OWNER Address / City / Zip: LL ik- 1 AIA Applicant is: Owner Contractor Description of work: i T Y•) t1V 0 B E✓ (t) ° Oi"O t TYPE OF WORT( Construction Cost: Multi-Family Building: (Yes No Company ~a- Contact:] CONTRACTOR Address: / a t.* Ate? City: ) 3 C z, Phase:. 5.3 ' . State: t°`...Zip: ~ 36 l License 90!]1967" 6-1 Lead Certificate #f: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRuC`CING ANEW BUILDING _ In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pl<-: n? Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ,.WQTE P tr .a r llt iy~cuti t nf.5 ghat ya p Suhin f u~£ co-, t zr~ r ; , c tr c f aria c l47~~ ITcTS-Sed~5 ~iA?Y (113/!C "(U f7C011Gc j EC %C ? t . OfI IF..: r r t rc f't/lE C TE _ - _ , ccil~f±de ifi>?a#the .,are trade Secrets. I CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-00012 for ; •rotectior: ;-~c a' ; . ?ere ctrnd utility dam<= Call 48 hours before you intend to dig to receive locates of underground utilities, m-".gophers_tateonecall.org I hereby acknowledge that this information is complete and accurate; that the vmrk(%iill be in conformL to ;th e crdis oe d codc,_ of the City of Eagan; that 1 understand this is not a permit, but only an application for a pc,~-d, and v,ork is noI o MA L vvit out a e n t at the work will be in accordance with the approved plan in the case of work which requires a rcticvrtrd approval cf pl-.,f-. J n X i;r`a s ~d s 1. X Applicant's Printed Name Ap icant's Signature.. Page 1 of 3 -z4LI C~ -7/, DO NOT WRITE BELOW THIS I_ INE / SUB TYPES _ Foundation _ Fireplace Porch (-?-Season) _ Storm Damage Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck Porch (ScreeniGazeboiPergolal _ i'),ierier Al:c r:'+c _ 01 of _ Plex Lower Level Pool lAiscellaneous Accessory Building WORK TYPES f fI.~. / 1 lr~'j C7cTS New _ Interior Improvement _ Siding _ Dc!nclish Building" Addition _ Move Building Reroof Demolish Interior ~Alteratlon/ _ Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall "Denrolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 40 Occupancy MCES System Plan Review Code Edition U SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final i G.O. Required Footings (Addition) __~e Final i No C.Q. Required Foundation V HVAC _ 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 19p 7 t~-D , Insulation Retaining Wall: ` Footings Backfiil _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: 1 , Building Inspector RESIDENTIAL FEES Base Fee Plan Review 0 ~Q V MCES SAC City SAC Utility Connection Charge C~/~~~ (~cF ? S&W Permit & Surcharge Treatment Plant Copies TOTAL / s l/ l Page 2 of 3 0. RECEMEO CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 DATE AMOUNT I a r- ,] I Thank You ? 19 , BY ? C 1015 8 ?it ?, Pink-flle Copy & DOLLARS ,oo CICASH ? CHECK SEWfR & yiFATER PERMIT CtTY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 ' DATE Srn` 24, 1990 . METER # _ CHIP # - METER SIZE ISSUE DATE ,;.. PERMIT DATE`'y ?L , • PERMIT# 11bb1. B.P. RECEIPT # • u B.P. RECEIPT DATE `'?? ? /90 X PRV - BOOSTER PUMP SITE ADDRESS 7 C, f ` PL LOT BLOCK ' SEClSUB THaMA~ LnKE Wt;ODs APPLICANT:. ADDRESS: _ CITY, STATE PHONE: - ZIP PERMIT REOUESTED R SEYVER `- WATER - TAPS - COMM/IND X NEW X RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: Credit WILL NOT be given for Deduct Meters. CITY, STATE ? ZIP ?- PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: ;'?? Yr;? '-= i`'?`•':=`G?:.'v EAGAN ORDINANCES •`-2?1 BRIJ?E;.()[7U Tif':; ADDRESS: CITY, STATE V?WNAI5 11TS, Md Zip 55127 PHONE: 22b-$178 OR 426-8170 SIGNATURE WHEN METERISSUED OFFICE USE ONLY PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PER111fTS, CONTACT ENGINEERING DEPT. -- SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE SEP 24. 1991 i OFFICE USE ONLY METER# 2 a PERMITDATEo5/2$/4Q CHIP # D a/19 q 0 3 5 PERMIT # 11641 Q (L I v?? METER SIZE B.P. RECEIPT # v ISSUE DATE 3- 5'9J B.P. RECEIPT DATE 09 2 7 90 X PRV - BOOSTER PUMP ?SITE ADDRESS 4`- - ??LARD pL LOT 12 BLOCK I SEC/SUB THbMAS LAKE WUCiDS APPUCANT:. AODRESS:_ CITY, STATE PHONE: _ ZIP PLUMBER: '• - - ? - ADDRESS: J " CITY, STATE 'ti' ZIP 5? PHONE: PERMIT REGtUESTED X SEWER X WATER _ TAPS - COMM/IND -%' RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. f AGREE TO COMPLY WfTH CITY OF OWNER: STEVEh E KxENGEL EA AN OFiDINANCES , ADDRESS: 4221 SP, i DGEUOOD TErclt CITY, STATE VADNAZS HTS_ MN ZIp 55127 PHONE: 228-8778 Ott 426--5 7a SIGNATURE WHEN METER ISSUED -... , i ? 1,e.• f? ?'1 . . . PLEASE'ALLOW' `TVI?O WORKI?IG?DAY3 FOR. P?ROCESSINO. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMRS, CONTACT ENGINEERING DEPT. r.its?? ?-`?:'?±?'4,r.•},,;-,. .? . . . .+ ,.. ?:.?,r., s?< t..rr.y....,,?...,,o?.?w. . . . .. . . . . . . . . 7_?-Aw . . . , _ +s? . .. . . . ?, ••-- + ' '; . CITY OF EAGAN ? 8?97 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ? a BUILDING PERMIT Receipt # To be usgd jdr SF DWG/GAR Est. value $1 57 ?000 Date SEp 24 19 90 ? Site Address * "76 mALL%RD pL Lot t S Block i Sec/Sub. T? Parcel No. W Name STEVEH E KItENGEI o Address 4221 BRIDGEi?UD City VADt1AI S H.TS Phone Name - Add ress Clty _ Name Address City Phone I hereby acknowlege that I have read this application and state that the intormation is correct and agree to comply with all appiicable Staie o1 Minnesota Statutes and City of Eagan Ordinances. Signature ot Permitee A 6uilding Permit is issued to: STEY£N EPENGGEL on the express condition that aft work shatf be done in accordance with all applicable State o( Minnesota Statutes and City of Eagan Ordinances. Building Officfal ' , ' OFFICE USE ONLY : R- 3 M-1 fl ? Occupancy FEE S Zoning Pv '. V!N 822,00 ? (Aclual) Const Bldg. Permit (Allowahle) V?? 76.00 Surcharge # of 5tories '? Plan Re ie 534. OO Length v w Depth ? _ SAC, City 100.00 S.F. Total - 6?. Q? } S.F. Footprints - SAC, MCWCC ? 625.00 . On Site Sewage _ Water Conn ? On Site Well -?. Water Meter 90.00 i MWCC System -? Acct. Deposil 3Q.00 ? ? City Wafer ? 30 •? PRV Required S?W Permit Booster Pump S!W Surcharge .50 252.00 Treatment PI APPROVALS Road Unit 355•00 i Planner - park Ded. ? Council BIdg.Off. _ Copies S f 3.514.50 Variance TOTAL Permit No. Permit Holder Date Telephone # . WATEF SEWER PLUMBING H.V.A.C. EIECTRIC rIy[ Inapeetion Date Insp. Comments Foofinys i fO 9 ?v? FouridaGon G! /,q /r0 ? S Framing Roofing 12_ 0-po Rough Plb9. a Rough Hlg. . „ Isul. Fireplace / a5 Fnal Htg. f ? ? " A , Final Pibg. 3 ..;?-?r 1 ¢( Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final L1J6 Deck Ftg. Deck Final Well Pr. Disp. ? ' s • • r a: . O l fter#i#ira#e uf (Orrupanry titp of tagan Wpdmmt ? ?? ?trum 71ris Certifrcate issued pursuaxt w the requirenrents of Seclron 306 of dte Unijorm Building Code certijying tJral at the time of issuance this structure was in compliance with the various ordi,wnces oJthe Ci1y regudating building constnrcuon or use. For the following: vse cLarifiaoan SF DWG/G,NR Bl*. Rrmu No. 18397 O--P-lY Type Zook? Dietrict cnrm_ RMMM Ow?na at Buid'aq SMM E. Mdr? 4221 ? miam f 51, Bu7din[ Addoren - --1 IdalitY z ? !'- 4/ 19/91 POST IN A CONSPICUOUS PLACE ' PLUMBING PERMIT For CITY OF EAGAN PERMIT # - CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 557 22 RECEIPT # PRICE • PNANE a±U.RiDA neTF• City Phone FEES COMM.lIND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) OF EAGAN Res. r NeW COnst._4.ws!? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: , '1' NO. FIXTU RES TOTAL ? Water Closet - $3.00 $ .w O Bath Tubs - $3.00 1%047 ? Lavatory - $3.00 ?• ?O,ci I Shower - $3.00 _L Kitchen Sink - $3.00 3 a0 UnnaUBidet - $3.00 _L Laundry Tray - $3.00 / Floor Drains - $1.50 ? Water Heater - $1.50 ?N O ? wnidpool - $3.00 - y?rv Gas Piping Outlets - $1.50 ? (MINIMUIuI -1 PER PERMIT-NEW CONST.) Softener - $5_00 Well - $10.00 Private Disp. -$10.00 ' Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: C" STATES S/C: • ?b GRAND TOTAL: `! d . ?: MECHANICAL PERMIT CITY QF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DA7E Lot cc Add 8 Cay Phone TYPE OF WORK Forced Air ?l?Y,Il M BTU Boiler M BTU Unit Heater M BTU Air Cond. L ia? M BTU Vent CFM Gas Pip+ng Out4ets # ?- ? OthAf ? CommJind. Contract Price x 1% g PERNNT FEE: SlC: Mult. Comm. Other For City Use Onl ? ? PERM17 # ? RECEIPT# (,-? DATE: WORK DESCRIPTION ? New Const._(,G Add-on Repair 4- FEES ? RES. HVAC 0-100 M BTU - $24•00 .? ADDITIONAL 50 M BTU - 6.00 (RES. HYAC INCLUDES A!C ON NEW ? CflNSTRUCTION) -? TOWNHOU5E & CONDOS - RES. RATE APPLIES •?1 Ni1NIMlfM RE5IUENTIAL FEE - ALL ADD-0N & REMODELS (INCLUDES GAS PIPING) - 12.00 ? GAS OUTLETS (MINIMUM - 1 PER PERMIT- • NEW CONST.) - ` 1.50 EA. ? COMM/IND FEE -19G OF CONTRACT FEE " ` APT. BIDGS. - COMM. RATE APPLIES MINIMUM COMMERCIAL FEE - ? 20.00 STATE SURCHARGE PER PERMIT - .50 ? (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) / ??? ?GNATURE OF PERMI1'f ? 3 FOR: CITY t3F EAGAN , CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at y?'> ? M'! l/n ri? P ? I have this day inspected this structure and these premises and have found the following violations of city codes governing same: ;1 A /1/I._-- A -T' q. /. f When corrections have been made, please call 454-8100 for inspection. Date Inspector City oi Eagan DO NOT REMOVE THIS TAG wDATE: SEP 28, 1990 RE: 4476 MALLAItD PL (STEVEN KRENGEL) I X Yo4r Sewer & Water Permit for the above property has been completed. It will be held at the "•Public Vlidrks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. 01- Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARIdING: BEFORE DIGGING, CALL LOCAI UTILITIES -TELEPHOME, ELECTRIG, GAS, ETC. - REGfUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Addrass: 4476 MAidARD PIICE Lot IS Blk 1 Sec/Sub 1HQMAS IAM kllODS These items were/were not complete at the time of the final inspection. 0 t: 4/19/91 Yes No Tnqpector, e. Final grade (6" from siding) ?' Permanent steps - garage lr" Permanent steps - main entry ? Permanent driveway ? Permanent gas ? Sod/seeded grass 1A Trail/curb damage ? Porch ? Basement finish Deck Cf Pleasa verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potantial exists. ?j a? White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN ND ? 839? BUILDING PERMIT 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 5512? PHONE: 454-8100 Receipt # ` (1 ? ??I 15? fo be used tor ' SF DW6/GAR Va1ue $152,000 Site Adqress 4476 MALI.ARD PL Lot _15_ Block L SeGSub.THOMAS LAKE W002. Parcel No. w Name STRVAN F. KRFN(:FI o AddfeSS 4771 RRTnGRWOOD TFRR Crty vanNaTS HTS phone 22R-8778 fo Name_ $a Address Phane ? $W Name Address <w City Phone I hereby acknowlege thatl have read this applicallon and state Ihatihe intormation is correct and agree to comply with all applicable State of Minnesota StaNtes and Ci of agan Ordinan e5Signature of Permiree - A Building Permit is issued to: STRVF.N F. KRFNrF.T. on ihe express condilwn that all work shall be done m accordance wrth all applicaDle State of Minnnesola Statutes a,n,?d, C?iry/ ot Eagan Ordinances. BuiitlingOfficiai 1J?'10 JA.J I_IIJ,y ? 19 90 OFFICE USE ONLY Oaupancy R-3 M=1 FE ES Zomng PD (ACtual) Const V-N Bldg PermO 822.00 (Allowable) y? Surcharge 76 . 00 k ol StOries _ Lenglh ?$ ! Plan Review 534.00 Depth SAC, Ciry 100.00 S.F.Total - SAC,MCWCC 600.00 5 F. Foolpnnk _ On Sile Sewage _ Water Conn 625. 00 On Stle Well - Watar Meter 90.0? MWCC Syslem X Acct. Deposn 30.00 Clry Water _$_ PRVReqwred ? S/WPermit 3I_G0 Boosler Pump - S/W Surcharge . 50 Treatment PI 1 • 20 APPROVALS Poad Unit 3 5 S. pQ Pianner - park Ded. Council _ eldg.011 _ Copies Variance - T07aL 3, 514. 50 ? Request Date Fire No Pough-in Inspec0on Req 9 ? Reedy Now Will Notlty Inspector ??'? U ' Yas ? No When Readj'+ Ig2' icensed contractor p owner hereby request inspection of above elactiical work at: .bD Pdtlress (Sheet. Box or RoNe No ) VV9(v !i4-4'.G rAlllCcc' Settion No Townshi0 Name or No Renge No Counry fj ?F 0 Occupant(PRINT) PhOne N. POwer Supplier Atltlress " 7 Elecb¢al Convacror (COmpany Name) Conbecror5 Lcense N. GF<'i?t? Maihng AOeress ConVaclor or Owner Makmg Ins a9onj > ?/ .C ?/ ? f/ 4 ??" ( ?? y/ Aut SignaNre mr ctorlO.vne, Makmg Inslalleuoni Phone Numper (ou?Gy/v MINNESOTA STATE RPO OF ELECTNIC THIS INSPECTION REOUEST WILL NOT Grlp9e•MlUwey BICg. - Room 5173 0E ACLEPTED BY THE STATE BOAFD 1821 Unlvenlly Ave., St Peul, MN 55109 UNLESS PFOPER INSPECTION FEE IS Mane (813) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION M ? See instmchons (or completing tlns brm on back oi yellow copy 'X" 8elow Work Covered by This Request a?' a. ?„????_? 9??1-08?- e Ad$ Rep ° 7ypeo16uAding AppliancesWrtetl EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Bwlding Dryer Other (Specity) Comm/Indusirial ' FUrnace Farm Av Conditioner Olher(spxity) ConVacrorS Remarks Compute lnspechon Fee Below: # Other Fee # Sernce EntranceSae Fee # Circmts/Feetlers Fee Swimming Pool 0 to 200 Amps % 0 to iBPAmps ?O6 Transformere Above 200 _ Amps Above Amps , a C Si ns inspeaor's use onry TpL 'YO 9 Im ation Booms 3/SU Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Elecirical Inspector, hereby Rougn-in oet certify that the above inspechon has been made. Fnal oe:e ? OFFlCE USE ONLY This request wip 18 monihs Iram ?a- !o l.1??? 26 J 6 0 Requesl oate y? ) Fne No. Rough-in Inspectwn ReqmretlP eady Now ] WAI Nobly Inspecror ? f?Yes o WhenFeaaYv I icensed contractor ? owner hereby request inspection of above electncal work at: Job AtlOress (Street. Box or Route No I Ciry S cbon N. Townsnip Name or No Pange No. Coonry h /l Occupant (PRINT) Phone No S-SY,2 7 P wer Suop??er Aotlress Elecn¢al Contracror (Company Name) Coniractor5 License No Z° 17 Mading Atldress (C Vactor or Owner Making Installation) ? 1 Aut ?gnaWre onva<mvOwner akrng Ins[aliation) Phone Num?e r r?e MINNESOTA STATE45BrtHD OF ELECTflIC4Ty THIS INSPECTION qEOUESi WILL NOT Griggs-MiJway Bldg - Room 5473 BE ACCEPTED BY THE STATE BOARO 1921 Uvversity Ave, St. Peul, MN 55104 UNLES$ PROPER INSPECTION FEE IS Vhone(613) 6aY-0800 ENCLOSED 5?41REQUEST FOR ELECTRICAL INSPECTION $ee inslWCLOns ror Ebmpleting ihis lorm on back ol yellow copy. J60026 "7C" Below Work Covered by This Request a,wa ??ye 'T ?p ^E'B--0/0001- ew Atld ep TypeofBwitling AppliancesWired EquipmeniWVetl Home Range 7emporary Serwce Duplex Water Heater Electric Heatinq Apt Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Condi6oner Olher(syeaty) Conhador's Remarks Compute Inspection Fee Below: e917 ?i??K'' # Other Fee # Serwce EntrenceSae Fee # Cucuns/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs inspecmr's use onty 707AL ! Irrigation Booms Speaal Inspection AiarmiCommunicabon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t th b fl0gh-m Date cer y a e a ove inspecllon has been made F,,,ai oa?e OFFICE USE ONLY This reque5t voitl 18 months from I? _-821?1 REQUEST FOR ELECTRICAL INSPECTION ? See inslmdrons tor compleLig ihis Iwm on back ol yellow copy "X" Below Work Covered by This Request ' ee-0o001-07 .J 9 9o5(? e Atld Rep. TypeofBuiltlinq AppliancesWired EquipmeniWrted Home Range y4 Temporary Service Duplex Water Heater Electric Heafing Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speary) conirecto.s Remarks. t Compute Inspection Fee Below: 5i?? x!f # Other Fee # ServiceEnimnceSize Fee # Circuits/Feaders Fee Swimming Pool 0 to 200 Amps 1 11,00 0 to 100 Amps Transfortnere Above 200 _ Amps Above 700 _ Amps Signs Inspeclor's Use Only: 70TAL +ri 0 Irrigafion Booms ? Special Inspeciion Alarm/Communicahon Other Fee I, the Electrical Inspector, hereby c th t th t b i i Rouqh-in oeia er ity a e a ove nspect on has been made. F10? ? Dale , ?1??? OFFICE VSE ONLY This request wW 18 monihs iro. 5 2121 i, / ., flequest Dat¢ Fure N. Rough-in Inspection Required7 ?RaeAy Now ? Will NotiFy Inspector 6 Dyey No WhenReady? I)d licensed contractor ? owner hereby request inspection ot above electrical work at: Job Atltlress (Sfreel, Box or Route No.) y Cny q ? SecGOn N. Township Nama or No. Renge No Counry O UJ' Occupant (PRIM) PMm No O!"i f-K-6G cwfor) ? 9,;20 -61 Power Suppber pqtlress io e rG7a Eleclncel Connaclor (ComOeny Name) Conhactarffi License No. (,; L i • e rt? r ? G(r C) Mailing Addresa (COnirxtor or Owrier MaWM InslallaLron) 6 rl /y A ulhorizeASignaNre( ciw Malmg re Number fh Z 1-zys? MINNESOTA STqTE 60AflD OF ELECTRICITY THIS INSPECTION flEqUEST WILL NOT Griggs-MWway Bldg. - popn S-173 BE ACCEPTED BY THE STATE BOARD 1821 UnlversNy Ave., St. Geul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 802-OB00 ENCL0.SED. 5C60 ? RESIDENTIAL ? I ? < 2? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 New Conskuctbn Aeoulremants • 3 reg[stered sfle surveys showing sq. tl. ot bt, sq. fl. of fwuse; and II rooted areas (20% mazenum lot coverage ellowed) . 2 copies of plen showing beam & window sizes; poured fountl design, etc.) • 1 set ot Energy Calculetions • 3 copies of Tree Preservatfon Plan M bt pletted atter 7/1193 • RYn,bist Detall Options selectlon sheet (Dklgs wiM 3 or less untts) DATE (-c>-1 l'0 Z- SITE ADDRESS tl "0 MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK^ba.!a lL ((_p foz?- 41 m5 <.2 .F ea.,ra.c,? ? FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMODELING, IN? C. APPLICANT 4100 EXCELSIOR BLVD. STREETADDRESS IQ44091050 _ CITY STA1E_ZIP TELEPHONE #CaIZ `X23 -?'0 q(o CELL PHONE # FAX # Z 7 PROPERTYOWNER d" m,.--,r t ?((.-v?.? c?1 TELEPHONE# qS`?- SS 1-, --------- -------------------- --------------------------------------------------------------°-- COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submisaion type) • Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculadons Su6mitted Plumbing Conhactor: Pltunbing system includes: Mechanical Contracior: Mechanical system includes: Sewer/Water Confractor: Phone # ar,cne # Fee: $90.00 D I hereby acknowledge mat I have read lhis application, state ihat me information is correciroIradi with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. Signalure of Applicant LA, -------------------------------------°-......._. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprixikler No. of R.I. Baths _ Air Conditianing _ Heat Recovery System RemodeVReoa(r HeaulremeMe . 2 copies ot plan • lsetofEnergyCalculatbnstorheaietladdilbns . 7 s8e survey for e#eAOr aAGNions & decks • Indicate'rf home served by septic system lor additions VALUATION ?41? ? l,? Q S e 6? Uit 1 1 2002 ? Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex O 04 02-plex ? 05 0&plex ? 06 04-plax O 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex 0 19 Lower Level ? 12 12-plex Plbg_Y or _ N O 20 Pool ? 21 Porch (3-sea.) O 22 Porch/Addn. (4sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext.Alt-Multi ? 33 Ext. Aft - SF ? 36 Multl ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Akeration O 37 Demolish (Bldg)* ? 43 Reroof O 46 Windows/Doors ? 34 Replacement "Demolitian (Entire Bldg only) - Give PCA handout to applican! Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HypC Drain Tile Other Roof _ Icc & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector r ? ? 11541 1990 BIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS mt3lqb 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCIILATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. SEP 1 3 RECD To Be Used For:11? rq ini ? Valuation: 454a? Date Site Addres?sAq1(Qrv / IqCP Lot /_5 Block / Parcel/sub?l"/L45 k', 1jovJS Owner ??reh?ae? -? Address City/Zip Code cM/Gtq, 5 lY'k kl/V .s?`l? Phone q?6- $ 170 ?l-}) 22g -3-7? $ (LO samf? Contractor Address ? City/Zip Code-M}f?A42*1^i q , 4 4-7:? 4?;nvo' COMMERCIAL /S91v "? OFFICE USE ONLY Occupancy Zoning Actual Const Allowa6le # of stories Length Depth S.F. Total Footprint S.F On site sewage On site well MWCC System City water PRV Booster Pump R-3 n1-I flD ? v v I-T APPROVALS Phone Planner Council ? t Arch./Engr. :LoM H2Y?J e/'?' Bldg. Off. `? Variance ? Address B° X g ` City/Zip Code ArP_ t MA/ 1-6665 Phone # FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit' Park Ded. Copies SUBTOTAL Penalty TOTAL Oo 153. o0 I b0 , DO a1O1D 62s, 00 ,30100 , Sv Z?Q`7 aD J ] . 1 G A= A6e aoxz?r ? 4430 xZu = zq ? h8 X 15= bsKi- 2?66-?k2L,6? ? ?J6y .26 , y -7 X 3?t - 8.?a z x » _ ? ao} .3 .33 Y Vat- u rtro e- ? a IISzO / sA-? x i4 = z t?z 14 ?cv? `76 y ? xSl U ao?? ? c-,,?s 65m?- ? r s?? xs r=`7?TI ??I , I S-0, v q'9 . * * * * • ? PIONEE * engiynee L11N0 2422 Enterprise Drive Mendota Heights, MN 55120 16121601-1914 Certi(icate of Survey tor: CUSTOM 1'fi4R/ SCIZVlCC 5 89°38'S4"E 367. 58 ? O qq o' ?. A?y.?y d ? . ) a Q --7 / o? : ,•;. W? I °N I -Z? ? S. ?v U ? 9. 33 1 yo a ye 9, (?` '• M I N O? ^; S I 955 i? Q s`s? .v R> 63394 / ? X h o c?q,• / i ? MALCARp ?°a?9ss•? !'L ACE P:R M (°Q MBr fPo Y 900.0 Uenotes exisfm¢.Efevcilion • 9oo.a Denofes propo-Od Flevation Denofes Orarfia?e eUlilr y Epsemenf - De?o/es Drain??2 Flow ArraWs o Denotes monUment F3earir?5 shown ai•e assumed $y !SAGM ? NaRTH IDERd PRUPOSfO NUUSE ELEVqTl pNS /owesl F1oor• Elevafion = 9yi.& ToI-7 a('Black E/evafion=. 95-Z y Gara?e Slab Ilevalion= 9s7. 1 c--- Suh,iecf fo Easemenfs o?^record L oTff, BLOCU-t-, THoMAS LAWE WooaS DAKOTA COUNTY ) MlNNE50rA I herebV tettlty that thix survey, plan or rnport was pre ared by me or Under y direct supervision and lhac I am duly Registered Land Surveynr under the Inws oF the State ol Minnesota. DateA thisday ol A.D. 19 -V? . 12?v; 1/20/q0 NaoSc ? 5 cc/e: I L'76 = 4 v fqef ? 7^ai8$ (?FlFR?q SIKIC??I_.S PER NO ]A091 SI ll1ND 9V RV EYORS • CIVIL r a ? Y OPE?;?;? I! g,??IUI!. COMPUTAT..?,?'a'.,>; "?. , > a x.,,, ,.a r r ?? Otn1ER: ,el2??EL SITE ADORESS: Lp'{' IS ??-[2G.? •,THt]M/?C I-AKE WC7C?QC CONTRACTOR: . CUSTOM P/-itr! SE?ZdPCE - DATE: $- 9- 90 PHOME: DETERMINE NORKING SOUARE FOOTAGE OF EACH: 1. TOTAI EXPOSED UAIL AREA,,,,,,,, 2928 sq ft x"U" o?? ? 322.08 2. TOTAL RDOF/CEtLING AREA,,,,,,.. (?S sq ft x"U° 6 f?7`? ? y3.00 3. TOTAL EXPOSED UAII AREA CALCULATIONS: Total exposed wall area above floor,,,,,,,, 2118 sa ft ---7t3- a) Total wall wtndow area: 13.00 5Qc7- X ^v„ _3c 3.90 qlazed,,,,,, 5-G.29 sq ft x"U" .31 VS qlazed...... 200.66 s9 ft x"Uu .32 s lo?(.zl b) Total door area ,,,,,,,,, 34-17 sq ft x"U" I3 ° 4.44 c) Total slidtnq qlass door area: 9lazed...... qy /Z sq ft x 2c1 = 27,29 qlazed...... sq ft x "U" d) Total flreplace wall area sq ft x"U" e) Total wall framing area (Averaae 104).......... 211.8 sq ft x"U" .C9,8S a 20.8(' f) Total net watl area above floor (Insulated)....... 1436%63 sq ft x "U" .01160 ? (06. /0 q) Tota) rtm Joist erea....., z64.0 sq ft x"U" ? Gq'3V Total foundatlon area (Exposed).......... 5y6 sq ft h) Total foundatlon ? w(ndow area ............. 77.33 sq ft x"U" •32 30 Co S4 !r X"U " .? 20. 20 I) Total net founda[lon area above grade........ z40 sq ft x"U" _Q?(7 Z ? 11.33 TOTAI a) thru I) - Z?/•99 If Item 03 Is the same as, or less than Item f1, you have met the Intent of 2 t1CAR 1.16008 A and 0. Page 1 , 1 O'.? ... ,Fe4A':.;a. , . A .L .EXPQSED A,ODf/CE 1 L I NG CALCULAT I (ItIS : Total exposed ? - ??s.? '•?„_.' roofiCeI l inq area.... ,-a:»..- sq ft )) Total skyllah[ area..::;.... s2S sq ft x"U" •3$ ? ?•? k) Total roof/ceilinq framtng ?GSy ?oZSq ¢ 7$ area (Averaae 1?4,),,,sp ft x"U" 1) Total net tnsulated 3S E' , . roof/ceilfnq area....... 1483.35 54 ft x liuli O739 . TOtAL J) thru 1) 4Z-zZ total of ph is the same as, or less than 02, you have met the Intent of MCA3 1.16008 A aad 0. ALTERNATE BUILOItIf, ENVELOPE DESIGN o utillze the total envelope system method, the values establtshed by the sum f items N3 and H4 shall no[ be 9reater than the sum af items N1 and 92. 1. 32z.os + z. 43.00 • 3?s 3. 27! .99 + 4. ¢2.22 a L E R T I P I t A T I 0 N t hereby certify that 1 have calculated the "U" faetors aod "R" Palues here(n and tfiat [he hufldinq here descrfAed meett or exceeAs the Stafe ,f Mlnnesota Enerqy f,onservation Aet: Slqnature Is- `T - G (Oate) 2 ? U - 1/R - v098f vApa2 ?.a22i?2 WALL SECTION (INSULAtED)Ty?? p,qp?cu2qv - 06 .O6 -?1 Interlor air ffim n.6A -?2 ?z" GYOSU.u f30 .4S l9, ao -{4 Vz'? PeYcuoo4 si/?G .Gz -{5 srx?? s??i?6 ,6I -?h Extertor air film Q.17 O U - i/R a • 0'/6Z YA I RIH JOIST SECTION: TYvcx P.gpe,e •a6 1 Inter(or air fllm 0,68 --{2 GiB" 6tA-ss 19.00 3 /?/z" 50F7- uoooo /.89 § 7" PLYeuGOO SMTG .62 5 sTE-f-t- SiDiA16 •G I Fi Exterior air film n.17 TOTAL R = 23.03 FOUNDATION INSULATIOPI REQUIRED: ? Min. R-5 on entire wall OR U? 1/R ••04 3`? p.;• e Min. R-10 down to frost depth , A; fOUNDATION SECTION: uAIW aq???oe- .06 ?= ?'• '• -?1 Intertor air film n.(,$ '•?+.' - • 2 3%2" FiBek+GU}ZZ 13•00 ? ` 6 • = = 3 /;Z 'CoKC. .8LccK . 1.20 , •' '-''°' 4 Exter(or ai r f i Im f1.17 ° A . G (5 • - -a ,?4:n•_- ?;. ? ,. , (6 a 4 TOTAL R - /S•!/ U ' 1/R ? T M SLA9 ON GRADE ??.a,,;?, •'a?a .4.1•'.? ??,Q ,,, ?p 'ti. .,?,? '• Heated Slabs: .- ?• ?, 'a. Minimum R= 8: 5 , q; 1..4 Unheated Slabs: Minimum R = 6.2 'a-a•a .,'e • ?o '°??: - 4;. ?' • • . "• titji ° ; ?, u-. •a '4 • n-I 4 ;• `?- , ? • ? • Q ? • ? •dr' ? ?• ?•J? , : . d..?.' .•4:; •4,, _ , i a . 4? . .? Q , . ) 9• .4 . . 4; , .?• Page 9 1lSTRiftilON R YALUE RvcY vAFb2 64R2AW- 106 AMING SECTION: TYuEz 4'024v •06 n ? . ' - .? , VENTED CONSTRUCTION R VALUC CEILIHG SECTION (INSULATED):u"tU28.a4. .06 I Interlor alr film O Fl 2 5/S"6YIt;UM gD. 3 cEULxos?? 40,00 4 Exterlor atr film stfll n.F1 TOTAL R - . Z u - iiR . ,oz3q CEILINf. FRAMINf, SECTION:v/JPo2BAP. •ac' 1 Interior air film f1.61 2 S/S" 6YP5um 30 .54 3 13112" cELuu4.0s6 29.33 4 Interior air film s[i11 07( 5 /2"inches soft woorl 4.35 TOTAL R = 34.50 u - 1/R - .0289 CEILING SEf,TION (IfISUTATED): I Interior air film ?,FI 2 3 4 Fxterior air film still TOTAL R = U- 1/R= CEILINr, fRAMltI(', SECTION: 1 Interior air film ().F1 2 3 4 Ex[erlor air film still n. I 5 inches soft wood TOTAL R = U a 1/R = 1 Ins(Ae alr film ?.F1 ? ? 4 r, Out51oc air film n.17 TOTAL R - U- 1/R- I ? k` qo, ot ?----------------- ? , j Permit V q i.% I I I ? Pertnit Fee: ? ? Date Received: j I I I Statt: I I 2008 RESIDENTIAL BUILDING PERMIT Date: Site Address: Tenant: Suite S: RESIDENT I OWNER Name:-??, Phone: ?0?? ?lS? SS2 Address / Ciry / Zip: Applicant is: _ Owner Contractor 74 TYPE OF WORK ? Description of work: Construction Cost: 7, ?L( J Multi•Family Building: (Yes_/ Nyfj CONTRACTOR Name: Q U Licenselt: d?? L11aq ? Address: Cl City: ?TI11(.l`X?J?2,r State: mtv ziP: ScJOSO Phone:EQ`"JI'-1?1-"13?10 ContactPerson: RQren COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category submined sutrninea (4 submissiOn type) • Energy Envelope Calculations Submitted In the last 12 months, has the City af Eagan issuad a permit for a simllar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOrE:Plansandtsnpportthgdosurhehts? aCxousubriifC*,Wcoushajti'gttrdap 8bl ?the:irtfarmHt?tfrllnnqb?°C,?s§? I ? , ? =r?pl rc ,f f, ?nRVt? ?` ? '?Cl??9o ??`a. +at?iYO ???f??if}+fQz '' „ u ? .? ? §? , !"1 ? ,.? , { ,v.? .-k?1.? ? J'r `?T 0 i F?(:' k"A %1 ? ? ? ? ? ? ` ? ? ? ' ? . ?E „ + $ ?`" 5'; ?,. 1r.,:.J{Ie .i?,c'F' ? .,`'w {[ii/ f. N(Q?[C' 4i?M?( -n"$., «i .:.1 .mh y -i • I here6y acknowledge that this infortnation is complete antl accurate; that Ihe work will be in contortnance mth the ordinances antl codes of the Gry of Eagan; that I understand this is not a permit, but only an application for a permit, antl vrork is not to start without a permit; ihat the work wili 6e in accordance with Me approved plan in ihe case of work which requires a review and approval of plans. X /710 144 I%Wee!% x ('?/l?, 9"" ApplicanPS Printec}'Name / ApplicanYs Signature / ? J Page 1 ot 3 Use BLUE or BLACK Ink For Office Use I ; I Permit 1 of 74775" City Eap 3830 Pilot Knob Road RECEIVED ~ Permit Fee: i Eagan MN 55122 JUN 0 1 2014 I j Date Received: I Phone,. (651) 675-5675 l -faw I Fax: (651) 6761-5694 1 staff: I I 2414 RESIDENTIAL BUILDING PERMIT APPLICATION Date:- Site Address: Unit Name: ve- T r-r nqty 1 Phone: W'S Resident/ O"er Address / City / Zip: "1'41 Lo i l ,A C r ` 'tC~ 0A 'J S i;L~ Old wy Applicant ism- Ownerr Contractor pescnption of work:f TYPO Of Work Construction Cost c{(r' ..~-•~Multi-Famliy Building: (Yes /No Company: ~L1Li i` l rSyc tics v ; lS Contact: _ c~►l a h i 1Oftb'aCtcif Address: City: L,,~,L' State: WN Zip: 5L i IC) Phone 25 Email; License +C` 1~0 c;ici 3 ~ 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? a _Yes _,No if yes, date and address of master plan: Licensed Plumber. Phone: ( Mechanical Contractor. Phone: Sewer $ Water Contractor: _ Phone. NOTE. Mans and ~ upportingrr documents that you submit are considered to !ie public Int~rma#ion. Por0ons of I the hrtorma"don may be classified as non-public if you provide specific reasons tMhet would permit the City to I conclude that they are trade secrets _ 3 Ct1LL BEFORE YODIC_ Call Gopher State One Call at (651) 4544=2 for protection against underground utility damage. Call 48 hours gore you intend to dig to receive locates of underground utilities r.aooherstateone I oro I hereby acknowledge that this information is complete and accurate; that the work witI 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 acoordance with the approved plan in the ease 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 Applicant`s Punted Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE B TYPES _ Foundation - Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family - Garage Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck Porch (ScreenfGazebolPergola) _ Miscellaneous _ 01 of - Plex _ Lower Level _ Pool _ Accessory Building V _RK TYPES _ New - Interior Improvement _ Siding _ Demolish Building* _ Addition Move Building _ Reroof _ Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall 'Demolition of entire building - give PCA handout to applicant DE$9 P lON Valuation ' Occupancy MCES System Plan Review Code Edition - "J SAC Units (25% 100°/0, Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.Q. Required Footings (Addition) Final I No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Roof: ,,,,,-Ice & Water ,,,,,,Final Pool: -Footings Air/Gas Tests Final Framing Drain Tile Rough in Air Test Final Siding Stucco Lath Stone Lath -Brick Insulation Windows Sheathing Retaining Wail: Footings Backfiil Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By. i , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utitlty Connection Charge S&W Permit & Surcharge Treatment Plant Copies / ..r Q TOTAL Page 2 of 3 Use BLUE or BLACK Ink . r-----------------I I For Office Use � I � � � Permit#: � �� Clty of �a�� / Gf � � Permit Fee: ( Q� � I ° � 3830 Pilot Knob Road � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff: --------------i 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: / � / � /`�� f�/�ci � rP' Tenant: Suite#: Resident/Owner ; Name: S-�c-� �t-✓�-•e�I Phone: ; Address/City/Zip: L�y�L !h ,r,//�"�� r Name: � �-'t� �Its�M�� / n License#: �C b��$ 3 � Contractor � �' Aadress: � l60 IS7� S�-. ,/�1 city: 6=��-�.�,� State:_ ��!v Zip: �S� 3 a Phone: �S��o�� '"a,�� S Contact: i v^� L�•.-�- � Email: J��`Z l t��n,� b-�✓� �6-�l1-•a j I.C Type Of WOPk —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W. Description of work: °�S�r ��"� {�t�^ �O e�� a� S�� wJ� RESIDENTIAL Water Heater Water Softener Lawn Irrigation�RPZ/_PVB) Permit Type: Septic System � Add Plumbing Fixtures�Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: ' $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge) "Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built)(includes County fee and$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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in formance 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 rk i not to start without permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv I of p ns. X ��-�s � �,-� X Applicant's Printed Name Ap lic Ys Signature FOR OFFICE USE Re�iewed:By: Date: Required Inspections: ' Under Ground Rough-In Air Test Gas Test: Final Meter Related Items: Meter Size . Radio Read Staff: