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691 McFaddens Tr(Qrl(Q O '(o -2M4 RESIDENTIAL BUILDING PERMIT PiPPLICATION City Of Eagan 3830 Pilot Knob Road, Eag,?n MN 55122 Telephone # 651-675-5675 FAX #t, 65] 675-5694 -/ O, 00 NewConsiNCtionReauirements 3 regisferad site surveys showify sq fl of bt, sq. ft. of Muse; and all roofed areas R modeVReoairRewiremenls 2 wpies of plan 4?TY Ciiitf.B?irvef':$eod ..... . -N (20% mazimum lot coverage allowed) 7 set of Energy Calculations (or heated addihons 3`re@_Pres?.P.fun:RltFli? 7 `f N 2 ccpies of plan shovnng beam 8 window srzes; poured found design, efc. . 1 site survey for addtions 6 decks sfem 6cs ateifonsifese Add'rti i di ree.Pr,@gRe?lited;.. DfiSiteSepticSysiBm?:i isetofEnergyCakulations p y n c on- 3 copies of Tree Preservahon Plan if lol platled afler 711193 Rim Jrnst Detail Op4ons selection sheel (bldgs with 3 or less units Date 0-5 Site Address ? 9/ 172C 14-0>6E/?,? Construcfion Cost ?'9i a?°D T4+4/L Unit/Ste # Description of Wark F/N/Sy QA?S,?MEi?T ?/aCCUC?S': /3R-rAj•¢ooM? F+'RE/?/,?9rE'? Multi-Family Bldg _ Y X N gAOiN6 ON?) Fireplace(s) _ 0 ,X 1 _ 2 ? PropertyOwner _?&F!v? ?r¢iS7aP/fERSo?J Telephone#(bS/ ) JOS /ooy Coatractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code tegory . Residential Ventllation Category 1 Worksheet . New Energ e Worksheet (J submission typ Submitted Sub ' . Energy Envelope Calculations Submitted Have you previously constructed a b in Eagan with a similar 2_ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Telephone #( Telephone # ( II D I hereby apply for a Residential Building Permit and acknowledge that the inform tiHn is corAp-fd-6afiurate; that the work will be in conformance with the ordinances and codes of the City M4 agan and the Staze f MN Statutes; I understand this is not a pemut, but only an application for a permit, anwor c hout 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. L?eiqsd ?sb'eiJ'roPHER.fo.?/ /? ? ~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt- Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 OS-plex ? 'IB Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10.plex ?r- 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ?$ 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ?O 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code y3 y Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new hldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice& Water Final _Y Framuig - ? Fireplace _4 RI. _YAirTest _?(Final ? InsulaUOn Approved By: REQUIRED INSPECTIONS FinallC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Total ? ? ? LoA- 1 ?ot.k I ?? ?? ? I \f y-4:zs70 RESIDENTIAL B[TII.DING Permit Application City OfEagan p?- ?2-45 7 L.lt 3830 Prlot Knob Road, Eagan MN 55122 Telephone # 651-675-5 5 FAX # 651-675-5694 ?ae I? '? 58 ?°? •°Z ? New ConsWabn Reauirertren5 Re UReoalrR?eaui? enls ? Office Use OnN 3 registered site surveys showiig sq. ft of l04 sq. R o( houu; and all roofed areas 2 copies of plan Cerl of Survey Recd ,}JL-Y _ N (20% maximum bt caveiage allaxed) 1 set of Eneyy Calafations for heated additions Tree Pres Plan Read Y_ N 2 copies of plan showing 6eam & window sizes; poured found desgn, etc. 1 site survey (ar additions & decks Tree Pres Reqd _ Y}?pF 1 set of Energy Calalations Add'Non - indicate i/on-sife sephb system Onsite Sepfic Systern _ Y_ N 3 capies of Tree Preservation Plan'rf lol platted afler 711193 / Rim Joist Dehail Optbns selection sheet (bidgs with 3 or less units t a- a Date r 1 / io Site Address ( Oq / 03 1 I t Ir ? C1C? Construcfion Cost A4.? boot v U P?? I C^ Unit/Ste # Description of Work Cleup C(???j I,?? ?(1(\ Multi-Family Bldg _ Y 1j N Fireplace(s) _ 04 1 _ 2 Property Owner IY 9 Telephone # V)1) lo" I? 1--7 Contractor Address State p y v ?11, ?-? City ? Zi ' Telephone p COMPLETE THIS AREA ONLY IF C Energy Code Category - Minnesota Rules 7670 Cateeon . ResidenUal Ventilation Category (J submission type) Submitted • Energy Envelope Calculations S A NEW BUILDINIG ,' l1 T-2 pV 14 2003 Have you previously constructed a building in Eagan with s milar ? fee applies. ?- Licensed Plumber,?C-H F-O-k_ tAcS Mechanical Contractor Sewer/Water Contractor New Energy Code Warksheet Submitted N If so, 25% plan review Telephone #f ?5* d4l - Telephone # (?L) 4(90" g Telephone #??'?'? -?.2? I hereby apply for a Residential Building Pernut and aclrnowledge 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. !-k«tteo-& KA--?--- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ?3.' 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex Q 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-pleX ? 12 12-plex Plhg_Y or _ N ? 25 Misceilaneous Work Types * 31 New 0 32 AddiUOn ? 33 Alteration ? 34 Replacement Valuation Census Code 0 ? SAC Units D? Nbr. of Units O/ Nbr. of Bldgs O/ Type of Const ?? Zy Footings(new bldg) _ Footings (deck) Footings(addition) Foundation Drain Tile Roof _,1?6: Ice & Water _y Final s? Framing ? Fireplace * R.I. JtAir Test :X Final Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 35 Int Improvement ? 38 ? 38 Move Bldg. ? 42 O 37 Demolish (Bldg)" ? 43 'Demolition (EnUre Bldg) - Give PC Occupancy /2 Zoning R ` I Damolish (Interior) ? 44 Demolish (Foundation) ? 4; Reroof ? 4E A handout to appliwnt MC/ES System _ City water _ ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair WindowslDoors Stories z_ Booster Pump - Sq. Ft. 9193 PRV Yr=S Length J~ ? Fire Sprinklered Width 51-1 REQUIRED INSPECTIOlYS ? FinallC.O. _ FinallNo C.O. _ Plumbing _ HVAC Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco ? Stone Windows (new/replacement) ? Retaining Wall ? , Approved By Building Inspector l?N(-?N ?rf y387??? ?vJ `? 4#? ?y- ? 7y,5 -7q f?? y8-y I °i/ F-W Permit Number REScheck Complisnce Certificate L'hcckcd ey/Datc 2000 Minnesota Energy Code RFScheckSoftwwc Vcrsion 3.5 Rzleace le Data filename: C:\Program 6'ilcs\Chcck\REScheck\mbc0U84.rck COUNTY: Dakora STATE: Minnesota 7_.ON 6: 2 CONS'I'RUC'1'ION TYPL: Single Pamily DA'I'G: 10/31/63 qA'1'L OF PLANS: 10/16/03 YKOIBCT DF..SCRIPTIbN= Brian & JcnniFer Christopherson Lot 1 Block 1'fhomaz Woods 691 Mcfaddens'I'reil Eagan, MN DESIGN F.R/CON'PRACTOR: Manley Bros Construction -CCIMPLIANCE: Passes Maximum UA = 512 Your Home UA = 436 14,8% BclLCr'1'han Code (UA) Gross Glazing Arw or Cavity Cont. or poor Purimulcr R-Vulue R-Value U-Factur UA Ceiling I: Raised or Encrgy Tracv 1532 44_0 0_0 I 34 Wall I; Wood Frame, 16" o.c. 1431 19.0 0.0 69 WinMw ]: Above-Gizde:Vinyl Frame:Double Pane with Low-E 222 0.350 78 Door 1: Soiid 41 0.350 14 Wall 2: Wood rrame. 16" o.c. 1360 19_0 0.0 69 Window 2: nbovoGnade: V inyl Frame:llouble Yane with Low-!i 194 0350 68 Bascmuni well 1: Solid Concrete or Masonry 1397 11.0 0.0 78 Wall height: 8.8' Depth bclow gcade: 8.0' fnsulatiun dcpth: 8.8' ? Window 3: Basemen[ % 5,6 ft2:Vinyl Frxme:Douhlc Panc wiLh Low-N; 24 0_350 8 F'loor 1: All-Wood JoiaNTrusa:Ovcr Uncondilioncd Spacn 139 30.0 0.0 5 Floor 3: All-Wood JoistlTTUSS-Over Owsidc Air 54 00 0_0 13 Fumace I: Foru:ci Hol Aiq 90 AFUL Proposed and Mauimum U-Ractor Averages 6/2:d iL26bSbLS5-01 Propoccd Maximum Avcragc U-FacWr Allowcd U-Factor :WO?JA dLb:SO £002-12-130 nbove-Grade Windows aud Glass Doors 0350 0370 Includes Foundaiion Windows = 5.6 R2 Floors Over Unconditioned Space 0.033 0.033 COMPLfANCH S'I'ATEMENT: The proposed 6uilding design described here is consisten[ with the building plans, specifications, and uthw calculations submitred with the permic application. The proposed building hns been designned to meec The 2000 Minnesota F.nergy Code requirements in RF.S checkVersicm .3 .5 Relea.%e 1 e(fvrmm-rly MF.Cchecl) and to comply with the mandaUiry requirements listed inQ then RFS checkinspcci o Chccklist. BuildedDesigna_ ? V Ul(/??,?a?/ lUr?/ Uate 6/z:d T1£66SbT59:01 :W021j daJb:SO £002-I£-1D0 REScheck Inspection Checklist 2000 Minnesota Energy Codc REScheckSoftwaze Version 3.5 Rcleace ie DATF.: I U/31 /03 PLAN RF,VfF:W AIVD ZNSPECTION ISSUFS This list of items may be helpful for Pian Reviewcrs and Building Inspectors to use as a guide for enforcing thc Minncsota Lncrgy Code. The items apply to Ciroup R, Division 3 Occupancics, une- and two-family residrntial dwellingc. 'Ihe items markcd wiLh'" upply only to detached one- and two-family residential dwetlings. PLAN REVIEW ISSL7ES POT71VllA"1'rON TNSYECTION [] 1'oundation wall insulation R-5 minimum [] toundalion insulation extends fram top of wall down Lo lop of thc footing I I exterior foundation insulation is covered by a protective coaling finish C()NCI2LTE SLAB Olt UNllER-SLAI3INSPEC710N [] tilab on gruJe perimeter insulation R-5 minimum [] slab insulation extends from top nf slab to design fTOSt line or top of fooling I J flonrs over unheated space R-30 minimum wINDOws I noORS / SKXLIGATS [] averagc U-value is 037 maximum for windows and glass doors (excludcs foundation windows) [] window U-valucs consisLent with building plan and RES check Ceitificate ? ( j window and door aroas consistent wilh building plan and Rf:S check Certificate MECFIANICAL VENTILATIUN [SSUES ? f residential mechanical ventilation system provides adequate ventilation per code reyuuements' ( I furnuce officiency is consistent with RES check Certificate or building plan [] proleciion againsl excessive depressuri7ation i5 inslalled per code requircments"` ENVELOPE YNST7T.ATYON FOlt 1'LAN l2GVIF,W intcr7or hasement insulation R-5 minimum (if no extcrior insulation) I I ceilings with attics R-38 minimum or consisKent with huilding plan and RES check Certificate [] wal) framing and insulation level is consistcnt wilh building design and RES check Certificate ANSPECTTON iSSUF.S CONCEALED INSULATION Framing arsd Sheuahing [] wind wash barricr installed at attic edge exterior wall corners framed so Uaat insulation can be installed aftcr exterior sheathing is installed [] intersections of inleriur partitipn walls and exterioz wulls framed so thal insulation can be installed betweCn thc partition and exlerior sheathing after exterior shcathin6 is installed [ J gaps bctwccn framing less than one-half inch are eliminated by securing frsming togethcr or aze insulated at the time of ¢sserobly s [] aIl penetrations betwecn conditioned and unconditioned spacus made prior m framing inspection uc scaled ' 6/b:d S1£6bSbTS9:01 :WOJJ dLb:S6 2902-T2-1D0 LOT SURVEY CHECKLI3T FOR RESIOENTIAL ?- BUILOING PERMIT APPLICATION PROPERTY LEGAL: Z -?4 ?, ???? ? ?GC?!l.2r? DATE OF SURVEY: ?/O -zg'- ,93 LATESTREVISION: 12-01-03 m ? e m t U O ? z < DOCUMENT STANDARDS 9 ? 0 • Registered Land Surveyar signature and company y? ? 0 . Building Permit Applicant .? ? ? • Legal description ? ? ? . Address ? ? • North arrow and scale ?? + . House type (rambler, walkout, split w/o, split entry, lookout, etc.) N ? ? • Directional drainage arrows wNh slope/gradient % 3K ? ? . Proposedlexisting sewer and water services 8 invert elevation ? ? ? • Street name ? ? • Driveway ? ? o • Lot Square Footage ? ? 0 • Lot Coverage ELEVATIONS Existln X ? ? • Sewer service (or Proposed) ,p( ? 1* • Property comers (?JC Corne? wrrss/ rX)) ? 0 G • Top of curb at the driveway and property line extensions G ? • Elevafions of any existing adjacent homes ? IK ? . Adequate footing depth of sWCtures due to adjacent udlity Venches ? 4 ? • Waterways (pond, stream, etc.) Prooosed }d` ? ? • Garage Floor ?' ? G • Basement floor }3' ? ? • Lowest exposed elevation (walkouUwindow) gO ? • Property comers y ? ? • Front and rear of home at the foundation PONDING AREA (if aoplicable) ? ? ? ? ,?; ? ? ? ? ? ? ? ,? ? ? ? • Easement Iine • NWL • HWL • Pond # designation • Emergency Overtlow Elevatlon • Pond/Wetland buffer delineation DIMENSIONS ? o ' ? 14;k ? ?? ? ? ? U • Lot lineslBearings 8 dimensions . Right-of-way and sVeet width (to back of curb) • Proposed bome dimensions including any proposed decks, ovethangs greater than 2', porches, etc. (i.e. ali structures reqwnng`permanent foatings) • Show all easements of record and any Ci utilities within those easem _ • Setbacks of proposed structure and sidyard set ack of adjacent exisdng sWctures • Retaining wall requireme Reviewed: GJFORMS/Building Permit Applicatlon * PIOIlEEA * eng neer **** uNO sursvEroRS • aNL E lRNO PIANNERS• LANOSCAPE 2422 Enterprise Drive Mendota Ileights, MN 55120 (851) 881-1914 FAX:881-9488 625 Highwoy 10 N.E. Blaine, MN 55434 (783) 783-1880 FA% 783-1883 Certificate of Survey for: AANLEY BROTHERS CON TRL1CTION 691 MCFADDENS TRAIL BUYER- CHRISTOPHER ON EAGAN MN LOT AREA = 12,013 S0. FT. HOUSE AREA = 1,382 sq. ft. GARAGE AREA = 862 sq. ft. PORCH/ PATIO = 154 sq. ft. DRIVEWAY AREA =- 513 sq. ft. I HOUSEG I COVERAGE = 24.27 "? - w- 937.5 !'937.0 ? ? 9 /\ '1 ° I I rz °=?.- c'? ---- (?3s,3? ? ?-AT? '?LAM9?.1?, HOUSE TYPE: FULL BASEMENT SAN. SERVICE ELEV. PER PLAN=921.7 111.96 A ?DRAINAGE & UTILITY" 933.s o f? EASEMENT PER PLAT---y-I \ ? Wr N ' x936.0 x935.0? ? (fi ?i".6,s )? r- n 9369 _ 936_8_ '7 37, D 935.9 45I79 13.00 ?---tt----?- - ? 1$.00 93411 O0.00o° O 19.000 4' ?rn ' 936.7 in a?/v ° 12.00 PROPOSED p HOUSE 'z ? N 0 N ? ?3 l 9+ 939 U? N ? S N ? Zw 0? 0 13.5 25.00?? I 934.9 ?o N 'T GARHGE o tz'PORCH r i--40 0-} `rN -26.3- 94o.r sa IH,S s. 26.00 15_00 ? =;? 935.8 y3711 _ 3 s3s.-i PRO OSED i 33.45I DRIVEWAY o I BENCH MARK TOP GF SPIKE ELEV.=936.04 Cn, - A? ? ? I o 31.5) 9,4 z o 5 9a.z. ? o„ si i 9336(' 9337 ?I 933,3 N 931.1 I^ &- - ' ? ,? _ ?- --9--- - 9an;-hzry ? R?282.86 ?° N89'19'40 41.11 S'e,.rcr- 45.6MC ADDENS lfRAIL NOTE: PROPOSEO GRAOES SHOWN PE GRADING PLAN BV: PIONEER I NOTE: BUILDING DIMENSIONS SHOwN ARE FOR HORIZONTAL AND VERTICAL LOCAl10N OF STRUCNRES ONLY. SEE ARCHITECNAI PLANS FOR BUILOING AND FOUNDAlION OIMENSIONS NOTE: NO SPECIFIC SOILS INOESTIGATION HAS BEEN COMPlETEO ON THIS LOT BY THF SVRVEYCR THE SU17A61LRY Of 5011_5 TJ $UPPORI THG SPECIFlC HOUSE PROPOSFD IS NOT THE RESPONSIBILITV OF THE SURVEYOR. NOiE iN 15 CERTIFICAIE DOFS NOT PURPORT TO SHOW EASEMENT$ OTHER 1HAN 'iHOSE SHOYM ON THE RECORDED PIAi. NOIE: CON1RACtOR MUSi VERIFY DRIVEWAY DESIGN. NOTF.: 6EARINGS SHOWN rtRF BASEO ON AN ASSUMED DANM 931.9 N _ - , ? 93 5 ? 29.92 -' 935. ? 93 ? 5 ' - -- /? ¢ ssa.7 ? ! Q I O n m l ? ? Q 932.1 93 0 931.6 I ? j BENCH MARK ? `-TOP Of SPIKE ELEV.=933.34 .0 sao.s 3:9 Rl?auuie4SUm Slop08 930.5 or Ro4ain+ng liNall MNiIB Be C?dyuired ? D A G?VG'7? '? ?r?7 ? o o u??uLPROP SED HOUSE E VAT10N LOWEST FLOOR ELEVATION: `I29, o TOP OF BLOCK ELEVATION: 937.7 GARAGE SLAB ELEVATION: ?3??3 X 000.00 DENOIES EXISTING ELEVAl10N ( 000.00 ) DENOTES PROPOSED EIEVATION --- DENOfES DRAINAGE AND UTILITY EASEMENT DENOTES ORAINAGE FLOW DIRECTION -A UENOTES SPIKE B DENOTES OFFSET HUB WE HEREBY CERTIFY TO MANLEY BROTHFRS CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF 1HE BOUNDARIES OF: LOT 1, BLOCK 1, MANLEY ADDITION DAKOTA C'OUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOW , A SURVEYED BY ME OR UtJDER MY DIRECF SUPERVISION THIS 75 DAY OF APRIL, 2003. ?? ?01 ?03 I??? SIG?NED: PIONEER ENG EE I , P.A. SCALE : 1 INCH = 30 FEET REVISED 07-30-03 NEW HOUSE REVISED 10-21-03 NEW HOUSE BY: 1,1 1??' REVISED 10-221-03 STAKED HOUSE .. .. ,.. . _ .. .____ Address: 691 McFaddens Tr Zip: 55123 Lot: 1 Block: 1 Su6division: Manley 'IHE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON 7`- ?? U6f Yes No Comments Final grade - 6" from sidin Permanent steps - arage Perxnanent steps - main entr Permanent drivewa Permanent as Sod/Seeded lawn TraiUcurb dama e 3:1 Maac. Slo e/Retainin Wall Porch X Lower level finish Deck Fire lace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exisu. • Call the Ci;y's Bngineer.ng Deparhnent at 651-67,5-5646-prior *.o working in right-of-way or installing irrigation system ? BUILDING INSPECTOR: CONTRACTOR: Manley Brothers Construction 2113 Cliff Drive Eagan MN 55122 PERMIT City of Eagan Permit Type:Building Permit Number:EA144157 Date Issued:07/14/2017 Permit Category:ePermit Site Address: 691 Mcfaddens Tr Lot:1 Block: 1 Addition: Manley PID:10-47260-01-010 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Eric Hammerberg 691 Mcfaddens Tr Eagan MN 55123 Nmc Exteriors & Remodeling 14276 23rd Ave N Plymouth MN 55447 (763) 684-1662 Applicant/Permitee: Signature Issued By: Signature I—For Office Use , , , E /See/1k '� a a� Permit#: ! :! i ' '' Permit Fee: RECEIVED Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN 19 2019 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections(ilcityofeagan.com , • 2019 RESIDENTIAL PLUMBINGPPERMIT APPLICATION Date: Site Address: 6?7 (c ,A�`'r e / / k.J \- Tenant: Suite#: — Name:�rc C; 171 k"Pt e tr- Eta-4 Phone: 6 Si 6 (P'S-S-/7 Resident/Owner r . , ' f' '?• Address/City/Zip; uQ 01-- Name: MILBERT COMPANY dba CULLIGAN WATER License it: WC64-1376 Corttraetox..`-; Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: gloria.abas@culligan4water.com New Replacement _Repair _Rebuild _Modify Space Work in R.O.W. Type;.of Wo:rk_ — — _ Description of work: Water Heater . T _Lawn Irrigation(_RPZ/_PVB) x Water Softener Des.eriptior Add Plumbing Fixtures( Main/_Lower Level) Septic System Description: New _ Connection to City Water from Well Abandonment RESIDENTIAL FEES .\\ $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges 60.00 l TOTAL FEES$ CALL BEFORE YOU+DIG, Call Gopher StatWOno Call al(651)454.0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's A- websito at www.city.ofoagan.comisubscribo, 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 a cordancvi ith the approved plan in case of w rk which requires a review and approval of plans. r x i 'lfnx /`� 1 ., " Applicant's Printed Name App tcant's Signature Page 1 k2.