4150 Ethan Dri
?w Cit4r On
l ELLRLLn
3830 Pilof Knob Road
Eagan MN 55122
Phone: (651) 675•5675
Fax:(659) 675-5694
I 6o?_Aifice?Use - - - - -
? Permit#:
I
I Permit Fee: 7 d ? ?d j
I ?
? Oata Received. ?
j Staff: ?? 12 (? 2 i i Irl,? ?` LS
i
L ----? r?T'ivJ_,J!
2008 RES(DENTIAL PLUMBING PERMIT APPLICATIOI?
ate: I2? Site Address: ?" J(_) _?-7'. 1..,T_ I JE I
inant:
Suite #:
oEr o 4 zoos
ESIDENT! OWNER
CONTRACTOR
Name: t ?UPhone: ? ? Addrea/ Zip
Name: _ License
Address: 651-365-1340
0
City: Ea4an MN 55123-1339 State: ZiP:
? Phone: Contaci Person: J !
TYPE OF WORY. _ New _3,/Replac ent Repair Rebuild _ Modify Space _ Work in R.O.W.
Descriptionofwork: _ - ---- -"
PERMIT TYPE RESIDENTIAL
?Water Heater _ Water Softener
Lawn Irngalion Add Plumbin9 Fi#ures
C_ RPZ /_ PVB) ? Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
ES(DENTfAL FcES:
i0.50 Minimuni Water Heater, Water Softener, or Water Heater and Softener (indudes $.50 Siate Surcharge)
;0.50 Lativn Irnr_,auon (inciudes $.50 Stale Surcharge)
t0.50 Add Plumning Fixtures, Septic System Abandonmenl, VVater Turnaround" (includes $.50 State Surcharge)
`VVz`:e; T,rn3roimd (add $136A0 if a 5/8" meter is required)
00.50 Sep'tic System New ($10.00 per as built) (includes County fee anc $.50 State Surcharge)
i0.50 Fii e Repa'r (repface burned out appliances, ductwork, etc.} (indudes $.50 State Surcha?OTAL FEES $
.:roUy act:r.owieoge that this information is complete and accurate; thal the work will be in conformance v.ith the ordmances and wdes of the Ciry of
^zn; Iha1 I urdersi3ld tlvs is not a permit, 6ut only an applicadon for a permil, and work is not to start without a permit; that ihe work will be in
:-DNance +n4:: tl;c z?nroved plan m the case of work which reqwres a review and approval of plans.
???nC'a?IQr X e?_-
:nlicanr s Print..d Name ApplicanYs 5ig
iR OFFiCE USE, Reviewed By ? t` Dafe
, •;. ?• -?- .;. _ '3
:quired irispecfinns _Unde?Ground _Rough.ln Air7est GasT?st . Final ; -
6? j-
S 33 9`r
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
Naw ConaWCtion Reaulremenb
• 3 registered site surveys showing sq, ft. of lol, sq. ft. of house; anA all roofed areas
(20% maximum lol coverage allowed)
• 2 wDies of plan showing beam d windaw aizes; poured faund design, etc.)
• 1 set of Eneqy Calcula6ons
• 3 copies of Tree Preservafion Plan if lat platted after 711193
• Rim Jaist DaWY Oplions selectbn sheet (Wdgs with 3 or less units)
DATE -I r « ( d ?
a (90 -75-'
RemodeUReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculalions far heatetl additions
. 7 srte survey for eMerior additions 8 decks
• Indicate if Irome sened by sephc system for addrtions
VALUATION + 10 )l.` lp .Z3
SITEADDRESS y(S-D E-f-lqan DrIVLe? MULTI-FAMILYBLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
.edar Valiey ExterMors, Inc.
APPLICANT 3920 Zllla Street
STREET ADDRESS
TELEPHONE CELL PHONE #
PROPERTYOWNER JVdU a'-IO? ?vin Krc.xn-er TELEPHONE#lc.SNUSS--135Li
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSO"1'A RULrS 7670 CA"CEGORY 1
(J submission type) • Residential Ventilalion Category t Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: -_
Plumbing system includes:
Mechanical Conhactor.
Mcchanical systcm includes:
Sewer/Water Conhactor.
Air Cociditionitig
Heat Recovery System
MI\`NESOTA RULES 7672
• New Energy Code Worksheet Submitted
kler # JUL 17 i Jil2Fee: $Ba y
216-
Phone #
Phone #
Pce: $70.00
-----------------°-----------------------°--------°---....-------------------°-----------°-------°----°---°°-----
I hereby acknowledge thaT I have read this application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
? Water Softencr
Water Heatcr
_ No. of Baths
_ Phone
Lawn Sprin
No. of R.I.
STATE ZIP
FAX #0(01) -I65 - 539 O
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
' RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Coastruction Reautrements
• 3 registered site surveys showing sq. ft, of lot, sq. ft. o( house; and all roofed areas
(20% maximum lat coverage allowed)
. 2 copies oF plan showing beam 8 window s¢es; poured found design, etc.)
• 1 set of Eneryy Calculations
• 3 copies o( Tree Preservation Plan if lot platted afler 711193
• Rim Joist Detail Oplions selection sheet (bldgs with 3 orless uniGS)
DATE
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? NIA'J
PROPERTY OWNER L U !`?Y
TYPE OF WORK ?°
APPLICANT ?l I I ?1rQ-?
ADDRESS y LS?G F?C Ttn l)Y L 1e- fL?i(1L1I'1 A?W
PAGER #
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# 10SA`M_Qo?? a-I
ZIPCODE?&,5_
CELL PHONE # Vivx& 141?t5`6?7-MI.3 FAX #
NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMP
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New 5nergy Code Worksheet Submitted
Plumbing Contractor:
Plumbing Systcm Inchides:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contructor:
Air Conditioning
Hcat Recovery SysLem
Phone #
Phone #
Pee: $70.00
All above information must be submitted prior to processing of applicatlon.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Signature of Appllcant
Certificates of Survey Received _ Tree Preservation Plan Rece ved _ Not Required _
Updated 2002
Water Sollener
Water HeaCCr
No. of Badis
RemodeURaoair Reauirements
• 2 copies of plan
• 1 set oi Energy Calculations Por heated additions
• 1 site survey for extenor addi6ons & decks
• Indicate'rf home served by septic system for addi6ons
VALUATION p 14
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
4'70,o0
e,zged y-1 7oa
,
(W nvxo??)
OFFICE USE ONLY ' '
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 13 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex kj 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
A 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
CensusCode y3?t 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) FinallC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Founda6on HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
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
7d2?-
Approved
Building Inspector
Total
FROM : MPNLEY-BROS
F4X NO. : 6514549371 ruy. ea zaee iz:asn ai
*
*
* PION
# ag n
* A
* # ?
Drivc
MN 55120
114 FAX:881-9488
Y
Certificate of Survey for: MANLEo ?BROS. CONST.
?tn
lOT AREA a 22.500 SP ?Ql; (EN3'7?
NOUSE AREA -3.349 $F
NOUSEATYPE 1=2 STORY W.C. k l.0• i b
Il0
4
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BENCH MARK Q
E?Ev? 908 fia af?6?
9n%J,'ox 895.7
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? 890.7
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BENCH MARK
`. 70P OF PIPE
, -? ELEV.=910.27
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NUT6:
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: q
TOP OF BIOCK ElEVA710
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S
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fmMOnnON DnIEN9WS
S5 IM?'ESnEA110H NIS BEEN COY%1C1E0 GM TWIS l0T BT 1NE
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S
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HOTE: 8Ma+OS vOw WE BASED 4N WAS3UME0 OANM $_ OEMOlES OiTSET NU8
THA7 T141S IS A 7RlJE
T NJD CORAECT REPRESENTAiION OF A
.
WE HEREBY CERIIFY TO MANLEY 8R05. GONS
SU0.VEY OF THE BOUNDARiES 0F:
ooOA 5?BYOCKSO A OAK BLUrr?
IT OOES NUT Pl1PPORT 7O SHOw IMPROvEMFS1T5 OR ENCHRDACHAIENTS. EXCEPT OwN. AS SURVErED BY I+E OR
UNO:R MY OIRECT SUPcRV15ION TNIS 22 D?1Y OG OCTOBER, 1999- SIG PIONEER EN EERI , P.A.
/
.5 Go?. L.S. Reg. No. 19H28
SCnLE : 1 WCH = 40 FEET BY
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561 99419.1I JM
. 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122 ? C? a?- J Ui I
(651) 681-4675
?_p,?
Q??(? lo.??
N e w C on sVUCtion Reouvemen t s Remodel/Reoair RequirementCs v`-"??J
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 site surveys (extenor adddions & decks)
? i energy raiculations ? 1 energy calculafions for heated additions
? 3 copies of tree preservaLOn lan if lot platted after 711l93
required. Yes No
DATE: IqrlI? CONSTRUCTION COST;
DESCRIPTION OF WORK: l'6r?1?
y i 5z? I
STREET ADDRESS:
LOT: 5 BLOCK: l SUSD.lP.I.D.
i
Nsune:----- V-r) ?n ° 2 x Cs l)--------- Phone #: A? ! _LI_?_l_'_? ? J J
PROPERTY L l F;"?
? AVvr.it
Strect Address:
City
LUV rIZ`LLLUIZ
Lip:
le n: ?J ? C1 -- -L ??----
I.lCfI15E #
Zip: =? t-? --
ARCHITECT/ C',??_ ?? L? :?
ENGINEER Companp:_/`±?"
------------------"-- Ylione #: -------------
Nyne:_i'_ i 0 rY- -------- ---------------- Repstra[ion M:
Strcct
?
v - - ? -?
City ---? n-?-`= ---------------- State: _-??`? ---- z`P` -=-?J--f --?-----
:)
Sewer & water licensed plumber (new construction only): ?? ?'t JL??« < . Penalty applies when address
change and lot change is requested once permit is issued. ? l,???
rt"
I hereby acknowledge that I have read this application, state that the informati is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. p
•' Signature of Applicant O\C" OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes _ No 4t. Not Required
State:
y
?
City _.-L- k \T . C \------ ---- S[ate: ---------
OFFICE USE ONLY • _ ?
J
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
?4 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WOR}( TYPE
l 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 4 .s Census Code
(Allowable) ? Main level sq. ft. SAC Code ?
UBC Occupancy ? sq. ft. z/? ? Census Units
Zoning - sq. ft. ?I?? G Census Bldg
# of Stortes sq. ft?-! MC/WS System
Length sq. ft. City Water
Width ? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ,? . Engineering Variance
, c
Permit Fee Valuation: $
Surcharge /S
,vs? J
Plan Review x
License lSfSx ? j ? ?f ?f?
MCNUS SAC
City SAC / y??X J`???-' ? ZS? ?? ?
Water Conn.
Water Meter
Acct. Deposit ?
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL•
% SAC
SAC Units
r-
• ENERGY CODE WORKSHEET FOR 1& 2 FANSILY DWELLINGS
SITS ADDR655 CITY ?
,. L
C
COtlPLETED BY,
?` dtiONB N OATE
HIIILDItiG CLASSIFICATIO[7. ? categoiy 1(utandard) or ?ategory 1(muet include vantilation)
HZItIMIIH CRITERIA
FWndation Insulation-R10 V7alln G Windowa Rao£ Attia lauulation:
Slab on Crade Ineulat3oli-R10 (See l'able on reveree eide
Eor aliowable percentages)
R94-With Attic No ISeel
F1ooz over unheated epacee-R24 R38-With Attic Raiaed Ileel
Fouridation Windowe 1/2"
R38 & R5-Solid RaEtets
ineula[ed Glaes
.
-Hood or Vinyl Frame
ST%P 1111ndow 6 Door Area ST6P 2 Calculate erea aa a percent of wall
A. Total Window & Door Area 1n Sq. Peet
WIH0041S (Including Foundati onWilidowe):
tlI1InOH HALtU&ACTUItE liAMII: I C. From Step 1 divide box A(Hindow 6 Door
WINDOW HA3rt1FACTCJRE TYPB: Area) by box B(total wall aiea) timeo 100
equals tlie window and door area as a
HZ2J?OW HAlIIIPACTTIRII U FACT011:3
6
percent ef wall area (box C)
.
-
R O. Quantity -
cq.fC.Area RoX AX 100 =
?
Dimensions
Box B ,
F
s
?
'
3 10 ISnI S?EP 3 Daoiga Featutoo
P.SSGtiBLY
1
PRAHIHC TYPE:
?
41_
?-
136'
57'AtIDRRD FRA.MIldG
etude 16" o.c
K
p2
f .
_
_
ADVAilCED FRAhIING ntude 24" o.c
-__ .
CAVITY INSULATION lt
a'X3
31I3ATHZt7G TYPE:
X
3 ?
?
J LESS TIIAN < R-5
X a
'
' ay R-S > OR h1GRE
7 X ? p?7 U-FACTOR p
DOORS:
: From the table, (reveLCe alde) determ?nc the
-_
? maximiim percent window & door area for the
'
p'
X dealgn optione selected and enLer the t valuc
6 in Box D below baaed an the window mEg. U-
fac[or:
3 X s
a o
?
Tutal Area of
4ii
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?,?? _
'
n
awe E Doors ,
B. To[al Ylall 11rea in Sq. Ft. Tlie t value ftom tlee table in Box 0 eliall Ue
equal to or gruatat than the } in Box C
Wall ToGal Height Area
perimeter '
]'otal Area cE Walls ? q?`?.[t
0
ONE- & TWp-pqMILY RGSIOENTIAL D(JILDR,IG PRESCRw1TyE (COOK-HOOK)
API'ROACI I
MAXIMUM WINADW AND DOOR AREA AS A PEK-ENT OF OVEftALL WALL
AREA
77 7
Framtn Cavit
lneulalion Exterior
Shealhin W ow
ina U-Fqctor
0.31
0.27
STANDARD R-13 2 R- 7 P 17.8% 21_3% 24
3%
STANDARD
R•l3
R- 5 12fl-
16.4°.
19.7%
.
22
5%
57ANDARD
R-15
> R -5 2.
17.1%
20.1%
.
23
4"u
57ANDARD
' R
-18-j9
< R- 5
16.096
18.8°/u .
22
09'0
Sl
ANDARd R-18_19 R- 5 14.096 18.6°Ye 21.8% .
25
30 /
ADVANCED
R-18-19
<[t - 5
12.9%
17.1%
20
19' .
0
23
4"1
AD
V .
a .
a
ANCED R-18-19 > R- 5 14,59'e 19.29'0 22.5% 26
1%
STANDARD R-21 < R- 5 12.8°. 17.0% 19.9% .
23
1%
STANDAfiD R-21 ? R- 5 14.5% 19.396 22.59'a .
26
1%
ADVANCED R-21 < R- 5 13.6°0 18.1% 11.2°!e .
24
6%
ADVANCED R-21 R- 5 15.09'a 19.9% 13.2% .
26.9%
Asiditlonal calc1+lat d vaU"
STANDARD
S R-17 < R- 5 11.9% 15.79'0 18.4% 21.5%
TANDARU
ADVANCCD R-17
R-17 Z R- 5 13.8% 18.4Yo 21.5% 25.0Yo
< R• 5 12.6% 16.6% 19.69'0 22
gqo
ADVANCED R-17 > It - 5 14.3% 19.Q19 22.29'0 ,
25,79'a
Nates:
Window srea equals rough opening minus Inetailatian clearancea.
Window U-Eactor must bc determined by either the National Fenestratlon Rating
Council standard 100-91, or ASHRAE 1993 Handbook o( Fundamcntals, Chapter 27,
Table 5.
11/!' Fas Note T871 o.M ?
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
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DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Buitding PermitApplicant
• Legal descriptlon
• Address
• North arrow and scale
• House type (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directional drainage arrows with slope/gracrient °h
• Proposedlexisting sewer and water services & invert elevation
• Streetname
• Driveway
• LotSquare Footage
• Lot Coverege
ELEVATIONS
/ Ewstina
m? o? • Sewer service (or Proposed)
v? ? • Property comers
cu/ ? ? • Top of curb at the driveway
a m?-o • Eleva6ons of any ebs5ng adjacent homes
?V ? Adequate footing depth of shuctures due ta adjacent utility trenches
Prooased
/? ? • Garege floor
? ? ? • Firstfloor
? ? ? • Lowest exposed elevaUOn (walkouUwindow)
m? ? ? • Property comers
V/ ? ? • Front and rear of home at the foundation
PONDING AREA (A apdicade
? ? ? . Easement line
? ? o • NWL
? y7/ ? • HWL
? ? ? •
? Pond # designaGOn
?
? • Emergency Overflow Elevalion
DIMENSIONS
0/0 ' ? • Lot GneslBearings 8 dimensions
p/ o? • Right-of-way and street width (to back of curb)
2r, c ? • Proposed home dimansions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all shuctures requiring permanent footings)
e' ?? • Show all easements of record and any City utiliGes within those easements
e? ?/?
' . Seffiacks of proposed structure and sideyard setback of adjacent existing structures
?
o; • Retaining wall requirements, if any f
Reviewed:
PROPERTYLEGAL:
DATE OF SURVEY:
LATEST REVISION.
Name
Maich 1988
caA1G/eLocvaMr FM
?* *+
* PIONEEA
* Bfl??
* * * *
909.
Certificate of Survey for:
LOT AREA = 22,500 SF
HOUSE AREA =2,349 SF
COVERAGE =10.4%
HOUSE TYPE =2 STORY W.O. & L.O.
2422 Enterprise Drive
Mendoto Heights, MN 55120
(851) 881-1914 FAX:681-9488
E-moil: PIONEEROPRESSENTER.COM
umo ruxxcrss. unosc•rc •naiacrs
4
BENCH MARK
TOP OF PIPE
ELEV.=908.64
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625 Highway 10 N.E.
Bloine, MN 55434
(612) 783-1880 FAX:783-1883
E-moil: PIONEER20PRESSENTER.COM ,
MANLEY BROS. CONST.
4150 ETHAN DRIVE
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ELEV.=910.27
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EAGAN £:iv _C;IIVEERTNG AEPT.
PROPOSED HOUSE ELEVATION
NOTE: PftOPOSED GftADES SHOWN PER GRADINC PIAN BY: E.G. RUD
NOTE: BUILDiNG DINENSIONS SHOKN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE NRCMITECNAL PLANS FOR BUILDINC AND
FOUNDAPON DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGA710N HAS BEEN COMPLETED ON TNIS LOT BY R1E
SURVEYOR. THE SUITABILITV OF SOILS TO SUPPORT THE SPECIFlC HWSE
PROPOSEO IS N0T THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: 1MI5 CERTIFICATE DOES N0T PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOwN ON THE RECORDED PLAT.
NOTE: CONTRACTOR MUST VERIFY ORIVEWAY DESiGN.
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DANM
WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A
SURVEY OF THE BOUNDARIES OF:
LOWEST FLOOR EIEVATION: 90z•7
TOP OF BLOCK ELEVATION: 9/w/ '
GARAGE SLAB ELEVATION: //'o
TOB 0 LOOKOUT ELEVATION:
X 000.00 OENOlES EXISTING ELEVAnON
( 000.00 ) DENOTES PROPOSED ELEVATION
DENOTE$ DRAINAGE ANO UTILItt EASEMENT
DENOlES ORAINAGE FLOW DiRECT10N
? DENOTES MONUMENT
-E3 DENOTES OFFSET HUB
TRUE AND CORRECT REPRESENTATION OF A
LOT 5, BLOCK 1, OAK BLUFFS
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT
UNDER MY DIRECT SUPERVISION THIS 22 DAY OF OCTOBER, 1999.
SCALE : 1 INCH = 40 FEET
BY:
AS SURVEYED BY ME OR
ENGfNEERIV. P.A.
(
JMm
` CITY USE ONLY
B L 1 ?
SUBD.
RECEIPT #: 1 .:)-' 0 O ?O
RECEIPT DATE: ? -?- " (? ' ?
PERMIT # 7S9 G I ,
1399 PLUM$INe PEiMIT (RESIDENTIAL)
crrY of EweAtv
SSSJ PILOT KNOB ftD
ElkfiAN, MN 55122
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAI.
Bath tub $ 3.00 x = $
Floor tlrain 3.UU x = $
Gas i in outlet * minimum - 1 3.00 x = $
Hot tubls a 3.00 x $ 100
Kitchen sink 3.00 x = $ C)o
Laund tra 3.00 x = $
Lavato 3.00 x = $ (Axo
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal 5 stem abandonment 30.00 x = $
RPZ new installation/repair 30.00 x = $
Rou h o enin i.50 x = $ V,SV
Shawer 3.00 x = $ 3.00
Under round s rinkler if dwellin is under canstruction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ CC9
Water heater 3.00 x = $ ,CO
Watef Soft2nBf if dwellin under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Nlalerturnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total --> --? ----> ----' $ 14? -CU
Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
- - - --- - - - - - -
--------------------------------------------------------------------------------------------------------------------------
i hereby acknowledge that I have read this applicatlon, state that the infortna6on is cortect, and agree lo comply with all applicable Ciry of Eagan ordinances.
It is the appliwnYs responsibility to nolify the property owner that the City of Eagan assumes no liability for any dama9es caused by the City during its
normal operaGonal and maintenance activities to the tacilities constructed under this permit within City property/right-of•way/easement.
SITEADDRESS: 1/'/0ddJ yl
OWNER NAME: : 1774,Je B/0-Y4t5 TELEPHONE #:
(AREA CODE)
INSTALLER NAME: SLA -Pf f / PI TELEPHONE #: 1 :1 " 4U7'
' r $ L713 f?-? ,n d (AREA CODE)
STREET ADDRESS: `t Co73 _
cirv:
-Pf;d
?
s37 a
CITY USE ONLY
LOT ? BL ( RECEIPT#: I?-- I?JS 3
SUBD. RECEIPT DATE:
MECHANICAL PERMIT
1999 MEM4McAr. PEftMrr (REsinENrLAL)
CffYOF E.kfit4N
3$30 PILOT KNOB RD
$AfiAN MN 551 fE
(651)681-467$
Date:
Complete this section onlv if you are installing I-IVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one requued @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
, OO
.50
$ ?c
Complete this secrion oLtlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or repair.
_ New Alteration Repair _ Other
Reminder: Ca11 681-9 6 75forinspections.
_ Fumace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State 3uicharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: ( I S U {y f LI pa?? / J i? •
OWNERNAME: mp /FZ PHONE#: -
(AREA CO, DE)
INSTALLER NAME: - PHONE #:
(AREA CODE)
STREET ADDRESS:
/CITY: 2 1// STATE: .JS D? S?
SIGNA OF PE ITTEE
CITY USE ONLY
L _ BL L RECEIPT#:
SUBO. Oak Bl4ff? RECEIPTDATE:
, PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are reqwred for each unit
? backflow preventer for underground sprinkler system
FIXTLIRES
EACH N
TOTAL
Alterations to existing dweliing - minimum fee
Describe: $ 30.00
Baih tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic S stem newireturmsnea 'requlres MPC Ilc. 75.00 x = $
Septic System abandonment 30.00 x = $ •
RPZ new installation/repairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler ifdwelling is underconstruction 3.00 x = $
Underground sprinkler if euisting dwelling 30.00 x = $ o 0
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under eonswctlon 5.00 x = $
Water softener if existing dwewng 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> --> -> $ .50
rotal -> --> ---> --a $ o Sv
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------•------------•---------------------------•------- ---•------------------------• •------------•---• •------•------
-
I hereby adcnowledge that I have read- this application, state -that the infortnation is cortect, and agree to compy with all applicable City of Eagan ordi-nances.
It is the applicant's responsiDiliTy to notify the property owner that the City of Eagan assumas no liability for any damages caused by the Ciry during its
normal operational and maintenance adivities lo the facilities constructed under this pertnit within City propertylright•of-way/easement.
SITEADDRESS: ?I-?../ F+61 OWNER NAME: : TELEPHONE #:
(AREA CODE)
INSTALLERNAME:'QAmm 14lt(Winical ?(,v7m,c{ur5 ?/1L TELEPHONE#: P°16_14' P)
(AREA CODE)
STREETADDRESS: (ZqO9 ChLP-n+V Qd 1*11
cirv:
?
TO:
FROM:
DATE:
SUBJECT:
MEMO
city of eagan
DALE SCHOEPPNER, CHIEF BUII,DING OFFICIAL
JON HOHENSTEIN, COMMUNTI'Y DEVELOPMENT DIItECTOR
FEBRUARY 23, 2004
BATTERY CASINGS AND ISTS
In response to your memo dated February 17, 2004, I agree with the approach you have defined
relative to flagging the properties that have been identified as having used battery casings in their
LSTS system that could be addressed in the future if the matter comes up.
Thank you for your continued attenrion on this matter.
7H/Id
cc: Tom Hedges, City Administrator
Tom Colbert, Director of Public Works
Mike Lence, Senior Building Inspector
?
To:
FROM:
DATE:
SUBJECT:
MEMO
city of eagan
JON HOHENSTEIN, COMMUNITY DEVELOPMENT DIItECTOR
DALE SCHOEPPNER, CHIEF BUII.DING OFFICIAL
FEBRUARY 17, 2004
BA'ITERY CASINGS IN I.S.T.S.
Jon, attached you will find a letter from Barry Schade, Dakota County Director of Environmental
Management. Barry has had a number of contacts with Gail McMahon regazding excavation of
battery casings on her property at 1429 Lone Oak Road.
As you can see by Barry's letter, the County has identified ten sites in Eagan that used battery
casings in the construction of individual sewage treatment systems (I.S.T.S.). It appears that four
of ten sites aze still pending, or casings remain on-site. Based on this informarion, I believe we
should place a waming flag on lots containing battery casings that haven't been mitigated, as well
as place a copy of Barrys letter in the relevant pazcel files. A waming flag on the PIMS system
would allow us to inform individuals requesting permits of this issue.
Barry has indicated that sites contanung battery casings usually don't need to be mitigated until
they are disturbed. Once they aze discovered, it is Dakota County's policy to require the property
owner to record this information with the properiy data base at Dakota County.
If you need additionai information or if you feel our plan of action needs to be modified, please
advise.
Chief Building Official
DS/js
cc: Tom Hedges, City Administrator
Tom Colbert, Director of Public Works
Mike Lence, Senior Building Inspector
r;
C O U H,
Emironmenul Managemenc February 4, 2004
Barry C. Schade
Drec[o,
Gail McMahon
Dakou Counry
wesiern Service Cencer
1429 Vince Trail
14955Gala;aeA,enue Eagan MN 55121-1 1 1 3
Apple `/alley. MN 55124
952 891 7557
Fan 952891 7588 Re: Analyticai Results - 1429 Vince Trail, Eagan
wvnv co dakoca mn us
Dear Ms. McMahon:
FrB °? v %0'J4
? J
1
Enciosed are the analytical reports for the sampies of water, house dust, and
soils collected from your residence on January 9, 2004. The results indicate that
the interior dusts and the well water suppiy are free of lead contamination. The
soils collected from the soil/battery casing stockpiie in your backyard contained
significant leveis of lead.
This suggests that lead from the soil/battery casing stockpile has not been
transported into your house and has not impacted the weli water supply.
However, the lead in the soil/battery casing stockpile represents risk to human
health and measures should be taken to reduce the potential for exposure to this
lead source. While the plastic cover placed over the stodcpile has §erved to
reduce the potential for direct contact with the lead, bare soils contaminated with
lead are accessible to direct contact or through wind dispersal. We recommend
placing additional plastic sheeting on the stockpile to further reduce the exposure
to the lead contaminated waste and soils. We also recommend that you limit the
use of the backdoor and install additional fencing around the stockpile to prevent
inadvertent contact with the stockpile.
Also enclosed is the list you requested of other situations the County has
encountered where battery casings have been used in the construction of ISTS's
(individual sewage treatment systems).
If you have any questions, please call me at 952-891-7004.
Si
Barry Sc ade, Director
Environmental Management Department
C: Dale Schoeppner, Chief Building Official, City of Eagan
Michael J. Tibbetts, Major Facilities Section Manager, MPCA
t_•
29-Jan-04
Residential ISTS
NAME
Saad 8 Coury Battery Disposal
Day & Cole Lead Battery Dlsposal
Gerhardl Lake (Parks) Disposal
Schullz (Parks) ISTS Disposal
McMalion Battery ISTS Disposal
Buslness ISTS
NAME
Fina (Union 76)
Paridis Inc Battery Disposal
George's Goi( Baflery Disposai
Dart Warehouse
Manley Brolhers/Oak Bluff
Richard's Place Battery Disposal
Grand Oak! Seepage Trench
Slte Address Cily Site T Waste Descrlp[lon Status Slta Numbnr=ile Localloi Complalnt
7175 Angus Ave E Inver Gro ve ISTS Battery Chips/Casings Removed 1143 TB 06/01l91
2981 Lexinglon Ave 5 Eagan ISTS Chlps Remaln on-site 2076 U3 09105195
4970 Johnny Cake Ridge Rd. Eagan ISTS Battery Chips/Casings Pending 2696 U33 03/17/03
1315 Carriage Hill Dr. Eagan ISTS Battery Chips/Casings Pending 2632 U34 summer, 03
1429 Lone Oak Rd Eagan ISTS Battery Casings Pending 2202 U4 i tl17J03
Slte Address City Sfte T Waste Descriptlon StaWs Site Number =ile Locali oi Complaint
3159 Dodd Road Eagan ISTS Battery Chips/Casings VIC # PT2710, J. Slahnke 2183 U72 08107/91
900 lone Oak Rd Eagan ISTS Battery Chips/Casings Developed 2615 U11 summer-83
2333 Waler Dr. Mendota HL ISTS Casings on-slte mgml&landfilled 2663 X34 08I04/97
2767 Hwy 55 Eagan ISTS Casings Developed 2400 U2 01/12/98
4150 Elhan Drive Eagan ISTS Battery Casings Chem Fixed & Removed 2142 U24 05/26/99
4185 Roberl Trail S Eagan ISTS Battery ChIpslCasings Removed 2167 U24 June,2000
Formerly 2799 Linde Lane Eagan ISTS Battery Casings Removed 2213 U2 10/20198
`_ .
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
-t- E:?_o .c?
Date 3 I,/7 1 v y
Site Street Address r1150 E-lvZ.a+\ Unit#
Property Owner ??a? ?? ¢- S k b v k r. ?e r Telephone # 1(,S 1) (0 8 g- 9 a 2$
Contractor Hessian Plumbing Services, IIIC. Telephone #(GS !) G P 1- P 2 S 2
Address P.O. Box 22172 (;ity State Zip
The Applicant is: _ Owner t- Contractor _Other
Alteration? to existing dwelling $ 50.00
Add fixtures to rooms, excluding water softener and water heater
_Septic System A6andonment
Water Turnaround (add $121.00 if a 5!8" meter is required)
_
other: Lou.e-r le,,rJ
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
1I1? Il ?? II f
SYatE 9urcharge
? _.
-tj J'
T
t
l $SU• SU
?
o
a
1 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 accordance with the approved plan in
the event a plan is required to be reviewed and approved.
I? /L?
ApplicanYs Printed Name pplicanYs Signature
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14 /00 TIME: 14:42:07
ID:
NAME: KLAtyM MECHANCIAL CONTRACTORS
3212 9001 4150 ETHAN ?R 30.00
2155 9001 4150 ETHAN DR 0.50
3212 9001 696 OXFORD RD 30.00
2155 9001 696 OXFORD RD ' 0.50
3212 9001 1585 WEXFORD CI 30.00
2155 9001 1585 WEXFORD CI 0.50
Total Receipt Amount: 91 50
CR135738
USER ID: JAN
0_ 2 Zp Z 2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
(,D v d City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?'I b aa
31r1b?
NewConshucfionReauiremeNS RemodeVReoairReauirements 9???- '. ?U
3 registered sile surveys showing sq. ft of bt, sq. ft of house; and ell roofed areas 2 copies of plan ?f w?''Y?
(20%maximum lot coverege allowed) 7 setof Energy Celala8ons for h?ted addNOns @o ?'-f?r?'?
2 copies of plan showing beam & window skes; poured found design, etc. 1 site survey for addiUOns & decks
04,
?lsetotEnert?yCalwlations AddBion-indicateifon-sdesept?csystem 3 copies of Tree Preservation Plan'rf bt platted after 7l1193
Rim Joist Detail Opfions selecFion sheet (bldgs with 3 or less unifs
Date G / a /n4 Construction Cast ? 3? Ooo
SiteAddress `-?15o ;
.?i(l 4Jr
? 1\1P UuidSte #
fq ss?a
Description of Work Y115h 1- YP??p'°L1? -
OP.'tL' ?OI YOQ
Multl-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 Z_ 2 ? Tv mql? 3
?,?,?,
PropertyOwner ` ? I
w n fY
Telephone # ( I0 6l`) (DU:-lam
-
7az
i ? ?f-? 3-S
Contractor
Address '41 'Jrc) ,
CiCY
Dci Ue-
State M,4V r'` Zip tj '_)`a3 Telephane #((p5 ?)(?1 $Z9?'9oZa?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mianesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enetgy CAde Gategory . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalculaUons Submitted
Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so, 25% plan review
fee applies.
ticensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #( J _
Telephone #( Ir).
l?
Telephone #( ?J( ,
lil FEB
I hereby apply for a Residential Building Permit and acknowledge that the information is complett-'aiid accI kuate;
that the work will be in conformance with the ordinances and codes of the City of'Eagan'MTd-tiie tate-of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
? ? ?h mmv-r
Applicant's Printed Name Ap icanYs ignatuze
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 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 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)q, 33 AlteraGon ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Uemolition (Entire Bldg) - Give PCA handout to applicant
Valuation o C> Occupancy - 14i MCES System
Census Code ? 2oning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings(addition)
Foundarion
Drain Tile
Roof Ice & Water Final
? Franuiig -
_ Fueplace _ R.I. _ Air Test _ Final
? Insulation
Approved By: 12-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ FinaUC.O.
-X FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
L,L r- t-jA-).? tf
.?
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106340
Date Issued: 0812112012
~it~ of 11QR Permit Category: ePermit
Site Address: 4150 Ethan Dr
Lot: 5 Block: I Addition: Oak Bluffs
PID: 10-53400-01-050
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
New Life Contracting Inc. Kevin A Kramer
814 Grand Avenue 4150 Ethan Dr
St. Paul MN 55105 Eagan MN 55123
(651) 224-3442
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157402
Date Issued:08/19/2019
Permit Category:ePermit
Site Address: 4150 Ethan Dr
Lot:5 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Brian Tstes Mcclung
4150 Ethan Dr
Eagan MN 55123
(612) 414-4782
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159899
Date Issued:01/28/2020
Permit Category:ePermit
Site Address: 4150 Ethan Dr
Lot:5 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Brian Tstes Mcclung
4150 Ethan Dr
Eagan MN 55123
(612) 414-4782
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169786
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 4150 Ethan Dr
Lot:5 Block: 1 Addition: Oak Bluffs
PID:10-53400-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Brian & Kathleen Tstes Mcclung
4150 Ethan Dr
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature