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3820 Hunters OverlookJ 7b rs< zoos RESIDENTIAL PLUMBING PeRMiT aPPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 3o.So Date_?/?_1 v?dQ6 Site Street Address g?-o \? U? -? e c-C ? v ?-?' ? ' OC7`1C.- Unit # GSI ;Z-53, Ljs l7 Property Owner Telephone # ( J Contractor Telephone # ( ) Address City State Zip / The Applicant is: _?,_ Owner _ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing on/v a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement W_L-'kzPs _7ad A so sl YLawn Irrigation _RPZ V?PVB _new _repair _rebuiid $ 30.00 State Surcharge $ .50 Total $36's-0 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. C7 ou G G2 .A 4. ? Z?,. ApplicanPs Printed Name ApplicanYs ature ?- August2,2006 Pat Geagan ' MAVOR FOURTH NOTICE Peggy Carison Cyndee Fields DOUG RUTH Mike Maguire The CiTy of Eagan rewrds indicate your backflow preventer at 3820 Hunters Overlook was not tested in Meg Tilley 2006. If your reduced pressure zone backflow preventer was tested, please submit a copy of the completed COUNCIL MEMBERS test form to the u[ility division at 3419 Coachman Point, Eagan, MN 55122 or faxed to 651-675-5211. If the test was not performed, you must do one of two things. 1. Have a Licensed Plumbing contractor test Thomas Hedges the backflow preventer. T'hen submit a copy of the completed test forms to the City of Eagan utility CITY AOMINISTRATOR department 2. Or you can have the water supply line permanently disconnected. If you choose this option a plumbing inspection is required. Minnesota Department of Health requirements. 48152161 INSTALLATION OF REDOCED PRESSURE BACKFLOW PREVENTERS Subpart 2. Testing and Main[enartce. The installaTion of reduced pressure hackflow preventers MuNiarnL CeNren ' shall be permitted only when a periodic testing and inspection program conducted by qualified personnel 3830 Pilot Knob Road will be provided by an agency acceptable to the administrative authoriry (City of Eagan). Inspection Eagan, MN 55122-1810 intervals shall not exceed one year, and overhaul intervals shall not exceed five years. They shall be inspected frequently after initial installation to assare that they have been properly installed and that debris 657 _s75_500D phone resulting from the piping installation has not interfered with the functioning of the device. 651.675.5012fax 651.454.8535 TDD Subpart 3. Inspection and Records. A test and inspection ta.g must be affised to the device. The tester shall date and sign the tag and include the tester's backflow preventer tester identification namber. Written records of testing and maintenance must be maintained and submitted to the administrative authority. MAINTENANCE FACILITY 3501 Coachman Point The rebuild / test / or inspection must be completed with results suhmitted to the Eagan, MN 55122 utility department by Au¢ust 30, 2006. After this date the legal department will be requested to take appropriate action. 651.675.5300 phone 651.675,5360 fax If you have any questions or concems please conta.ct me at 651-675-5217. 651.454.8535 TDD Sincerely www.cityofeagan.com 1v Paul Heuer I? Utility System Analyst THE LONE OAK TflEE The symbol of ? strength and growth in our community. - ? 2005 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: ? ? + ,/ Date5 11 ri5 S teStreet Address '?Nxv?7?,?5 (l .?lv?K-- Unit # Prope rtyOwner Teiephone # (66h Contractor ? WT-Lb 1 (X' Telephone # ( 661)'?? ?15?e? Address ( V City State Zip k- zontractor _Other The Applicant is: _ Owner Alterations to existing dwelling $ 50.00 _ Add plumbing fxtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septlc System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) -zOther: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _V-APZ _PVB ?-new _repair ?peomia $ 30.00 State Surcharge $ .50 Total $ ,?^?`-' I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and apnrovpd. ?' " r . +40 ?? ApplicanYs P nted Name 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 B 36,? Teiephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for eaoh unit Date(D -S_ / ?ft_ / Clt4_ Site Address Tay &n-k? Unit # P t O Tele hone # roper y wner p Contractor T° Street Address City ?? . State Zip Telephone # (Qls -c} Bond Ex 'res: Of--?1 LS1?1 -T The Applicant is _ Owner _ Confractor _ Other Add-0n or alteration to eaisting dwelling unit $ 30.00 furnace _Additional _Replacement exchanger airconditioner _New _ Replacement other State Surcharge ? 50 AY 4 fM 2004 $ Total -? ? I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, 6ut only an applicauon for a pernut, and work is not to start without a permit; tha k will be in accordance with the approved Dlafl.Jn the case ? wJ1vJ?h requires a review and approval of plans. n Ln : r,CJ/> Applic nPs Printed Name ° ?p,li6fit's Signature 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings & townhomes/condos when permits are required for each unit Da[e Site Address Unit # Property Owner Telelihone # ( ) Contractor StreeY Address C;ty State Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner _ Contractor _ Other Add-on or alteration to exisdng dwelling unit $ 30.00 _ furnace _Additional _Replacement air exchanger _ airconditioner _New _ Replacement other State Surcharge $ 50 Total $ I hereby apply For a Residential Mechanical Pernvt 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 with the Mechanical Codes; that I understand this is not a pemut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in tUe case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature -?- 2`fi 2? Zaos RESIDENTIAL PLUMBING aeRnniraPaucatioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ? is. s D ? DJ2CkOC? Date J If -7 l 0 Site Street Address ?c?() 14l71Z! .5' 46 ! Unit # , li Pro Owner rt (c`N i ? 71 Li71 T l h # pe y ) e ep one ( j Contractor - JX,? Uf ?J Telephone #??() f?-1 I ? v`+V Address ' lu City ?t State? Zip The Appiicant is: _ Owner Contractor _Other i Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 I Per as-built $ 10.00 Alterations to existing dwelling $ 50A0 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are insiaUing onlv a water sofren er and/ar water heater, do not complete this section; move to the next section and check the 'I appliance(s) you are installing. ? _Septic System Abandonment _Water Turnaround (add $130.00 if a 518" meter is required) v ' Other: _ Water Softener ?Water Heater Z $ 15A0 placement _ new Y ? Lawn Irrigation _RPZ -PVB _new _repair ^rebuild $ 30.00 I State Surcharge $ 50 I T t l L) ?: o a I herehy 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' not to start without a.perp)it and work.wi!! be in accord'nqe with the approved plan in the event a plan is required to be iewed and approvt?. ApplicahYsPrintedlVame ' ApplicanPs Si?nature TI "?° PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA080882 Eagan, MN 55122 . Date Issued: 11/05/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3820 Hunters Overlook Lot: 7 Block: 3 Addition: The Oaks of Bridgewater 2nd PID 10-75836-070-03 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, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Royalty Remodelers Douglas W Ruth 4411 Slater Rd 3820 Hunters Overlook Eagan MN 55122 Eagan MN 55123 (612) 414-8199 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature i Use BLUE or BLACK Ink I For Office Use I City Permit#: of Eap I I Permit Fee: o 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: ...-----------------J Y 1^/ V 2012 RESIDENTIAL BUILDING PERMIT APPLICATION CP Date: Site Address: Unit Name:Qz> 4 V Phone:V S 1-vrFF3 RESIDENT I OWNER Address/City/Zip: !31$~.-O C~V*..r\0a Applicant is: Z Owner Contractor Description of work: CI ~.M cW N TYPE OF WORK a -4 Multi-Family Building: (Yes _ / No Construction Cost: Company:IlQ~i'~ DR., ~1.JCC1` pG Contact: Address: ,~1U11 0't`1 - +►,'~©S M CONTRACTOR State: Zip: Phone: License Lead Certificate If the project is exempt from lei certifica io , please explain why: (see Page 3 for additions /information) ry COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. t ` x©©VQ`0+ W. u"~ Applicant's 1`110ted Name App r ant's Signatu Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES 4~'v~t`. 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 DESCRIPTION 1 Valuation (D Occupancy MCES System Plan Review Code Edition 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 / C.O. Required Footings (Addition) Final / No C.O. Required Foundation 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 T Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By:~ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review f MCES SAC ) r~~~f City SAC Utility Connection Charge 'j S&W Permit & Surcharge Treatment Plant Copies TOTAL llVlll ~ t Page 2 of 3 Use BLUE or BLACK Ink r I For Office Use 1 U/ 3~ 1 Permit#: I I Q I City of EaRoRdn I P ermit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: ox I-( LI Phone: (651) 675-5675 ; Fax: (651) 675-5694 L Staff: - 7 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: U ~4 l Z Site Address: l )V gW ( conk Tenant: Suite RESIDENT / OWNER Name: P//h~~one: Address / City / Zip: >a-r' lGnK Name:-?-i±3-,L 2Lt-t -cf ~)IUMIIV4 . License#: ~f7 CONTRACTOR Address: (34l 1 0s4-<, City: i a- State:: Zip: $5 f Z3 Phone: ~Z- Lt (Z -2 3) D Contact: Email: TYPE OF WORK -New -Replacement _Repair _Rebuild Nlodify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater PERMIT TYPE Lawn Irrigation RPZ PVB) Water Softener I Septic System Add Plumbing Fixtures (-2( Main Lower Level) New Water Turnaround _ Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 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) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i not start v_AtLout a permi hat the work will be in accordance with the ap jd veplan in the case of work which requires a review and approval of Ian x V;2 q. tc-v' x A p cant's Printed e A ant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink -For--O ff-i -ce -U s-e I I City O1 1 EQ Permit ~all I / C~ a I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f' (ell Site Address: ~IA2 0 Unit Name: C7~- Phone: Resident/ Owner Address / City / Zip: .3 e Z-© tJQ~ j .0 Applicant is: Owner Contractor ` Type of Work Description of work: L C> C, Construction Cost: Multi-Family Building: (Yes / No ___J Company:__ . _ ~.1 / Contact: C4c_ F__6 ! Address: ( ('q .l / Contractor City: t.@ (Q / (1~e. State: Zip: Phone: L( Z C-6 License C.Q c9 U (o 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 ANEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: I Mechanical Contractor: Phone: i Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 C!tyofEaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use O f,L / JAI 7 O ) �d77 1 - Permit #: Permit Fee: Staff: Date Received:> AID reati � I 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: R e Name: ‘C--)(1> Cr \ \1 Phone:65 I 'D S 3 - I s 17 Address / City / Zip: 3 g a0 '\-\u 9�\ v V E eSv,E.. Loci \C- Applicant is: /Owner Contractor Type of W a6 Description of work: e 9�1%\ �" a`-- '. c2eAC A3> / ��S ..)('‘§--\ /4e Construction Cost: 06 Multi -Family Building: (Yes / No %) O/ OntractO ® . Company: 0loG Contact: P /-5=`) g ''%c► tt<25 poDt. Pec -4•••• Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: „... ,� �� x$y�.�.� y� orting. do j+` U % )! +ens ® B b6 $8 R 1c inf©rmat Of7 d he in : e ®n ma . e classified on- p �f y ns hat +o� r �'t tie n s ia they CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. G Applicant's P r(it ed Name Applicant's Signature Page 1 of 3 tfe-1 q/O NOT WRITE BELOW THIS LINE 7 SUB TYPES Foundation n Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%t43) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Interior Improvement Move Building Fire Repair Repair 43) vao S REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Framing 30 Minutes _ Fireplace: _Rough In _ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building —give PCA handout to applicant 2OJS MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Final Pool: _Footings _Air/Gas Tests Final _ 1 Hour Drain Tile Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings Backfill Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: Reviewed By: , ` )01 V , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ❑poop❑❑❑❑ Add/Change ,• ❑ 0 .'' ❑ 0 ❑ fd' 0 0 0 ❑�B" 0 0 0 Address: Applicant Name: LOT SURVEY CHECKLIST FOR RETAINING WALL / 72 0 BUILDING PERMIT APPLICATION X+ kitZL--00 141SSK g-00 60-6 01/62lccg_ R DATE OF SURVEY: s/ i' f I b LATEST REVISION: **Permits required for Retaining Walls 4 feet high or greater. DOCUMENT STANDARDS • Registered Engineer signature and company • Building Permit Applicant • Address • Legal description • Lot lines/Bearings & dimensions • North arrow and scale • Street name • Show all easements of record and any City utilities within those easements • Setbacks of proposed structure and side yard setback of adjacent existing structures ELEVATIONS • Property corners • Top of curb at the driveway and property line extensions (only if wall is within 30 ft. of curb) • Elevations of any existing adjacent homes • Adequate footing depth of structures due to adjacent utility trenches • Waterways (pond, stream, etc.) • At the foundation of the building and/or nearest structure PONDING AREA (if applicable) O f 0 • Easement line ❑ XPi ❑ • NWL ❑ 7 ❑ • HWL ❑ ❑ • Pond # designation O 7 0 • Emergency Overflow Elevation O )2' 0 • Pond/Wetland buffer delineation Y el • Shoreland Zoning Overlay District Y /raj • Conservation Easements 7❑ ❑ 7 ❑ ❑ 0 0 /d' ❑ ❑ RETAINING WALL INFORMATION • Location of Retaining Wall on property • Top & bottom elevation at each end of wall and any change in elevation in between • Type of material (i.e. modular block, boulder, etc.) • Directional drainage arrows with slope/gradient % Reviewed By: G:FORMS/Building Permit Application -Retaining Walls Rev. 5-4-09 Date A.4004 k -,N1 "...„ .)z EAGAN ENGINEERING DEPT, i� V/VLg \i/ / / Kg, • 417 ,�,"`— Vj 001 \ / \ ---) t^ r City of aali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: (006c> Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Pleas su • mit two (2) sets of plans with all commercial applications.%S Date: 7 � 2� I Site Address: (Nrl •-)h� I' � �S �J V Q ---J\ b n ��- Tenant: Suite #: Re • e1't Name: � b U Phone: Address / City / Zip: \-V-)0\ e �S DV c r \ b 0)(- � �A C/\ N A A • pct• Name: License #: Address: City: State: Zip: Phone: Contact: Email: pe of o New Replacement Additional Alteration Demolition Description of work: .,; :, j°f unt d groan C • • 7 ease con ' _ Mechar E 1 equip q�' • 10 be sc I N \[• L® t [ t!o ® RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_ Install / Remove) j Vi Other boi s� ` -.% ''' urc.t, RESIDENTIAL FEES $60.00 Minimum Add or alteration " , VtaAcr to an existing unit, includes State includes State Surcharge Surcharge = $ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ Surcharge = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xK c> cN\C Applicant's Pritted Name Applicant's Sigure • • :;." 1.4 rxuart ct. p•sgi~t14ii,S.. 136 73 leY ri Os• .4-%) „. N\A., PERMIT City of Eagan Permit Type:Building Permit Number:EA141626 Date Issued:03/22/2017 Permit Category:ePermit Site Address: 3820 Hunters Overlook Lot:7 Block: 3 Addition: The Oaks Of Bridgewater 2nd PID:10-75836-03-070 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Douglas W Ruth 3820 Hunters Overlook Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature ,/t C Use BLUE or BLACK Ink n�, � r For Office Use C---C- c 7 . Permit#: /'/ 7 '7tA.*'. l_���lll/// City of Eaprl y.p Permit Fee: /703 ., 3830 Pilot Knob Road — Eagan MN 55122 RECEIVED Date Received: � - < 17 Phone: (651)675-5675 Fax: (651)675-5694 MAR 12 2017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION i.,14"`-30- )1 Date: Site Address: Unit#: l 1 Name c�L_) L Phone:�C ►^^D-.5-2,�,S' �7 Resident/ € ` t 1 Owner Address/City/Zip: 11.'3 g \��.) 'C?cc .' 1 hD 1/. Z I Applicant is: Vi Owner Contractor _ ' Description of work: c c/- ` \C,Cc C--0 w C �O S W‘--\\---, \\-\rw . C(���) Type of Work Construction Cost: s� @ � Multi-Family Building: (Yes /NokJ ) Company: ►_ ,. c. C `. l �—Contact: `� v,=ta: I I Address: City: Contractor G I State: Zip: Phone: la-CS �� Email: t 1 License# � Lead Certificate#: ; If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? i Yes No If yes,date and address of master plan: t Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: j I Fire Suppression Contractor: Phone: ;a.u NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as'non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. . , .., ,____ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. - x �V \� e› W4.�`4? \�� x ....p.4,„ �. Applicant's Priid Name t 1 Applicant's Signatur. T o tom-- OWtv)te- Page 1 of 3 tiC DO NOT WRITE BELOW-THIS LINE 1 1- I '7 7 SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Q 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 DESCRIPTION Valuation ` 7_) Ova .— Occupancy L{2(- ( MCES System Plan Review Code Edition go.12e IC SAC Units (25%_ 100% ?4) Zoning P--1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \)j3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water Final Pool:_Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final X Siding:_Stucco Lath ° Stone Lath x Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan '�1 Other: Reviewed By: f O X it (1 I t E t( f- , Building Inspector RESIDENTIAL FEES Base Fee t e>1 r tZ 1 Surcharge Plan Review t t A ee- MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 111116 Date: a9an evildi� May 31, 2017 g ns l2 PeCfi0,1s \ �r�l SIO City of Eagan ( 'S Attn: Tom Mykla RE: ADDENDUM TO RUTH HOME PERMIT DATED 04/12/2017 PERMIT NUMBER EA141772 38a© )414 ftrs 6 iter/at ADDITIONS TO PERMIT 1. Add new metal roof and flashing above bay window in the front NE corner of the home. Approximately 40 sq ft. Roofing to be Englert Permacolor 3500 Kynar-Coated Sheet and Coil Steel in Mansard Brown Color. 2. Add new Masterbath Window and flashing above bay window in the front of NE corner of the home. Anderson Clad type casement window to match other windows in the homw Additional estimated cost of$3,000.00 Douglas Ruth Homeowner os,31 )e)V7 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143791 Date Issued:06/27/2017 Permit Category:ePermit Site Address: 3820 Hunters Overlook Lot:7 Block: 3 Addition: The Oaks Of Bridgewater 2nd PID:10-75836-03-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Douglas W Ruth 3820 Hunters Overlook Eagan MN 55123 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature