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3813 Gibraltar Tr? CASH RECEIPT ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 ;. r DATE - ? 19 wiccivro • ' - PROM AMOUNT $ 1?. ?' t...• I` & DOLLARS teo CICASH " a'EHECK .J`? .. j I •'?? _- ? J ? . iOR' -- . .. ' _ i . _.. ( 1 fUND COOE AtAOUNT , - ? •,r. ? )f. ? Thank You . .. .i.1.. _? ? gY _? , ? • ? INhite-Payers Copy Yellow-Poating CopY Pink-File Copy ' • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 W PHON E: 454-8100 BUILDING !RERMIT Receipt # To be used for Est. Value pate ,19 Site Address ''? ? ? `• ' r?'? ` '' ?,?„ '1 ` ? Lot i ` Block I Sec/Sub. t-'-XiNGTON SQiiARE Parcel No. c Name 1,• , -.?1L1. W ; Address ° Ciry Phone , o Name I? --- z? _..?:. ?.,?.??.. O FFiCE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const ciN water _ (nccuan (All w bl ) o e e # of Stories L h engt Depth S.F. Total Footprint S.F. o Address • I" APPROVALS FEES Ciry ?, .. Phone Assessments _ Permit ? Q V Water/Sewer _ Surcharge 1 • j W Neme y Police _ Plan Review W i a Address Fire _ SAC, City u Z Engc _ SAC, MWCC ? W Ciry Phone Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that i have read this appfication and state Bldg. Off. _ Road Unit that the information is correct and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagon Ordinances. Variance _ Parks Copies ' Signature of Permittee - TOTAL A Building Permit is issued to: 'C" on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holdsr Date TNsphons ? Plumbing . H.V.A.C. E lect ric Softener Inspection Date Insp. Commonts Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace 74 rIk-/ff it, Final Htg. Final Plbg. Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. \ . BUILDINP PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Esgsn, MN 55121 PHONE: 454-8100 DWG/GAR Site Addreaa -` } A?` 1iL'i'Ai2 l Lot Block ? SeclSub. Parcel No. W Name -,?_ • = C.: T'Y CONS`.? ? Address City Phone V r•/ f, '-, `f 5 9! Name ug Address r r.irv Phnno City I hereby ackrowledye that I hove read fhis applicotion and state that the informotion !s correct and ogree to tomply with oll appiicoble Stats of Minnesotc $totutes and City of Eagan Ordinonces. Signaturo of PerrniKee - A Building Permit Is issued to: oll work sholl be done in accordonce with all opplicoble Stote of Mir Buildlnp Officiol "''' 70927 Receipt # - ,.,u Date 19 EreCt ? Occupancy Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq. Ft. install ? Aporovols Fees Assessment Permit Woter a Sew. Surcharye Pol ice Plan Review Fire SAC • ' ? l? Y Er?p. Water Conn. Plonner Water Meter % Council Road Unit (. Bldg. Off. Tr. PL i3 2•?i APC Parks Var. Dete Co ies p U f Total on the txpreu conditiat Ihao soto $tatutes and CiFy of Eopon Ordinontes. I Irm"ction DRte I Insp. I OthK I InWI. wsll . Rfceipt MECHANICAL PERMIT Psrmit No. CITY OF EAGAN Fee - Fill in numbered spaces S/C ' Type or Prini legibly Tot 1. Date 2, Installation Cost 3. Job Address Lot 'Blk. •? _ Tract 4. Owner , 5. Contractor Phone 6. Address v 7. City ? State Zip 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New 0 Add 11 Alier ? Hepeir ? 10. Describe Fuel Type ; r, - 11. No, EnuiQment BTU - M. Ea. Forced Air No• EpuiDment CFM Air Handling: Mfg. , Boilers Mfy. Mech. Exhaust Unii Heater mf9• Other Air Cond. Mfg. Gas. Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I ayres to oomply with all ordinances and codes governing this type of work. ? Sgned t , for `. Rouyh Fir?sl tnapections: Date Inap. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT. Permit No. CITY OF EAGAN Fee r f f Frll in numbered spaces S/C • Type or Prini legib/y •7ot . .?-.?-_-----.- 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ?Institutional O ? 9. Work Description: New 0 Add ? kltr O' Repair O ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tutx ptic Tank Lavatory Softner Shower yyell Kitchen 5ink Urinal/Bidet Other Laundry Tray Floor Drains prinking Ftq. Slop Sink Gas Piping 0utle`6? 12. I hereby certify that the above informetion is true and correct, and I agree to comply with all ordinancea and codes governing this type of work. Signed : for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-$100 .?? CITY OF EAGAN 3830 Pilrt Knob Rosd SE" SpRyKE PERM11, P. O. Box 21199 PERMIT NO.: Eapan, MH 55121 pATE: - ? 2oni^o' No. oF Units: • _ ? ? ) j ?? sr» Address; Gibraiter 7 Plumber. i ._s. .. ? 7..-Ar. ?oNw te aWA* w!K !IN C11y of fq"¦ OrdIM.oN. By Dcfe of Insp.: _ <._..a Ca+?NCtion Qhor+ae: Aocount Depait: PenNt Fes: Surd+arpe: _ Misc. Chorgm Totol: Doh Pold: CITY OF EAGAN 3830 Pilc• Knob Road P. O. Box 21199 EaQan, MN 55121 Irbp.: CITY OF EAGAN 3830 Piiot Knob Road P. O. Box 21199 Eagen, MN 55121 3oniny: niowrwr: Dah Pa1d: Intp.: WATER SERVICE PERMIT I ? PERMIT D/1YE: . No. of NO.. f7`'4` g- -c: Addron: H I,E,'1Li!1?t0?l :? ber: r'?i- T. . No.: g0 aZ r Cannecc+«, Cho.ge: 500. ruln :? /l coount De ostt 15. p : H'?!'..f.190 Pam,it Fee: 1 d d?qme te aotIr wft tw Gey oi !aw• Surc!?orge: Onamenom Misc. Chorprs: ' - - TP k Total: me t z?? BY ?- - ' - DaM Paid: WATER SERVICE PERMIT PERMIT NO.: _ D/1TE: - - No. of Units; -- C'Yf'? llddress: ?13 =thrnlt?,• ,, - ibsr. ?r No.: Connection Charpa: .?. 1looount Depostt: or No.: Parmit Fee: M te awofp rrft Mw CMq ef Eelpw Surchorge: Mnaa. 1Wsc. pwrpas: _ Totol: - ? r DaM of Insp.. T'A6'$?? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ? NewConstruetlonReouiremeMs RemodeUReoalrReaulrements • 3 registered sde surveys showing sq ft. of lot, sq. ft. of house; and all roofed areas y 2 copies oF plan ? (20%mwcimum lot coverage allowed) . 1 selof Energy Calculations for heated addifions • 2 cropies of plan shaxing beam 8 window sizes; poured found design, etc.) . 1 sile survey for erzlerior edditions 8 decks • 1 set M Energy Calculations • Indicate'rf home served 6y septic system for addilions • 3 copies of Tree Preservatlon Plan'rf lot platted atter 711193 • Rim Joist Detail Options selectlon sheet (Wdgs with 3 or less units) DATE 7 ILL ` VALUATION JOB SIT AE DDRESS 38 f 3 ? t ??RP-?'TO? 0t-4 l IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF WORK??r?-Jeh APPUCANT 8oti.s_. ? ??t Ui;? PHONE# (dsr-Moz-g3?3 ADDRESS 2? Fs?xxlc ?2 Nlu.e?'Cantia-t?T t?I/J ZIPCODE s'?IS PAGER # CELL PHONE # ls3l- YOZ-7lo 2.2 FAX #-A4-3(c4^`(qZS NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical CoMractor. Mechanical System Includes: Sewer/Water Contractoe _ Water Softener _ Water Heater _ No. of Baths FIREPLACE(S) _ 0 _ 1 _ 2 Phone # Fee: $90.00 Phone #: Lawn Sprinkler No. of R.I. Baths Air Conditioning Fee: $70.00 Heal Recovery System ? (? Slll ? ? F (P" ,_ LI IJ Phone # 11 p??., Q All above information must be submitted prior to processing of application. 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 Ordina tae Stgnature of Applicanf ?- Certificates of Survey Received _ Tree Preservation Plan Received _ t Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex O 04 02-plex ? OS 03-plex 0 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex A 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or _ N ? 20 Pool ? 27 Porch (3-sea.) ?V 22 Porch/Addn. (4-sea.) 0 23 Porch (screened) ? 24 Storm Damage O 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi p? 31 New 1 ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 VHindows/DOOrs ? 34 Replacement *Demolition (Entire Hldg only) - Give PCA handout to appllcant Valuation Occupancy MC/ES5ystem Census Code ? Zoning P?D 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) ?O FinaUC.O. Footings(deck) FinaUNo C.O. Footings(addifion) 40 Foundatlon Drain Tile Roof Ice & Water Final ? Framing Fueplace R.I. Au Test Final ?p Insularion Approved By WA , Building Inspector 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 Plumbing _ HVAC Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Ps?`l ?r? ??l?'?(,? ???c?r?p ? O ?/? Ur p O -Y l _- Total GITY OF EAGAN Remarks !-), N ' ' ' ' Addition LEXINGTON SQUARE Lot Bik 1 Parcel 10 45075 170 01' Owner Street 3813 Gibraltar Trail state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 1985 254,53 16.97 254.53 C009690 10-12-84 EWERLATERAL . 173.65 C010034 1-28-$5 WATERMAIN 1986 68.3 4.56 15 68.33 C010034 1-28-85 WATER LATERAL WATER AREA 1986 286.4 19.10 15 286.43 C010034 1-28-85 STORM SEW TRK 1986 01.2 33.4 15 501.29 C010034 1-28-85 STORM SEW LAT ?' 1 513 .8 34 . 2 15 513 . 81 CURB & GUTTER SiDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK • CASH RECEIPT • • CITY OF EAGAN P. 0. BOX 21-199 (((111?,`, EAGAN, MINNESOT 5121 ?? -L' DATE 79 rt¢euveo 2/ /w ? ?tEJ' PNp ?`• AMOl1NT $ ?l ?r?-G ) h DOLLARS C] CASH CK ? eo .oa .-P?:> . • ? 't 7? ? i11ND COOE AMOUNT Ol. . ? / .? / U ? Thank You N_ 55259 White-Payers Copy Vellow-POSting CoDV Pink-File Copy CITY OF EAGAN N ° 13 9 8 0 3830 Pflot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 I I BUILDING-?ERMIT PH ON E: 454-8100 Receipt # 7S94`-Y To be used for FIREPLACE Est. Value $2 , 900 pate JliLY 28 19 87 SiteAddress 3813 GISRALTAR TR Lot 17 Block 1 Parcel No Sec/Sub. LEXINGTON SQUARE OnSiteSewage MWCC System On Site Well City Water ? a I Name DAN THILL ? Address SAME - o_ citv- . Phnnn 452-3407 o Name- A& 1 fireplaces ?Q Address 9618 GTICA RD ? City BLMGTN phone 835-0309 City I hereby acknowledge that I have read this application and state that the information is correct and agree to cor,Yply with all appliCeble State of Minnesota Shirtnies end City of E an O di unce,s. Signature of Perm a A.°86 ? A Building Permit i sued to: & L FIREPLACES all work shall be d ne in accordance with all applicable St e of I Building Official APPROVALS Assessments WateUSewer Police Fire Engr. Planner Council Bidg. Off. APC Vanance OFFICE USE ONIY _ Occupancy _ Zoning _ Type oF Const _ (AChap (Allowable) # Of $IOlIBS Length Depth S.F. 7otal FoMprint S.F. FEES _ Permit _ Surcharge _ Plan Review _ SAC,City _ SAC, MWCC _ WaterConn. _ WAter Meter _ Road Unit _ Treatment P7 _ Parks Copies TOTAL $44.50 1 _ 5!1 6.00 on the express condition that Statutes and City of Eagan Ordinancea r A i CITY OF EAGAN N°_ 109 2 7 ? 3830 Pilot Knob fload, P.O. Box 21•199, Eagan, MN 55721 PHONE: 4548100 BUILDING PERMIT Receipt # o?-S?? Te he und for SF DWG/GAR Est_ Velue $62,000 p?,p SEPTEMBER 10,0 85 Site Addr€ Lot 17 Parcel No. 3813 GIBRALTAR TR elock 1 Sec/Sub. LEX SQUARE I IN,rn. COLLEGE CITY CONST ? nddress BOX 309, HWY 3 SO city NORTHFIELD pho„Q 507/645-6648 O N Aame _ Z ? ddress u ? City _ Phone Fw Name ?? Address Ww City Phone I hereby ocknowledge lhot I have read fhis opplicotion and stole thot fM informotion is corre[t ond agree fo comply with oll opplicoble Stota of Minnesota 5latutes a9d City A Ep9an Ordirwnces. Sipnoturc of Permitte??4 A Building Permif Is issued to: all work sholl be done in ncco Buildinp Official Erect L7( occupancy R.i Remodel ? Zoning R1 Repeir ? Type of Const. V AddRion ? No. Stories Move ? Length 40 Demolish ? Depth 48 Int Impc ? Sq. Ft. Instail ? Appro.als Fees Assessment Water & Sew. Police Fire Erp. Plonner Council BIdg.Off.9 10 $5 APC Var. Date Permit S 319.00 surcnarge 31 _ 00 Plan Review 159. $ 0 snc 525.00 Weter Conn. 500,Q 0 Water Meter 63 _ 00 RoadUnlt 280_00 TcPI. 132_00 Parks CoDies To,e, $2,009. sa rha express cordition Ihol Eayan Ordinontes. COLLEGE CITY CONST ? with ali appjjcoble Staro Mins Jp_$tatures and Ciry ol i •. , ?_. 2/84 CITY OF EAGAN APPLICATIO.I FOR PERMIT i SEWE R AND/OR WATER CONNECTIODT (PLEASE PRINT) 1 ) PP,OP= ApDRESS: i Fr:,I. DE..?=,TIC;1: /- S (Lot/Block/Sc:;civisicn or Tax P el I.D. Ntum2r) ? ir S'I'RCC.'.^.,:E, Dai? 0F C2ZGLAi. LiiI'i.DL`:G =:1=? ` „^.:Ii2F:/P?CPOSm- LS: -1 S-?,,GL:. FAMiLY . ? R-2 DUPL...°": (T•Np LTIITS) f ? R-3 'ICr.;-L?FroTCg (- _ m-.ic, i L... ?12? m c) ?,77TC) _ ?' p a-a araaT=:r/cc_U)c:.,,•:rCM p CCi•n1E.°.CT_*AZ/RE.TAII?O.=T_C.: ? '?\'CL'S=u Q L%TSTI?[,'TIONr1' L/GGVE.',.`:n=-n 2) IPLEdJc ?Rlti() C"Ty Co.YST n,cc?ss: . , C7. 0 3d CTTY, ST?,T:', ZIP: OS-7 . P=: - ?- „?-. 3) Pa7.`pE-22 (PLEdSE PR1Ni) FOR CITY l1SE ONLY : NP.,1E pLOREss: MU RB UM e: 6e70 ys9St sr.w PIJHBERS L ' . CITY, STATE, ZIP: . APLE VAULEYoMN 0124 ` cti Ez ired PHONE: y-Tl- Naicn 7s1.!r PLUMBER LICENSE q0a 3,.V76 of Rgcord 747 nicta 4) OCCLPFu?IT/CtvTIEFt NAME: ADDRESS: CITY, STATE, ZIP: PIiO.`7E: LYLtASt PNINIJ 5) INpICl,TE :9[-[ICH PENi-LIT IS BEItC FiFX!UESTID: IF'..CrION 'Ib CITY SE7r7ER IT'l/ tCi COT ? 7.1IC-N TO CZTl' tVATE2 ? 0"1I1ER (PI.Er15E DFSCRIHE) b) L^:DIG,.::. C2Z-: - ? P=.SE F?OID ,aPPP,CNID PERMIT FOR PICF:-UP BY (D;IE GF ASWE E? 'P=-SE :*?.IL APPROVp PII3.tiLLT T'J 1, 2.Q 3 4 ABOVE / ^ (Circle one) 7) SIG-?.TL'RE: w4eh, /?d?.__ -- DATE: M! FOR C I T Y OSE ONLY ? Pf°MIm '-` ISSUz'D E:??? s: $ S ?/'? SU S S S _ / S UG $ s 5.????v S $ $ S $ $ $ SE:tiLD nr.7Mr'r (I_`ICL:iD: SCiRC :n=Cc.) WATER PERMIT (INCL"uDE SiiRC: ARGn) WATER METER/COPPERHORN/CUTS= REF,DER WATER TAP (INCLCDE COR?ORATIO?T STOP) SE:JER TAP ?r'??i,:,_ .,.J=C•Si= - .?-..?? ACCOUNT D.F.POSIT - F7ATER WAC SPC TRU?IK WATER ASSc,cg;trNm TRli:d?{ SEWER ASSESS:i°?iT LATE?.AL BEDIEPZT/TRU`IK SE: LATERAL BENEFZT/TRUNK S•]AT°_R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL ANIO[;J;T PAID/REC°I^rT SaSJ DOES UTILI:Y CON:IECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF SVAY? L, YES IF YES, THEN A"PERMIT FOR WOR?C WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE F'l NO ENGINEERING DIVISZON, LIST AS A CONDI- TION. StiBJECT TO THE FOLLOS4ING CONDITIONS: AP?ROVED SY: TI:LE: DAT°: U ?MBWW St WM w40 MtWra s" w W F /7?/9--- City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reamrements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°h mazimum lot coverage allowed) 1 Soils RepoA H pmposed building is lo he placed on diMUrbed soil 2 copies of pian showing beam & window sizes; poured found design, etc. 1 set of Energy Calcula6ons 3 copies of Tree Preservation Plan'rf bt plattetl after 7l1f93 Rim Joist Detail Options selecUon sheet (buildings with 3 or Iess units) Minnegasco mechaniralvenlilallonfortn RemodeUReoair Reauiremenfs Office Use OnN 2 copies of plan showing footings, beams, joists Cert o( SuNey Recd _Y _N 1 set of Energy Calculations for heated addiUons Soils RepoA _ Y_ N 1 sRe survey for additions & decks Trce Pres Plan Recd _ Y_ N. Addition - indicafe Non-sife septic sysiem Trce Pres Required Y N On-siteSep6cSystem _Y _N via.,-- arP rnncidPrPd nuhiir information unless vou state thev are trade secret and the reason. Date Site Address ?Jgi 3(7lfLLQtzc l- -i k-at Construction Cost ?`7Xa• OC) -f Unit/Ste # 55/ 3 Description of Wor ?DD? al7?Q ° 4yx ?? ? Multi-Family Bldg _ YXN Fireplace(s) _ 0 2 Property Owner 0 Tele Phone # Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category • Residential VenNlation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Catculations Submitted ' In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor T hvrPhv annlv fnr a Telephone #( Telephone #( Teiephone #( Ruild;ng Permit and acknowled¢e that the information is complete and accurat e; 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 stazt without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr val of pl ? Aant's Print d N e TbaYGt J ?0 krl5 Q''1 2007RESIDENTIAL BUILDING rEiuvnT arrLicaTioN , ApplicanYs Sign ure r . 1985 BOILDING PERMIT APPLICATION - CITY OF EAGAN NO7E: ALL CONTRACTORS MOS? BE LICENSED IiITH ?HE CITY OF EAGAN M(?-o To He Used For: J-?OU:?InX?s Valuation: Site Address: M13 Lot: n Block ? Sect/Sub Parcel Il L.CX f?uLsi'O? ?'? r4YgP,J Owner Address Pjpk 301. AW`f 3 SOl7j1-1 City/Zip Code MarUHS-7)4?,Lp , j'i1l?) SJr?`? Phone ?(o4}F' Contractor Address City/Zip Code Phone Arch./Engr. ?"?lrvv-; d,g Ck,,i?36R7„ Address City/Zip Code Phone IF ?v r INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Q g-? -?5 Date• =- OFFICE USE ONLY Erect x Remodel _ Repair _ Addition Move _ Demolish _ Int.Impr. _ Install _ 9PPROVALS Occupancy 9-3 Zoning R-I Type of Const ? 11 of Stories Length 4c:1 Depth 1+6 Sq Ft FEES Assessments Permit ? 9. Water/Sewer Surcharge ' ? Police Plan Review . I 517 Fire SAC 525, Engr Water Conn SL)d. Planner Water Meter C03. Council Road Unit Bldg Off - p- Treatment P1 a0. APC Parks Variance Copies TorAL ? 9 . S a i ' ., I EXTERIUR ENVELOPE AVERAGE "U" COtAPUTATION OWNER ? n? L?t ? rcy COrJ?f t2ueai*J ' SITE ADORESS ,'3?/:3 &(82a-"r92• T2Aii- ' • CONTRACTOR ttam- nsz ,)n>ry2, DATE q- q- RS PHONE Determine working square footage of each. 1. Total exposed wall area x:19 ° Z$ •2. Totdl roof/ce9ling area ...... Q Sq. ft. x.b. Total exposed wall area above floor = -Lri a. Total wall window area ........................... • b. Total door area ................................. t. Total sliding glass door area ................... • d. Total ffreplace wall area ......................... • e. Total wall framing area (average 10%)...:......:. f. Total net wall area above floor ................. p. Total. rim 3oist area ............................ Total ekposed foundation area h. Total foundation window area .......... .:......... ,. 1. 7aa1 net foundat9on area abcve grade ............ ? \ ,. Determine "U" value of each wall segment. a. 141.(1? X uull _3q6 = 4 ._ . , b. 3(?. 6r? X„u„ ? 1 Z8`_ -?3 ?.`. ? 'X nUn d O X nUn ^ a i . X"U°? °_.LZsJL=`? • f. 1'L..91. L-{q X"U" 4,O! 9 a e3 Z g. OS. ? Q x uuo ?J..S.L.?..Z?... ..?...e.?.'_a_r? 11• 11 i. 8'S. 3 8 x"u" , o(7 7?-- . . . ... . . . . . . . . . . . . ...Total ° Ei= 3 ................ If item 13 is the same as, or less than item Rl, you have met the intent of 58C 6006(c)2. , , ! , ... -•-?_- ------ ? •- ' ----•_•- . . ., ... ? ? • . 'fotal..exposed roof/ceiling area = q0 J. Total skylight area ............ ........... ... k. Totat roof/ceiling framing area (averagel0%)... 1. Total pet insulated roof/ceiling area..:........ o • Oetermine "U" value for each roof/ceiling segment. . • ? \ / X pVll • k• X'rVll a 1 gCy,q o x°u„ , 0 2Z s r R, o0 ?.? ................................Total ° -? S•71.? If total of 04 is the same as, or less than :2. you have met the intent of SBC,6006(c)1. ' Alternate Building Envelope Oesign To utilize the total envelope system method, the values established by the ' sum of items 83 and #4 shal.l not be greater than the sum of ltems :l and g2. 1. + 2. ? 3. + 4. _ • , ,NID U," VALUE qNA?.YS15 OF DooRS AND CiLAzED ARr.gS W! NDOW A REA : TYPIi oF W 1 NDOW i , , 618 " iuSuc. 64A55 Tue WiNDOK1 uuits /./Avt Btf?1 Tij4st'O Fo4 tNdY Atc ay Lif1[O ABoJc 4yo owvy Gi 43501;y490 ?4 OCA14N CSAFc) VA4N_L of ? luc?aDruG ni2 FILMS." ll? L?, = vRq, = v , c? -J / ootqGL +FoOf4eta ? FOUNtaAT10N yViNbow APMAS TYPE oF WlNDOW: TNE. vvPNVOW U?fn /a-V?L OLUJ TYgtCP FoR "R-! VAu.ae 1"H6Y ARR AS t.1%,cp AA?&va ANo M9r 9P AbllljNLD ^ VAWt bG ?jt^r ??rG1-40/NC/ - AIQ RIL-M! . L?1' 1?fS, • ?? +? FaPrAyf4 KODTAqG SLIL7IlI?y (?LASS Doo R AIZiLl4 : TYPL OIL IJOOR: ? 58 /"Sv??G ?'- yL#01?!ra C)!.i?99 OOORS Nr.ye pLR-{ Yt3TL0 FoR"R= VAL.Hry TNty ABL 4?'s Wa+aO AbbuR NMO MAY B? AS.feyNla.p A Dl8j611GSAP9, vAL.KL ol"R."r .2-grO luc _?rni.?, ,410 F1045 441 • V% = l/ : t=m:3 Fwrr4?- =? DDOlZ A29 A : TYPC Or- WaR S TF4E2MA --ttLo poog, UN?-'s . HAYG bec.r tLSrco ANn ?ouNC ro NAvo ,qN 'R'-YA4UA Of. T. BI ;..I N,f-1...61LGt4N4 AiA Ri4M3, Fpp'rqr( L? ?JPEG/qLS ; TYPE : .---- ?RM E•f !?/IL161? ?4r?' Sx?NLt! r? " Y 0 a qND U? VALu1. ANae.ysiy OF wAL-c. ScGTjoNs ? ,. ,?.. ?' •? 4"J ` I/% roM"rAc,t FouN O AT IoN WALt- AREN CABovt C7RAoJL') "R" VA Lu E 11JTERIDR Af1Z Ht-t1 z,?c 4 ??` w2 * v NII?I ? , o .,? ? .s. (R? ? EXtR.?.IOR, A!2 /ILM • ?-7 TorAL )?L,4 VALu.e- Am, t. A ; I1R"- VALUE :bl . JNrERioR I1?P- P?LM 9,0 19suLAr?a?4 tR•i9 ) 5,10- 3?.sH Ea r?u 4(2- ?j'1!?c F.AP rj1Ol?JC1_ r, g s , 1h„ sax twooA , 17 E,ctFR io tt q OIL ?IL-01 - z?ror A q..?VAr-at "?1 •??? ? I I l 2l0 3,s ?a?""x ro,AL "rAc,L ier.n L.I. la"ob DAtt : 9'Wue0 t Rr ANDOu „ VALUL ANALY515 OF 1n/ALL SEC7 ioMS ? Jc1-uD /-FKAn1 imiq "R• . VALuF reR+oR 410, F110--1 YZ GVO.S11M WAtLlOnItDI 3 /z5or r H/ooo -3/zi LAP 5ioI uci y2.? VAtbe bAaRi" fLlt)ok ^lIC fOL.M TA L' R...+? VA.,. u C- ARrL $A, : TofAL 100TAGE _ ?N5 l1LATI-o ARLA B&TWLaN STL?DS „R.,. • , bl iur?a?oa ,??x r??M t ?+ .45 Z CIYPSLLM W???.eeneo (?.1? ,?? lusu?.+r ioN (K,19 ) ?SHlA TkiH4 Q-1ry7? I A-1 67 sta iNG I-AP vAodK. *.,RM-Ica •17 ?frL4.14M AiA ML-M Z0.30 rOT A1. Wwu YALut. *.%•uL,.. ! 2? o.3a • ? 7oTAL roorArw&. h?? 1*61x4b yArc: 514;u.o_ +R „AND Ur ' VALUE A?dAI.Y515 OF THL F/{EILI?JG SECTIOAfS • : /r,l V JOIST/ FR/?M?hlG AREq 'fZ`- VA LtL E - •bl 1NTERioR ArR fr?L,M - .375 3?z soFrwooo G?YPS?1.M WALtJioARp --- - VA'voR C•?KI?1tK. •-.1-7 -I NtER iOR, AIR fiLM 5135 TOT A L" R?., ?ALl.LE LAW, :IiR.a, . I i 5.735 =. TaTAL Faan?4& _ ItJSuLq7ED ARLA BLtWLGN tNE i-015'f'S "g" ' VA4U.C -.61 IIUTERiOR AiR RILM 4- A-4.o0 IINSU.e.ATION • .58 VWyyvsuM wALLpoA4o ` VAFIaR BARRic2 I IZ INTER?o/C MR f1L M 45.36roTA L va??L o.'a. - I X m = 1/ ?5,3b = ozz ,Mrl%6 FOOTA4l+ 51l.M 16 .4 1 NM')b !fi pAtry SIgMfD taoqY RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit ? .. 1 ?50 Date ??- / Q `7 / Site Address hrn l-tn r 1 rn_!? I Unit # Property Owner ? r h 7(`1 h('6CO Telephone #((t,?'j Contractor Street Address NIi? IC V-e-, - ?c^1'1 l t P 2 n City F( 1 c fY? 1 (l a??? State h ;,_N Zip BiFS(7? Telephone# ((p-S? Bond #: Expires: The Applicant is _ Owner ? Contractor _ Offier Add-ou, modificaHon or aiteration to existing dwelting unit $ 30.00 ment ? f l urnace rep ace ? air exchanger - air conditioner New / ?/ Replacement ? other ?It rtr???.'????r nn ri Q rnlA n'vr Y-e4i t rn s State Surcharge $ .SO Total r J . $ ? I I hereby apply For a Residenrial Mechanical Pemut and acknowledge that the 'u?ifocmation is complete-and'accurate; tUat the work will be in confomiance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understaud tkus is not a pemtit, but only an application for a permit, and work is not to start without a pemut; tUat the work will be in accordance ith the approved plan in the case of work wluch requires a review and approval of plans. • OJn 1 OP4-IP ApplicanYs Printed Name ApplicanYs Signature PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 C) <?- Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permits aze required for each unit -S ,-,:? .-Z?T) Da[e 9_ / 19 / Q 3 Site Address YO j ? Unit # Property Owner ? o f fj J OIn n„$ U I Telephone #(G S?j 30 ` ContraMor e S .? ) Q*1 / S C' r.. e 1' Address P a. a:?t /-, z CiTy icw ;o n 5[ate A? A? Zip S S? a 2 Telephone #((esi )(o g/ - 8 2 S 2 The Applicant is _ Owner _ Contractor _ Other Septic System New _ Refurbished Su6mit 2 sets oi plans and MPC license $ 100.00 Includes County fee. Addidonal consulWntfees may apply. Alterations To Existing Dwelling Unit, Includiog $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5f8" meter if needed -$121.00) Other. _ RPZ _ new installation _ repair ` rebuild $ 30.00 _ Lawo irrigation system _ Water softener ater heater $ 15.00 _ replacement _ addilional ,? LS Li l.f ? t ? .50 State Surcharge i, i ! a Tatai $ I hereby apply for a Residential Plumbing Permit and acknowledge that the inTOrfAa'Cion is compie[e ana-aeourace; [nat me worK wm be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and wock 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. / n , 4,2 U c ?i ) ? ? ?J//??? ,?h, ii?4?? Applicant's Printed Name Applicant's Signature 73n1,3 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 4 651-675-5694 New Construdian Reauirements 3 registe2d site surveys showing sq R of lot, sq. it. of house; and all mofed areas (20°k maximum lot coverage allowed) 2 caQies of plan shaHing beam & window sizes, poured found design, etc 1 set of Eneryy Calculations 3 copies of Tree Preservation Plan d lot platled after 71153 Rmi JolstDetail Options seleotion sheet (bmidinqs wlth 3 or less unlts) Minnegasco mechanica] ventilation form RemodelfReoair Reouirements 2 coples of plan showing footings, beams, joists 1 set oF Energy Calcula6ons for heated additions 1 site survey for adtlitions & decks Add'rtion - rndicate i( on-sAe sephc sysfem `7b , 00 Otfic'e IJse Onlv CeA oi Survel,Rccd'„?. ?,' -=NY _ N TreePresRla`n,Reed _Y.?_-N, TreePregRequired;,::?.','s`,_Y _N DnsiteSepticSqstem, ? :?_Y;._N DateI/_/ ! !%! ConstructionCost <?aGOe? Site Address 2'?/ -,- UniUSte !k Description of Worli (- 61 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner -?C,iL3 Tclephone #f ( ) Contractor im TedwaloOM hw- 5?? ??? Address -- State ?'??119 66tIA?'??A ZiP. TelePhone# ( ) - - COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 Residential Ventilation Category t Worksheet (q submission type) SubmRted • Energy Envelope Calalahons Submdted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Suhmitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian? Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of ihe 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. i Applicant's Printed Natne ? Applicant's Signature 1 SINGLE FAMILY DWELLINGS - CITY OF INCLIIDS 2 SEfS OF PLANS, 3 CERTIFICATSS OF SQRVEY, 1 SET aF ENERGY CALCULATIONS NOTE: ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOHNER MQST DESIGHATB WHICH ADDRESS IS DSSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL DNITS FOR SALE UBIITS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SQRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COFIlMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SFECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For Site Address ?J Lot / ? Block Pareel/Sub ? Owner 1?.l Addres? r4z-lz , City/Zip Code Phone Contractor -?-- Address City/Zip Code 14 Valuation: ,2 Phone ? ? ?- (D 3 Q7- Arch./Engr. Address City/Zip Code Date: 6n Site Sewage Occupancy MWCC System Zoning On Site Well Type of' Const City Water (Aetual) _ (Allcwable) # of Stories Length Depth S.F. Tetal Footprint S.F. 9PPROVALS FSES Assessments Permit '9Q ? = Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr SAC, MFICC Planner Water Conn Couneil Water Meter Bldg Off 7 - Road IInit APC Treatment P1 Variance Parks Copies TOTAL Gf? Phone Ik Ma.n 011,ce 91 60G6 6875 Hqliway No fi6 N.E Mm?poln. Aqmnemta 55471 nW L Miuunpd Eywrnnt ? SoJ tnluv ? 1<N Amvn?y ? LeM Pllvun/ II 1101 LLN Npod BmnwJk, Minnnma 56737 Certificate oi Burvey for CO«CGE CI Ty CONST. ? Bearfngs Sharm are Assumed. ? o Denotxs Iron Monument. o Denotes 10' Foundatlon ? Corner Stake. 9ao•o DenoCes Exlsting Elevation.' ?- Denotes Qtrection of Surface Dra4nage. PHOPOSED ELEYATI.OPiS , top of Block Lowest floor _ Garage Floors923 .o Not ? o oa? ScolP l?h ? 3Q ?f p / ? + ? ? ? j ? \39 ?S I 4B.o ??' •• aqo.4 0 I `. o ? Gaa. o 10 I O N U ? ? , Z4.o 91?1AR ° N I q? 0 ------ I ° IrKC?? T? ?a -------------`?---- ? _ b904 $91° I 134.72 - ? S. 89°oo, oa'w LoT 11, BLoC? 1 L EX I NG7"ON SQUARE i Mritw torlily eMf MIs N e Vw W aorros1 rNnNwlaHon s1 •srrrey N/b 6w/shriu d the OMw dnolbd Med, ond d fM I4satlow N WUdI M roow, ?ed all rldbM ontrooaAm?nH, il any, Ire,w w• sdd Mwd. b w...y.d y? tMls?w dA.O. N.6 subua• N NtEl a ++c: ?qM?u ur •n _ n?nna ? All Riohb RwrvM YsY?AN MaInOlf" Nlom ' MOIMtlOIMO ?? ? ??M ?Mtt . ' S0.1hGniw BGF0610 • IW A Mranpy 6ry1wmnf OteJ Twru? ? la/ SwYW ? LM iLn+u! 1101 Clel Rotl Burnwilh. M-nnMiiW 66177 ' ¦Csrtificate oi 8urvey for COLEGE CITy CONS?' - o ?1?oCea. I1'on I?fontu?ant: ;. ` cy 66ftes 10it -'FOra*titlw . ' . CvrnerS , ka. , , •9?o-D C?nolB?s .Exiati'ng ?erir?, :. '':" ?,,.-- DenoM Directlon of Surfa?e'tlralneqe. PiDPD6Et1 ElEwf2tfNS . ? - . . TeP qf B1ocR ? 99°f•o ' • o? I \\ ? \ \ \ ?6?s°lo. O I • `` , o ?? / : 41 o a, co a?,, I ' o P o ? 24.0 ? Q . _ '. ... . ? 9RIAR' Va- N I ` ? • . . -----------_?--? ,o ?91 ° I 00.72 S. 89's 00' 00"W. ? , .. . - . ?i, . . ?. _... - r,"i ' . " "' :.^" . . ?.`hnC1" - : ? ?f'- -..i?c"1_i ?..;F?s.•7?:i: LoT 17). 8LocJI?l l L EX I NG?-rON SQUA RE , ., 1 MtiYy Nrtlly MI MIS 1? 0 "w W urnsf rwmMwNe1M Na sorry N 1M YwwMrNs ol the ?i'e a M..•IbN MM..wW M N» IMatb. M wl M a? •11 vld?J 'N' ?w6.?0slw"ro, 11 any, irow « r ..a ?. A. .....r.? ti, .. tw?i.? dA.e. n,?. , TWWaiMI I N Nl R MC:??•+'/ ? : '' " :,,,..aa,: . oc : n-l Th s re0uest vmd 5(DU?". . . I ? _ ? VA'Itionahs. from V Q t1157726 Ll'?./?( -?? q a%.r-0 Request Date Fve No. Fovgh-in Insper.tion Fl tl? ? ll N R A N W f I - ? eywre ea y i ou ns uec- Y ow0 lor Wh F - 1 Yes ?NO en eady ? Lrcensed Elecvroal ConGactor - I hereby raquest ins0ection oi ebova Owner elactricel work instelled et Sveet Address. Box or Route No. CrtY ^ /? 44 ?v3 ls! ? J0 Z r /y/ etUOn o. I Township ame or No. Ranqe No. Co/u'?nt F/A , ? Occuoant IPPINTI ' Phone Nn. A/fQ Power Suppher 6 ? Atltlres rt c, ?`-- Elec[ncal ConVactor (COmpeny Nrme) ' ? l ' C tmctor's Lmense No. ' '/ ? ' . q, ,E < q lti c? ? d 8 Mailin ess (Conlracmr or Owner Makfne lnsiallahon? ?- wA sT . Author¢etl 5i najure IC tractor/ wner Makine Installatmnl Phone Number ?/ 91 ` ? ??z MINNESOTA STATfBOAflD OP ELECTRICITY THIS INSPECTION flEQUEST WILL NOT Griggs•Midwey Bidg. - Hoom N-191 BE ACCEPTED BY TME STATE eOAND 1821 University Ava., SL Paul, MN 55104 UNLESS PROVEP INSPECTION FEE IS Phone (612) 297-2117 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04 See instructwns lor completing this form on beek of vel law copY. Q67726 X" Be/ow Work Covered by This Request (V -3-?Z5 t!TAAddjRep.j Type ot Bu.ltling ApPliancea WireA Equipmenl Wire? ? Home Range IPTemoorarv Service ce k Fea ServiceEntrance5ize N Fea Fextlers/Subteetlars N Fxe Cucwts Z2j OC/ 0 to 200 Ams 0 to 30 qm s C GC? 0 to 30 Am os qm Above 200 ps 37 ro 70D Amps 31 to 100 qm s Swimming Pool Above 100_Am s Above 100_Amps Transiormers rngation Booms ?S ' Partial-'Oth Fe 1Signs - ? I ISpecial Inspection TOTAL Fi? / 'S /,? DU1 Remarks ?/? J? the thet the above '.ion has baen ?? { 5?? 5i?. .?.. I eea. Thls reduest voitl 18 monttu from // Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use y. • Permit City of Eanon 1 Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: b ' l Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: < ?u12 2012 RESIDENTIAL BUILDING PERMIT APPLICATION CP%.0% \ Date: Site Address: Unit Name: Phone: Z V-4-1-4 - /-?&g RESIDENT / c ~2f~Cj. OWNER Address / City / Zip: 79 l 7 Applicant is: Owner Contractor TYPE OF WORK' Description of wore: 'Xia-W Ta P au rrConstruction Cost: ~~.v Multi-Family Building: (Yes l/ No x-) Company: $tr lt` t("r C" % rcontact: f°L City: JE 2_ 'T'''"t rti i° y CONTRACTOR Address !T State: /inl Pl` Zip: Phone: License Lead Certificate bil 1((_ If the project is exempt from lead certification, please explain why: (see Page 3 for additional informatio 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.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 Co a must be completed within 180 days of permit issuance. x Applicant's Printed Name Ap lic is Sign Page 1 of 3 DO NOT WRITE BELOW THIS LINE ZD6 S SUB TYPES --:5 ( 3 Cr 1- 6",. t+r-, - Foundation Fireplace Porch (3-Season) Storm Damage Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) Multi Y Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding r polish Building* Addition _ Move Building _ Reroof ,emolish Interior Alteration Fire Repair _ Windows Demolish Foundation Replace _ Repair Egress Windov Water Damage Retaining Wall *Demolition of en' ouilding - give PCA handout to applicant DESCRIPTION # r Valuation Iq 191 t~ 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 Fireplace: -Rough In -Air l est -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 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge COY Treatment Plant Copies TOTAL Page 2 of 3 lD 6S tJt)Y~t~~ti Man Office 571 6066 8875 H.gh thygy No 68 N.E ■ M01NtORINQ Minnnpo4s• Mmnemta 56432 +wc. 42, South Office 8906510 ' t 101 C01 Aped ('.w1 b Munrnpof 6nrwrnn4 0Sod rnlrm e• (Anf Sun+ym/ • /,ond Pynw~t 8urn ~rnwdk, Minnepta 55937 COILME C[TY CON9T. Certificate of Survey for Bearings Shorn are Assumed. o Denotes Iron Monument. o motes 10' Foundation Corner Stake. 4oo.o Denotes Existing Elevation. Denotes Direction of Surface Drainage. PROPOSED ELEVATIONS Top of Block Lowest Floor Garage Floor sqZ.3 to \ sad scale., I-S-h 30 L"o-{ o~ 4-4 Goa. t, o O N u N d' 0.o Z4.o 1 p a O 1 9, tM 1,34.72 S. s9° oo, 00"W LOT 17) 9LOCII)l 1 LEXING-roAl 9Q%1.--J/-6-7PE 1 heresy certify that Ms Is o free and correct representation of a server of the boundaries of the above described land, and of the location of wildl th reww, wad wit visirio eacroachuncnts, if any, from or an said land. As wrveyed by ate thisdar e1 A.O. 19Z 1 "U1Z~ 111 INt/~ !1 NC: l"ineer urt Mrs r !5 S 9 by Not Published: All Rights Rermrwd , . . Use BLUE or BLACK Ink ,,' �-----------------, �� ,�, � � Far Office Use � �,,.;i / �J � � � ��4 �� 1� t.t� �� Permit#:_/oC � �'�+ � Y � � Permit Fee: �� vu i 3830 Pilot Knob Road AUG 2 1 201�t i ..a�'/y�t Eaga� MN 55122 I Dace Received: � Phone: 651 675-5675 � � � ( ) �Y:_._,_v. � staff: Fax: (651).675-5694 � � i ��_�_�J 2014 RESIDENTIAL PLUMBING ERMIT PPLICATION �f( � ��( Date: �' Site Address: � 6 1 �C/i�.� Tenant .� 3uite#: �z� �� ,F� � +Lk(�-�}��u�+' �y-! .r�+��S��d � � ,�;Resiqen Owner�� Name: Phone� -� t'„�£'`��'�� ` `� t `��,��.�� ,;;�, ; Address�'City/Zip; . "V��Q fiye'h� �" �3. Fd' `#��3� . ��_� ��,� ��x �Y`� Milbert _ompany Inc dba Culiign Water .� � �� icense#: C643176 ��'��`�� >� 180150t. Street East �� . n � 1� �: Aaaress: Inver Grove Hgts. ��Contractor ,� ��ri� ��;�"��''��:��+ ��, state,:_ �M N.� zip: 55077 Pho�e: 651-451-2241 c �"��95t� � ��u� °L�� : " . {�4�,�p��'"�2f�' ��'� i . . ;�c,� �� ,k ��,�t,� ,;'� �ontact: WIII18R1:R_'MIII�e1't Emai�: u�� , ,,� _ �� y.tt « ` '��f " " � _fdew eplacement _Repair _Rebuild _Modify 8pace Work in R.O.W. ��;Type of Wo,r . _ ,��,.��,��.(6,�P �k�ij �'��, � ' . . � . ��" �� , �:� ; Descrtption of�work: � � ��°l��y�� '� ' RESIDENTIAL a �s�"�"�;F'� � �.- �3� �`� � � Water Heater �� ,,,�x��a ;�+� 4�� Water Softener f �� .� �� ,s� ' Lawn Irrigation(_RPZ/_PVB) �;,�Permitj'Typ ��ry"�; z��r � Septic System Add Plumbing Fixtures�Main 1_Lower Leveq ��. �� ,�'��'��(',��N�;;� � °1 (vew `J`Jate�T�rrar�u��d . F��3�JJG' AH ��'�." � . . . . . � �"�a�'��`` �:?��`' � s� . Abandonment ;RESIDENTI.AL FEES. $60:00 Wafer Heater;;Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) � $60.00 Cawn'�irrigation:(includes$5.00 minimum State Surcharge) $60.00 Add Piumb�ng`Fixtures, Septic Svstem Abandonment,Water Turnaround"(includes$5.D0 State Surcharge) ,: •. ..'"Water Tumaround(add$200.00 if a 5/8"meter is required) $115 OO:Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �� TOTAL FEES� CALL BEFORE.YdCJ DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca11.48 hours'before�you intend to digto receive'locates of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this informa:ion is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I`understand fh(s is not a permit but only an application for a pennit, and work is not to sta without a permit; thaY the work will be In accordance with:t e approyeQ plan in the se of work which requires a review and approvai of plans. x� � x � _Applican.Ys';Printed,Name Appl cant's S gnature � ��, , ..,. Vp V p�+} � '#��l`�+ � �,�� w'� p� pp ,��41'Q`��V�?�14RrFr 4Cw.� e,• . �FQf��O F-�UJ, c.,. �e��,,Y�c �. � y a.��,�- �fi��ate1 r�z�n 4lfr��t�.. ' '. � #,� �}�� x,"�+ � �eM ' '� "' . k� �i` �� µ �,4 e i �Required`In pe� i,;,. ,� � n � re p , � � S � �:Y 4��'�I k. ��'��z"J�" �'� �- � � � R � + ; k"12�� ,�u'� n Meter ela ed�it, te 5�,� �� x�t w�,� r : � ` .�� „ ;�� t� �Fl � , � „�+�,� . ., . _M. _ �� ,. .__._ . ,. �. .. .. __..... . �.. ,a��"� Use BLUE or BLACK Ink r For Office Use ZCE1VED :::: e: Cit of Ea allY � ��2fio�� 3830 Pilot Knob Road SEP 1 4 2017 Eagan MN 55122 Date Received: I'; /7 Phone: (651)675-5675 buildinginspectionsOcitvofeagan.com Staff: \r-- LJ (1r 2017 RESIDENTIAL BUILDING PERMIT APPLICATION o1. ( l Date: 1`It 4)-f. `''``/ Site Address: Unit#: s I Name: 0- kG ,.e...- Sd L. „..Ss Phone: Resident/ ) f / 1 Owner Address/City/Zip: E/3 6.2.,6 c.. f 4 a a 1-1/A`' ` G LA, ��l�d� . Applicant is: Owner Contractor f's , , , t _ ._Type of Work Description of work: L e e vi-v IConstruction Costy Multi Family Building (Yes / No✓ ) I Company: Or, � f`�v. k et C'v� -C_. Contact: 1444—TT E6 Contractor Address: t )-/ C F.--1 6.5 5. _rIA 5' City: 4-c I "--.:v^ +"u r. State:144\1_Zip:S' LI Phone:D S/%/SS— -I O+ail: ///4471. SL12'/U A c r(` 4'1 I ( License#: C. 06/ p). Lead Certificate#: If the project is exempt from lead certification, please explain why: P 4....»b.:.®,e,....._ _..._ ...._ _..... ....«,.,. .,.,, »..:».n, .. .o� ...,.,. .....,«..,»..«..,....,,..ate-n.,,-.,.- ....:. .».. ,.,.:.........«.,..,...., >, n.,,...., -,. 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: f Licensed Plumber: Phone: Mechanical Contractor: Phone: I i Sewer&Water Contractor: Phone: i Fire Suppression Contractor: Phone: i NOTE:Plans and supporting documents that you submit are considered to be public`information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 website at www.cityofeaqan.com/subscribe. 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. 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 start without a permit; that the work will be in accordance with the approvedrplan in the case of work which requires a review and approval of plan V n x ltl Q1. x Applicant's Printed Name Applicant's Signa re Page 1 of 3 DO NOT WRITE BELOW THIS LINE 11J 7Iti SUB TYPES 3 13 Gi : �,ra 1-- r 1.---K-- • Foundation - - Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) —yl; 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 Siding Demolish Building* Addition Move Building Reroof Demolish Interior `f 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 .2-11)0 11 OccupancyJk4,4' MCES System Plan Review Code Edition -011, SAC Units (25% 100%14) Zoning Pp_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 16 Width _ REQUIRED INSPECTIONS LL1l Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) y 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 Siding: Stucco Lath Stone Lath _Brick_ EFIS -2(, Insulation Windows Sheathing Retaining Wall: _ Footings_ Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ��/ , Building Inspector RESIDENTIAL FEES Base Fee SurchargeriP4' , Plan Review 6 6C3X MCES SAC 0(Itr° City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL 121 C7 0 ' .13 Page 2 of 3 Use BLUE or BLACK Ink r For Office Use f,, - ::::ee: /City ofEapll7/ � ' 3830 Pilot Knob Road Eagan MN 55122 Date Received: a`7--/ 'Ci Phone: (651)675-5675 ,zik�f f buildinginspectionsOcityofeagan.com Staff: ".moi SEP. 272017 2017 RESIDENTIAL BUILDING ING PERM`IITT APPLICATION Date: Site Address: 381 3 C-i ( 6 ireL ( 6-{ lt�t Unit#: Name: 'T "" S f� Phone:6 YT 7 -4 Y 1 Resident/ r� Owner Address/City/Zip: 76"1.,3 G! 47 /r i, 3egiS 6caner Applicant is: Owner Contractor Description of work: 17`� � ' Gam _ I C T) ,f 4e...." `� Type of Work Construction Cost: �L 5 t: Multi-Family Building: (Yes /No X CompanyJi 7 (/2. /1) 1(9 �,s�'I Contact 1 Contractor Address/6-- ) ��S� City: ',A"At-4.6 � — State:rn"'Zip: sM .- Phone: al # �- Email: i i 5.) ?4 Li Lcense#: Lead Certificate# If the project is exempt from lead certification, please explain why: g 5 / 1 )j 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: i. I Sewer&Water Contractor: Phone: t Fire Suppression Contractor: Phone: 1. 1 NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 website at www.cityofeagan.com/subscribe. 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. 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 wit 4,- - . es and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and w• is not to : r out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap• •v • plans. �/ v - bbl �f x x _A. Applicant's Printed Name ApA Ii 4 ' gn7u' Page 1 of 3 DO NOT WRITE BELOW THIS LINE /y/J 9 74 SUB TYPES 3s/r3 3ibr&/ -1 7—ice/ Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) XSingle 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 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 Valuation71Occupancy al`. - MCES System Plan Review Code Edition i 2) (1 SAC Units (25%_ 100%y ) Zoning _ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V6 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 X Framing 30 Minutes 1 Hour Drain Tile Fireplace: (Rough In 7� Air Test Final Siding: _Stucco Lath _Stone Lath _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 Other: Reviewed By: '11 , Building Inspector f ice, RESIDENTIAL FEES . I o $ ,v ,- r Base Fee �^',11 f lu Surcharge y Plan Review 1,"'l, ;( ,, MCES SAC City SAC )-oUtility Connection Charge i'll r -' 7 (6` 5--° .._ S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Oct. 2. 2017 8: 37AM Silver Tree Plumbing & Heating No. 0766 P. 1 Use BLUE or BLACK Ink • (....For Office Use Oil' CityofEaaau Permit#: G Permit Fee: / 3830 Pilot Knob Road • Eagan MN 55122 Cate Received: Phone:(651)675-5675 Staff: Fax: (651)675-5694 Lill 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Z�� rdlc Date: Site Address: 10/2/2017 3813 Gibraltar Trail Tenant: Suite#: " "` " •.,.' :'a',,.`'`I `` Name: Barbara Johnson P 651-724-2844 w,>Ips'::.-, hone: . '`' ,rti:t';',` ; '`'' I'V '' Address/city/zip: 3813 Gibraltar Trail /Eagan/55123 1:,a^f` w :.y:;Yi.. ,,,(y,.: •. ):,i Hat. '; „ "'xi, :s1g f,•s'''`'"i ,,i;; Name: Silver Tree Plumbing Sr Heating License ll: ''.�` °^�'i", ""•'ry"'•' : 1335 Mendota Heights Rd Mendota Heights ..,,, •w t �+;::,•. 3!, � ,.,r.: Address: g City: g '1;,;:qd`', • 5''`,,Mi;:t': d:it; MN 55120 651-319-4200 ip. " `!'. r :. ri ::e;ri:; State: zip: Phone: ,, : ° lY ' ,- ` Ryan Baker ryanb@sivlertreepandh.com ,,.!,,,,,,,,..1,,,,.„:,,,..,,,:1;".4.:,,,:i,;hi: „w4�; 4;;11,61 Contact: Email: t$/ I ,,oN,, New j.Replacement —Repair _Rebuild —Modify Space Work in ROM, ,4o ii. ,, >4;i:4s-,4i,. , Tub to Shower �j�•„;��;€;,v,i „ ��c ,` ;;? „� Description of work: `r- „'.?;,::f: '.+.F.0 Tom.... RESIDENTIAL 0:.:, ,.. t:':lti, ti .,:;€ ;;,�‹^.R.;,: .,. ; l qs< Water Heater ter •'•V.4. tiy: ;^:,::'%' ;;: Use BLUE or BLACK Ink For Office Use (P��(,, �+ Permit#: -C.!`f'I City of Eapll RECEIVED Permit Fee: �U 3830 Pilot Knob Road Eagan MN 55122 Date Received: )v 'S 1 Phone: (651)675-5675 Staff "� Fax: (651) 675-5694 � j 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /O--1/'—i / Site Address: /!;1 / 3 /ULf, -e D t Tenant: .%i Suite#: Resident/Owner Name: Phone: Address/City/Zip:J 3.fri3/ 3 (j )0/F !7 I Name:/ . � U4 4'6j.icense#:.P6 Contractor Address: 6406 ç4-9t ? i 0 City: t (- ; �-a�L State Zip: �/� (jam$ Phone: 'I,k 2 �d Contact:��,(f 5f /V 'a Email: Type of Work —New _Replacement —Repair —Rebuild —Modify Space —Work in R.O.W. Description of work: ( Lt_ Affr/91—Tr-I` / ( J` 1-6/rive RESIDENTIAL Water Heater Water Softener Lawn Irrigation(—RPZ/—PVB) Permit Type Septic System Add Plumbing Fixtures (_2 Main/_Lower Level) New Water Turnaround 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 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) (Pf jTOTAL FEES $ V 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 fora permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x (�(/i'v! .A��/� x 2(' Applicant's Printed Name App' nt's Signatu e FOR OFFICE USE Reviewed By: Date: Required inspections: Under Ground Rough-In _Air Test GasTest _Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA146285 Date Issued:10/18/2017 Permit Category:ePermit Site Address: 3813 Gibraltar Tr Lot:17 Block: 1 Addition: Lexington Square PID:10-45075-01-170 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Barbara J Johnson 3813 Gibraltar Tr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature