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3821 Gibraltar Tr ð ÿ þýý ðûûü úýýðùüã àè þïý à þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù øþ ú âý àñíìñÜü û þýãö ãöñ áàßàñ ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý CASH RECEIPT 0 CITY OF EAGAN ? • 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RCCEI V ED ? FROM A.L 11 ? AMOUNT $ i & DOLLARS +oo ? CASH ID CHECK FOR L..: •_j' ? . . . , . ! f / / ? . ?J Y ' 'L. _ J :t./ ? /'f!' ?? -U?? r' ? r? L?1 , -' ? ?°j ? ?yr?-"• ,;., FUND CODE qMpUNT ?J 2 zs Z o / ? ?/4 y 3? ? D? ?L ? ac Z IA Z ^? ? Thank You s4z6., ??? . BY ?- j J ? ? z White-Payers Copy Yellow-Posting Copy Pink-File Copy EtI;ACTIVATED FOR DECK 4/87 CITIf OF EAGAN JOIN Kt'f'l; RY 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12 05 66UIN4G'ARMR-166? (W) PHONE:454-8100 •k Receipt# ? . To be used for /Gp t Est Value ? 7 U , 000 Date frAV 27 , 19 Site Address 1321 GTBRAL,'i'Ai2 TtZ Erect 0 Occupancy R3 LotI fi Block I Sec/Sub. LEKTIVGTO;ri SQ Remodef ? Zoning ij I Parcel No. Repair ? Type o( Const. TR0 CUS OM A ? Adddion Move ? No.9tories Length ?1 h ¢ w L E TQM H ES Name Demolish ? Depth ? u Q Address 'P - G• BOX 1049 Int. Impr. ? Sq. Ft City??1 V??jg ?45d-93F33 Instail ? o Name Approva ls Fees o Address ? Assessment Permit 343.00 ¢ - City Phone Water & Sew. Surchar ? Q Police Plan Review 17I . 50 F W Name Fire 5AC 575.00 ?? Address Eng. Water Conn. 5 0 U. 0 0 e W ciry Pnone Planner Water Meter 63.50 Council Road Unit 294.00 I hereby acknowiedge that I have read this appl ication and sYate that the gldg 0tt 5l7/8 ? Tr. P!. 156.00 information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinanoes. APC Parks Si nature of Permittee I) ` s Var. Q3t@ COpies 174 00 a2 , . Total i A Building Permit is issued to: I'1ETR0 CUSTOM on ? the express condition that atf work shafi be done in accordartce with ail applicable State of Mirtnesota Statutes and City of Eagan Ordinances ?--- Building Official ? ? ' PermN No. PermM Holder Date Tdephons M Plurrtbing , r 1 H.v.J:G. -731-7 Electric -?3 L ? Softenor Inspectiqq Qat* inap. Commenh Footin9. I Footings Il Foundodon Framing ?j Roofing Rough Plbp. Rough Hfq. Insul. J? Fireplace Final Htg. Final Plby. Bldp. Finel Cert. Occ. l Deck Fiy. AV ? ?? ?/-it-Q'? ?• I? Dsck Frmq. y? Well Pr. Diap. * PERMIT # MECHANICAL PERMIT RECEIPT # ? YZ Z CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE PRICE: • PHONE:454-8100 Site Add? ss Lot? Block Sec/Sub BLDG.TYPE Res. ? Mult Comm. Other WORK DESCRIPTION New Add-on Repair m Name ? Addre c City ? Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p Ciiy 1-yi, Phone ?• = ? ?> > ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COMD. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM ? BEYOND $1.000.00) Gas Piping Oudets # Other FEE S/C: ? SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN K PLUMBINO PERMR ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 ?.vn ? nna. ? rnwc: - Site Address Lot Block Sec, m Name A?r1rrNEu- ? ,?,f ? ?? .5 Address c City Phone ? Name M ? ?? w 5 ?a.? 3 Address _1'?'?^?ft rr-? TX 0 City !-? ? ?? .r. ' Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD a60 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) I FOF? C(TY OF EAGAN P ERMIT # RECEIPT # QATE ? BLDG. TYPE WORK DESCRIPTION ? Rds. ? New , MuFt Add-on Comm. Repair N FIXTURES ? TQTAL Water Closec - $3.00 ? Bath Tubs - $3.00 $ ?Lavatory - $3.00 , oL? Shower - $3.00 J-Kitchen Sink -$3.00 3. cC Urinal / Bidet - $3.00 =Laundry Tray - $3.00 1 Floor Drains - $1.50 =Water Heater - $1,50 Whirlpool - $3.00 T • ` Gas Piping OuUets - $1.50 ? , Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: ? ? - CITY OF EAGAN PERMIT TYPE: ( 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued; f (612) 681-4675 SITE ADDRESS: APPUCANT: ... i M?, 1 1I N iltlAlcf i ry i.' i F:,tSli H: F,Ei PERMIT SUBTYPE: TYPE OF WORK: A, rFPATTrIN I I ,MIt iN;tll Afillh I I ir;H IP) Pl Hti qN RfV1fl'1F tl HY ft l t1 ti1IAMc, t'AEtAiF F'FitM11 lii.t+t?t?tEf) FOI . r 1 44fi •" f3A0 fiF tlAli[liNAi f L f I ANY Pt EfM1e f NA tit)1t1 rRYr..At. PFRMI t AMI1) ? .?. Permit Holder 02 Date Telephone # PLUMBING 7 Sr Sas HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING nlrv ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TES7 BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCTivirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CIT Y C'iF EAGAN WATER SERVICE PERIIAIT 3830 Pilot Knob Ro ? i.' O. B o x 2 1 1 9 9 /OI P E R M I T N O.: Eagan, MN 55121 DATE: ? . Z°^i^D: No. of Units: ? ,. Owner: etio "t!:. Addroas; Sits Addresx 1'321 Gihralt:ir :r. L1F.; ?.l Lexington !Z-,. Plumber. `?afit}' °-w T7an ie 1 S, In c_ Mster No.. Slze: R«Dder iNo.: ej?-/) ??U:Z 9 Eefote t I nr•• te°°? wili? N. citi o??i su?cl,o O?lNewaM. // _..*.i 1{?7? ?'P 6' t am BY - Qote of CITY OF EAGAN WATER SERVIC R I ? , 3830 Pilot Knob Road E PE M T ? P. O. Box 21199 PERMIT Np.: r Esgan, K I 55121 D^TE: '- ' Zonlng: No. of Units: ? : Owrisr: /'7-JWl ron. l? ' Site A1ddrols: ? C ' Pfumber: 'a? i "'?, •=a- _ ? : Meter No.: Gonnection Chorpe: . Slu: Account Deposit: „ ' Reoder No.. Permit Fee: ? esm !O mmplp M1" lw C*y Of amp11 SYICf10fQe1 , 'OrliMaaM. Mlsc. C:horyes: TotoL• 8Y Dote Pald: •Dote af Ir?sp.: Irbp.: CITY OF EAGAN SEWER SERVlCE PERMIT 3830 Pilot Knob Road P. 0. Box 21799 PERMIT NQ.: . Eagan, Mti: 55121 DATE: . =O^i^a: Na of Units: OwrlNr: -.???i r•`f!1'1` 1?.?.r1?.?. AddreSS: SJt! Add?lSS: Gib Z8l t3Y' Plumber 4aLrJ2EV P&I7ielSy i._. , , -?F, tslme to vawpy wll6 Nw G1y of iw¦ OlaMspw sy [late of Irop.: .. .;;'. +JOpc, Cannection Charpe: - ? 7`. f)UIX„ ACCOUT111 DEp00ft- Paf111it FAf: SIJfCh0?Qfi Misc. Cinrpes: Totd: Dats Piald: RESIDENTIAL BUILDING PERMIT APPLICATION u? CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681-4675 New Construction Reuuirements • 3 rer,isrered site surveys showing sq. ft of lot sq. R. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & xandow sizes; poured found design, etc J • 1 set of Energy Calculatlons • 3 copies of Tree Preservadon Pian il lot platted aker 711193 . Pom Joist Detail Options selecLOn sheet (bidgs with 3 or less units) DATE 1 1 d- JOB SITE ADDRESS / 39a1 ?j IF MULTI-FAMILY BU LDING, OW MANY UNITS? PROPERTY OWNER } ( TYPE OF WOR?Kp,,?` ? '-/i.tr,.A APPLICANT, LLL?A1 ADDRESS `f1 PAGER # CELL PHONE # RemodellReoair Renuirements . 2 copies o( plan . 1 setof Energy Galculations for hf • lsitesurveyforextenoradditions VALUATION (EXCLUDING LAND) 4 6F y,-/7s- 5 ? r?? adT? ?nti ? s 2002 'M7 b FIREPLACE(S) PHONE # _0 _1 2 3 & ci l -7g 4 -? 6 4 _ZIPCODE Jrh DI fAX# 6 Q-7i'3-`Lo5 d NEW 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 Coniractor: Plumbing Systcm Includes: Mechanical Contractor: Mccl? uiical Sy,Lcfn Includcs: Sewer/Water Contractor: Air Conditioning Hcal Rccovcry Systcin Phone # Fee: 890.00 Fee: $70.00 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 Eogan Ordinances. ? Signature of AppUcant 0? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Water Sof'tencr Waler Heater No, of 13aths Phone #: Lavvn Sprinklcr No. oFR.I. 13atlu Phone # Updated 1/Ot CITY OF EAGAN u?Remarks ??' '-? =' ` • f / a d d i t i o n LEXINGTON 994?Rf Lo t 16 R ik 1 Pa r cel 10 45075 160 01 Owner Street 3821 Gibraltar Trai 1 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 15 254.53 C009689 10-12-84 j7SEWERLATERAL ben trk 173.65 C010033 1-28-85 WATERMAIN 1986 68.3 4.56 15 68.33 C010033 1-25-85 WATER LATERAL WATEFAREA 1986 286.4 1.1 1 286.43 C010033 1-28-85 STORMSEW TRK 1986 501.2 33.42 15 501.29 C010033 1-28-85 STORM SEW LAT ? 1986 513.8 4 2 513,81 1T ?? CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 N° 12005 PHONE: 454-8100 r BUILDING PERMIT Receiptp ?d_/ 7o be used for SF DWG/GAR es4 value $ 7 0,0 0 0 Date MAY 27 ,19 86 SiteAddress 3821 GIBRALTAR TR Erect 'L Occupancy R3 Lot 16 elock 1 Sec/Sub. LEXINGTON SQ Remodel ? Zoning R1 Parcel No Repair ? Type of Const V.F} . Addition ? No Stories = Name METRO CUSTOM HOMES Move ? Length 46 3 O BOX 1049 P Demolish ? Depth d R ° • • Address mpr. lnt ? Sq.Ft cityBURNSVIIWA 454-9383 I nsa ? o Name SAME i 00 s Address ? " Cily Phane U Q' w w Name 1- ? ? Address z i W Ciry Phone I here6y acknowledge that I have read this application and state thatthe information is correct and agree to comply wit all applicable State of Minnesota Statutes and C'yS of EagO? i a es. / ? Signature of Permitte A Building Permit is issued to: METRO CUSTOM _ all work shall 6e done in accordance with all applicable State ofj,qnnesc Assessment_ Water & Sew. Police - Fire Planner Council BIdg.Off. 5 7 86 Var. Date Permit 343.00 Surcharge 75.00 Plan Review 171. 50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2 .174.00 on ihe express condition that Ciry of Eagan Ordinances. Building Official RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ks- o 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4675 New ConsVUCtbn RagpUements pemadeVpeoaU Neaulremente O • 3 registered ste surreys showing sq. ft. of bt, sq. k. of house; and all roofed areas • 2 copies of plan (20% maximum bt coverege allowed) . 1 set of Energy Cakulatbns for heated addllions . 2 coples of plan showing beam & wintlow sizes; poured found deslgn, atc.) • 7 stla surrey lor exterior adtl0bns 8 decks • t set of Energy Calculffibns • Indicate tt twme served by saptlc syslem for addHlons • 3 coples of Tree Preservatbo Plen H bt platled aRer 7/1 /93 . Rim Joist Oetell Options selectbn sheet (bldgs with 3 w less wits) DATE VALUATION ? O(J SITEADDRES I C?' MULTI-FAMILYBLD6 _Y --lq-- NPE OF WORK FIREPLACE(5) _ 0_ 1_ 2 APPLICANTC46;lSSF' STREET ADDRE55 6lv3s TELEPHONE 04???5???? CELL PHONE # PROPERN OWNER ?/l1f? TELEPHONE # ------- ° -----° ---------°------°---------------------------------------------°-----------° COMPLETE THIS SECTION FOR "NEW" RESIDEN?IAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 n (J submission type) . Residentiel Ventilation Category 1 Worksheet Submitted I?.v*e?y ??N?c t? t Submitted • Energy Envelope Calculations Submitted ?j MAY 3 0 2002_ Plumbing Confinctor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: ---------------------------------°--------------------------- I hereby acknowledge that I have read this application, stt with all applicable State of Minnesota Stptutes and City of Signaiure of Applicant Fee: $70.00 is correct, and agree to comply ., , OFFICE USE ONLY _ Water Softener _ Water Heater v ? No. of Baths anr W s/,,0d STATEA4?-ZIP 5?-7f_ FAX # Phone # Lawn Sprinkl B - No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Phone # Phone # Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4102 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *ATP,: PA3dNENT OF FE: AT TIME OF APPLICATION DOES MT CODUNTM APPROVAL QF PII2NIIT. IxseEcrioiv oF sEVM Arm/CR tMaz nNcmnr.raTIONS G7IIL NOT BE SCHED- ULID C7NTII. PF.RNBT H1lS BEQI APPROVED. -- - P ease Print 1) PROPERTY ADDRESS: •- LEGAI, DESCRIPTION: " Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRL'CIL?RE, DATE OF ORIGINAL BC'ILDING PERMIT ISSL'ANCE: (Nbn Year) PRE'SENP ZONING/PROPOSID CSE: CD MNVERCIAL/Rh`rAIL/OFFICE ? R-1 SINGLE FAMILY Q IPIDL'STRIAL Q R-2 DL'PLEK (1t,v C?nits) rl INSTIT[,'TIONAL/GOVERIZENp CD R-3 7nWNiO0SE (Three + Units) ( C?nits) 0 R-4 APARTMEDPI'/CONIDOMINZUM ( Units) 2) ? NAME: /? ?-?? ce STam ADDRESS: CITY, STATE, ZIP: ?j PHQNE: 3? a i: a• NAME: P,DDRFSS: PxorE:_ ?f23-?,73c% MASTER LICENSE# rlumoers tscense: Active E?cpired Not recorded Staff ImEral 4) .. • . i?• PrAME: ADDRES5: ' CITY. STATE, ZIP: PHONE: •5) ? r? r• • ?• : ? • ? - ?? [?, CONNECi'ION ? CITY SEWEEt ?CONNF7CrION TO CITY WATEFt ? pTfIER '- T- 6) PLEASE HOLD APPROVID PERMT FOR PICK-C1'P? BY OI? OF ABOVE --•--- PLFAS MAIL APPROVID PERMIT TO 1, 2.'C3/ 4. ABOVE (Ciscle one) , CITY, STATE, 2IP: 7) r r• u• • %i t Io FOR CITY USE ONLY • PERMIT # ISSL'ED 7 Pd w/Bldg. Permit FEES: $ $ ??' S U SEWER PERMIT (INCLUDE SL'RCHARGE) $ $ ID' ?U WATER PERMIT (INCLUDE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?S • ?7? ACCOUNT DEPOSIT - SEWER $ $ ,S -ACCOI.'NT DEPOSIT - WATER $ O 0--0 $ wAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRCNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER $ $ WATER TREATMENT PLANT SL'RCHARGE $ $ OTHER: $ / r' SZ? $ TOTAL ?36i5" o ?? RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSuED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbND2TIONS: APPROVED BY: TITLE: ? ? ?j DATE : ZZ CITY QF FAGAP! CASHIEF: 5 TFFtMINAL. N0: 767 DATE: 07/31/38 7IME: 15:0.(]2 IL1: hAME: DUTCNER FiEMOD[:LING INC 321O 9001 3829. GIRkAL.TAR 50.00 2155 9001 3821 GYBkF1lTAR 0..°i0 7a+.al. Feceipt Amounf,: 50.50 CkU9 ;533 USEfi LDo NANCY PERMIT CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road ?SjfflN G Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: 0 7 J 31 / 9 8 SITE ADDRESS: P.I.N.: 10-45075-160-01 3821 GIBRAL7AR TR LDT: 16 6LOCK: 1 IEXINGTON SQUARE DESCRIPTION: aCiilding,Permit Type BASEMENT FINISH ;8ui1 ding 1%JOrk Type ALTERATION ,"Census Code434 AL7. RESIDENTIAL I ? ? . ?. ? , a?.,;''' ? `° 5, REMARKS: PLAN REVIEWED BY BILL ADAMS. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. GALL 445-2840 REGARDING ELECTRICAL PERMST AND INSPECTIONS. FEE SUMMARY: Bese Fee $50.00 5urcharge $.50 Total Fee $50.50 CONTRACTOR: -- Appricant - sT. Lzc OWNER: 'pUTCHER REMODELING 16880758 2003599 JULIAN ARLYN 3643 WOODLAND TR 3821 BIBRALTAR TR I!AGFlN MN 55123 EAGAN MN 55123 (612) 688-0758 (651)686-7183 I hereby aoknowle°dge tHaC I itave read tMtis appliaati.Qn and state tha-L the - infarmation is aorrect and ac}ree to comply with all applicable State of Mn. Statutes and City ofi Eagan Qrdinances. APPLICANT/PEFMITEE SIGNATURE ?? ISSUED BY. SIGNATURE ? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KN46O' RD - 56122 ? ??- ?p New Construction Reauirements RemodeUReoair Reauirements C? n/1 _ 11 _7,,?' n? -q) O ?k?LSZS? ? 3 registered site surveys • 2 copies of plans (inGUde beam & window saes; poured fid. tlesign; etc.) ? t energy plculations ? 3 copies of tree preservetion plan If lot platted after 7!1/93 required: _ Yes _ No DATE: ? ? 2 copies of plan ? 2 sita surveys (exterior addHions 8 0ecks) ? 1 energy wlwlations for heated addkiona CONSTRUCTION COST; IoZ/DoU ? DESCR TION OF WORK: lJ?rta?,,?- ]?l?!/Jh STREET ADDRESS: ? A 7 I (?-, i lo r4.1 +wv- Tv-aL I___ _ LOT: I?a BLOCK: ? SUBD./P.I.D. #: Name: U V 11C? Klr (? In Phone #: 1CJY6- 7 I 8 3 PROPERTY Lmt First cwxEx 3 $ 2, 1 1 Street Address: ak\O ?"a.O-r? ` V`C?t,Il ?ity ??-. 5??: v? V• . Zip: S S?23 Company: IG?aM,6-LUfwi Phone?l: (o g8 -o1sQ CONfRACTOR Street Addresr. 3 643 ?? ?l?? i?,a,? t / [?0Z License # Z003 ? ? qi? ? --? cicy state: ARCHIT'ECT/ ENGINEER Company: Phone #: Name: Registration #: Street City State: zip: 5 S( 2 3 Zip: Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this appliption and state that the info ion is corTW and agree to comply with all appliqbf State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY RECEIVED Certificates oi Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required B?• OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 5F Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE O 31 New 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? 12 Multi RepaidRem. ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. , Building Engineering Variance Yzz: r da Permit Fee Valuation: $ I-2). DU 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. , Park Ded. Trails Ded. Other Copies Total: 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire 5prinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit °k SAC SAC Units ? L I(P gL ? CITY USE ONLY RECEIPT #: 75? I o?' SUBD ? RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, tM7 55122 (612) 681-4675 Please complete for: D single family dwellings ? townhomes and condos when permks are required for each unit ? backflow preventer for underground sprinkler system -------------- ---------- ---------- ----- - - _- - - - -- FIXTURES ------------- EACH # TOTAL Shower 3.00 x 3 Water Closet 3.00 x f = 3 Bath Tub 3.00 x = Lavatory 3.00 x 3 Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 7C = WaterSoftener "forexistingdwelling 20.00 x = U.G.Spflnklef `fordweliingunderconst. 3.00 = U.G. SprinkleG-focexisuny wall'ny 20.00 = Plterations ' 20.00-' _ round Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems * a,bandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE 50 TOTAL a O' So I - h-e-re--b-y-a- -• ---cknow - l e--d-g-e ---- that - 1 h---ave ---- --- -------------s-t ate at t----f-h -----he-in • -formaUon --- --- -is--co- -rt-ect-,----and--ag--re-e----omply-----wkh----all- --------applicable---City ---of--Eagan--------ordinan----ce-- $-.- read this applicatlon, to-c It is the applicanYs responsibility to notify the property owner that the City of Eegan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance adivities to the facildies construc[ed under this permit wfthin City propertylrighFOf-way/easement. SITEADDRESS: -3 ? a ) (, ' ?r' ) }?, T r` "( ? OWNER NAME: INSTALLER NAME: TELEPHONE #: STREET ADDRESS: ?6,)1 Ta S?e,.- J -, TI--? 4 w- CITY: ? . (I , P STATE: /'"' 'v ZIP: ? S sO -)Z SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 .C.Cc..? ? . ORTIORW ?' 198 5 BUILDING PERRIT - CITY OF EAGA NOTE: ALL CONTRACTORS NUST BE LICENSED ifITH TNE CZTY COl41ERCIAL SINGLE FANILY DHELI.INGS 343•00+ s 75•00+ 171•50+ 575•00+ 500•00+ 63•50+ 290•00f 156•00+ 2174•00* INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 7 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: ?j? Valuation: ? Date: y.5 ? 3 /? / Site Address 3f,?i f??4/1QR OFFICE USE ONLY Lot J.L_ Block ,L_ Parcel/Sub Owner (s-?v u Address eo, City/Zip Code BuKhxY? ??P.- y 5?3 7 Phone J?f Contractor !? Address City/Zip Code Phone Arch./Engr. Cza? Address City/Zip Code Phone !1 A Erect .2<- Remodel T Repair ? Addition ? Move ? Demolish , Int.Impr, Install ' APPROVALS Occupancy Zoning Type of Const ll of Stories Length Depth Sq Ft FEES Assessments ? Permit Water/Sewer Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit .??c. Bldg OfffZ7 Treatment P1 APC Parks Variance Copies TOTAL . >.. 1-i', pc?. Zo AOBE r4ENGINEf RING «HSUt71H6 EH61HEfSS, . PLANHEAS aed LAHD SUAVEYOflS COMPANY, INC. ? TODO [3L`; issn 57REZ ; BLRti:`lILLf, YIHHE_C.a E_?.? p? ?_Z_?a,?? eeT?Z?'Z ccz?e a? c?L?'?Ye t? Lscc1 C4r , c?.. , ? ??,•zcr (_DT 16 BLOGK 1 LExNGToN. SQUARE `8ag.o; '?ao,-E5 ?c?s? . E??? DQY?rrEL GO.? ?n?N?Scrr'A (2)-I ( f.1? l GQ.TES 'S? l?6LT?0?1 ?? OF SURF?ic..f'c pR?r1AC-n= P?q3.oo = 'F?,a?s?ci? C-r?2AC-r? -,-- , `PeAi-SQCxt ? (evs,o) r- No c 0 - Lo ? I (o ? °o T_ 0 \ y; Y? Se9,Oo' co"c /34-. 7Z ? .o 5r o Zy o c G?,?? '?F?eE P?d?6 ? cocn?vs ` ?? 1Cl r(pA-, o (0 58n°oo' oo" ? ? o ?- ? % ?? I 1 cv V Z? ra ? SGAc.c I ?=2C , ? 00 C- I Z r cot, " d 1 `l _4 ? .? -- /_ v . -? I Aer:by eartify that thia ia a trse and ear^act npraaeatition of attract of l+nd as shovn'and deacribed he:eoa.. Aa praparad by me on thi= ?d:y ot AD 2?(..-, , 19E k?. ' '_?v C/ ? 2Sinn. lte;. Jto. /6085 ;ohn -Bradley architectural consultants inc. SOOB 3LST, g E OSSEO,YN. 55369 P14. (812)-424-9712 Sit@ QddreS$: rnvrvc ? 11TOTAL EXPOSED WALL AREA Z6? sq.ft. x"U" Z?"V7 2)TOTAL EXPOSED ROOF/CEILING AREA _sq.ft.x"U"_'eZk5r WALL AREA CALCULATIONS: TOTAL WINDOW AREA 177? GLAZED T07AL DOOR AREA TOTAL GLASS DOOR AREA '?F; -- GLAZED TOTAL FIREPLACE WALL AREA TOTAL WALL FRAMING AREA NET INSULATED WALL AREA TOTAL RIM JOIST AREA TOTAL FOUNDATION AREA(EXPOSED) TOTAL FOUNDATION WINDOW AREA L -L?l> sQ.ft. x'U?. _.-_1 = LF;z- o- sq.ft.xiU'-_'ja= 2. ? sq.tr.x'u".+4- sq.ff. x "U"_z - ? . (rf-7 6:27 sq,rr.x'u"•472E-,= c3?? sq.ft.x'U??•?=.?- ? I ?-?7 sq.ft.x"U" •?.?_ ? G? 6 1 ? sq.it.x'U" ?.Ac sq.ft.zt Uit 3) TOTAL li ifem 3 is the same as,or less than ilem f, you have met 1he lntenf oi 2 MCAR 1.16008.A and O- ROOF/CElLINO CALCULATIONS? TOTAL SKYLIGHT AREA TOTAL ROOF/GEILING FRAMING AREA NE7 INSULATED ROOF CEILiNG AREA ? ? p ?q.ft.x?U ?•? ,7 Z- 4) TOTAL If item 4 is the some as,or Iess fhan item 2, you have mef the infent of 2 MCAR 1.16008 A and O. ALTERNATE BUILDING ENVELOPE DESION To utilize the total envelope system method, the sum ot items 1 ond 2 shafl be greater fhan fhe sum of items 3 and 4. IJ +2) - 3) +4) _ 1 hereby cerHfy that the bufldtng here described meets ar exceeds the State of Minnesoto Enerqy Conservation Act. r%?• ? . , Z'vCo S?c>'g-0 ,,../ z%z ep. off+• CONSTRUCTION FRAMINt3 SECTION ? '? K 3 !a air film " 0.68 t ?iPcnss of soPt wood (af-l 4 5 ?J'?"-{G' +a g eaferior a+r film 0.17 TOTAL R LL•424- U = I/R • ?? SECTION (INSULATED) I injeriQr oir /ilm 0.68 2 -S, R- •'4`? ; C;,n r- q s ,.09 6 9xtsrior oir film 0.17 TOTAL R • I U = VR .?_ ST SECTION 'nteri r ir film 0.68 b' IVz 11fi 4 ? R-F Z-c?o t*yn.Jc. .fA est ?ioi oir film 0,17 TOTAL R +1`2 U = 1/R rO iION SECTIOH lnterlor oir film 2 G, ..y-V?- ? •? u}erjor air film 0.17 TOTAI R_.SQi! U 0 1/R ' V CONSTRUCTtON • ... ?. CEtLJNG SECTION (INSULATED) 0 . . 061 (2 S Z ?SSo (q exferior air /i!m (st?ll) TOTAL R 4s'? 8 u = 1/R , nz- CEILING FRAMING SEC710N ' 0.61 j I ]LtgrJor o(r fflm l2?'P? s ,s.o (4 interior oir tilm 0.61 (5 anches of ' TOTAL R y a 1/R ,O CEILING SECTION (INSULATED). 061 ( ? interior oir film _ (2 (3 0.6I (q exferior air film (still) TOTAL R U a I/R VENTED CEILING FRAMING SECTION ' 0.61 ( I.lntertor air film lE - - ------'- ?3 - (4 interior air film 0.61 {5 1n?chss of saPt wood - ,TOTAL R .ll = I/R EXPOSED BEAM CEILING SECTION 0.61 0 )n}arinr OII ??Iln (3 (4 0.17 (5 x ri r 'r ' TOTAI. a jj s VR - yI CITY USE ONLY ? "? v ' ?? L ? BL ? RECEIPT#: 01?q53-'3? SUBD. Xi 1'1 tGIV' RECEIPTDATE: I'I,a°OO PERMIT# qU34b 2000 PLUI+BING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT Id10B RD EAGAN, 24d 55122 651-681-4675 Please complete for: D single family dwellings ? townhomes and wndos when permi[s are required for each unit ? backflow preventerforunderground sprinklersystem FIXTURES ' EACH lt TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Ga5 pi ing outlet ' minimum - t 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 new/refurbished • Bqulres MPC IIC. 75.00 x = $ Se tic Sy5t2m abandonment 30.00 x = $ RPZ new installationl2paidre6uild 30.00 x = $ Rou h openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler Hdwelling is undertonstruttion 3.00 x = $ Underground sprinkler ifexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construMion 5.00 x = $ Water softener if existlng dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surchar e .50 -> -> -? $ .50 7otal -> -> -> F:::?71 S D . Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. --••-••-------------•-----------...---ad Mis------------------------------------ - --------------••--•-----------------••--•-------•------------ I Mreby acknowledge thffi I have re applicatlon, state that the infortna6on is corted, and agrse to comply with ali applicable City of Eagan ortlinanees. N is the applicanPs responsi6ility to notily the property owner that the City of Eagan assumes no Iiabllily for eny dameges pused by the Cily during ds narmal operational pertnR within City proparty/right-of-wayleasement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: cirv: JULIAN, ROXANNE 3821 GIBRALTAR TRAIL EAGAN, MN 55723 (651) 686-7183 MN TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STATE: ZIP: ? S G RE OF PERMITTEE Thts requast voitl s -J, _T 4 18 nwnffis irom C -8 8 2 9 L/ L, ?B I,'ot°--? • 6aal I y ,e ia - Renuest D8ie / 5'S?8lO Frte No. Raugh-u Insuecu Req ?red? ?es ?No ?Ready Now ?WiII Nolity InsPec- ? tor When fleady Licensetl Electncal ConVactor I hemby request msoechon oi above Owner elechmal work mstalled at Street Atldress, Box or floute No. G - CRy 3 / bra/-f ?tr ecvon o. Township Name o, No. Ranye No. Cowny ?c?kof? OccuOaM (MtINT) ' Phone Nn. 9 61 n e- 323 Pownr SupOher &?-Ali_ E/e?fr?c, Atldress ravm?n ? Ele,c?,ttical onVactor (Companv Name) ?/ 4 d df Conuacmr's License No. - r1e, ?,r, an . ec a- 1?ro Mailinp Address (Conaactor or Owner Makine Instailatmnl g 0 Q 367 el-ri-I -A /d d. Qt? Author eC Samre 1 hactor/0 r Making Inst Ilallon) Phone Number ^ ^ 41??A - MINNESOTA STATE BOARO OF ECECTRICITY THIS INSPECTION HEQUEST WILL NOT C+,.B9s-Midwey 91dB. - Aoom N•191 BE ACCEPTEO 9Y THE STpTE BOARD 1821 Univar9itY Ava., 51. Paul, MN 56104 UNI.ESS PNOVEF INSPECTION FEE IS Phona 16111 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION j4M EB-00001-04 @ ? See instruciions }or completinB this torm on beck oi Yellow copy. U ?u// r? 82(? ??X' ' Below Work Coveied by 7his Request ? J Atl? XaO. Type of Bwltlmg AODlmnteaWiroO EqoipmeN Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buildmg Dryer Electnc HeaLn Commercial Bldg. Fumace Silo Unloader, Industnal Bldg. Air Conditioner Bulk Milk Tank Farm otnet aeci v otnerl5ner.'ty1 1 er Suec.i y ther Oth?r Compute Inspection Fee Belaw p Fee ServiceEntmneeSae !! Fae Fanders/Subieeders k Fae Cvcwts 0 to200qm s 0 to30Am s Otn30Am s Above 200 qmps] 31 to 700 Amps 31 to 100 Am s Swmxning Pool Above 100_Am Above 100_Am s Transformers Irrigation Boorr?s Partial, Other Fee Signs Special Inspection tft T OTAL E emerks a Nough-in Dme I, the EI r InsPector, he?eby cerlily lhet the abova Final U.te inspaction has been mada. mis repuesl roltl 18 montha irom This rnquesl v d C_7 18 momhs Iro O C '- 3 4.18 ? ?55'y0 Nep?est Dale / ? -$ty FirE No. Rouph-in Inspe ion ReqmreA? ?No // ?Rfidtly Now ?W.II Nutdy Inspec- I.r When Reatly 04..icensed Electncal Contractor 1 hereby re quest ins0ection al ebove" ? Owner electrical work installetl at Sveet Atldress, Bon or Raute No. ?doZ 1 ?! ?/-?1??Tf? Cuy E" flrJ ecuon o. Township Name or No. Range No. County DAKbi 1a Occupdnt(PRINT) Phone No. Tvz'? G1.1 - ? Power Supplier Address ? X - tEc._ - F/??, ?T Electncal Comracmr lCOmpany Name) Convar.tor's License No. r? ti D? fl E?c?n2 ? ?-1 r[.a ? ?- Z Maulin0 A.ddress ICOMractor or Owner Makmg Installatmnl 13t0,7 C3 R2-lt - - RD E -l?vJ Authorizetl Signalure ommctodOwner Making Installavonl Phone Number ? , a -5co zo MINNESOTA STATE BOAND OF E C flICITY THIS INSPECTION REQl1E5T WILL NOT Griggs-Midway BIAg. - Raom N•191 BE ACCEPTED 8Y THE STATE BOARD UNLESS PROPEfl INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone 16121 297-2111 ENCLOSED ?Y' ?-6-(O REQUEST FOR ELECTRICAL INSPECTIbN-- ? Sea instrucbons lor completirW this fwm on back of Vellow copn law `"-V°•?' -•" "N" Below Work Covered by This Request m AAd V V Rep. 1 y V TyOe ol Builtling - Apoliancea Wired ? Equipment WireA Home Range 7emporary Service pupienc Water Heater Lightm,y Fixtures Apt. Bwlding Dryer Electnc Heahn Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk M1Ik Tank Farm Other DecI y ?he, ISOCnIyI t_i Sueufy t e, Oihe? ,. p ,?....., Fee , ... r...,...... . .,..,.. ServiceEmranceSize H Fee Fexders/5ubfeeders # Fee . C"cmts a 0 to 200 qm s 0 to 30 Am s ? 0 In 30 Am Above 200 Amps 37 to 700 qmps 31 to 100 A s Swimming Pool Above 100-Am s Above 100-Am 5 Transtormers Irngatwn Eiooms $ Partial/Other Fee Signs Suecial Inspection $ TOTAL F ? B k emar s RouOh-rn DatP I. tha EI tric Inspeclor, ereby ? certilv that the above Final D'nte ? 4 inspaction has been mede. I . TMnrepuestvoiCl mo mm t-For Office Use % 4 1 � Permit#: v/2 • EAGAN / Permit Fee: 4 JUN 0 22.020 Date Received: / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ,. (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginsoections@cityofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/2/2020 Site Address: 3821 Gibraltar Trl Unit#: Name: Arlyn Julian Phone: 651-398-1195 Resident) 3821 Gibraltar Trl Owner Address/City/Zip: Applicant is: Owner Contractor i 't L 1 P - i{ O F Type of Work Description of work: Install Helical Piers Construction Cost: 21704.75 Multi-Family Building: (Yes /No ) Company: American Waterworks Contact: Peggy Buehler Contractor Address: 1307 Valleyhigh Dr NW City: Rochester american-waterworks.com State.. MN Zip: Phone:55901 Email:507-516-2704 peggy@american-waterworks.com License#: BC387395 Lead Certificate#: NATI 070632 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? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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. 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.citvofeacian.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.gopherstateonecail.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 appro lans. xPeggy Buehler Applicant's Printed Name Applic n s gna ure DO NOT WRITE BELOW THIS LINE ' . ' I b e lie l4. . /1, / q e/ i • SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) 4 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 _ Alteration _ Fire Repair _ Windows ^ Demolish Foundation 4 Replace _ Repair _ Egress Window Water Damage _ Retaining Wall *Demolition of entire building–give PCA handout to applicant DESCRIPTION Valuation Occupancy )-4,,, MCES System Plan Review Code Edition .tri SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Y(5 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Ni, Final/No C.O. Required 1 Foundation K Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice & ater _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 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: 'T , Building Inspector RESIDENTIAL FEES Base Fee 1^ r419 KW Surcharge V l Plan Review ' Y MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge0 ,, Treatment Plant / Radio Meter Read Copies TOTAL Page 2 of 3 i7THeIicaI Pile Installation Log (\y - U \ iA r\ \xeA\ �i2YS Customer Name: Project Name: Project Address: 3 9 )A, C!� i \pf of r Tr' 771 R74i (.# City/State: Eot/VMiV / 4/ 9$14 Certified FSI Dealer:(4E/20441 (,odZ6gsasaS� Site Superintendent /"' 7 Foreman's Name: Uy) Job Start Date: r 0277 Job Completion Date: 07 - Cell #(jam-o?) , ' Goa D RECEIVED /o79- JUL 102020 Pier #: ) ~3 Pier Installation Date: 7-06_ AD Drive Head: S X ! 0 Installation Torque Coefficient (ft.-1):n-1): a[,t�� f s1 Time Description of Lead 1 Pier Depth Section or Extension t (ft) Gauge Pressure; IN (psi) I Gauge Pressure I OUT (psi) Differential Pressure (psi) Torque (ft-ib.) Ultimate Load Capacity (lbs.) Comments o 2 gx i o 7' `1 000 ; Y �� . ,o 0 &' 1 -LI C ta124 7003 ,Ptt,2 8(\ IO --' _ is- .i 7' a; ► 1,20 -7 f a3 I809 . .) 35 0Ou 6g01./__ ! giAQ.c / 3 84I© 7 1 1000 )' I A I F lao Lo ' t I / 35 azo 1 ySl. SY G`1,33.3• � s • ifferential pressure required to meet capacity: Minimum depth required: Foundation Sunnnrtwnrkc Inn onn0 Surr.mwnucs- Helical Pile Installation Log Certified FSI Dealer pit r4CA J wd; E Customer Name: I46r\ T U 1 I Q (\ Project Name: ,-ke\\ i 1 C' \ �eti e` Project Address: 3CaO�` l 1 �?Y�t or Try City/State: ECl n AA Ai Pier #: y " 6 Pier Installation Date: 0) - oC —23 Site Superintendent Aa4ts. Cell (57) 5 • / RECEIVED Job Start Date:J77 o/C-2.0 O7C'�b Job Completion Date: D 7- O 9_ Installation Torque Coefficient (f .-1): 32(V n O C s k Foreman's Name: Drive Head: 8/t l D JUL 102020 49 I Time ! Description of Lead Pier Depth 1 Gauge Pressure Gauge Pressure / e r' . 'l Section or Extension .(ft.) € IN (psi) OUT (psi) Differential Pressure (psi) Torque (ft.-lb.) Ultimate Load Capacity (lbs.) Comments s 2XtO -I! ` I [oo t __ J'i t � ,I A t r 7 8 ..Zc 1(6 1m • 6I,A14.1.0 ''r-45 ; R )'10 7' ( / 03 `7 1 1 ' G ) Z2 e;\ \ c (C,° 33 i . • `6, I. i, r . c -rtc ), o 7 1 Jo)\3 . Y i � 1 ICI S 6)0 7' I AI I 0200 `7 . 35 7,q,81. 94 K 7,333-fir i , Differential pressure required to meet capacity: Minimum depth required: ® Foundation Supportworks Inc. 2009 THeIicaI Pile Installation Log Customer Name: �ia('\ Project Name: 14,Il CU, e I e_Y Project Address: 3g A.\ C11 � OACt Y City/State: t=As (\ MAJ Pier #: % — Tv Certified FSI Dealer:/MMbalCAN ‘''‘1S1-�42-44)R-KS Site Superintendent:, M1M F< Cell # (J�JZ.3.56 C.223 Foreman's Name: AL c, ' OZOZ 0 I lflf Job Start Date: 07-06-oZD ,/D7-0e1- D 03/r1333eJ Job Completion Date: 07-09 - a� Pier Installation Date: 0i"7-.010 Drive Head: 2't ID Installation Torque Coefficient (ft.-1): aD00 PSI / ! 3 Time Description of Lead Section or Extension 1 Pier Depth Gauge Pressure Gauge Pressure Differential (ft.)IN (psi) OUT (psi) Pressure (psi) Torque (ft Ib) 1 Ultimate Load i Capacity Qbs ) Comments r.-� gA I0 7' corgi ii 7! _21 /,zo n 0_ 3s 0a0° -21$1-54 67333.SC 7 1 Li 1'00 I 7 f 2i 1 j0 . 5 ' 0 0Z,00 7461.54 6133 f q _ %A I a 7/ loco - k 1 L 1a00 AI 1303 7 aA /,00 35 -1zo n -7y 2 15 4-1 67 333z4 Differential pressure required to meet capacity: Minimum depth required: ® Foundation Supportworks Inc. 2009 Helical Pile Installation Log Customer Name: Per Y n .) u 1 ca n Nell cal ,pte.Y . Project Name: Certified FSI Dealer: tZ ML-'nte.Afkr Site Superintendent:-k4l 1 :qT �� i 1 Foreman's Name: - V . S Project Address: 38 02 1 G brO 1 A( 1 Job Start Date: a 7-0C.-a D / O 7-09 - -3,0 City/State: L' (' A/tAJ • Job Completion Date: O%'D�'(- oZi� CeII #( d -35G ‘49,0 Pier #: 10 - 1 Pier Installation Date: 07- 7 ,g " .2i Drive Head: X 10 Installation Torque Coefficient (ft.-1): xao Time Description of Lead Section or Extension Pier Depth (ft) `7' ole' Gauge Pressure IN (psi) 11_ $A 10 �-7 y4,40, 8x 10 T)' -I Gauge Pressure Differential OUT (psi) Pressure (psi) 1090 Torque Ultimate Load Capacity abs.) Comments olol o T iv a3%M3332J 200 a 6, 8ai. 1000 1690 5jb l oS 115/ 15 1000 150 0 5,1°1. 05 ki5,g09.5 Differential pressure required to meet capacity: Minimum depth required: ry Fnunu'at on Supporiworkc tnc. 2009 PERMIT City of Eagan Permit Type:Building Permit Number:EA178604 Date Issued:08/25/2022 Permit Category:ePermit Site Address: 3821 Gibraltar Tr Lot:16 Block: 1 Addition: Lexington Square PID:10-45075-01-160 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Arlyn D & Roxanne K Julian 3821 Gibraltar Trl Saint Paul MN 55123--153 Pcs Residential 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature