3615 Lakeview TrCITY QF EAGAN ?;*a
'° 193# _
• • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •
?
BUILDING P PHONE: 454-8100 Receipt # I ? ` 11 ;
?,RMIT
To be used for S! D'WG/CJ?R Est. Value $81.00 oace .juM 24 .1991
Site Address 3615 1.AKEYISi1 ;
Lot 4 Block 2 Sec/Sub.
Parcel No.
W Name HIKR EDGE=t
? Address 2712 NM$sD(3E I,N
° Cit ?D?Y
y Phone 793•.3685
to Name ??
OU 04 Address
? Ciiy Phone
WW Name
?2 Address
<W City Phone
I hereby acknowlege that I have read this application and state that Ihe
informatian is correct and agree lo comply with all applicable State of
Minnesota Statutes and Ciry of 6agan Ordinances.
Signature of Permitee A Building Permit is issued to: NiKE t
on the express condition that all work sha11 be d
applicable State of Minnesota Statutes and City
Building Official
with
OFFICE USE ONIY
Occupancy R-3 M-! FEES
Zoning R-i
(Actual) Const ? Bidg. Permit 554,Od
('v?"??)
- Surcharge ?[.t?
# ot Stories
Length
421
Ptan Review 340 • Qq
DePth SAC. City 100.OO
S.F. Total -
S.F. Footprints
_ SAC, MCWCC 650•?
On Site Sewage _ water Conn 6?•?
On Site Well Water Meter 95•00
MWCC System X
2(
Acct. Deposit ?.?
City Water
PRV Required - S/W Permit 30*00
B°°Ster Pump - S/VJ Surcharge • ?
Treatment PI 276.00
APPflOVALS Road Unit 370000
Planner - park Ded.
Council _
BIdg.Off. _ Copies
Variance - TOTAL 3? 1?•?Q
' Permk No. Pe?mit Holder Dats TNephone M
WATER X E
SEVYER
PLuMeuuc 'l'15 9/ ??l? - 3j3
H.V.A.C.
E?CTRIC
Inspection Date Insp. Commenh
Footings I /„Z5-1
Foundation
Freming bg
Roofing
Rough Plbg. 9
Rough Htg. Pi' e- &J 61 S12 e
lsul. 3
Fireplace
Final Htg.
orstat Test -Z ' fI se ?
Final Plbg. Plbg. Inspecta - Notify Plumber
Corist. Meter P?L 49 G
Engr1P(an
Bldg. Final siv4
Dedc FUg.
Dedc Final
Well
Pr. Disp.
U Z ' ?
. /,
!/
? „ ,. ..,
Citp ot Cagan
Drputund a# ?uYlding ?tt?rrrtintc
This Ceru'frcale issuad pursuarrt 1o the requirelne?rLr oJSecAion 306 ojlhe uniform Building
Code certifld?e811iat at 1he tinre of issuartae this srructure xns in wmpliance wilh the Harious
ordiRanars of lhe City regulalirtg bur7drng consoucdon or use. For lfre fallowing.
ux a.m-c?e. SF a1C;rGAR ewg. Facoh rb. !9z i t
p=w-,.T Tppe R3IM I yoniagpesvia R i Tppe Co= V VN
*ITIt17 4nYl7T T 1f717 tY1ne4[tro • xt r.mwmnv
POST pV A CONSWCUOUS PUCE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE J iJN 24, 1991
OFFICE USE ONLY
METER # qd V Z?t PERMIT DATE 6/ 25/91
CHIP # 0157 °2--2L*' PERMIT # 120$7
METER SIZE Vy,st A2S k5- B.P. RECEIPT # ' CI 4119
ISSUE DATE B.P. RECEIPT DA TE 2/ 24/91
_ PRV - BOOSTER PUMP
SITE ADDRESS P.
LOT BLOCK ? SECrSUB STOAlEY POINT 2ND
APPUCANT:.
ADDRESS: _
CITY, STATE
ZIP
PERMIT REQUESTED
X SEWER x WATER - TAPS
_ COMMIIND ? RESIDENTIAL
x NEW
EXISTING
PHONE;
Lawn Sprinkler Meters are to be installed
PLUMBER: PAUiA PLUMBING Ahead of Domestic Meters on Water Line.
ADDRESS: 373 COLLEEN DR Credit WILL NOT be given for Deduct Meters.
CITY, STATE VADNAIS HEIGHTS P9c: Zlp 55127
PHONE: 426-1333
I AGREE TO COMPLY WITH CITY OF
OWNER: MIKE EncE[.L A? MORDINANCES
.ADDRESS: 2712 HORSESNC)E LN.
GTY, STATE WOODBURY r!iv ZiP
T 55121
PHONE: 7,15-5E 85 SIGNATURE WHEN METER ISSUED
E I
G DA
W TWO
O O
` PROC
S FOR STORM
CALL 454
5220 FOR INSPECTIONS
tSStNG
qLLO
? PLEAS
SEWER PERMI Y
W
RK
N
TS, CONTACT ENGINEE F
R
RING DEPT. .
-
.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN"55122-1897
. ,
DATE JUN 24. 191.1
?
METER #
CHIP # -
METER SIZE
ISSUE DATE
?E ONLY
PERMIT DATE 6 12 S; 9l.
PERMIT # 12087
B.P. RECEIPT # IQ" 1411
B.P. RECEIPT DATE ''' 1'4 0 i
- PRV _ BOOSTER PUMP
`
SITEADDRE35 3615 LAV"J'fi::r TR
LOT BLOCK 2 SEC/SUB SJONEY POINT 2t`i7
.
APP'LICANT:
CITY, STATE
PHONE: -
ZIP
PLUMBER: !-'ALMA PLL?!lBZNi;
ADDRESS: 373 COLLEEN DR
CITY, STATE vA[;A'AIS t'FIC1iT;. i Y ZIp '5127
PHONE: ??'- 1 7 3 3
OWNER: MI? EDGELL
ADDRESS: 2712 HUEiSEiltiOE LS
CITY, STATE i-4ODBU1:Y 1'1N ZIP 551l. _`.:
PHONE: ;3F--5635
OFFICE
PERMIT REQUESTED
? SEWER . WATER _ TAPS
- COMM/IND
X NEW
}- RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domesiic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
4 1 ? ..,..
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER fSSUED
PLEASE ALLOW TWO WORICING QAYS FOR PROCESSING. GALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CUNTACT ENGINEERING dEPT.
DATE:
JUNE 25, 1991
°
RE: 3615 LAKBV1Bi1 TRA1L, L4, 82, STONHY POlNT 2ND
XX `
Yoia4 Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
• CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
• Your Sewer & Water Permit for the above property cannot be completed for the foliowing
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
OATE 79
RE??
AMOUNT
8
100
O CASH ,0_CHECK
VA" `l `--,+t-Vl e L
1"'-? ??, ,? 3??`?.a
-, ?r
•
C 14 119 ??te-Payers Copy ?
Y??--?n? ?
Pink--File Cqpy
Thank You
c- ?? ?
¦Y
CITY OF EAGAN N2 19311
• 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PHONE:454-8100
PERMIT Receipt # ' q1 1(?
? /?? ? I
To be used tor SF DWG/GAR Est. Value $81, 000 Date Jl1N 24
19 91
Site Address 3615 LAKEVIEW TR
Lat 4 BIOCk Z SeC/SUb. STONEY POINT 2ND OFFICE USE ONLY
Parcel No. Oceupancy R- 3 M-1 FE ES
Zoning R-1
w Name MIRE EDGELL (ACtuapConst V-N BId
P
n ssa
nn
g.
erm _
?
o Address 2712 HORSESHOE LN
(allowable) V-N
Suroharge
40.50
City WOODBURY PhOne 735-5685 xolStories
42' Pl
R 360
00
Langih an
eview .
o Name SAME Oe
th 46' 100
00
f p SAQCity .
g: Address S.F. rotai _
City Phone S F. Footprinis _ SAC, MCWCC 650.0
0
660
00
? on siie sewage _ water Conn .
?w
?+ Nam2 On Site Well 95
0
w WaterMeter .
0
¢i AddfeSS MWCCSystem X
Acct. De sit
PO
30.00
aw City PhOne City Water ?
PFV Required - ShV Permil
?
30.0
I here6y acknowl that I h
read this application and state lhat Ihe Booster Pump - SM/ Surchar
a
0
.5
mformation is correcto comply with all apphcable State of g
?jl
Minnesota Stalutes aan Ordinances. Trealment PI 27fi.00
\
Signature ol Permitee
APPROVALS
Road Unn
370.00
A Bwlding Permit is issued to: MIKE EDGELL Planner - park Ded.
on Ihe express condition that all work shall be done in accordance with all CouncA
applicable State o( Mmnesota StaWtes and Ciry of Eagan Ordinances. BIag.Off. Copies
?
Buildinq Oflicial ? ff ?.1J
Vanance
-
TOTAL
3,166.00
Address: 3615 ?EW T-RAIL Lot 4 Blk 2 Sec/Sub STONEY POIDTP 2ND
These items were/were not complete at the time of the final inspection.
8/30/91 Yes No S
Final grade (6" from siding)
Permanent steps - garage V"I
Permanent steps - main entry Ll?
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curb damage
Poxch l?
Basement finish
Deck
Please verify vith the builder the removal o£ roof test caps from the plvmhing
system and the shut-off o£ water supply to the outside Lawn faucet before
freeze potential exists.
n?craeonrtn
White - City copy Yellow - Resident copy Pink - Contractor copy
%r8'/fi
a
42438
Request Date Fire No ug -in Inspeclion
e wretl'+
? Reatly Now ?WAI NoUy Inspector
R
Wh
G
l
7' ? 1' I f Ves ? No en
ea
y
I[ylicensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 AtlOress (Sireet. Box or Route No.) Qry
&
36t S 44-r4 c..> Tr- •
$ection No Township Name or No Renge No. Counry
OccuOent (P? NT) w?
N?'/f i 4-
944 Phona No
Pawer Suppber
?J•--?o?. ?'i??? Atldress
t/3oo 2zo'S4•cJ
Eleclrical Comraclor (COmQany Neme) hec?or5lreense No
Con
^
Matling Atldress (ConUetlor or Owner Making Installetron)
"
?
S? n1-
?^ s ?--
J 3o OY
Autnonzetl Signature (C n ct Owner Ma allation) Phone Number
-
m 3 -S
MINNESOTA STATE 90APU OF EIECTqIqTY THIS INSPECTION REOUEST WILL NOT
Gtlgga-Mldway BWq - Room S173 BE ACCEPTED BY THE STATE BOARD
1921 Unlvenlly Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED
42438
REOUEST FOR ELECTRICAL INSPECTION
? See instructians lor compleL^9 this form on Oack of yellow copy
"X" Below WorN Covered by This Request
0ew A9tlRep. _ Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Ap[. Building Dryer Other (Specify)
Comm.llndustrial ' Fumace
Farm Air Condrtwner
Other(specity) Conhac[or§ Ramarks
Compute Inspection Fee 8e/ow:
M Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool O io 200 AmpS 0 to 700 Amps
Transiormers Above 200 _ Amps 00 _ Amps
SignS Inspector§ Use Onty TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEU IF NOT
Other Fee COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspector, hereby Rough-in oele '
certify that the above inspection has
been made Fnai ?•? r ata
OfFlCE USE ONLV -"
This request voM 18 monihs Imm
ADDRESS HOUSE HEATING TEST RECORD ?
r2. e<rba,J
APT._FLOOR_CtTY SUBURB_
XY aA_d
OCNPANT 07MER
HEAT LOSS DATE MTG INST.
SOLD BY G?• ??r"??? ?Z?" ?? INSTALIED BY
-
El.e+rieol'Nw4 By Gas LiM By -S e-;
TYPE Of MEAT GA _ FA MW _ STEAM _SPACE HTR. _ UNI7 HTR. _OTHER
...i GAS DESIGN CONVERSION
MAKE 1 MAKE OF BURNER
Mod.l r?
?? Mod?l
?
S?rwl
AMs. BTU Ratinq
INPUT MAKE OF FURNACE
Model
ONTROLS
TNERMOSTA nN r? Heat Plup.
? Ven1 Sis• ?
VeM ?/?
- KIND OF LINER SIZE NONE
Limit Drvh Hoed Rpularor ?
Limir Soniny
a Filt«a Sixe wwn6er ?
Fan Ssnin9 lC55'?
-/ G
ChimMy Lxetion .
Outaide
Imid
?
?
/
PIIOf TY? ? V QfITM?/ c01?tfNC}1011 ? Q
?
?? "
Pilet Meke ? Spillaqe
Pila Medel /?g? Smeke Bemb 'Mirinq
Pilot Timiny Oiah TeH Taq
L.W. Cw Off Dea Pressure Liqhrin9 Inst.
Pretswe 5/a Perc"f C02 --?L? Dan T"ated
InputGFH Ld0 P?reenf 02 Compeny Tax?inq !
$bok Temp. y7?+? Pweent CO ??n Ha? of T"e-
Certificate o Compe tency_ # 7T,P
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? Ur
City Of Eagan v(1??
3830 Pilot Knob Road, Eagan MN 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstNCtion Reouirements RemodellReuair Reauirements Office Use OrNi+
3 registered site suneys showing sq. fl of lot, sq. fl. of house; and all roofed areas 2 copies of plan CeR of Surrey Recd
(20% maximum lot coverage allowed) 1 set of Eneyy Calculations for heated additiom Tree Pres Plan Recd. _Y _ N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for addflions & decks T2e P2s Required - Y _N
1 set of Energy Calalations Addkion . iiro'icete i/omsde septic syatem On-site Seplic System _ ^ Y_ N
3 copies of Tree Preservation Plan'rf lot platted afier 7/1/93
Rim Joest Defsil OpGons seledian sheet (buildings wBh 3 orless units)
Date JY / L / e-3 IF,
SiteAddress -3?;1 S Constructioo Cost
L?.l?evtew ?f'?? ? Unit/Ste #
DescCiptinae£-Vl+ark _twzfill ?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner 1 ?°I k °1? Telephooe # ( ?5 ( ) ( 8 ( 0(1:?7 1
Contractor '1 r-ern, -e-`f'
Address o? `? ? S a.
5tate Mij _K S'?_ CiTy
zip SS3 7) Telephone #(763) 389' 47? 7
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Cetegory 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
N If so, 25% plan review
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 the City of Eagan and the State of NIN
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.
ApplicanYs Printed Name
Applicant's Signature
/500
1999 FIREPLACE PERMIT APPUCATION
GTY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: cR I -(? i
Description of Work: _ Construct new fireplace _Gas _Masonry ? A[terations to existing
? Install Eas insert only gL 6Q,S Install pas line onlv
Other
Job address: 36 !? ?Q?? ll? e trv -rr.
Lot: ? Block: ? Subdivision/P:I.D. #: ?fDh . 0/1?
Applicant (circle one only): Owner ontractor Pern:it Fee: $60.50
Name: &-? ( C? T QkQ,? Phone #: lpS 1-6g /-<30 PROPERTY Last Fust
ONVNER
Street Address: ?? /5 ?? ? R?JJ ! 2 cz? ? ir •
City State: Zip:
Company: Phone #:
(azea code)
FIREPLACE
IN
STALLER Street Address: 66q 3 U C_f./ Lk ?f -
City Li mCS lAk.o`s State: /V y_ Zip: ?S?
Company: Phone #:
(aiea code)
GAS L1NE
INSTALLER Street Address:
City
State:
Zip:
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 Ci f Eagan dina es.
9
Signature
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fueplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
i
CITY OF EAGAN
3830 PIIAT KNOB ROAD
° EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # . I <i S3
DATE: 7 /5
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCR PTION
NEW CONST
ADD ON _
REPAIR _
OWNER NAME: IY) , T. ?a? ll CGn5i ,
SITE ADDRESS:
IAT:131, BLACK ? SUBD.
INSTALLER:
ADDRESS: .373 ??IIC?"+ OC
CITY: ye_-?Ci S ZIP: S S?Z ?
PHONE #: y26-1323
Da,?/?
SIGNATURE OF PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
,3.0o SHOWER 3.00 1
B.oo WATER CLOSET 3.00
,3•0? BATH TUB 3.00 t
[0.00 LAVATORY 3.00 2
3.00 KITCHEN SINK 3.00 ?
3?00 LAUNDRY TRAY 3.00 !
HOT T[7B/SPA 3.00
3.00 WATER HEATER 3.00 ?
3•00 FLOOR DRAIN 3.00 I
GAS PIPING OUT.
_5,00 (MINIMiJM - 1) 3.00
q'•.S 0 ROUGH DPENINGS 1.50 ?
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
,?S U
$
ST. SURCHARGE .50
TOTAL: $ 39.06
GOMME#CIALfiNDUSTAiAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
------------
CONTRACT PRICE:
OWNER NAME:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE,
SITE ADDRE55:_
LOT: BLOCK
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
STATE SURCHARGE
TOTAL:
( S IGNATiJRE )
SUBD.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 16
ZIP:
CITY OF EAGAN
CITY OF EAGAN FOR GITY USE ONLY
•- " ' 3830 PIIAT KNOB ROAD
` EAGAN, HfI 55122 PERMZT #
? PHONE: (612) 454-8100 RECEIPT #; 0 9/
?CDATE :
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST "
ADD ON
REPAIR
OS]NER NAME: EcCq?,Q " /
SITE ADDRESS: (o C?
1AT:? BLOCK ,?1 oCJ SUSD. (;)t
INSTALLER:
ADDRES S : a- ?-?- NtGVIdQiY+'?-ew ? /V
CITY: oLv '?t Y?cu.e.Q ZIP: ?i'?e77s
PHONE #: qc- 7-P2 OI
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL SD M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ a7. co
STATE SURCHARGE: .50
TOTAL: $ a 7?v
?
S GNATURE OF PERMITTEE
GOkIMERGIA.LjI?1!IAASTRIAL:: PLEASE COMPLETE THI$ PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT:
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
.. ??
1991 BIIZLDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS ?NLTIPLE DWELLINGS C024fERCIAL
2 SETS OF PLANS 2 SETS OF PL9NS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CDRNER LOTS - CONTRACTOR/HOMEOWNER MUST D
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERM ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS 0 PEW1HANOMEN
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 19
Valuation:? Date: N \(91 ,
Site Address
IAC ? BLOCIC ?
Parcel/Sub ?ih?!?'?,,
Owner
--?
Address
City/Zip Code
-3
V
Phone-a??'-<' -
Contractor
Address
City/Zip CodeW?,L\, _
Phone
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
FEES
occupancy K.-3 M-I Bldg. Permit IS-5-qQO
Zoning R -! Surcharge ?/a.511?0
Actual Const V-N Plan Review 3 0•00
Allowable SAC, City I 00 .Oa
# of stories SAC, MWCC 650,?
Length H2? Water Conn. Gbal 00
Depth yG. Water Meter ??5.00
S.F. Total Acct. Deposit 3D.oA
Footprint S.F. S/w Permit 30,00
5/W Surcharge 1$0
6n site sewage_ Treatment P1.
r?
2176.0
On site well Road Unit 3 D•a4D
MWCC System Park Ded.
City water ? Trail Ded.
PRV _ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off.
Variance
Phone #
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
, v?A
G a P, A&E
22X2.2? 4gL1 x,s= "72?v
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? PIONEGrf LAND4VRVKVOR3. CIVILENGINEMRS
y?QnIIC?I?I?P?YMItig.LANOPLANNCIMJ.IANDY4PC!ACNITEiT9
Certificate of Survey for: mm._ AE ???L" L
?7,?I08
w
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Sy
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r soo.o Denofes exi?;no £(evafiort
r ,?o.o Dertafe5 propct,?ed Flevat?lc?ri
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----? Denafes L7rc?in?J¢e f`!oW Qrrpw-5
? benafes monumenf
Bearrrt?s 5hown are assumed
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2422 Enterprise Utivr
Mendota Meights, MN 55120
(612) 681-1914
4
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Top ot7Block flevafion- "
Gara?eSjabf/evatiart_Ifi.? .
Su?-ed to Easemer,fs ot i?PCOrd
L014 BLaCk 2, SToNEY PDINT 21VDADD.
U.aKOTA CovtvTY 7 njliVrVF,sorq
I ncreby tertify rhUt thiy ,urvay, plan or report rvae pregpred by me untlv,r my direc{ gupervisir?n end thyt I am duly Regi;lpr¢d Ler•d S?rveynr
u,,dar the lawy o} thv, StatB of MlnnesatA, OqtM this--L$Adey of q,p,
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OWNER: ?
SITE ADDRESS:
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COtiPUT
?
?
h .!1l?1 1 9199{ ??
CONTRACTOR: DATE:?.,z\ ?\ PHONE:?3S-SV`tS
Determine working square footage of each:
1. Total exposed wall area ,..??? ? sq. ft. x.11
2, Total roof/ceiling area sq, ft. x.026 =?`? •,?
Total ezposed wall area above floor
a. Total wall window area ............................\aj
b, Total door area ...................................
c. Total sliding glass area .......................... yp
d. Total fireplace wall area ...........•............
e. Total wall framing area (average 10%) .............
f. Total net wall area above fioor ................... \"'?u.1
g. Total rim joist area .............................. 1\7?1\
Total exposed foundation area =
h. Total foundation window area .......................
i. Total net foundation area above grade .............. ?,\S
Determine 'U° value of each xa12 segment:
a. \5? x 'U'
b. x ' U' \.,
0. yo x ' u'
d. x 'U' - -
e. X 'U' A'Y-11
f. x VU'
9. x ' u' , v
h . x ' U' - ^--
- X ' u'
3 . ........... .................... .................... Total
If item l13 is the same as or less than item l11, you have met the intent of SBC
6006(c) 2.
Total ezposed roof/ceiling area =,\?\
j. Total skylight area ............................... imft
k. Total roof/ceiling framing area (average 10%) ..... 1\O
1. Total net insulated roof/ceiling area .............. qw 5,
OVER
'. i . .
De'termine 'U' value for each roof/ceiling segment:
s
?
X +p+
.. .. •- • k. ??rd x ' U'
x lut a-3
4 . ...................................................... Total
If total of p4 is the same as or less than !!2, you have met the intent of SBC
6006(c)1. '. -
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items !13 and I!4 shall not be greater than the sum of Items #1 and #2.
?
2. l
4.
2
M.T. EDGELL COASTRUCTION CO.
HEAT LOSS
INSIDE TEMP. OUTSIDE TEMP.
68 -20
DATE:
EXPOSURE
----------------- ~ __ AREA
_-_...._---..--- U VALUE
--..__-_____ TD BTUH
-_--__,..,-----_
_-
GEILING-FLAT 484 0.024 88 1022
CEILING-VAULTED 551 0.024 88 1164
WALL UPPER LEVEL 1041 0.044 88 4031
WALL LOWER LEVEL 622 0.048 88 2627
WALL BELOW GRADE 276 0.049 88 1190
RIM JOIST 66 0.038 88 221
CANT. FLOOR 78 0.042 SS 288 ,
WALL-SUFFER 241 0.400 83 8001
WINDOW 266 0.400 88 9363
DOOR 21 0.125 88 231
DOOR 88 0
DOOR
--------------------
-----------
.,-.....,-.. 88
____-__________. 0
.-
TOTAL 28139
INF ILTRAT ION:
FT OF CRACK CFM/FT OF CRACK
250 0.5 11880
VENTILATION:
CFM
120 11405
PERIMETER LOSS:
AREA U-VALUE
46.8 0.11 453
DESIGN HEAT LOSS _-..-_........-,.?? ..?
52 MBH
PEAK HEAT LASS 60 MBH
FURNACE INPUT SIZE 66 MBH
AT 90% EFFICENCY
SEVERSON, WILCOX & SHELDON, P.A.
LARRYS.SEVERSON'
JAMES F SHELDON
J PAT[UCK K7LC0%'
TERENCE P. DURHIN
MICHAEL G.DOUGHERTY
A7ICHAEL E. MOLENDA"
•AL90 LICENSED 1N IOWA
°AL60 LICENSED IN R45CONSIN
... pL$p LICENSED IN NF,BMSAA
September 11, 1989
Mr. Gene VanOverbeke
Eagan City Clerk
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
APROFESSIONALA530CIATION
ATTORNEYS AT LAW
7300 WEST 147TH STREET
P.O. BOX 24329
APPLE VALLEY, MINNESOTA 55724
TEI.EFAX NIThffiER 432-3780
(612) 432-3736
PAUf.J STIER
KENNETH H HAI,L
•"SCOTT D. JOHNS7CIN
JOSEPH P. EARLEY
MARY L. GOLIKE
fAREN M.30LFEST
OFCOllNSEL:
JOHN E. VUI{ELICH
RE: Stoney Point 2nd Addition
Pressure Reducing Valve Agreement
Our File No.: 206-6035 (DOE)
Dear Gene:
In connection with the above matter, I enclose original recorded
Pressure Reducing Valve Agreement - Document Number 901734 for
the official City records.
If you should have a question, please feel free to contact me.
Thank you for your consideration and cooperation in this matter.
Ver uly yours,
SEVERSO , WILCOX &
Q..-•-F-?-'---'r--?
Roxann Duffy
Legal Assistant
RSD/djk
SHELDON, P.A.
Enclosure
90:r.73 '
STONEY POINT 2ND ADDITION
FRESSDRE REDOCIPG VALVS AGRSSMENT
THIS AGREEMENT, made and entered into the /s7 day of
Ot??l?1r3??. 1988, hy and between the CITY OF EAGAN, a
Municipality oP the State of Minnesota, (hereinafter called the CITY,
and the Owner and the Developer identified herein.
The terms "Developer" and "Owner" as used herein refer to
MERITOR DEVELOPMENT CORP. whose dddre5s is 605 West Travelers Trdil,
Burnsville, Minnesota 55337.
WHEREAS, the Developer has applied to the City for approval of
the plat or subdivision known as STONEY POINT 2ND ADDITION, located
within the City; and
WHEREAS, the Owner and Developer agree to notify the proposed
potential buyers of all lots within STONEY POINT 2ND ADDITION that
STONEY POINT 2ND ADDITION is in a high water pressure zone and a
pressure reducing valve shall be installed in each home below the
elevation of 875 feet. All costs shall be the responsibility of the
Buyer and shall be installed to prevent damage due to high water
pressure.
NOW, THEREFORE, the City, Owner and Developer agree as follows:
1. Recordina. This agreement shall be recorded with the Dakota
County Recorder so as to provide notice to the owners of Lots 1-8,
Block 1; Lots 1-19, Block 2; and Lots 1-11, Block 3. The Owner shall
provide and execute any and all documents necessary to implement the
recording of this agreement.
2. Notice. The recording of this document shall constitute
notice to all owners anc3 future owners of property in the STONEY
POINT 2ND ADDITION subdivision that Lots 1-81 Block 1; Lots 1-19,
Block 2; and Lots 1-11, Block 3 are in a high watez pressure zone and
that a pressure reducing valve shall be installed in each home below
the elevation of 875 feet. All costs shall be the responsibility of
the Buyex and shall be installed to prevent damage due to high water
pressure.
3. Validitv. If any portion, section, subsection, sentence,
clause, paragraph or phrase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
remaining portion of this Contract.
4. Binding Aqreement. The parties mutually recognize and agree
that all terms and conditions of this recordable agreement shall run
with the land herein described and shall be binding upon the heirs,
successors, administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF EAGAN OWNER AND DEVELOPER
(Date: _19+(o+llt ) MERITOR DEVELOPMENT CORP.
By; gy;
Its mayeir Its: DMo+-?
Attest:
Its C rk
STATE OF MINNESOTA)
COUNTY OF 06%*-WtA )) ss.
On this oTw day of OL44im6e_, 1988, before me a Notary Public
within and for said County, personally appeared VICTOR L. ELLISON and
E. J. VanOVERBEKE to me petsonally known, who being each by me duly
sworn, each did say that they are respectively the Mayor and Clerk of
the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed in behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
, MAR0.YN L WIICNERPiENNIC
. NO7ARY PUBLIL - MINNESOTA
DAKOTA COUNTY
Uy Commission ErD Feb 8. 1993
otar Publ ic ?
? ??
-2-
STATE OF MINNESOTA)
ss.
COONTY OF kJ.?b- o?. ))
On this .p_ day of hLC>yfM6Pr . 1988, before me a Notary Public
w thin d for said County, personally appeared
c.L1 mm to me perso a],sy
known, who being-eae? by me duly sworn, eae? did say that `?
rrarry^,.i:---`?•f• tYl2 ?ro4Pci ?IsQcPr Rri?- Of
r"" " -
the Corporation name in the fo going instrument, _-_ ___ _.._
.
and that said instrument was signed --led in behalf of said
corporation by authority of its Board of Directors and said
o ? anel-- acknowledged
sai instrwn t to be the free act and deed of the corporation.
'?&
Notar Public
THIS INSTRUMENT WAS DRAFTED BY:
McMENOMY & SEVERSON. P.A.
7300 West 147th Street
P.O. Box 24329
Apple Valley, MN 55124
(612) 432-3136
MGD
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fAYEL113%
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My CommissIcn EapueS f.Se) 26 1593
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a
;
City of Eapn
?-----------------
?
? Permit#:
?
? Permit Fee:
I I
? Date Received ?
I I
? StaB: I
I ------- -
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Y_ 7'6;? SiteAddress: 36/5- ZWITiC-V,45? 7XO4fL
Tenant:
Suite #:
6SI-6gl^0& s
N
XTGgownw?
RESIDENT/ OWNER /
ame:
_ Phone:
Address 1 City / Zip: 3(01S ?-Ak-cv/EL? T/P-19ve_
Applicant is _ Owner JcContrador
TYPE OF WORK Description of work: r?x?r
Construction Cost: IMulti-Family Building: (Yes `/ No X-)
CONTRACTOR Name: iLr?DS 1`Zoc?'Fr.?- License #: ?
Address: ID-3! 0 Cf?obd/' C T-
City: L3v?A,5v1GL4!:r State: k''4t/ Zip:
Phone: lllla -9`3&1^75-3-3 Contact Person: FR?F?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
EnCfgy COd@ . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 SubmiSSion type) • Energy Envelope Calculations Submitted
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 8 Water Contractor: Phone:
NOTE: Plans and supportfng docurfients that ywi spbmit arecbnsidered td be pubfic, information: PortEOns of__'
the informarion may 8e classrfted as non-public'if you provide specfflc'reasons tha9 would permit the Crfy to ?.
{
??
?i,d4 ??? ?,. ?u?a! ,?,Ir` coriclnde,that the are frade secrets.?i?;.., rr (?r
I hereby acknowledge that this infortnation is complete and accurete; 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
aceordance with the appmved plan in the case of work which requires a remew and approvalyt&ns. ,I_,7 /J
17rf?EJ ? x /
x ?V /'?70N
ApplicanYs Printed Name ApplicanYs ' nature
Page 1 of 3
, License lookup Page 1 of 1
`,F I ? ?'????
?--?', .
Construction Codes I Building Codes I Electricity I Plumbing I BoilerslHPP I Residential Contractors search for ?
License Detail
Here are the deTails for the license you are currently looking for:
License name: JOHNSON BRADLEY
License doing business as: BRADS ROOFING
License address: 12310 CROWN HILL CT
City sWte zip: BURNSVILLE, MN 55337
License number: 20189269
License type: , RESIDENTIAL ROOFER
Company structure: INDIVIDUAL PROPRIETORSHIP
License sWtus: ISSUED
License original issue date: 7/2911999
License expiration date: 313112009
Qualifying person: BRADLEY J. JOHNSON
Continuing education hours required to renew license: 7
Contractor's phone number: 612-8397533
Enforcement action: No
Another Lookup?_
https://secure.doli.state.mn.us/licensing/licensing.aspx 4/4/2008
For Office Use
j Permit let) City of Eapn hl~,
Permit Fee: C
I
3830 Pilot Knob Road
Eagan MN 55122 j Date Receive
Phone: (651) 675-5675
1 Staff: I
Fax: (651) 675-5694 1 I
V
2009 RESIDENTIAL BUILDING PERMIT APPLICATION C (Z < r ~
Date: iC? Site Address:
/S~
Tenant: AM Suite
RESIDENT / OWNER Name: 'PA-° e"-j'_,P_A4 A?'1'1 Phone:
Address/ City /Zip: °_ZC15e' -`GJ
Applicant is: Owner 7X- Contractor
TYPE OF WORK Description of work:
EI~'~i-s
Construction Cost: f ~ Multi-Family Building: (Yes ! NoX)
CONTRACTOR Name:<::( ~ ~ ; C -License Z~ 3 j3 f6
Address: _ s -7G 144 o'e-i , ~L✓
City: Y)~lo y State: Zip: 3 Z.
Phone: Contact Person: - -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(d submission type) • Energy Envelope Calculations Submitted
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 the are trade secrets.
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.
x.~ ~s - - _2a~4&=
Applicant's Prin ed Name Applicant' ture
Page 1 of 3
- 4kv k UJ Irl
DO NOT WRITE BELOW THIS LINE
SUB TYPES
- Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
- Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family)
- Multi _ Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
_ 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
Valuation d0 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) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough in -Air Test Final Windows
Insulation Retaining Wall
Meter Size: -7 Erosion Control
Reviewed By: t. , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
1 X '
Treatment Plant
Copies t„
TOTAL
Page 2 of 3
r r
2472 Enterprise Drive
PIONEER Mendota. Heights, MN 55120
LANr7SURVEYORS. . CiViI, ENGINEERS
engineering- (61-2) LANG PLANNERS- LANOSCAPEARCHITECTS d
K.. V8~11-1914
Certificate of survey for: l '
NORTH
foe
A/ 049
1 417
r~ l k
10
900:0 Der?oles exishn~ Elevalion o osED ~ u56 ELEVATION
r 9o0.o_ Deaoles proposed Qevaflbn 4-.owes Floor Elevation 0 .,2,
Deny fes Draina e` Uti ~iaserr~en Top of Bloc, Elevafr on 88o e o
Denofes DraincYe Flaw ,mows Ga'ra eSlab leval on 572,1
o Denofes morlumed
Betrrinls shown are a5surned ga~ecr to Easements b¢ RPeord
LOT4 BLU"CK
DAKOTA CovtvTK lYI'IMNEsOTA
I hereby certify that this survey, plan or report was pre red by me under my direct supervision and that I am duly Registered Land Surveyor
under the laws of the State of Minnesota. Dated this Lay of R.O. 18.
15 is -14v.
fJ
ine eef~ ~r
C/ 1
1..aJ.~,C/ 06ERT B. SIFCICH L..S_ AE :M1IO. lafl9l
~ For Office Use 1
i l., I I
j Permit#:
City of E1 4
1 Permit Fee. 1
3830 Pilot Knob Road 1 I
Eagan MN 55122 j Date Received: 0N j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C6 ')U 1 Dal Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: / Phone:(&55~~'~
Address / City / Zip: s l _1= (_Gfi 4'L~ Lac -ry-, E C,-44 2 i V A 651,9J-
Applicant is: Owner Contractor
TYPE OF WORK Description of work:1
Construction Cost: Ut). Multi-Family Building: (Yes No$--)
CONTRACTOR Name: a -License o9 0 3b a?43
Address: Icio
City:. State: Zip: Phone: QM ~2L , Contact Person: Ll~ Pt _ &
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 tobe 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 the are trade secrets.
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 plan
x x
Applicant's Printed Name is is Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112538
Date Issued:08/16/2013
Permit Category:ePermit
Site Address: 3615 Lakeview Tr
Lot:4 Block: 2 Addition: Stoney Point 2nd
PID:10-72601-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Heather Brockman
21210 Eaton Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patricia A Graham
3615 Lakeview Tr
Eagan MN 55122
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
Far Office Use•
V'7
r , j Permit:e:' '
E 1 , Pntit
Date Received:
3830 PILOT KNOB ROAD l EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 1 Staff:
buildinginsnectionst to cityofeaaan.c m L
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:Jan 30th, 2018 site Address: 3615-Lakeville Trail
Tenant: L s4' E v I•e Suite#;
Resident/Owner
Name: Pat Graham z,>4/.,(�ii cf) Phone: 651-600-6178
Address/City/Zip:
3615.Lakeuille-Trail
Name: BoeVaag Plumbing License#: PM 062966
Contractor
Address: PC? Box 1257 city: Prior Lake
State: MN Zip: 55372 Phone: 612-270-6872
Joe Boe Boevaa lnte raet
Contact: Email: g g .n
Type of Work --New I/ Replacement _Repair ^Rebuild ___Modify Space _Work In R.O.W.
. . .
Description of work: New kitchen faucet, sink,
;: RESIDENTIAL
Water Heater
Lawn Irrigation _Water Softener
Permit Type — s L RPZ/_PVB)
Septic System Add Plumbing Fixtures( 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 314"meter is required)
$715.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$
CALL BEFORE YOU OIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cali 48 hours before you
Intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
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.citvofeanan.cornfsubscribe.
I hereby acknowledge that this Information Is complete and accurate;that the work will be In conformance with the ordinances and codes of the Cfty of
Eagan;that I understand this Is not a permit,but only an application for a permit, and work Is riot 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.
Joe Boe �
Applicants Printed Name ilcant's Signature
FOR OFFICE.USE Reviewed By. Date
Required Inspections Under Ground > Rough In Air-Test _ 'Gas Test 'Final''
Meter Related Items: Meter Size Radio Read Manometer Staff; . •