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4334 Leo CtCITY OF EAGAN Remarks Addition WILDERNESS PARK 2nd ADDITION Lot 16 Bik 4 Parcel 10 84251 160 04 Owner Street 4334 Leo Court State Fag3I1, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. STftEET RESTOR. GRADING SAN SEW TRUNK ( 53 SEWEA LATERAL WATERMAIN WATER LATERAL i? WATER AREA O 197 666.26 66.63 10 ? 99 ? IF STORM SEW TRK 1979 STORM SEW LAT CURB & GUTTER ?. SIDEWALK STfiEET LIGHT WATER CONN. BUILOING PER. SAC PARK PIUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 :ONTRACT PRICE PHONE: 454-8100 ' Site Address `Lot Block 4 Sec/Sub ilderriesz? : r4 ^z Name er.z-a:y?n "'r?; d m Address 14745 ?=oui:h RObe!7Ct ? c City ?3CM)LTt, MN Phone 4; Name '?. 292gimen Gb; 3 Address 10214 Pzrk Vin' p City 1icU^^,`_n411- nv 1vRaPhone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $72.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES aFVntin ci nnn rni JI(9NAI UMtrUh YtHMI l I tt RECEIPT# DATE: Septymher. 26', t'),. : BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES JOTAL Water Closet - $3.00 S ? Bath Tubs - $3.00 ?Lavatory - $3.00 ? Shower - $3.00 i- ?Kitchen Sink - $3.00 Urin21/Sidet - $3.00 ?Laundry Tray - $3.00 '?Floor Drains - $1.50 ' _Water Heater - $1.50 _Whirlpool - $3.00 Z Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 -Well - $10.00 Private Disp. - $10.00 ??ZRough Openings - $1.50 IV " FEE: STATE S/C: ' S ?GRAND TOTAL: . PERMIT # MECHANICAL PERMIT , RECEIPT # CITY OF EAGAN ; 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' PF?? ember ?f, 1987 CONTRACT PRICE PHONE: 454-8700 I SiteAddress 4334 '-334 Leo (our '?. Lot 16 Block 1? Sec/Sub 0) Name ranz-Ryan -G?i m AddreSS 14745 Zouth RObe c City ^naamnuntp MN Phone_ Name C atnrewn Cnnf 3 Address i 11?11 4 'l+rir - ; Pw p City R"'-mi.,.,r.,n n.iranone_ TYPE OF WORK Forced Air Boiler Unit Heater , Air Cond. ? Vent ' Gas Piping Outlets # Other /Ob M BTU M BTU M BTU M BTU CFM ? FEE: S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other ' FEES RES HVAC 0-100 M 8TU -$24 00 . . ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW - CONSTRUCTION) MINIMUM 1 PER PERMIT GAS OUTLETS 1 50 EA ( - ) - . . COMM/IND FEE - 13'o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 - STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES - _Z . BEYOND $1,000) ? SIGNATURE OF PERMITTeE ? FOR: CITY OF EAGAN .? (Irxti#iratr nf (Orrixpttnry Citp of eagan MPpYtritPtlY Uf li1t[XDtriiJ JItH}1PtnAit This Certificare issued pursuanr 1o the requiremenu of Section 306 of the Uniform Building Code certifying rhat ar rhe dme ojissuance this structure was in compliance with the various ordinances of the Ciry regutaung building conslrucrion or use. For the following: uw ci.?a. SF DWG/GAR elag.,errnit No. IA 185 O=pancy Type R3 Zoning Distria R I TyPe Const. vm oweroredafing OW PElERM OOIST. naa? In 147 pAne?m??a rru, MPlS- a?mjngnaa? 43334LE0 OQJRT L?lity 1,16. B4. wilnudqmq PAFUC 2DID ? n,a: Bu^og oelia POST IN A CONSPICUOUS PLACE '. - . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Date _-,19 __- Site Address _ Lot Block Parcel No. 734 1.10 r.P Sec/Sub. a Name ; Address 0 CityPhone a o Name ? Q Address ? City Phone yVj W Name _g Address ?zW City Phone a 1 hereby acknowledge that I have read this application and state that ihe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that al I work shal I be d one i n accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 8uilding Official O FFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well _ (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. _- APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bidg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Parmit No. Permit Holdar Dats Tslephone ? Plumbing H.V.AC. as Electric Softener Inspectlon Dats Inap. Comments Footings I ? 46,)If- Footings II Foundation Framing Hoofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert.Occ. 9 ? Temp. LP Deck Ftg. Deck Final Well Pc Disp. CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt# To be used for Est. Value i?:? Date ,19 ? SiteAddress 4 3? Lot ' Block Sec/Sub. Parcel No. a Name ! w ? Address ° City ? Phone `t` '- 1 11' ? 0 Name ? 4 Address r City Phone U¢ ?y W Name Address u ¢ = W a City Phone 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 Minneso[a Statutes and City ol Eagan Ordinances. Signature of Permittee _ A Building Permit is issued t¢ ? -- - - on the express condition that all work shall bedone in accordance with all appTicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY ? On Site Sewage ? Occupancy MWCC System -Y Zoning ` On Site Well _ (Actuaq Const City Water ! (Allowable) V°' PRV Required _ # of Stories Booster Pump _ Length Depth ?'•' S.F. Total I Footprint S.F. APPROVALS FEES Engr./Assess. Permit - ??i • ??- , Planner Surcharge 5» • ???? Council PlanReview 260•7? Bldg. Off. SAC, City i{? •-'• Variance SAC, MWCC 5'= } • ' water Conn. Water Meter u ? Road Unit Treatment P1 1'-?? •' Parks TOTAL CASH RECEIPT CITY,OF EAGAN ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wacElvsD 1 FROM ' AMOUNT $ : I .. 8_ DOLLARS ' ao ? CASH CMECK t OR I By White-PaYers CoPY Vsllow-POSting Copy Pink-File Copy Thank You BLDG. PERMIT N0. 01-3210 Bldg. Permit 01-3422 Plan Check _ 01-3445 Surch./Adm. 01-3446 SAC/Adm. P01-2155 Surcharge _ 17-3860 Road Unit '20-2275 SAC _ _ 20-3865 Water Conn. 20-3868 Water Trmt. ' 20-3716 Water Meter 20-2252 Acct. Dep. _ 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ' 11-3855 Park Ded. ) ??2-; .PD - >J ? ? ? j 100 TOTAL CITY OF EAGAN Permit No: '- Date: "''i-?>' 3830 P.ilot Kxxob Road B/P No: 775 16 Date: 9 -`?', P.O. Box 21199 Eagan, MN 55121 " -7ve*..'4 Pe*_.ereon Const. Site Address: Plumber:- Llfi Part I MWCC: : 5.00pc1 Zoning• City Chg: -"0' ?opd 44 O ? No. of Units: , pd Acct. Dep: " ?.,;, 1 agree to comply with the City of Permit Fee: ? ?'n Ordinances. Surcharge: Misc.: By ? SEWER SERVICE PERMIT ----„ 3 CITY OF EAGAN Permit Na ? Date: '`, 7 'I 3831Y Pilot Knob Road Meter No: Size: ' P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Site Addr Plumber., T Conn. Ch g: 525.OOp?:I Zoning: Acct. Dep: 1$•00pa , No. of Units: -? ' Permit Fee: 10 •00pri Surcharge: •?r`^d I agree to comply with ihe City ol Eagan Tr. Plant ?'`? • 0;111d Ordinances. Meter. ..:__. CITY OF EAGAN Permit No: Date: 3830 Pilot Kn^b Road Meter No: 3 9a- ,S3 q SO Size: P.O. Box 21 ti99 Reader No: ? gP 7 7 S! ].S" Date: ro Eagan, MN 55721 Owner. Cons SiteAddress: f+331? Leo Court L16 ? T:'il3erness Par. IT Plumber ' ?'iz ':yan ?' ` „ Conn. Chg: 525, ?)l)e<1 ? Y P'?i1 Acct Dep: 1%•0?}$pfrra di_vvng [ Permit Fee: lU . i)Onu rouflNC _ FI Surcharge: 5 d . ? Tr. Plant 1d0.0 Meter. €? 861 -, .? my WATER SERVICE PERMIT - GAS Eic. ,•,,?.., 1 oc .a R1 with the Clty of Eagan Misc.: By WATER SERVICI • CASH RECEIPT CITY OF EAGAN ' 3830 PILOT KNOB ROAD 0 EAGAN,IVIINN?E OTA 55122 DATE ? J 19 ? RECEIVED FROM , . ` AMOUNT C J & DOLLARS +oo ? CASN _ HECK ?p -?l??/,y.? ??/ J?/ .il ..??n...c.C ?"-CJ?QsO / FUNG CODE qMOUNT - - 4 0/t/ 1 U ov Thank You'? ? BY N° _77734 White-PaYersCoPY Vellow-Posting Copy Pink-File Copy CITY OF EAGAN N° 1418 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt# --? -I To be used for SF DWG/GAR Est. Value $106,000 Date SEPTEMBER 18 19 87 Site Address 4334 LEO CT Lot 16 Block 4 Sec/Sub. WILDERNESS PARK 2 Parcei No. a Name SVEND PETERSEN CONST INC z Address 10214 PARK VIEW CIR o city MPLS phone 884-5144 o Name SAME ? 4 Address ¢ City Phone U¢ ?y W W Name Address 4 W City Phone I hereby acknowledge that I have read t' a?ication and state that the information is correct and agree to pl?with ab tate of Minnesota Statutes and City of E rdinanc Signature of Permittee _ .4 euilding Permit is issued to: S. PETERSEN CONST INC on the express condition that all work shall he done in accordancewith all applicable State of Minnesota Statutes an/ Cit agan Ordin(annnccc es. / Building Official ? /`?-L!t OFFICE USE ONLY R3 On Site Sewage _ Occupancy mwCC System X Zoning Rl On Site Well _ (Actual) Const Vn City Water X (Allowable) Vn PRV Required _ # of Stories Booster Pump Length 54 Depth 40 S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit 521.50 Planner Surcharge 53.00 Council Plan Review 260. 75 Bldg. OfL SAC, City 100.00 Variance SAC, MWCC 525.00 Water Conn. 525.00 Water Meter 67.00 305 00 Road Unit . Treatment P1 180•00 Parks 537.25 $2 TOTAL , . ; ?la?a/8'y REQUEST FOR ELECTRICAL INSPECTION ? , See instructions for completing this torm on 6ack ot yallow covY ""J(" Below Wark Covered by Thrs Request EEB_ooooi-o4 0 9n6,,-6j7 AAd Rep. Type of Buildin9 ADPliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electrfc Heatin Commercial 81dg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm otner peci v omer [snacirO t er Specify Ot er Other Compute Inspectron Fee Below if Fee Service Entrence Size N Fee FeederslSubfeeders ? Fee Circuits / 0 to 200 Amps 0 to 30 Am s J 0 tn 30 Am s Above 260 Ampsi 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Amps Above 100-AmPs Transtormers Irrigation Boorns Partial'Oth Signs Special hispection S U $ TOTAL Remarks 7 , E?D ••?°d•' ••' ?'??? /??9? ?,7 ? I, the Electrical Inspectar, heraby certity -that the above Final ?te) ?. - inspection hes been f made. rhis feauest void 18 months Irom This request void 18 mon[hs Trom ? o-v Raques[ DatF Fire o. i???^ 1 Rough-in.lnspection Req ireA7 ?RCaAy Now ? Will Notify Inspec- to Wh R / j ? Yes No r en eady ? Licensed Electrical Contractor I hereby request inspection o( above ? Owner elactrical wofk installed at: Street AddreSS„ Box,or Route No. 3 37 City^ ection o. Township Name or No. Ra No. Couory ? Occupan (PR ,. Phone No. C/ '. ?? ( ? /L ?? 7 (l (! ? f ' / Power S lier . ? .? Address ? Electrical CoMractor (COmpany Name) Contractor's License No. ` D So/- Q ailine Address IContrac[or or Owner Making Instaila[ion) Authorized Signature ntracto /O ne aking Ins Ilacio Phonef N"umber MINNESOTA STATE BOAHD OF ELECTfliCITV THIS INSPECTION REQl4E5T WILL NOT Griggs-Midwav Bldg. - Room N-191 BE ACCEPTED 8Y THE STATE BOAHD 1827 lJniversity Ave., St. Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS Phane (612) 297-2111 ENCIOSED. (e g-_) z-7 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,4r New Consirudion Reauirements RemodellRepair RequiremeMs CSfftce Use C3?N 3 registered site surveys showfng sq. ft. ot Iot, sq. ft. of house; and all roofed areas 2 copies of plan Gerf o#?intey Recd ;: Y:_N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions i'ree Pres<P(an Racd : Y 2 copies of plan showing beam & window sizes; poured found design, elc- 1 site survey for additions & decks Tree f'res::R4qued N lsetofEnergyCalculations Addition - indicateifonsitesepticsystem Dfr-s11e:SeptieSyslem!; 3 copies of Tree Preservation Plan if lot platted afler 7/1193 Rim Joist Detail Options seleclion sheet (buildings with 3 or less units) Date 5ite Address </ 4?_ ? 3 L( L Q p Construction Cost Y cfO d e.-f- Unit/Ste # Description of Work lzU d ?"1 V ? ? ???°`?? ? Y[ ?.r c.v ?L ' 1 Multi-Family Bldg _ Y L---N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Q jc,a,-o,rt CL Telephone # ( L !5') U/ C/ ? Contractor g a a O ?) I 5 Wt^ Address ?( State '7i ?7 a Y%a yh ia w ? S (-cJ d? City Zip 3l 2 Telephone #((, V) y r a-??? -7? COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Cod2 Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review 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 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 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. ,?, ? ,o ,-,- m -e- 1 e A -c- K -e ? Applicant's Printed Name Applicant's Signature ? ,47A,-??67 Y ?fJ L dUG ATlO ^? /87 B LD l'70? ks Af.et So,? L051ir47- z .,/ .. . - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLQDE 2 SETS OF PLANSp 3 CERTIFICATES OF SQRYEY, 1 SET OF ENERGY CALCQLATIONS NOTE: ADDRESSES FOR CORNBR LOTS - CONTRflCTOR/HOMEOFINER MIIST DESIGNATE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL ORIITS FOR SAL.E QNI?S INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMMERCIAL • INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $29000 LANDSCAPE BOND SINGLE FAM1L1-/ D.u I1.?G To Be Used For: e & STRUCTURAL PLANS, SET OF Valuation: Site Address ??34l ZC-O CY7- Lot /? Block /-/ Parcel1Sub1U11-A,4-P,uESr `P,o9lel-r- OwnerA2t?E7-?a a?r? ?J /v3 C-- l.t/ C_ Address I-0,21y F/t 4eC 1/1,5u/ ?l2 e- City/Zip Code //;/g s6-V3 l Phone Contractor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Date: !/Y -8' 7 /06,000 ?,- OFFI( On Site Sewage_ MWCC System On Site Well City Water n/ APPROVAI.S Occupancy R- 3 Zoning R Type of Const (Actual ) 1/- hl (Allowable) V- N 4F of Stories Length 5 .C7 Depth ?1D, o S.F. Total Footprint S.F. FEES Assessments FTater/Sewer ? Police Fire Engr Planner Council Bldg Off a ?cn APC Variance Permit 5Z 1, So Sureharge x', 3. 00 Plan Review 240.75' SAC p City 100.00 SAC, MWCC 525, 0l7 Wat er Conn 5 25 ?0 Water Meter .Qp Road Unit 305.DD Treatment P1 I Q.00 Parks Copies TOTAL a???, GA,RAG-E -?? JST ?LYt BSMT ly X i8 = 25Z slZxls_ 51 z4x//.=yr? 12- ? 30=3G0 ax?Z=(zq) _ I / 03 x sg ? 63?7Y z 3b ? r2 ::: t-? 32 tg Xl&, Z8a 3??? a? `19sxyy= 3L4 9?0 1 n 5 a9o y? • , 1 . Certificate for: . Sven3 Pptersbn DELMAR H. SCHWANZ LANII 3l1RVEYONS, INC. Regiatere0 Under lew6 0l Ths Stele DI MfnneaOte 50 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 a ? SURVEYOR'5 CERTIFICATE 0 1` . \-Q L . ? I I' Drainage & \ Utility Easement? O 1 qt V) ? ? t ? I168 ?k 5 q ? i12?2 ? I \ ?,PQP b ? ?v h'e„sFF? ? S 26 ^ 1 if?Q ?/ y ' ~ ?AR ?IV 1g m? ? O ? \\ \ ,?k. l/,f/ 46 612/423-1769 Scale: 1 inch = 40 feet s op ? ll.. 1 U b o?,? ? ? A Io3'?, 53• ?ti ? P ? ? e ?02 M ,P P? ? !G ? I hereby"cerTity that this survey, plen, or report wes prep red by me or under my direct suparvision and t 1 am s duly Registered Land Surveyor under e laws of the State ot Minnesota. Deted ?- I?-?? Denotes iron monument Denotes wood hub Denotes existing elevations = Proposed garage floor elevation Lot 16, Slock 4, WILDERNESS PARK SECOND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house thereon. i / W;a'?/ ?T Delmar H. Schwanz Minnesota Registration No. 8625 ?***#t#********#?*****x************ # C 1 T Y O F E A G A i? **?" PAYMF?TI' OF FFE AT TIME Of? * . * ArPr?c?or? DoFS rxrr oorsTT? * ? . ? APPROVAL OF PII2MIT. * APPLICATION FOR PERMIT * * INSPECTZON OF SEWER AAID/OR F7FtTg2 * ? ED- SEWER AND/OR WATER CONNECTION *ULED UNrIL PERMIT HAs sEEv * ? . ' , • * APPROVID. * r __. ***##**********,t*,t*****t*?******tt** 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: rlease Yrint) 46-v (?OM7? tLOt/tslocK/SUbdivlsion or Tax Parcel ID #) IF EXISTING S'PRL'CILTRE, DATE OF ORIGINAL B[.'ILDING PERMIT ISSL'ANCE: . ' - PRFSENP ZONING/PROPOSID L'SE: (Nbn Year) , q_ cal-ERcTAL/?.-rxIL/oFFzcE Q INIDC'STRIAL n INSTIV-1TIONAL/GOVgt*IENT 2) ? DIFIME: ADDRESS: CZTY. STATE. ZIP: PHONE: R-1 SINGLE FAMILY ? -2 DCPLEX (Ztao t?nits) R-3 TOWNII-IO[J5E (Three + Units) ( Units) ? R-4 APARTMENT/CONIDOMINIUM ( Units ) S. PETERSEN CONSTRUCTION INCe 10214 Park.View Circle 131oomington, MN 55437 881-4155 3) ?- NAI-IE: ADDRESS: QTY, STATE, ZIP: PHONE: 55068 MASTER LICENSE# 1849M 4) ?•« • • ? i?• NA[4E: ADDRESS: CITY, STATE, ZIP: PEiONE e . 5) CONNECrION 2C> CITY SEWII2 Plumbers License: ? ACtiV2 EScpired Not recorded Sta f Initial CONNEC.TION TO CITY WATER [:I 0TBER ' 6) J 'w •rj" Q PLF,ASE HOLD APPROVED PERMIT FC)R PICK- BY ONE OF ABdVE G?PLFASE MAIL APPROVID PERMIT ? 1, 3. 4, AHOVE o (Circ one) 7) ?'.?. GENZ-RYAN PLUMBIW, & HEATIIv'G 14745 South Robert Trail Rosemounto MN 423-1144 I FOR CITY USE ONLY nERMIT # ISSLED ,d w/Bldg. Permit FEES: $ $ s,-`?> SEWER PERMIT (INCLUDE SURCHARGE) $ $ •.WATER PERMIT (INCLUDE SLRCHARGE) r . . --. $ $ WATER METER/COPPERHORN/OLiTSIDE READER $ $ WATER TAP (INCLt'DE CORPORATION STOP) $ $ SEWER TAP $ $ . ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ 1 $ SAC $ $ ' TRUNK WATER ASSESSMENT $ $ TRC'NK SEWER,ASSESSMENT $ $ LATERAL BENZFIT%TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: , $ $ TOTAL ?7z/ RECEIPT RECEIPT #- DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WIT,HIN PUBLIC ROADWAY" MOST BE ISSUED BY THE ENGINEERING ? NO DIVISION. LIST AS A CONDITION. SL'BJECT TO THE FOLLOWING CpNDITIONS: : . APPROVED BY: . ? . . TITLE: " DATE : f? ? _S ?c.? 7 , May 18 OS 03:36p Mel Raeker 651 454 6586 p.2 03/1H1xoua v'r:40 rna ' ?? 24t L#O zo r Aff aA %r' # ?P44 ? GAF MATERIALS CORPORATION 7:"5 Alps Road wayne NJ 07470'3689 • Tel: 873-e2e-3ooo neay 1s, zaos AtM: AAeI FoC 651 -454-6586 9PHCrlm MAY 2 4 2005 subject FesWner Revuirom.nrs ror GAF Materiels Corpo?aUa+ FlberoLassAsa"au ShWqtes To Whom It May Conxm: Usoa o1 rtaus Is reeanmended. Use onyr zinc coated coeel oraluminum. 10-12 yauye. Deebed, defornw0 or smodh shank ?ooling nsils with he0de 308" (10ntm) to 7M6" (12mm) in diameter• FaeeBrrors ehould De ID11g ertouqh EP Ponei!'ate at (eW 3f4' (19mn?) Ir1to weed deGca or just C?fough the PMwoOd dedes. Faslenbrt muat be drlven tlush witN the 9urieee oi Me shinple. Over driv{np wlll dUmage tlw shingls. Raiesd iasbwners wiq InOarbre vrith tt?e s"in9 0( the shingter.. Fot norfnal insMRetbn. four iasteners muef de irablled per sllinpls. a n4mif1Q16" (1 52mm) uA hom qx botEom ot the shingb. to peneVaRe both leyers of tlro shinyle. Fastenera must tie in9UMed apRroxlmatey 1"_1 1/2' (25-35nm) and 11'-12' (279-304mm) T?am eaCh side. If StEPIOWO used they must be made of at leaet 16 gauHe-galvenixed stel wHh a mhdmum ciown of 15160. 7he atsple lega must ba " enauqh to peneVats at leaist •ti` inbb waad decks or at tand 118' through pywood or 068 ded[s. 3taplQS must bQ dNwn itraiyM with tht crown- IrmftNed par81la11o fhe botWm oF the shingb. 3taple leW should ba no clp60r tlhan 1' from the 3ide orihe shirVb. Tne nun+bsr and locations of the ataPka should be the asme as dhe shingle appGesdon instrualiona repulromorKs for nafl plnoemrM. 7hs staplea should be drriw wiRh sn acaxaftly adjwted pneumetic slapb gun Eo ensure thet the entlre crvwn 6ears 119htlY 88alnst lfie shingle but Coea net eut the shinyls surtaoe. NOTE: Over drYvlny wlll art i?Ko an0 damfts tle ahingle. Raissd fasbsners wl116r6ft(ers wllh Ih9 s690np of the shlnples, au?d can r+swt in ralese 1sba, bucWing, {scks or p11ow o1fs. Some IoCil buqdlrg eades do not pert111t lhA ugA 4f 9fBplC9 t0 irlShdf! Shing104. It iS th8 responWAitp ot the roo(InQ oontracEor or apedfier tD verPry thae tlx use oi staplea ooMorms Qo loeal cods roquiismenls. Ii you heva enY futthEr Questbns. Please oontaCt us id 800-78-3411. Thank you fw choosinp OAF Mateftls CowporaRion Roofing System. . 3lnoerey, AMita Kaira Techaleal Senelves GAF MaEerfahs CorpoCCtbnlU.S. InUer. Use BLUE or BLACK Ink For Office Use I j Permit -7 I < 7 I city f Eapn , Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 140Y 302009 Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 Staff: ; 2009 MECHANICAL PERMIT APPLICATION Date: A A-7 Site Address: ev` Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: ~✓?-3~ Q1~6 ~r• ~9 ~l ~.5/a CONTRACTOR Name: 46C~~ .7 ~T/ti Imo- License Address: 5a u- A? . City: ft~/tN State: /j9rV Zip: Phone: Contact Person: TYPE OF WORK New x Replacement Additional Alteration Demolition Description of work: ~p,(/fGFiCM~~E NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement Air Conditioner Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under/ Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) D $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $©s TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.Qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in c fomtance with the ordinances and codes of the City of Eagan; that I un rstand this is not a permit, but only an application for a permit, and work is no o tart withou a permit; that the work will be in accordance with the 7appreplan in the c e of work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In _Air Test -Gas Service Test in-floor Heat Final Exterior HVAC Screening Inspection Date: Citvofaoail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Us Permit #: Permit Fee: Date Received: Staff: L INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water I Z Site Address: 4/ . ` Lac (77-y "Cal q / /AI 6... -s" -r23 Tenant: Name:®.3 env' 4' ?J'e1•ccy it- .f' i c LS 04 Address / City / Zip: ? / L- o C / 9 c -r iu 55./ Z 3 Name: I License#: Address: City: State: Zip: Phone: Contact: Email: Suite #: Phone: C'(2 25.3 PLUMBING (Within the building envelope) Pum• Re air Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: 7 et (4.3 t , `j v 4 /Q /*) p d(,'S — 4 -- r' m IAA_ S T & k d o ez, irk to Lf f9 eJ 5 e. FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 1 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 Applicant's Printed Name x Applicant's Signature