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3625 Great Oaks Cir Use BLUE or BLACK Ink ------------i For Office Use ( City of Eap I Permit#:-/ I I Permit Fee: V 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 L--------------- 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: A^ 12 1 L Site Address: 00, C-) C Tenant: Suite RESIDENT/ OWNER Name: r F'r l c. Phone: 5 l✓ C Address / City / Zip:? ~25 25 6V!4 CONTRACTOR Name: (t, License Address: n M 6 P 6 W F City: State: Zip: Phone: Contact: Email: TYPE OF WORK ew Replacement epair ebuild _ Modif Space _ Work in R.O.W. 1 ~j 1~ Description of work: ( PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / Lower Level) 1>9~ X Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. 11 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; t t the work will be in accords th the prov n in the se of work which ~requires areview an pproval of p FPOAL Applica is Printed Name Applicant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final L, CITY OF EAGAN $430 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWCICAR Est. Value S212.0W nalw Nov Site Address 3623 GRZAT OAC! Lot 3 Block _I Sec/Sub. Parcel No. W Name d C HAURECMT f Address 201 Y TRAY ELIM TR City MIRMY111-1.2 Phone 844-8904 =o Name SMIX u0< Address I- City Phone Name Phone I hereby acknowlege 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. Signature of Permitee A Building Permit is issued on the express condition it applicable State of Minnes Building Official Y.E it all } m `193"-> 1991 OFFICE USE ONLY Occupancy R-3 1111?1 FEES Zoning It (Actual) Const V-P Bldg. Permit 1,032.00 (Allowable) --AA Surcharge 106,60 # of Stories Length ZA-1- 0 Plan Review . 670.00 , Depth 74 SAC, City 100 • S.F. Total SAC, MCWCC 630.00 S.F. Footprints - 660.00 On Site Sewage Water Conn On Site Well Water Meter 93.00 MWCC System X 90.00 City Water Acct. Deposit 3040 PRV Required SJW Permit Booster Pump - S/W Surcharge • SO Treatment PI 276.00 APPROVALS Road Unit 370,00 Planner Park Ded. Council Bldg. Ott. Copies Variance TOTAL 41019.30 Permit No. Permit Holder Date Telephone # WATER 9 SEVfER PLUMBING S ?? s H.VA.C. ELECTRIC L1 Q O? G / o0 Inspection Date Ins/ Comments Footings 1 %y? Foundation ` Framing _ Z Rooting Rough Plbg. --G Rough Htg. ' 3/ r K _ 'Y Isul. ` f Fireplace a ;? q Z Z f Final Htg. ?D Orstat Test Final Plbg. . 3171Z Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final 10 /9?Z, Deck Fig. Deck Final Well Pr. Disp. 3- Ad¢res,s: 3625 GREAT OAKS CIR Lot3 Blki Sec/Sub THE WOODLANDS NORTH These items were/were not complete at the time of the final inspection. Date: MAR 30, 1992 Yes No TnspPctnrw Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Zdld Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. KCMED WBEN White - City copy Yellow - Resident copy Pink - Contractor copy SEWEF14 WOTER PERMIT OFFICE USE ONLY CITY OF EAGAN METER ?# PERMIT DATE 01/06/92 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # try u-?-- 3j a PERMIT # METER SIZE Se Su B.P. RECEIPT # ISSUE DATE 3-l B.P.RECEIPTDATE 11/20/91 DATE NOV 14, 1991 k:• . _ PRV -BOOSTER PUMP SITE ADDRESS 3625 EAT OAKS CIR - LOT 3 BLOCK 1 SEC/SUB THE WOODLANDS NORTH APPLICANT: ADDRESS:- CITY, STATE ZIP PHONE: PLUMBER: ADDRESS: ZIP w6b CITY, STAT W7?* PHONE: OWNER ADDRESS:- 201 W TRAVELERS TR CITY, STATE 'BURNSVTLLE MN ZIP 55337 PHOI)IE: 894-PQ04 PLEAkAW LO TWO W6F`KING DAYS FOR PROCESSING. CJ SEWER PERMITS, CONTACT ENGINEERING DEPT. 17 SEWER & WATER PERMIT CITY OF 1LAGAN METER # __- 3830 Pilot Knob Rd. CHIP # Eagan, MN 55122-1897 METER SIZE _ DATE Noi 14, 1991 ISSUE DATE _ SITE ADDRESS 1625 GREAT OAKS CIR LOT 3 -BLOCK 1 SEC/SUB THE WOODLANDS NORTH APPLICANT: CITY, STATE ZIP PHONE: PLUMBER: , STA ZIP PERMIT REQUESTED X SEWER X WATER TAPS - COMM/IND X RESIDENTIAL X NEW -10 EXISTING Lawn Sprinkler Meters are to be In; m?ad of Do dstic Meters on Water (Sredlt WILL N01 be given for Deduct IV I KOIEE TO COMPLY WITH CITY-OF EAGAN ORDINANCES SIGN RE WHEN METER ISSUED 454-5220 FOR INSPECTIONS. FOR S30IRM E ONLY PERMIT DATE 01/06/92 PERMIT # 12484 B.P. RECEIPT # 01,0 1 % ' " 6 B.P. RECEIPT DATE 11/20/91 PRV - BOOSTER PUMP PERMIT REQUESTED X SEWER X WATER TAPS - COMM/IND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed d of Do estic Meters on Water Line. Orel it WILL N, The given for Deduct Meters. I HUREE TO COMPLY WITH CITY OF =R: GEORGE C MAURER CONST EAGAN ORDINANCES ESS: 201 W TRAVELERS TR STATE 1111YRNSYTTAX MN ZIP 55337 IE: 894-8904 SIGNATURE WHEN METER ISSUED SE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM =R PERMITS, CONTACT ENGINEERING DEPT. RESIDENTIAL BUILDING PERMIT APPLICATION AZE/m CITY OF EAGAN 457, Z 3830 PILOT KNOB RD RD - 55122 651-681-4675 Cl (? New construction Requirements RemodellReoair Requirements ? • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and L11 roofed areas 2 coplas of plan (20% maxanum lot coverage allowed) • 1 set of Energy Calculations for heated additions . 2 copies of plan shoving beam & window saes; poured found design, etc.) • 1 site survey for erdedor additions & decks . 1 set of Energy Calculations Indicate if home served by septic system for addition . 3 copies of Tree Preservation Plan 0lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE CI-0-0 VALUATION 2 21 7 0 y. O JOB SITE ADDRESS 362 S Great ca k35- C ! yGI t°_ IF MULTI-FAMILY BUILDING, HO' PROPERTY OWNER C k A r/>° TYPE OF WORK Fir r-e- r e APPLICANT G 1` e vh; f br ADDRESS `-10 (d C&S 7` PAGER # N MANY UNITS? S' 5wt ?Q ? r FIREPLACE(S) _ 0 _ 1 _ 2 60' PHONE# CeKfeh C 1 C/? ZIPCODE -CELL PHONE # 30Sc, FAX# NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 7 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 D ?2 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone C "lip Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee _ Water Heater _ No. of R.I. Baths gy No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 - Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ante ,? Signature of Applicant ? < Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N If 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) W 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 0 Occupancy (J - 3 MC/ES System Census Code L?-S Zoning n P-D City Water SAC Units d / Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs 1 Length Fire Sprinklered Type of Const T`V Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. -Air Test -Final Insulation _ Other 44 ?ed6T?i Pool _ Ftgs _ Air/Gas ests _ inal Siding _ Stucco _ Stone Windows (new/replacement) Approved By/J4J , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing HVAC CITY OF EAGAN Np 9882 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ BUILDING PERMIT PHONE: 454-8100 n (D r &Q(o (F .. Receipt # li Tobeusedfor SF DWG/GAR Est. Value $212,000 Date NOV 14 , 1991 Site Address 3625 GREAT OAKS CIR Lot 3 Block 1 Sec/Sub. THE WOODLANDS NURTIT- Parcel No. M Name GEORGE C MAURER CONST Address 201 W TRAVELERS TR o City BURNSVILLE Phone 894-8904 o Name SAME 0? Address City Phone Pw Name E3 Address c W City Phone I hereby acknowlege t nave read IN plication and state that the information is correct nd a ree to col Rh all applicable State of Minnesota Statutes an i f Eagan Or g Signature of Permitee r A Building Permit is issued to: GEORGE C MAURER CONST _ Planner on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning RR=1 (Actual) Consl V-N Bldg. Permit la 032.00 (Allowable) V-N Surcharge 106.00 # of Stories - Length z$! Plan Review 670-00 r Depth 74 SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints 660 00 On Site Sewage Water Conn . On Site Well Water Meter 95.00 MWCC System X 30 00 City Water X Acct. Deposit . PAN Required SNd Permit 30.00 Booster Pump S/W Surcharge .50 Treatment PI 276.00 APPROVALS Road Unit 370.00 Building Official_ jj1X yal.f 1[1Q I Variance Park Ded. Copies TOTAL 4,019.50 DATE: JAN 6. 1992 RE: 3625 GREAT OAKS CIR (GEORGE C NAURER CONST) - x Your 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 following 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. REQUEST FOR ELECTRICAL INSPECTION J 12", ? See nV udions for comiii this lino on back of yellow copy. y; 3, • X" Below Work Covered by This Request E6-00001-0e ew Add Rep. Type of Budding ApphancesWired Equipment Wired ' Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other (speedy) contradi Remarks' Compute Inspection Fee Below: # - Other Fee # Service Entrance Size # Circuits/Feeders e Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 _ Amps Above 100 Amps 42 Signs Inspecidoi use only TO L _ fp Irrigation Booms ?, - go Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby if h Rough-In r Dare y cert y t at the above inspection has been made. F,?l , OFFICE USE ONLY This request void 18 months from J 33081???i Repue Date Fire No ? Rough-m Inspedan Repmre s ? No ? Ready Now (IVA8 trfy inspector When Ready? I Icensed contractor ? owner hereby request inspection of above electrical work at : Job reyS I51re . B. Clry Sedmn No. Towosbip Name or No Range No. County Occu (PR Ti bN Ph No - 8? P 4.e, Suppbe Atltlmss EI Ieal Comm r (Company Name) Contr c rt Li M tn AtlOe Coned Own Making Install bon) Aut nzeI Sign lure IConirac1 10 n r Mating Install a n) I? 1 Phopa, b - MINNESW STATE BOARD OF ELECTRrC,R} THIS INSPECTION REQUEST WILL NOT Gnggs-Midway Bklg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 UnlyeraNy Ave., St. Paul. MN 55186 UNLESS PROPER INSPECTION FEE IS Phone (612) 642480 ENCLOSED U/57/ iaVo-TtL J' .0 1 0?a - / 2 2 Reguest Date Frte No Hough-in Inspection Secured' ? Ready Now 0 Will Nobly Inspector - Yes C No When Ready? I icensed contractor ? owner hereby request inspection of above electrical work at: Joe Address (Street Box or R No) Clty Secuon No Town ip Name or Range N County Occupant lPRINTI Phon No -? ^D 7 Power SuppOer Address Electnc I ctor (C pony Nam Co nl n3a No? ctJorS Ll re? Cga l?' / / / p / {Y V Mai Ad less (Container or r Making natal ielmi Authorized Signature (COnbactovOwner Making Installation) h ne Number MINNEATATATE BOARD OF ELECTRopy Griggs-Midway Bldg - Room 5118 1821 University Ave.. St Paul, MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED REQUEST FOR ELECTRICAL INSPECTION 'en. N_ Ea-00001-oa ? See instructions for complearm this form on back of yellow copy h Y.rC A'? /A '2n rzz J^ 1 ° ; X" Below Work Covered by This Request.p:? ' ew Add Rep ng Appliances Wired EgmpmentWued Range Temporary Service V Water Heater Electric Heating Dryer Other (Specify) l Furnace Air Conditioner Contractors Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 01 o 200 Amps 0 to 100 Amps Transformers Abvve 200 Amps Above 100 -Amps Signs Inspectors Use Only TOT L Irrigation Booms / Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t th b i i Rough-in '7 1 Date cer y a e a ove nspect on has been made. Final oa}e / r? OFFICE USE ONLY This request void 18 months from 1991 BUI 4111APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS I Z COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (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 WHEN: 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 CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A I PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used Fora Valuation Date: Site Address a4 Lot ?? Block THE wOOaL-A Parcel/Su Owner Address NDS N oq--rA City/Zip Code // 1'j(?/?JSfZ- Phone ?Z Bqc F Contractor Address City/Zip Code Phone Arch./Engr. _ Address Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S. APPROVALS R-3 M-1 R-I V_Al V-N F. On site sewage_ On site well _ MWCC System City water PRV Booster Pump , Planner Council Bldg. Off Variance l? p5 COMPLETED. 1315' FEES Bldg. Permit l03Z.00 Surcharge fo-&-'-00 Plan Review 0"/0.00 SAC, City Cae00 SAC, MWCC (051). 00 Water Conn. 0,00 Water Meter 95, 00 Acct. Deposit 30100 S/w Permit 30,00 S/W Surcharge So - - Treatment Pl. 4100 -2 7 Road Unit 3 O,tM Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL City/Zip Code 1 P o e # agrees that all work shall be done in accordance with (Signature o Contractor) z 17-0coo ? OFFICE USE all applicable State of Minnesota Statutes and City of Eagan Ordinances. G r GARAGE a6 Xl y l 3(oy 2 zx z-y - -72-,6 V R L IA A,'T l C)N NY fr i/• A 40 Ito - 9ZL X 15;= !3 860 B5M7, , 22 X to = z2c 2.X2x%x= 4,A 16 - 6y 34)(30 ,r ? bzo X 1 u 2s x 7 = (-Zo) "Z X26 14S- X3 '1z 2 s 52? 16X4= 6y 2o8?i x ly= 292U? ST Fwo Y< 85MT= Zogcl v/L x°l'ii r y 1112x11',12 = 1"1 °IxL= I$ ?ox 1??2 2>>31r;53, 1 I N,loq Z co NFl-=/L 28'1zX?? 6 ?c 1 U t n16 X53= 5? Zlt n ?2 Z 12 0••• V-0 ?? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 0 m?- 5 FOR CITY USE ONLY PERMIT # RECEIPT # U S DATE: 9 jI SIDENTIAI7 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ------------------------°---------------- WORK DESCRIPTION FEES NEW CONST X ADD ON _ REPAIR OWNER NAME: George Maurer Construction SITE ADDRESS: 3625 Great Oak Circle LOT: BLOCK SUBDp' INSTALLER: K1eve Heating & Air Cond. ADDRESS 13075 Pioneer Trail CITY: Eden Prairie, MN ZIP: 55347 PHONE #: 941-4211 SUBTOTAL: $49.00 STATE SURCHARGE: .50 TOT L: $ua.5o SIG OF PERM TTEE OMMEY{G'IAL TNDUSTKTAV', PLEASE COMPLETE THIS 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: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: DWELLINGS & ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00-' ADDITIONAL 50 M BTU 6.00 ? ? ?A AS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.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 i f 1h CITY OF EAGAN 3830 PILOT KNOB ROAD A v EAGAN, MN 55122 PHONE: (612) 454-8100 P7SBS?GPEiT I wx?_ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -------------------- WORK DESCRIPTION W CO _ AD ON REPAIR OWNER NAME : eJ Z eJ SITE ADDRESS LOT: y1_ BLOCK SUBD. ?? v4soS? INSTALLER: - .?v/?1? ADDRESS: CITY: ®" L c ZIP: '!?'-So69 PHONE #: ------------------------------- COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 ? O ti WATER CLOSET 3.00 906 BATH TUB 3.00 L L!51 U LAVATORY 3.00 /U L KITCHEN SINK 3.00 3U L LAUNDRY TRAY 3.00 COQ _ HOT TUB/SPA 3.00 WATER HEATER 3.00 _O FLOOR DRAIN 3.00 4y D GAS PIPING OUT. L (MINIMUM - 1) 3.00 ?d U i ROUGH OPENINGS 1.50 A C?U OTHER _ _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ 6-106) ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S ??/ Sd OMMEF(GZAPIN:VSTRIALI.PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS:- LOT: BLOCK INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN SUBD. ZIP: FOR CITY USE ONLY PERMIT # RECEIPT # 3 O DATE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE $ TOTAL: (SIGNATURE) ------------------ j Permit #: ® I Permit Fee: Date Received: j I 1 I Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t® L I JO Q Site Address: 3b Z Y ?1f L? 4 O It S C 4r c le Tenant: 5j- Srv ?4 Suite #: RESIDENT I OWNER Name 0_kj [c r S-,/-C S5" r }{ Phone: Address/City/Zip: ??? 2? t>raz+ o`,.?5 C?`Y-°lo Applicant is: Owner -L Contractor TYPE OF WORK Description of work: u ' e(d Construction Cost: add Multi-Family Building: (Yes, / No ? CONTRACTOR Name: 'I? - cl ck tx" 10as License #: -20 , ? Address: Jy 3-9 b1cC1CSh1fQ O4-4 City: Indt/ 5radt [}c"S445 State: M^I Zip: -7 6 Phone: 604- We Contact Person: k7r )I f e 4-5c{ ]< o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J 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'thatyou submitare considered to be public "information. Portfons:of: 11 the information maybe sfassihed as non-public rf you prov]de spectfrc reasons that would permit the Crty to' w` .:.,..: conclude that the are. trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with th ordinanc s and codes of the City of Eaga derstand this is not a permit, but only an application for a permit, and work is not to start with t a perm t; that the work will be in cordanc i he approved plan in the case of work which requires a review and proval o la x Q fed ?J;eIJ?? X Applic rioted Name App n ature Page 1 of 3 41? City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ o Office LISe III' j Permit#: 02 1 I C Permit Fee: - ? Date Received: j I I I Staff: I I t ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10113/08 Site Address: 3!025 (or2al Tenant: Ch-ck-t Sic Sr ;*" Suite N: RESIDENT/OWNER Phone: (9SI-(oSb-S8Y9 Name: ChocIC and 5,w- S"i+" j Address/ City/ Zip: 3(02 5 (omw Oft I.C.s C' rc tom. I 6494 N S S 123 Applicant is: _ Own <2L Contractor TYPE OF WORK Description of work: 12e - S l J e Construction Cost: .Z a I 4 Ty Mufti-Family Building: (Yes / No CONTRACTOR Name: Krccli Ez-k,-iors Licensem 203 49135 Address: 5558 81?ck sh1 a NtiAi City: =ilea- Gro+e 4+5 State: MfJ Zip: SSeslb Phone: 6S1-f088-to3foS Contact Person: giro ZUQ{scLlun 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 (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Fagan 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.I lr't+"1 =IIG?SCt1kA x /N olw_ Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Evan 3830 Pilot Knob Road Fagan MN 55122 Phone: (651) 675-5675 Fax: (651)675.6694 J???oV F? ?J1 OCT 2 t, 2008 ----------------- I For Oifige llse I j Permit #: g-op j Permit Fee: Date Received: I I I Staff: I I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: )? 2 8 Site Address: 3 fol. 5' 4 c sq,} b 0c S U c Tenant: Suite #: RESIDENT/OWNER Name: LV%w4. Sr t`k1? Phone: Address / City / Zip: 3b2S °I re-"f- C )&-V I (-,'r t e- Applicant is: -Owner X Contractor TYPE OF WORK 1 Description of work: (Zo Ir Re ?d\?ft S4rj ct.o Construction Cost: 32 S"b Ste- Multi-Family Building: (Yes _/ No > -i CONTRACTOR Name: k,ftt}, Er er.L-aQ1 License#: Ze3'40j13S Address: ?a bLrr?t ?? n'g- P City: Lnvtr ?i, rov2 t1a7,t,Lk-t State: (k"' Zip: SS-e'16 Phone: toSl-- 6 b S - cod 6 2 Contact Person: `& r-- kl- N "A se" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 - Minnesota Rules 7670 Category 1 _ 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 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 o m ces 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 n t to star E. without pe it; that the work will be in accordance with the approved plan in the case of work which requires a review and roval of n x e l?l ??kw- x Applicant's Printed Name Applicant's Signature Page 1 of 3 I DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool '4 Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF r ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-flex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Bui lding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window J1 Water Damage • Demolition (entire building) - give PCA handout to applicant DESCRIPTION: 0010 =?C Valuation Occupancy MCES System Plan Review Code Edition /fi Y? ZCtI? SAC Units (25%_100% Zoning PP City Water Census Code 73 y Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof: _Ice & Water -Final Framing Fireplace:-R.I. -Air Test -Final Insulation Reviewed By: Z RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Final/C.O. Final/No C.O Building Inspector HVAC _ Other: _ Pool:-Footings -Air/Gas Tests -Final _ Siding: -Stucco Lath -Stone Lath -Brick _ Windows Retaining Wall Page 2 of 3 I' EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION )weer GEORGE C. MAURER CONST Address 201 West Tra?r=lprc mra;Phone aaa gsQ4 ,egal Description of Property: Lot 3 Block 1 Addition Great Oaks ?f Date 11/12/91 the woodlands Site Address 3625 Great Oaks circle AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE Main Level 140, co 6-0 Olzo co = Z?II ?? - Lineal ft. of framed wall above grade_Z!Y2-.-(S 'x height of wall '1-0 Rim Joist I-O =? 7CJ Lineal ft. of rim 5FD. 5 x height of rim Lower Level Lineal ft. of framed wall above grade x height of wallcA,) 11 1- Lineal ft. of masonry wall above grade x height of wall. oN 9AC.IL = 19 K, 2, II(v ll area above TOTAL w grade including wi ndows and doors a WINDOWS: Ar ea x "U" value 0 x ft 1 ..u.. _ (U)(A) Make & Type >q• . , ft. O V - (U)(A) sq. ZZ x ft. z „ U, _ cf? sq. x (O Hull (U) (A) _ 'lll (U) (A) t. r X f U _ (U)(A) -7 F ? sq. ft. IZ d x U 1 L - , - .. (U)(A) q. ft. -Zacil x U - (U)(A) GC sq. ft. 33,51 x U = .. .. (U)(A) -2 fZdP 1 C sq. ft. 3 ,?q x U _ ,W 51 W _ C_ " sq. ft. x U = 641 " " (U)(A) " •' We JSK S sq. ft. x U - ( ) I, I l. - (U)(A) 1 11 (5) sq. ? x ft. ? U _ 1,20 14 . „ _ (U)(A) GCh?'hIS sq. ft.?x U " " (U)(A) 4W3 sq. ft. /p•00 x = U ecA " (U)(A) „ GGAIW sq. ft. -I,lo3 x U = S " " (U)(A) G AIW-5 sq. ft. 5,00 x _ U L --- , (U)(A) 4- ? 6e sq. OO x ft. IS - u 6W S - , (U)(A) " ? (2110 rrLlz e " sq. ft. L .(a(ox "U" _ . E 44 - ? " r? aRZ " 8 &g8,S3 x 41 1-70, J2o IAW e .IC-r"w? 5bDt3-lA 4-(o*L l U" OS x I $ .21 va ue DOORS: Area x S Make & Type Z- SVtGti sq. Q . ft. 17.81 x 'lull (U)(A) 3o FizENGi (Z sq. ft. gD.OZ x ,u.= ooq „ „ (U)(A) (U)(A) sq. ft. x u _ .. .. (U) (A) sq. ft. x u _ 51.83 OPAQUE WALL CONSTRUCTION: Area x "U" value FRAMED WALL (total area less opening, framing members in wall, Detail refer- rim joist area & masonry) ence from attached sq. ft.,(0,014?x sheets Framing members in wall sq. ft.p,(a'?/a x Rim joist area sq. ft. 38S,ZS x Masonry area above grade sq. ft. l$2, IIlo x 3`i74,(00S „u.,, OAS131.84( (U) (A) "o" ,aql = 31.G?ol (U) (A) u.' iS gIL? (U) (A) „u p= ISp q4 _(U) (A) TOTAL Wall Area Including Ap Windows & Doors ll, Total (U) (A) TOTAL (U)(A) VALUES S24i.BZ? = AVG. "U" DIVIDED BY TOTAL WALL AREA ?}°o7q• •II AVERAGE "U" Minimum .' or less for 1 & 2 family dwellings Minimum .22 or less for all other buildings 5210.821 r, og NOTE: If average "U" values as calculated above do not meet the Energy Code requirements, the "Alternate Envelope Design" as indicated on Page 5 may be used. wocb 1i . IiE?, x 8 = 'KI, o0 Ll 33 x 3.33 3T o2w Fly CcA I W 2 (3) 9-99 1?1 S CCA 1 KS (Z) IS. -64 cao -ZWsV- 7t} .9`t l 3wo4- ri,gI eZA3xT# ?-fiRaP. QI,S CGh. P!h Z?sq F3C.cz::.K- C11,33x¢!o? pj3(dyx I = ??.Cdo ISZ, llCv !'? !' •t uI uPnNuu w::l l an:n inr ILoint. ait u:olilt ora -• .. IL-Val:?e v „_1'Rd I1WC NEhIREliS IN WALLS . lujr Vlcu To'rA R 4 G'S U:r• 1/R U A li" .dry wall .45 Interior air film .68 • I i i lI I' ?I i i 1 .w..u.mi.. i _l:r.r.ur__ In_ r jjtr fiLn Siding: T-,ff- mWcc>t:> noft wood -D -11M L Exterior air film Siding .-79- o .4.38 .17 '71 Sheathing Z •OCo I ! batt insulation I•i" dry wall .45 Interior air film .68 u ° I/It ; r U .. Hill. M1 C -AltrA- $xterior air film "?• i7 Siding Shearhing 1 " soft Impil 1. lift Inan)ntirty -.--?.LGy Interior air film .6R TOTAL. R .c •?SS U . I/R u a ,(xI1 ' MASONRY 11?L}. A Exterior air film _ 121' concrete block Insulatlon luterlor air film .I7 (?Zg -7r `J Q,lo3 1. 1 root, cr,It.Irtr., .45 Interior air film TOTAL It 1!0 U 1/R u outUid-C_,glr F11m Insulation _ ti" Uryual] , Qut -aide nir filtq .61 Insulation ?i"' Drywall .43 Interior air film G1' TOTAL ft j U 1/R It Outside air film ,17 8wil?u o ``? R-rQ Unit--_,._ -__•:1?. _.. Insulation r Hood docking ' Interior air film .61 • ? ,_.-?.70TAG It •• U -'l/R U IF/CEILING, rAL AREAS call raforenee " sq. ft. -M- m shove. 1 n uXx eq' ft, ., . A?.388 (U) (A 1cribe openings vr---x sq. ft. ? q (U)(A roof x uUu sq. ft. ? (U) (A x D,. sq. ft. K (U) (A . U„ x sq. f (it) (A uUu x sq' t. (U)(A x sq. it. =?(U) (A fAL (U) (,\) VALURS AL,LS •' O^sq. ft. 47, V1DEU ItY TOTAL ItOOF ILIIIG AREA 7 / r AVG. °O" nw:E 'lull CZj ;14, for ventilntc3 roofs .10 (Or All other construction t'ka fF weva,r "L"' ....,. z . val u.:n an rn)eulah'd nbnvv do not n? t t.C On F.nprrry f ntla cryutramen[a , ? . • t ,. ,?•.,,,.,, , (842, o ~ ,842;0 h N 3ZS. 7 Io ® ¢ qi ~ ~ q I F - ~ _ N®RTH a \ t~ , o . 89 s ~ ro~ _ ~s I ',-0 ,m, SCALE : 1 - 30 ~ , o ~ o N GREAT 9. ~ Iv \ ~ 19. ~ _ r F aqo• .s \ ~ ~ ~ ~ 6 to ~ h , ~ o ~r;, ~ ~ ~ ~ o ~ ,i.°~ e ° ~ ~ CIRCLE g cad- ~ a ~ o, 33 - s, Nom, Q ~ o ~P N (890 5~ cr °.o \ Gn ~ ` ~ 2b. 0`0~~ +Q~°~~~ ~o LOT 3, BLOCK 1, THE 1AIOODLANDS NORTH, ~T ® ~ ~ ~ 8 o DAKOTA COUNTY, MINNESOTA. s I ° o F r ~ .o ~ 0 \ S , o X11 C ~ I e' ~ aD ~ ~ ~Si J ~ ~ ~ . OQ~ _ ~ o~ .o Gs ~e m o ~ o \ 3 ~~s c h ~ g g9 33 Z3 W ~ ~ a~ ~ s J \ ~ 11 ~ ~ 0 3 N 39. ~ L. ~ ; ti ly 6°0 D o ® ~ a b o .o ti ~~'a, J - 30 FT. FRONT BUILDING ~ - ~ SETBACK LINE ti~ TEA ~F ~ - - 2 9,a ~ g q 890. o DENOTES EXISTING ELEVATION ~F ~ ~ ~ O T , ~ ~ ti 2 no Z (89a. 5} DENOTES PROPOSED ELEVATION G~ U 9t ~ INDICATES DIRECTION OF SURFACE DRAINAGE RAINAGE \9G 890.83 - - FINISHED GARAGE FLOOR ELEVATION l0 8$ 3.45 BASEMENT FLOOR ELEVATION s 89/. /6 . T P 0 BLOCK ELEVATION 0 F DRAINAGE AND UTILITY EASEMENT.. o ° 27,0. l7 , 96 X86/0, g' 827• o) o ~ ~86/, o) ~ 95/~8E N8 E1V r~. 14 E ~m INNEE RIN'C - _ _ _ DESiGNEO CHECKED f ~.,a PREPARED FOR: 4RED FOR: J \1 ~ I HEREBY GERTIfY THAT THIS PLAN WAS J ;,I PREPARED BY ME OR UNDER MY DIRECT I DflAWN DATE C®NSUITIN~ ENi31NEEAS, f PIANNEAS end LAND SUAVE4®AS SUPERVISION aND THAT I AK a DuLr 7"7 //-07-9/ ' _ REGISTERED ~AND$'U.eVEYO,Q _ SCALE ~ NDER THE LAWS Oi THE STATE U f bIN STA. - / = 30 ~ ~ G~7 I 0 0 ~ JOR N0. - U )NSTRUCTION 3865.0/ ® AT 8~ ~ REO M0.~6085 N0 DATE RY REMARKS t D E REVISIONS I ,ar,l r4~rr~ o, mnmun i e uu~eiccnrp zr+:~ a}~ 439-3AAA Use BLUE or BLACK Ink I For Ofnce Use 1 I I 11 ~ City of Ea ~nn il j Permit `a 1 I1 J~ 1 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 F C E I V E D j Date Received: Phone: (651) 675-5675 I I~ Fax: (651) 675-5694 JAN 13 2011 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: GY/~ Site ddress: of Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: 3625 Applicant is: Owner . Contractor TYPE OF WORK Description of work: J L4aen-, La)?=Q 4;~& C Construction Cost: 66 o Multi-Fam'I uilding: (Yes / No ) 47 CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonerall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance i he approved plan in the case of work which requires a review and approv I of plans. x P"13, t i Applicant' Printed Name Applicant's Sign ture Page 1 of 3 f ' G C j~ ~ GAG c,tv 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 G 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 / g °,.w~ Occupancy RG MCES System Plan Review / Code Edition 6v ? SAC Units (25%-100% lam) Zoning- City Water Census Code L f 3tl Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction --`Y` Width .7 REQUIRED INSPECTIONS Footings (New Building) Meter Size: 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: - Footings - Backfill - Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEE /61m 4&Aox Base Fee 2- 66 Surcharge _ Plan Review - ,-ff- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink =7C~162 Clt ~ ~ I ~ Permit Fee: w I 3830 Pilot Knob Road Eagan MN 55122 I I Phone: (651) 675-5675 I Date Received: Fax: (651) 675-5694 staff: j 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant ln&y Suite RESIDENT / OWNER Name: r' V Phone: l e.J~' O l✓'~ Address/ City/ Zip: t CONTRACTOR Name: tsa License 0• Address: V ti City: State: Zip: Phone: V Contact: m6' mail: [ C VE TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: I_d m6 ft", iciisol ntotiiSti Md ui4""_ funf d)shec, liical kiiipment f equlred to by scc~aned by City t 6de.'Pled to tact the I :at5lea, Ihspe Wk T sr iitt"tlrrrtatinn c i>Pp tltted' sc r 1 ';rtsethdd : 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) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ ~ V TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 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.aooherstateonecall.ora 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 approved plan in the case of work w ich requires a review and approval of pl ~A x x n A/p{}p~li~c!(aht~'}sP}riinte«d Name Applicant s Sign re L r~ FOIE V/1'.[`1b3G tjrJ~ ~ ~ t ~ r ~H ~ yY; ~i 'T 1:` K r 1244Fltft In$pecttons: Under C3royitif Rouli , _:'Air Test Sertic®_, frt4)iiet,~1tJak k x r' }?i~/A~ScF Idt n' y fi'x'' PERMIT City of Eagan Permit Type:Building Permit Number:EA122290 Date Issued:05/02/2014 Permit Category:ePermit Site Address: 3625 Great Oaks Cir Lot:3 Block: 1 Addition: The Woodlands North PID:10-75890-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Audrey Flattum Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles P Smith 3625 Great Oaks Cir Eagan MN 55123 (952) 402-7127 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature �. �> r Use BLUE or BLACK Ink ,•T ----------, r : t� � For Office Use I .; � , �j �J � �[�.ri��V�� 1 Permit#:��"` C/ � C�ty of �a�a� uE� 1 � �O' � Permit Fee: b - I 3830 Pilot Knob Road � I � Eagan MN 55122 I Date Received: � Phone: 651 675-5675 � � � � � staff• Fax: (651)675-5694 L________________� 20� RESIDENTIAL PLUMBING P�RMIT APPLICATION Date: �Y Site Addres : ��w ` � V � � Tenant: � SuitE#: '��, �„ � �� , �� . �� `3` �� i'/1 x"'a 2 � .� �°�� Name: Phone: u,� ��,�Resid�nt/Owner,� � v��_ �� Address/City/Zip: � �� ,,�� , ,s �� . � " • Milbert Co� an Inc dba Gulli an Water� C641376 '�' a� ' - �^ Name: . _.. .. P.. Y g License#: � �� Inver Grove Hgts., k� � � 1:80r 50`� St East c;ty: �� - 3 �� Address: _. _. �Contracto� �� - .�� = Mn 55077 651-451-2241' �� ,� �� State: Zip: Phone: � >� �:�� . � � f.�� William R Milbert , ,�,..,.�, . : Contact: Email: � �;� �� , New Replacement _Repair _Rebuild _Modify Space Woric in R.O.W. � f sype of�;Wo " '�,�� ~ ; — �.� ��,�, �� Description of work: � � M . . � �� ,„ RESIDENTIAL � �yz f 1SU .Y � ��5� 4 Water Heater S �` ��. �;�, Lawn lrri ation _ �.Water Softener Permi T 9 (_RPZ/ PVB) � , ��.Y �.� Add Plumbing Fixtures(_Main/_Lower Level) �� Septic System �� M x �� ;; _New Water Tumaround � . ' ��,;.�"��`��: r.��_ Abandonment � � RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surharge) "Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as 6Uilt)(includes County fee and$5.00 State Surcharge) / /e , O O � TOTAL FEES$_� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receiVe locates of underground utilities: www.aooherstateonecalt.ora 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, buf only an application for a permit, and work is not to staR without a permit;that the work will be in accordance with the approved plan in.xhe case of work which reguires a review and approv I oi plans. - � (N�1� x�N�*f/��6/�� x _ ApplicanYs Printed Name App icant's Signature �� rw -..tAl�..�.� .„;. .�_..�,. , .�„�, i..��+ '.r. �..-.. u _... . . . - �FOR�OF IC S� ��' �� ewa,d y, : � � " � �Required�nspectionsr ��y� e ��ro ci� �_ a '�n Air es. rt a t s �a: �� N � �� . � , , .� �Me�e� Related Items� eter Size =adiq Le : o�e., � ° ��, M.4�.�:-� � t �,�.� _��.��,u,�� _ �. _,: ,..ri._ �s��'.. .,,., _, ... »._ �_,., , .,.x.�� _2�...�. PERMIT City of Eagan Permit Type:Building Permit Number:EA142708 Date Issued:05/15/2017 Permit Category:ePermit Site Address: 3625 Great Oaks Cir Lot:3 Block: 1 Addition: The Woodlands North PID:10-75890-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joey Spah 3625 Great Oaks Cir Eagan MN 55123 (651) 338-3660 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153344 Date Issued:12/11/2018 Permit Category:ePermit Site Address: 3625 Great Oaks Cir Lot:3 Block: 1 Addition: The Woodlands North PID:10-75890-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joey Spah 3625 Great Oaks Cir Eagan MN 55123 (651) 492-3591 Gladstone's Window & Door Store 2475 Maplewood Drive Suite 110 Maplewood MN 55109-0000 (651) 774-8455 Applicant/Permitee: Signature Issued By: Signature