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3889 Kennet CirCASH RECEIPT { CITY OF EAGAN 3830 PILOT KNOB ROAD - EAGAN, MINNESOTA 55122 ' , • DATE 19 RECErvEO j ? f11O1A nMOUnrr 7 ? 8 DOLLARS ,w Ij? CHECK ? CASH /\ wn'sl , - - ? 3 FUNO 08.lECT AMOUNT li , - - / Thank You BY C 016745 A While --- P8,? ?„ ? Yanrn.--pos+? ?cr Pink-Fila copy SEWER &.WATER PERMIT ' M CITY OFfAGAN 3830 Pilot,Vob Rd. Eagaq, INN 55122-1897 DATE 12-19-91 CHIP # +-- ----?+ METER SIZE ISSUE DATE PERMIT DATE 01106 PERMIT # 12474 B.P. RECEIPT #??, B.P. RECEIPT DATE.Q11 ?OSTER PUMP _ PRV _ SITE ADDRESS ??? ??t eAccia. LOT 19 BLOCK 3-SECISUB ?" pe- z APPLICANT: ':'ins tk*tlttnA ?. Il?C ADDRESS: 5202 ?_ Riveroad, CITY, STATE Eriley. Mn. ZIP 55422 PHONE: 571-0304 PLUMBER: 'Va,jlgV p],Xn+{% ADDRESS: 610 c?gek Lan! CITY, STATE IQKIda1. P'!n- ZIP 5535.2- PHONE: 492--2121 OWNER: T.l.A AGttltMA, xne. ADDRESS: `?r?] E. CITY, STATEF''"'id1ey, M?+- ZIP 555471 PHONE: _ 571-0364 TWO PERMIT RE(]UESTED I- SEWER x WATER _ TAPS - COMM/IND -X- RESIDENTIAL -X-- NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY UF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED NG. CALL 454-5220 FOR INSPECTIONS. FOR SEWER & WATER PERMIT CfTY OF EAGAN 3834 Pilot Knob Rd. Eagan, MN 55122-1897 . DATE 12-19-91 OFFICE USE ONLY METER#.]?2'7 l5 y? PERMITDATE 01/06/92 CHIP # 9- 74ole PERMIT # 12474 IWETEA SIZE RECEIPT #l?.n ISSUE DATE 2? SZ B.P. RECEIPT DATE 91146 L12 _ PRV _ BOOSTER PUMP SITE ADdRESS 3884 scon„et riralg 'y ?soa. Z LOTIZBLOCK3-SEC'SUB C+Arsnt-r APPLICANT: -' ADDRESS: 5201 E_ River nar7 _ CITY, STATE Pr'idlfv, Mil- ZIP 55,522 PHONE: 571-0304 PLUMBER: krall@.v PItmAhi1'xg ADDRESS: Iz10 Crrapk r.A•;p CITY, STATE Jnt+dan, Mn - ZIP 55,352 PHONE: 492-2121 OWNER: 9'ho Rottlura-Co ;Ae. ADDRESS_ 5?01 it.. Qiv?r Rc?r? CfTY, STATEFz'?-dleyo Mn- ZIP 55471- SEWER PERMIT REt]UESTED X SEWER X WATER _ TAPS _ COMMlIND -Y.- RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. 1 AGREE TO COMBIY WITH CITY OF EAGAN ORDINANCES NATURE WHEN METER'ISSUED CALL 454-5220 FOR INSPECTIONS. FOR STORM bx-3.ip -y? ? (gtr#tftraft uf (Orxupttrcry Citp of (tagart Eqwtnnd uf luilding ingprtivn Thir Ca?i'frcate &sued pursuant w the reqrrirenrerr#r of Sectlon 306 ojthe Urrifor?n Buildrng Code cer#fXnB'thal at!!u tane of Luuartce lhis svucwr+e Kns ln complianm wilh the various arlinanoes of 1he City regula&g building oonstruction or use. For the following. USeCw=iS=fim SF DWG/GAR BWg. Pa Nm 20012 0-0--s Trx R3/M 1 zonintD&rict R I Type coo. VN o? ?c e? Il1E ROrI II1II? m IlVC Add„:. 5201 E RIVER RID. FRIO[EY MOdi,,,a,ed,? 3884 MtET f."IfaE Luy L 12, B3, OCJVE[+TM PASS SRD ? ? 03/IQ/q2 &Ulcfina - officw Posr aN A coNSPIcx,ous Puce ?--?-•.?.: ,, . , . • a. , . ? 2/3/92 - REFUNDED $68.50 CITY OF EAGAN I OVEFi'PAi'tSFAIT OF FEES3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55' ? - BUILDING PERMIT PHONE: 681-4675 Receipt # _ To be used for S? ?/GAR Est. Value $100•( Site Addr ss 3889 !CE['110ET CIR Lot 1? Block 3 Sec/Sub.COVENTRY PASS 31 Parcel No. Name TlIE ROTTUIlID CO ItiC ? ,o,ddress 5201 Y 1tI1?ER RD aty FRIDLEY 1Rr Zp 55421 0 Phone 571-0304 ? Name SAta AddfL'SS P? citY ZP I hereby ac information Signature of Permin A 8uilding Permit is on the exoress com read this application and slate that the to comply with all applicable State of gan Ordinances. ?d to: THE ROTT!'11ND CO INC that all work shall be done in accordance with all sota Statutes and City of Eagan Ordinances. ,. ? - OFFII Occupancy R-3 !!-1 ?I ZOning ?? (Actuaq Const (Albwable) Y? - # oi Stories length .? ? Depth - S.F. Total - S.F. Footprints _ On Site Sewage - On Site Well ? MWCC System { City Water - PRV Required - Booster Pump - 0 0 12 .,7-%.-.? , Bklg permit --- _ • - 50. Plan Review 4 ]. 6 . 00 00 5 Ucense SAC, ciry . 1 00• 00 700'00 SAC, MCWCC WaterConn 675•00 45'00 WaterMeter 30.00 Acct. Deposit 30•00 S/W Permit .50 S/W Surcharge 300 . 00 Treatment PI 380.00 Aoad Unit Park Ded. ? .50 Cop;es $3, 4Z2.,00 ? TOTAL ' 'i r , Permit No. Permit Holder Date Te40hone X s/w ,,11 PulMaiNc HVAC ,Qaj ELECTRIC uv, ELEcTRic ,391V 4mspecHon Date Insp. Comments Footings I Foundation Framing 2 - 92 5` Roofing U Rough Plbg- Z l[ Z IJ.? ? r '^ 7? .Q/ Rough Htg. Isul. Fireplace Final Htg. ? 4j fJ Orsat Test : • Ii Firal Plbg. Plbg- Inspectw - Noti(y Plumber Const. Meter EngrJPlan Bldg. Final 3? - 2 Dedc Ftg. Dedc Final weu Pr. Disp. ?--?-44 1? 3v Sl or,? ` t,?Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 4 i Y I ??r F l l k}-fjS ,` 1.' 69 E? ? SITE ADDRESS: ??, ? ?,,; i?,? j APPLICANT: , , r?. , • ?. rK , ? , ?,. ;?..? ,, ,i!:'! f'?) i r r 1'ii'. ? :f;ll I?•'.? I r i?2:si ?l?. . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .• ?.,... ,:,,,.? ?,. ,.?, .. - . ,...?. M0) 3\ ov ? ?? ? ? Permlt Holder Date Telephone # PLUMBING HVAC Inapection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFiNG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OFSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG ? DECK FINAL DATE: JAN 6, 19 RE:' 3889 KENNET CIR (THE ROTTLUND CO INC) 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 meler is picked up. BE SURE TO CALL PUBLIC WORKS (454•5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer 8 Water Permit for the above property cannot be completed for the follo.wing 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 Depl. Address: 3889 KENNEy CIR!II.F Lot 12 Blk 3 Sec/SubrpVENTgy pASg 3PD These.items ware/were not complete at the time of the final inspection. a[ : 03 19 92 Yes No Final grade (6" from siding) Permanent steps - garage Permanent staps - main entry Permanent driveway Permanent gas Sod/seeded grass • Trail/curb damage Porch Basement finish Deck LlO Please varify vith tha bullder 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. ? rccmEOxn? White - City copy Yellow - Resident copy Pink -,Contractor copy ?/3/9z-????t,c.Q-?6 gSO bCIMO-F'AGN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727 P;Q0 012 BUILDING PERMIT PHONE:681-4675 Receipt # 0, .7 ,./T . ? Tobeusedfor SF DWG/GAR Est.Value $100,000 Date JAN 6 , 1992- Site Address 3889 KENNET CIR Lot lZ Block 3 Sec/Sub.COVENTRY PASS 3R Parcel No. NafnB THE ROTTLUND CO INC ? Addrresss 5201 E RIVER RD ? CI(Y FRIDi.EY MN Zip 55421 Phone 571-0304 ¢ Name SAME ? Address ? CitY ZP Phone ? License # 0001335 I hereby acknowlege lhat I have read this application and state that the intormation is correcl and agree to comply with all applicabie Slate of Minnesota Statutes anTtl City of Ea(?ga?n? Ordi?nances. Signature of Permitee ' .n/lAk.(J n Buildin9 Permit is issued to: THE ROTTLUND CO INC on the ezpress condition that all work shall be done in accordance with all applicable State of Min/n?esota Stpatutes andyyC,ity of Eagan Ordinances. 8uiltling ONicial ? J lll 11.0 ,( .? I11 ? OFFICE USE ONLV FEES OccuDancy R-3 M=1 $ 640.00 Zoning R-1 61dg. aertna IACtuaq Const 50. 00 (Allowable) VN Plan Revim 416.00 # ol Stories 46' Ucersta Q 5,0 Lengih Depih -5 L, SAQ City 1 OO.OD S.F. Tolal - SAC, MCWCC 700.00 S,F. Footprints _ OnSiteSewage _ WaterConn 675.00 On Site Well Water Meter 95.00 MWCC Syslem X Acct Devosit 30.00 City Water X PRV Required _ SM! Permit 0 30.0 Boosler Pump - S/W Surcharge .5 ? Treatmem PI 300.00 APPROVALS Road Unit 380.00 Plenner - park Ded. camcn -- 50 BIdg.011. _ Copies . $3,422.00 Variance - TOTAL ?? :EOUESTnFOR E?LECTRI?CAL INSPEICTION •7 ?i 0 73963 °x° Below Work Covered by This Aequest EBODODi0p8 ew Add•i Rep.? . TypeofBuilding AppliancesWired EquipmentWired NJme I Range Temporary Service Duplex Water Heater Eleciric Heating Apt euilding Dryer Other (Specify) CommAlndus[rial Fumace Farm Air Conditioner Otner Ispecily, GonVacmr's Femarks'. Compute Inspection Fee 8elow: Other Fee # ServiceEniranceSize Fee # Circuits/FeedeB Fee Swimming Pool O to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps Signs inspectar5 Use Oniy: TOTAL Irri9ation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Ro?9cm oaie Certify that the above inspeCtion has been made. F;nai ( oate 11-1,414 OFFICE USE ONLV This request voitl 18 mon[M15 Yrom a/? ? p 7 963 /,2,Q3 Requesl Date np Fire No. ugh-in Inspection quiretl? ?dy Now ? Will No[ify Inapector - D? 1 Z =Yes C No When Reatly? I?<censed contractor ] owner hereby request inspection of above electrical work at: Job Adtlress (SVeet Baz or Roule Na.i 3 8'g9 0, City Seclion No. Township Name or No. Range No. Coubt\\? • Occupani RINT? Phone No. Power Su Atldress Elettncal onVec[or ICOmpany Name1 Conlraotor'S Goense No. I 413 Mailing A tlrass rCOnVaclor or Ow r Making Installalioa. Fmhomeo Slgnawre IContraclo king Installa Phona Number 4?3-3b?"?b _ MINNESOTA STATE BOl HD Oi ELECTPICITYTHIS INSPECTION REOUEST WILL NOT Griggs-Midwey Bltlg. - Hoom S173 BE ACGEPTED BY THE STATE BOAqp 1831 Univereity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plwne (612) 642-0800 ENGLOSED. ? 6, / y-;Z- p 3 9 7 0 / I?3 ?o??? . ?? . /050?/ ? Dev Reques? Date ' ?? J Fire No- Rougl In Inspection epui tl? _ es = N. ? Reatly Now '?VIII Notity Nspector When Ready? L.?censed contractor ] owner hereby request inspection of above electrical work at: Job 4tldress (SireeL Box or RoNe No I 3 gg9 ??- ? Ciry Section No. Township Name or No. Range No. Coy?yy pccupantlP NTI Phone No. Power Supplier ? N Aetlress Eiecv¢al C!ractor ICOmpany Nanmei^ `W GonVactor5 License No. ¢,) "a Mailing Aotl ss iCOnVactor or Ol Ma¢mg Insiallationi Autboraetl SiSnaWre ICOnlratlou0wne aking sl Ilalior., ? Phone Number MINNESOTA STATE BOARO OF ELECTPIqTV ? U THIS WSPECTION REOUEST WILL NOT Gtlggs-Mitlway BIE9. - Room 5473 v BE ACCEPTED Bv THE STATE BOARD 1821 Univerg0y Ave., SI. Paul. MN 55104 ' UNLESS PROPER INSPECTION FEE IS Phane(612)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 7 ? See insimctons lor rompleriiy iFis iorrn on back ot yellow copy ? 73970 "X' Below Work Covered by This Request EB-OW01-08 ew Add Rep rypeoiBUiltling AppliancesWired EquipmenlWired Home Range , L-D Temporary Service Duplex Water Heater Elec[ric Heating Apt. euilding Dryer Other (Specify) Comm./Indusirial Fumace Farm Air Conditioner ONer (syeafy? Contractors Remarks: Compu[e Inspection Fee Below: u Other Pee a Service Entrance 5ize Fee # Circuits/Feeders Fee Swimming Pool ? 0 to 200 Amps ? ?}0 to 100 Amps Transformers Above 200 _ Amps Above WO _ Amps Signs Inspector's Use Only. TOTAL Irri9ation Booms 70 ,o?f' -7 QS° Special Inspection Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHI MON I, the Electrical Inspector, hereby Rouqn-m oa?e = J certify thatthe above inspection has been made. F;,,ai oa?e - ? e OFFICE USE 3NLV Tbis raquast vaitl 18 monihs Imm . . toolt 1991 BUILD r, PERMIT APPLICA2ION CITY OF EAGAN SINGLE FAMILY DWELLINGS MfTLTIPLE DWELLINGS C0MSERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUI.ATIONS (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. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[JST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS.Lz^SUEDs PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED YLT7MBER. OEC .? 3 To Se Used For: G46GCF &M,' Valuation: jecR;MM;e Dat?? 9(qi Iy? Site Address YWuE-r G? OFFICE US$ ?DO? ?13 ? Lot 1?- Slock -t Parcel/Sub (?-A Ag7-PICY Owner 'Zft po`TfLlykl2 Gm . -/ //C Address S'IUJ ? Pe? City/Zip Code fe=IbLey, Phone ?lt- O?ot{ Contractor ('ct c ene.e * Addres City/Z Phone Arch./ Addres City/Z Phone # Occupancy Zoning Actual Const A1lowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. Variance FEES R-3M Bldg. Permit y0, 0 ? R-1 Surcharge 0, Z V- Plan Review ? V-n snc, City ? .bD 5AC, MWCC (p O O t4 (e41 Water Conn. ,$Q.' Water Meter DD Acct. Deposit 3l .DO S/w Permit S/W Surcharge Treatment P1. , U Road Unit p, o ? Park Ded. ? Trail Ded, Copies . Su _ l.ieex9eVe49d}iw SUBTOTAL Penalty - Lot Change ? _ TOTAL Jin = 3 ?/ / A_7J _ _ _ _ _, ?- !? ti,. .r.t?? _ , ?XV--, /-- agrees that all work shall be done in accordance with V?ri/ di)AW ?? (/(S gna re of ontractor) 75.oa RS.a ,/Aa 050 .00 a, all applicable State of Minnesota Statutes and City of Eagan Ordinances. (? aRAar ,?Lo }C ?Q FL/Qio x15 rF 6 L7 ? a6xti6.? 13ya? , 1 > F ?r ?)9G IUy ? S`T FLOOt'Z ?a v *t 1 '- f 31J", •".? I'?zn7xt= ZI . ?- , : ., 1316 x 37 ? .. ? .? . ICI ??v* d?Z IOJ?tJou? I Pionavr En ainvQrins- 6819488 P. 82 I ? * . . . * * 2422 Eneerprile DcW! # PI??3ER s++wocraa.awL crqwma MwdotaHaighv.MN45t20 en9i* eer4ng.. •,••?••^•^?-•••?•,•??? 16121 sst-19ta ** * . Certificate of Survey for: T}1@ ROttIUf1d Companv,_ 1nc. Model Name: Ashlev_ 1 ? .. V 1 I I I I l I i I 1 l I . I S gg*38'44' W I". n f 25 ? 148.00 ' ? szss , m 30LOO, r----- ---?-- A ---^---- - -r----i ?? ? %I nl ? S ? ?I W 1 ? `^^ oc ) ?° ? i? L0 z , f + ? f J j ?-- Ib ?i J I -- z? ?`?`` IR R{ 1 ( f R ' Z ??' 7 'I -?? 4 ?`??`p• ?'? ??` {??ra v q %? 1 St -? ?28S?4y• ' ? ?? ?'` / r i -- ? . R s 20.00 1 ' r B ? ? N \ ? N • 90" Oerotes Exusting Elevation •? Denotes Proposed Elevation --_ Denotes Druinage dc Utility Easernent ' Qcnotes Dranaqe Flow Directwn =-0-- Denotes Alonument -e- Denotas Offset H . 2 `?a`?I? .?1lTG%ATE??IIVE? DE? ? .? 1 ? \ PRQPOSEO HWSE ELEVATION Loweat Floor Etevation:885.45 Top of Block Elsvatiat?:888.6& Gqrage Siob Ele+nation:888.33 u a Bearings ahown are assumed LOT 12, BLOCK 3 COVEN_TRY PASS 3RD ADD. wucorA' COMTr, fiNNt&9osA 1. hv?blt artlh Mn ddc cmnr. vlan anomt waz ed M uva eM 1wr ar rv eune of 1AirweM. tirw M??y„, w- SCale: ix &.3otma A601t.r.d laM'arYeyor ml s1is4.27 F_(TF.tt iQR F.trvF.i.nrF. Avl•:u?1r,1•: "u" CuFtPuTnT10:1 ? ONN r'.R - CTTE ADDRFS$ h0 I 12 LOG ? CC/U ? ' ?Y1, A rtO . CONTRACTOR RD?LVA/0 GD _ DATf. Pi{ONr- Determin vorkinr;-square footv: . c of cach. ? 1. Total ezgased vail area .. it;. 3?sq. ft. x O'll _ • 2. Total roof/ceiling zrea_. g? sq. ft. x 0,026 _ 67 o • . Total exposed wall arca nbovc floc+ r a. Total vall vindov area ................. % ..... b. Total daor area .. . • ...... ........... C. Total sliding glass c'oorarea .......... .......... ........... d. Total fireplace va7.1 area .............. ........... - e. Total vzll fraving area (average 10OA) .. ........... / Z Z. U?_ f. Total net vell area above Sloor ........ ..... ...... . 7 /0 . 8• Total rim Joist area ................ . ........... -64.le • Total exposed fai:ndation arca = ??, (e h. Total founde:=on vindov area ............ ! ........... i. Total net founzation area cbove grade .. ........... ? . Beter.r.ine "U" va1Le o: each wall s rf;ment. a. IIY• ??Un 4?TL _ ?'( ?? , V C . .. ? Z, 7 b „ p43 s U x . e . C. 317,37 X .,U„ o.g2 . • = 78 . . d. ?- X 'Pul. , _ -- . ? Z Z? fOZ X-..U,. e. `01 // , . /to 3?IrG r X .. 8. v 9. L x.,1,,. . h. x ..U.? ?_ _ • ?- ? & X s . . ............................... ?oL,l _ / . C. IY item'N3 is the same as, or less :.ti:Ln item dl , yoti nwvc met the inter.t or ssc 6oo6(c)2. . E ?? : , Total exposed roof(ceilinr, nrez `l . . ? . .. . • Total gross roo^/ceilinf; are:i J. Tote1 skylight area .......................... - k. Total roof/ceiling framind area............... 1. Total net insulated roof/ceiling ¢rea ........ GF-r; _ Determine "U" value for cach ruaf/ccilint; :,c;gment. J. X nUn ? k: q?• ?i X„U„ - p.0 Z7 = Z,SCIA ' X„U,. p• a zZ =!? a . ............ . ................:. Total IS tot a2 oP N4 is the same es, o: less than N2, you have met the inteat of s3C 6oo6(c)1. . , To utilize the total eavelooe syste-- nethod, the values establi_hed by tFe sum of items 93 and @b shall noL be 6reater.thxn the swn of iten:s 11 and N2. 1. ' ? . 3. . + 2. :+ • ? f. . • • '• 1 O a . ... ? . ' . _ . a GA l-GUI-ATIo N?7 (GcNT) . -MAMt?- WttU. @ I N?..I ?ATI?N . LoMPoN?r4R u ? ? ? ? a1.IIElGV AIfz Fil.Jvl ?hp ?aof t-?c.. - - =?%i lNSU?A?I?• raD, (??IrJ? fUfy ?ILNI, R-VALUE -- D, f"1 - - fq.G ' o. ?5 -.-- ---Q, Co G7 --FFAW wAu. c. ?Tu, - Pl.?N• yl?ti?. C C? C Cf - C C LoMPVN?NTg o_u'r-!;ioE Rjp- Rt.4m. hioiHw. 5NE5A1H1N?i• XL hll.lD (FW*MFt4? e?o- iNhio? Mp- Rl-M. . - - F--VALUL -- --0.1'?.---- - -- 2 .OLr _ - ,_-?g ,--- __.._-_ o;?? ---_ - -- . o• - - ? ? i u = - I ? D. 089 . Kltv?L U=?0,12 X o.os9> -r'?o?8b X o•043? = O• o4-7 ; =-- 0 ? ? ? ? 0 -- ??=?i? ?-H?,ATH ?j; 0 =a_- ?=f 0 ? 30 C` CoMFbN?N'? .-- {is -- Fnt7•_ ?.- -_°_?_?.-__-._ _ Y ---'- __..?. J __ I _ -- i i i ? I = : O.0?1: ?? r; ; __...? ,. ri_... , -- -?'-b-b_-- ----- -- yj,-UselwlY a' LZo ?o =?? =h - --?,? --_---? . ? --_ r _???o?•:.?aa=? O O ? ? ? -?.N ?NpdV?? i czTV or- cFicaN CASH'LFR: S TERNINAL N0: 780 DATE: 0808/:38 TIMEe 007o35 IIi c NAMF;; DONALU J. 41HI7E :321.0 9001 3883 K[NNET C7h 50.00 P:I..JJ 3001 38$3 Y,FAlNF_T CIFi 0.50 7o+,a1 FieceiF,r, Art?oun+,: 50.50 CfiU36266 IJSFR :f.11: NANCY ?Ci X(?YnY6>%?k??c9F>XKCY?Xt?X?X>X>k>k?t>kRcYR?k?>k%??X?AY%<aYkc?C?%?F:??k# FERMIT ClTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B U I L D I N G Permit Number: 0 3 2 9 0 3 Date Issued: 0 8/ 18 / 9 8 SITE ADDRESS: P.I.N.: 10-18402-120-03 3889 KENNET CIR LOT: 12 BLOCK: 3 COVENTRY PASS 3RD DESCRIPTION: Bu,i,-:ldirtg,„ Permit Type Build'ing 1+1ork Type 6Census Code ' rvb /i - \ J I s, ?.,. sr . DECK NEW 434 ALT. RESIDENTIAL s? F Y'vcL_ :A REM#?SREVIEWED BY JOE VOELS. FEE SUMMARY: Base Fee _ $50.00 Surcharge _ $.50 Total Fee $50.50 CONTRACTOR: , WNER: - Hppiicant - HITE pONALO 3889 KENNET CIR EAGflN MN 55123 (651)688-0632 I T h2raby •ackritswYedge tha:t I have read this epplicatton ?and staCe Chat 'ttie information is correct and agree to comply with a11 applicable State ofi Mn. St wtes d Caty o'F Eagan Ordi.narrces. L AP L ANT/PERMITEE SIGNATURE SUED BV: SIGNATU E J , , • 15+98 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PII.OT KNOS RD - 55122 S 3?aq 0 3 ? 681.4675 -4 Mew Construction Reouirements RomodeVReoair Reauirements ? 3 registered site suraeys • 2 copies oi plan ? 2 copies of pians (inUude beam 8 windoxr sizes; poured fnd. design; etc.) ? 2 sda surveys (eMeriar add'Rions & deGcs) ? t energy wlculations • 1 energy wiwlations for heated additions • 3 copies M tree preservation plan N lot platted after 7l1/93 required: _Y No jJ. DATE: D I L q? ?ODO CONSTRUCTION COST; ? DESCRI ION OF WORK: TL C!1 ST"tT ADDRESS: 309 F'am- LOT: BLOCK: 3 SUBD./P.I.D. #: c n V-2 ViY ? Po?SS 3 r PROPERTY OWNER CONTRACTOR Name: W r' / m b0f 1i7 Ljb Phone #: 6J r O?p 3 Z Last First Street Address: ? 0 v I &&/N6 T &lXG t L ciry state: rl?l/J zip: Sffeet City SE LF ARCHITECT/ ENGINEER Company: S?L F Phone #: License # State: Zip: Phone #!: Name: Registration #: Street City Sewer 8 water licensed plumber (new construction onty): and lot change is requested once permit is issued. State: I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: USE ONLY Certificates oI Survey Received _ Yes Tree Preservation Plan Received _ Yes _ No - No - Not Required Zip: Penalty applies when address chang and agree to comply with all applicabl BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. O 10 _-plex WORK TYPE ,,,?1 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY 0 11 Apt./Lodging ? ? 12 Multi Re-pair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 0125?15 Deck O 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MCNVS 5ystem _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. l.? _ Footprint sq. ft. SAC Code ?L Census Bldg ? Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k 5AC SAC Units I • ? Wosrks (R), Knox Lumber, # 234, Phone # 452-9100 weu Aug 12 13:00:33 1998 Plan ID; untitled Deck Layout See the Specification Sheet for More Details ???f gq h? ??r( RU.s01A?F00s 2,s- CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH IINIT. -------------------------------°---------------------------------- WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME : lv?. SITE ADDRESS: 3s '1 LOT:? BLOCK ? SUBD. INSTALLER: V A???.? \ ?b? Cn ADDRES S : - -- _ _ Lk l (1 C.\? ?-?'C L ? CITY: 7. ZIP: PHONE #: y`O'-I 11N ? COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL 1 ADD-ON MINIMUM 15.00 SHOWER 3.00 3 - - WATER CLOSET 3.00 y- ? BATH TUB 3.00 3- ? LAVATORY 3.00 (- ' ? KITCHEN SINK 3.00 }- ? LAUNDRY TRAY 3.00 3 ' HOT TUB/SPA 3.00 ' WATER HEATER 3.00 1- ? FIAOR DRAIN 3.00 >` GAS PIPING OUT. ? (MININRJM - 1) 3.00 ? ROUGH OPENINGS 1.50 ?1--_ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ 3 7 ST. SURCHARGE .50 TOTAL: $ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WNTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: ZIP: FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ $_ STATE SURCHARGE $_ TOTAL: (SIGNATURE) CITY OF EAGAN _#: lnl- FOR CITY USE ONLY PERMIT_ # RECEIPT # DATE: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -------------------------------------------------------- WORK DESCRIPTION FEES NEW CONST ? ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 ? GAS OUTLETS - MINIMUM 3.00 ... ? OF 1 PER PERMIT OWNER NAME: SITE ADDRESS:, X I LOT:? BLOCK ? SUBD. INSTALLER: ADDRESS CITY: ZIP: PHONE #: kt>Ha - I 1 w? SUBTOTAL: $CV f? STATE SURCHARGE: .50 TOTAL: $&D_,5D SIGNATiJ E OF PERMIT EE ( _?7 - ? 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: $LOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP; PHONE #: FOR: FEES 1% 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 , n Y ; 856 7RRI5S Gii"GES "TD ?fiP C40PA $97ARJ136 . 74I5 y'2USS MAY 8e CuT' A-+ S3y0u)N , PPbwOZ P"L?rT PtRc.A FoR BMA(:rML. 3? g9 Keh??i- ra 3 Kss 3.,cP T Si.7 ? e-?-? ? r-ohmZ '0 -FVP MaAR.fuQ E1cCEPT W HEflE SMOWK ALL P[NM TO BE .-WOOD 7A7SR SlSF81C4- 9- 0• ? 1'lI'1 3-I1-1U 5-j1- 7 1_ k0 I HerebY cer6"y tkias tlsts P?n, apac3iatliora or iapoM1 was PraPereE trJ me or undar my dMaa eipaMsion .rxE ffiad 1 sm e d* Regh[ersd Prataasbnal Enpt*er undws!e,, Jfavw GAsfid? ?5ia.ee d i?nnewss. ? ?o.? pmeo 9-17- 97- Fep ft S2il8 7-01i 3 4 ?- 7,37[6.6 ? TT ? 3X4 !X4 3]C4 gY4 axa ? { ?? G,uT '?l?tfSS Or-F j ? ?J 9s72 ? 7•714 45RN5.50' 4S2.?E6?" ?Q 7-11 t -L ? A GOPY OF THIS tlRAWIPtG TG 6E QNEN TO EAECTfNG OON[pACTOA GmG w,uwnca ?, faafraea.?v?f.x?aJo?aua7tav ?yr? ow`emJv?Alk°b?r fati???PdFa&.av so?sPwa?+byir? ?i+d?s?"ev. pw,o.r d YU 1 eef ??y?p ? I ??[? p?IMd1[?Wibyi? ?S1S. NfIY1RO'?y /bNAA AYN5+,?ym /NiAf ?adw??k/? ?d7A'??finer?.w? ?.as6v F^?adn w.??bY dwaefttrewrm?m yd?cle.pM. p?o::everaaew+reawei.rlru?ineaed duernJonwtwmu x?en:p?dfbwu',s74.=u teMstipmfjaibemWudeveWd6?aky? ddS? ?a+amd ?773RF'ud`NbSJTei?im Ad6Lmd? dlievaQwmvaaryMxM ? dviWd' ma?O?bf=?'fA+R+.ioFa??djn (9vRIH-0Iq{YP1?.Fw? ew Iul^P.tlrirdd+i+f rafr?e?w.si?d.eedeei? mibtt? emF1o.! ' ? .++? ?Jawarinal"'^°Of1w'dt7mdaoLhrfwdv.fw ?SBDMmJb??SPLmvm13f19} Jsv?n6awewLdr?1?°J??D?l?mweP??DJ!b 7C {,ive 40.0 PSi TC Dmd 7.0 pef 8C Lhc OA p9f ec oead 16.0 pst TdTRL 67.6 pBI LO/W OL1R FAC: 1.0 SppCING: 24.0' BCim - 0.3756 „sd ey: w ietl8y: 5-18-22 ioAss+-378ao "' u d i N i N -n ? 0 0 ? 0 ? ? C ? m a b x 0 ? w cri rn ? ? 0 ? -t I 535 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 110.60 Date 1 I Site Street Address ?> f?4..k u?? U? ? Unit # Property Owner Telephone # ( 959im]:?5 1 ? Contractor p?N?.11`a1 WE'Q?j[ Telephone# (lala)W1'6aLOO Address_?vl? Cityfll,L??iV?SG-0,_ StateN\Q Zip The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next seciion if installing these appliances). _Septic System Abandonment _Water Tumaround (add $125.00 if a 5l8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement ZLawn Irrigation _RPZ ?PVB ?ew _repair _rebuild $ 30.00 State Surcharge $ .50 Total $2)0-5d I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be. in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. . c? ?I ApplicanYs Printed.Na'me? ApplicanYs Signature i'Gv -: L. . . ' Oq~a~11 Sow For Office Use City Ol Eap ~11 Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - - - J 2009 MECHANICAL PERMIT APPLICATION Date: q ° IS-0 9 Site Address: 316?9 KF-N N`t. T CI RCUi- Tenant: Suite RESIDENT / OWNER Name: R L)LA bp"r-u , &F- Phone: 1051" (DS-6-91011P Address / City / Zip: 3$ q KF-N W t,-T G.1 U-Lt- ZR&A t.? ['A)J . SSl-L3 CONTRACTOR Name: f i- AQ-'L 1 IC A,; (t IQLt + k~t- - me License Address: q3c-y3 ` LYmO,;"IkA AV-r. K. City: (,0L-i&t4 y tea!- -lr State: MIS Zip: 55141-" Phone: 163-54 Z- I \ Iola, Contact Person: IF(L\E. ~\t TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Both roof mounted and ground. mated mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement V 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) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 50 . 0 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 = $ State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 byNNOS i -1ot~PS~ 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 - - - - - - - - - - - - - - - - - I For Office Use City of Ea Permit C~ E I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Receive Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ic, Dater v~009 Site Address: 3w / A ='nnC i Tenant: ~Dy P<_o Ig- 6-:4 -e-d- 4- Suite RESIDENT/OWNER Name: t:)00a 4* Pam ~O_ 6cLe.J ++e Phone: (OS 1 -4.; 3 - ! 12 Z 1 Address / City / Zip: 3889 Ka_y., ,,eJ- cz P, Applicant is: Owner Contractor TYPE OF WORK Description of work: (Ikw ~2C,~t ~c ,~g: $7T fS sec k R o Construction Cost: 000 Multi-Family Building: (Yes I No X) L c t CONTRACTOR Name: JCo~ Zee-,%A-I cr^- Q6/%5 ~ruc t : a-1 License #:c;2o& 3 7 Z Z~ Address: R D I Z I Ste` ) tL)e So. City: State: 1' vJ~ Zip: Phone: 61 Z S-98 - ZZS 6 Contact Person: ~G® 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 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 fora permit, a ork 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 ap ov of plans. xcJ S 1 ~~IV~ x i~ L Applicant's Printed Name Applicant's Signature Page 1 of 3 i 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%100% Zoning City Water Census Code 7~ Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width 77 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: Erosion Control r Reviewed By: , Building Inspector RESIDENTIAL FEES Base Feet - ' Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 I f - * t 2422 Entowlse Drive tau suwartYetlRS. cJ wt t Ahn,d*U is nights, MN SS 120 ~ 4.YtC,~}~+C1@~@#` C~•,• '~•no.wr+w~orss..,wr~wx.~re~ous~~ (612 $81-1$'i4 Certificate of survey for: The Rottlund CC7mpan-Y Eng. Model Narrte: Ashley ~ E l M 1 S 84~3 44 1N 1" rs ! 2:5 14.x' _ y L ea 3 _ } LJ' ~y ` I l -pq i CJ f q--, cc V CLe 01- a rn ► t [7 i 6" Ig A; J-) 104 Q 211*Ok ~N to ERG Use BLUE or BLACK Ink RECEIVED I For Office Use I r 4©F � /Lf74 -s C is '` ,, ° , , Permit#: � I 7/- Q�1 Permit Fee: s 14 ",°t+s o`�4 Date Received: //r---9 �1-I 71 3830 Pilot Knob Road ( Eagan MN 55122 Staff: 0 Phone:(651)675-5675 I Fax:(651)675-5694 buildinainspections@citvofeadan.com 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 Z)v I i t 3- Site Address: �J�RQI el wide. unit#: Name: ,2t,__-1— i .Id- (,- T`C:-. Phone:(o - LiAS-/t36 a Resident/ Owner Address/City/Zip: 8c69 4' i )„,..l °Qc- f 14") . s f z- , pApplicant is: Owner I.-----Contractor . Description of work: '-ev\ .. � 1 +.44 .' \ f -t 149,4 ' "" -tom;Tye of Work , .. � ,._T...G.,_ ' J)Construction Cost: 7__ t)c'7 Multi-Family Building:(YesI No ,t i / Company: —1 � t. t--,i i te.40fLae.t, 4,. Contact: i cj - lIr e)a ?4 Contractor Address: $'- S f.127I City: £ fir State: ' Zip: ) 2-7 Phone: 1 -ZZe` - sl Email: —I w f-,F i 6 r:kicl : License#: 3G 3 51?0 3 5 Lead Certificate#: if the project is exempt from lead certification, please explain why: 1 0 ii.,7 /4) cl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that theyare trade secrets You may subscribe to receive an electronic notificationfrom the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DiG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.orq I hereby acknowledge that thi 4nfomiation 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 appllication 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 t1/r� zL std % f,,"° ;. X Applicant' rinted Name Appl'--nt's Signature Page 1 of 3 C (YID() NOT WRITE BELOW THIS LINE / /7 /i SUB TYPES 'Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex 4t Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement Siding Demolish Building' Addition _ Move Building _ Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant • DESCRIPTION Valuation 12, cV Occupancy 7p . _I MCES System Plan Review Code Edition AGS'' SAC Units (25%_ 100% d) Zoning A-1 City Water --- Census Code k 34 Stories — Booster Pump # of Units / Square Feet — PRV _ #of Buildings 1 Length -- Fire Suppression Required Type of Construction Width , REQUIRED INSPECTIONS Footings (New Building) Meter Size: _ Footings (Deck) Final/C.O. Required Footings (Addition) le Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final vte Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath Stone Lath Brick_ EFIS Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control 0- Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES - // x9113 ti Base Fee 4 - G �� Surcharge Plan Review Pi 3 MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office Us : I1 � ��3 Permit#: 1) ,,„,„.., ......._ (pc)d,- Permit Fee: Date Received: 3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 i FAX:(651)675-5694 Staff: it r g M.tor s@cit fe gan.corn L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: D Site Address: f Tenant: Suite#: ResidenttOwner i Name: Phone: Address( ity I Zip: / `� 8-1/ 61-1-- i IName,. J .-t't / / t license#: Contractor r Address: City: d� G e a Stater ' `'L Zip: f Phone: `aLS' R i r Contac (J t • t tee-61-4-7 •Email: da ti c - �?/l �//t i IType of _New eplacement —Repair , Rebuild Modify Space _Work in R.O.W. i Description of work: u ° RESIDENTIAL ) Water Heater i s Water Softener 3 Lawn Irrigation( RPZ/_PVB) Permit Type Septic System I Add Plumbing Fixtures( Main I,Lower Level) i ) New Water Turnaround • 1 Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) I $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) i *Water Turnaround(add$280.00 if a 3/4"meter is required) ` i $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ (4 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,aoonerstateonecallg 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 .city afearkar.z.€arntss t scrilx . 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 jAi'Lec '-t ed plan in the case of work which requires a review and approve of plans. x )AAUit'. x f l i' Applicant's Printed Name Axppit ant's Signature FOR OFFICE USE Reviewed By: , Date: Required Inspections: Under Ground Rough-ln AirTest Gas Test. Final Meter Related Items: Meter Size Radio Read Manometer Staff:___