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3070 McCarthy Ridge Rd CITY OF EAGAN 1 i! 7 Q 3830 Pilot Koob Road, P.O. Box 21-199, Eagan, MN 55 121 BUILDING PERMIT a "' _ 7? Receipt # Q Te be wwd fer Est. Volue 72 Date ?7 4 19 `5 Site Address Erect ? Occupancy Lot - Block i' Remodel ? Sec/Sub. 2ooin Parcel No. qepair ? Type of Const. Addition [a No. Stories N?^Q Mave ? D li h ? Length Z ? Address emo s Int Impr. ? Depth gq, Ft, City Phone Install ? ? Name i? Address ? City Phone ? W Name F Address utg ? W City Phone Fees Assessment _ Water 8 Sew. Palice Fira Eny. _ Planner Council Permit Suroharge Plan Review SAC Water Conn. Water Meter Road Unit Tr. Pl Parks Copies T???1 . . . • ..Y . I hereby acknowledge thaf I have read this opplicotion and srote that Bldg. Off. the iniormotion is correct and agree to comply with all opplicoble APC State of Minnesota Statutes ond City ot Eagon Ordinances. Var. Date Siqnoture of Permittee A 8uilding Permit Is issued to: oll work sholl be done in accordance with Buildiny Officiol on tha express tonditlon Ihai State of Minnewta Statutes ond City of Eoqen Ordinances. Psrmit No. Permit Holder Date Telephone * Plumbing H. V A.C. El?etrie Sottenar Inspae[ion Date Insp. Othar Footings I 777- ? Footings 11 Foundatlon Fremfng Rooting Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. Final Plbg. Fin.l . iG lu, c.rvocc. Wate? Describe loeation: Well Sewer Pr. Dlsp. M 4 .?. _ ?U MECHANICAL PERMIT PERMIT # RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /r?? ; CONTRACTPRICE: 7 op PHONE:454-8100 Site Address ?7,9 ? 'C'-?/' - • BLDG. TYPE WORK DESCRIPTION ? Lot , '-%=r ! Blqck C? Sec/Sub Res. ? New Mult Add-on ? Name PL, .•+% , L . ,Ovc co Address ? f??1?t,r/?f .d>• Comm. Repair c City Phone y Other is"= i sGS ' FEES /? 4?fi Name ' il-? ?o?K 00 • HVAC 0-100 M 8TU -$24 RES c Address . . ADDITIONAL 50 M BTU - 6.00 p City Phone y-r y k? (RES. HVAC INCWDES A/C ON NEW CONSTRUCTION) 50 EA MINIMUM - 1 PER PERMM - 1 GAS OUTLETS . . ( TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air 1 ? M BTU /? ••? APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONOOS - HES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 6 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) Other FEE: /2, o r-- . 1?•f.•.4 l : ??'/iiy?-l.<FL.. , S/C: • 0 SI.dNAT F E f TOTAI: FOR: CITY OF EAGAN ?7w- io/74r6 ?'? ??v,F-<410 *. f. CITY OF rtAGAN Remarks Addition McCarthy Ridge Lot4 Fi -r' Blk n Parcell(1 47700 051 80 Owner Robert B. and Marian Street 3070 S" scace Eagan, hIIV 55121 Doheny YY1C i _3.ng '°`3 Improvement Date Amount Annual Years Payment Receipt Date STftEET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ql) 1968 200.00 30 PAID * SEWERLATERAL ti 1974 7422,80 494.84 Z * 2 Wa WATERMAIN * WATER LATERAL 1974 WATER AREA 1977 320.00 21.32 STOflM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK TY OFEAGAN Remarks??'-+{? ??5? • C2d ( II nda?t? McCarthv l?dge ?o? 5 Bik Owner ' ' Y' ' Street - 3070 s State i 10 Improvement Date Amount Annual Years Payment Re ' Date STREETSURF, STREET RESTOR. GRADING SAN SEW TRUNK f,40 1 .? SEWER LATERAL , 3 ` WATERMAIN ??. WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTEFi SIDEWALK STFEET LIGHT WATER CONN 9UILDIN ER. SAC ?PARK ?IyOF -AGAN Remarks Snl d f or T x.G ?- ?.uJ /+?/ - Additio MC03Tt ?7-d e Lot ? Blk Owner . Street ?7? „ State 10 47700 040 oc Improvement Date Amount Annual Years Payment Recei Date STREETSURF. STREET RESTOR. GRADING SAN SEW TRUNK 41 16$ ,00.00 30 gZd ? SEWER LATERAI 1974 3711O 247.42 ? ? WATERMAIN # WATER LATERAL i 974 1 WATER AREA 1977 160.00 15 \ STORM SEW TRK i STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT \. s WATER CONN. BUILDINCyPtR. \ SAC PAFt K CITY OF EAGAN N ° 111] 0 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 ? PHONE: 454-8100 -???/ i ? BUILDING PERMIT Receipt ?! Te 6e wad for GARAGE Est. Value $12, 000 Dote OCTOBER 24 19 85 SiteAddress 3070 1-Brh Y/1?cC, ? Occupancy Lot 5 Block 0 Sec/SubMCCARTHY RIDGE . Remo I zoning Parcel No Repair ? Type of Const. . Addition ? No. Stories m DARREN DOHENEY Name Move ? Lenyth WZ SAME Demolish ? Depth Z Address Int Impr. ? Sq. Ft. s City Phone 454-2166 Install ? ? Name SAME AvProvals Fees d Addre55 u - Assessment Permit ? City Phone Water 8 Sew. Surcharge 6.00 i- - Police Plan Review F W Name ? Fire SAC i Address r5 Eng. Water Conn. v ?W City Phone Plonner WaterMeter Council Road Unit I hereby ocknowledge that 1 hnve read this opplication and state thaf gldg. Off.2O/23/HS Tr. PI. fhe inlormotion is Correctlond ugree to comply with all applicable Stata of Minnesota Stotu e5 ond Ciry of EOqan Ordirwnce5. APC Parks ? ` ? !(? ? Var. Date Copies l? r Siynoture of Permitt ee _ I T h Building Permit is issued fo: DARREN DOHENEY Total on tha express conditlon Ihat all work shall be done in octordance wit all ppliwble Stat of Min esota Statutes ond City of Enpan Ordinoncea. ? 8uildinp Officiol ? ,1,a34/ REQUEST FOR ELECTRICAL INSPECTION ? /EB-?10W7-Uq ?? ' See instructions for completing ihis torm on back of yellow copy. "41ow Work Covered by This Request :?X? ? ? 75a Add 11r7. Type of Building Appliancas Wired Equipment Wired 20 Home Range Temporery Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Buik Mflk Tank Farm ' ther Pecify wa? y? Other lSPecifyl t r.r Speci y Other Other ompute lnspection Fee Below M Fee ServiceEntraneeSize # Fee Fexders/Subfeeder5 # Fee Circuits pd Uto200Am s 0 to30Am 5 Otn30Am s Above 200 qrnpy 31 to 100 qmps 31 to 100 A s Swimming Pool / 9.00 Above 100fMAmps Above 100_Amps Transformers Irrigation Booms Partial%Other Fee Signs Special Inspection g,i ? TOTA Remarks 0 L E ??.) - ru Rough-in Date -_ r I, the Ele I ' Pp?U nspector, hereby certifv «t the above Final D^1e inspeclion has been S * ;? mede. Thie reauest vold 18 months from This request void 18 mon[hs Trom ? p 0 ssqp9 /' o S/,? Request Date " ,.? ;vo. Rough-in Inspection Required? eady Now ? Will Notily Inspec- Y-?, -f( Nyes ?NO . [or When Ready [:]Licensed Elec[rical Contractor 1 hereby requesl inspectionbf above EX Owner electrical work installed at: Streei Address, Box or Route No. 1 3070 City ectinn o. Township ame or No. Range o. County D4*o Occupant (PRINT) , lww • 1 • Phone No. Power $upplier , IVSA Addre55 - Electrical Contractor (Company Namel Contractor's License No. Mailing Address IContractor or Owner Making Instailationl Authorized Signature (Contractor Owner Making Installation) Phone Number MINNESOTp STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION fEE IS Phone (612) 297.2111 ENCLOSED. ?? ?-g eC?- Zoo7RESIDENTIAL MECHANICAL rExMiT APpLrcATZON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephane # 651-675-5675 Please complete foc single family dwellings & to?niiliomes/condos w6en permits aze required for each unit Date o-) / J 6 , 02 Site Address '", C (2-A C-?-J-c Unit # Property Owner Telephone #((, S l ) 15 Z ? 7 Z 3 Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is X Owner _ Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Additional _Replacemenf _ New air exchanger air conditioner t, heat pump ' X other (?\S U? ?- 'F--r> Y-- COC' KTD P State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the o[dinances and codes of the City of Eagan and with the Mechanical Codes; 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 ?s?,willn accordance with the approved plan in the case of work which requires a review and approval of plans. `? ? : ) ?? 1-*1;-n S Applicant's Printed Name A Date: 4i25/2007 Revision Date: 4/25/2007 Site Information Address 1: 3o -? p r?, c, c4f?? h R1p 6-e,, Address 2: City: Counry: C-IP?G?nl D Pr KbTA Application Information Business Name: Contact Person: Office Ph: Fax: Cell Ph: Address 1: City: State: 7?p Code: Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License #: Sauare Feet Square Feet: 3591 sq. ft. Combustion Aanliance Water Heater: Natural Draft Input BTUs: 75,000 Independently Vented Furnace/Boiler: Direct VenUSealed Combustion Input BTUs: 100,000 Independently Vented Other Combustion Aapliances Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): Nb Solid Fuel Appliance(s): No Make-Ua Air No Make-Up Air Required by Code Applicant Name (print): 3 G- • Ti} ?--IS Signature/Dat ? •-Z-,l / 2-6 fer 7 Code Offcial (print): Signature/Date: C2004 CenterPomt Fnergy Minnegasco. 2004 Mechanical Code Guidelmes. Page 1 Tom, here is a list of what New Vision Remodelers did at 3070 Mc Carthy Ridge: - Install new sink, faucet and water purifier - Install new doors (2) - Install new window (1) - Install can lighting - Install new hood vent 6 S O e Fm - Install new cabinets - Install new trim around cabinets, window and doors - Install new floor - Install sheetrock ceiling in most of kitchen area - Install new countertops - Install new oven - Install new cooktop - Build a wall around the steel support at end of island Please call with any questions. 651-452-3723 Thanks, Jeff Theis h E (?? ?-E-F o"-v [E M D AR 1 4 2007 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ?N-7 U. C) ., 3830 PILOT KNOB RD - 55122 1 ? ?- 3 U 651-681-4875 _C?? New Construction ReauiremeMs RemodeURenair ReauiremeMs • 3 registered site surveys showing sq. ft of bt, sq. ft. of house; and all roofed areas • 2 copies of plan (20°k maximum lot wverage allowed) . 1 set of Energy Calculations for heated addiGons • 2 copies of plan showing beam & window sizes; poured Found design, etc.) . 1 site survey for exterior additions & decks • 1 set oi Energy Caiculations . Indicate'rf home served by septic syslem for additions • 3 copies of Tree Preservation Plan ii lot platted after 711193 • Rim Joist DetaD Options selection sheet (61dgs with 3 or less units) DATE 3 - 15 - d 2 JOB SITE ADDRESS3 d_7O rnc, vLt V M IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER J?-?? + C-N Ie?[ le ?C S t•I? ?N?+' TYPE OF WORK NT W CLA)S?-_'r/A DD ( W?, t-L FIREPLACE(S) _ 0_ 1_ 2 ? APPLICANT _ ? ?? ??" ") ?• ?S PHONE# G'S ( - 4-SZ°3_)23 ADDRESS 3 a-)d ZIPCODE 5 S( Z' ? °9S2L26•( 1?u0 CELLPHONE# G )24c)8-3Z?Z FAX# NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COM Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Suk - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is c 71 t, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. [ Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 _ Phone #: Lawn Sprinkler No. of R.I. Batlis Phone # OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex O 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous 0 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addifion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 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 6?-UU P? Occupancy MC/ES System Census Code 13LL Zoning City Water SAC Units Stories Booster Pump Nbr. of Units - Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinkiered t T f C ons ype o Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. _ _ Footings (deck) ? FinallNo C.O. _ Footings (addition) _ Plumbing Foundafion HVAC Drain Tile Other Roof Ice & Water Final Air/Gas Tests Pool Ftgs Final ? _ _ Framing - - = Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By 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 ????? I ze6 () `? Building Inspector PERMIT # yY yy a RECEIPT DATE: WISIDUTiAL PLUM$INfi PERJM1T APPLICATION crrY oF Eksm 3$30 P1LOT KNOB 3iD EAaM, buv 551E2 651-6$1-4675 16 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? ? backflow preventer for irrigation system ? SITE ADDRESS: 5 a-7U / 0 0 OWNER NAME: : ? /?`?4-/ S INSTALLER NAME: /? J' /"' ?????%a /? F STREET ADDRESS: 6?G1 TELEPHONE #: (AREA CODE) TELEPHONE #: / 57 73 (AREA CODE) CITY: 01v?hC4 ti-?- STATE: ZIP: ? Place a check mark nPYt to the narmit werk tvnp Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround /W ??SC?xc?v'7- ??. / ? ' N f ature o work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees . requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 165.00 State Surcharge $ .50 Total $ -5., 5 0 I hereby acknowledge that I have read this application, state that the information is correct, an e complywith all applicable City of Eagan ordinances. It is the applicanYs responsibiliry to notlfy the property owner that the City of Eagan assu no lia ' for any da e sed by the Ciry during its normal operetional and maintenance activities to the facilities constructed under this perm' ithin Ci roperly?t -w em nt. P'2 GNATURE OF PERMITTEE 1102 Permit #: Receipt Date: Li - a-0 C) CITY OF EAGAN 2001 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address 3 0 7D WG OFFICE USE ONLY Property Owner :Y2 k` _ PRV required Telephone # C? S`oZ - 11%0 Plumber LMA? -?- v4- - lp (a--7 c,cy _ eounty R-O-W Permit Lan -?-<- Sewer Lateral charge @ $22.85/ff Trunk @ $925/connecrion City SAC Base SAC Date paid Receipt # Account deposit Septic abando ent Sewer pe t & surcharge Total $ 100.00 Water Lateral charge @ $23.05/ff $ TnMi4 $965/connection - Water sunlv-&storau 860.00 Receipfff' ? Treatrnent plant 15.00 Water meter '*lnspectio 50.50 issu 50.50 Account de t Wat rmit & surcharge mbing pcrmit required $ Total • Sewer and Water Sewer lateral charge @ $22.85/ff Water lateral charge @ $23.05/ff Sewer trunk @ $925lconnection Water trunk @ $965/connection City SAC Base SAC Date paid Receipt # Water supply & storage Date paid Receipt # Treatment plant Water mcter "Inspections req'd prior to issuing Account deposit Septic abandonment Sewer and water permit & surcharge 1'lumhing purmit rcquirud Total ?- ?e- 100.0 1,150.00 860.00 516.00 115.00 30.00 50.50 100.50 516.00 115.00 $ ? n ? ?j ?l J f'"n? ? a91 If f J Ia o? riDt $ a, 9 a a ? ce: Carolyn Krech, Finance Department PERMIT # ` RECEIPT DATE: 1 Q ? ? ? I M1D$NTML PLUM$INB? PFY*MiT "PLiCATION crrYoF EAeAx 3830 Pv.oT xxoe Etn E16AN, b!R 551 E8 651-881-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system Q 5 a- - Y`_t -,?- - SITE ADDRESS: ? 0 MQ_C a r'I-'1--, ? " l ?1 sa aa(? -/? ?o OWNER NAME: : ?" rt "I ? e+ S TELEPHONE #: (AREA CODE) ?? INSTALLER NAME: STREET ADDRESS: CITY: Plare a rhack mwrk neYt tn the eermit work tvoe STATE: ZIP: New residential dweliing unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installationlrepair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: W 2?K `?'(Yla'ro U Septic System, new/refurbished - $ 225.00 . includes County & Consulting Inspector fees • requires MPC license State Surcharge $ •50 Total $ ??- Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the intortnatlon is correct, and agree to comply with all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operatlonal and maintenance activities to the facilides constructed under this permit withi City propertylrig -of-wayleasement. SIGNATURE OF PERMITTEE TELEPHONE #: (AREA CODE) Updaled 1/01 r.oc b S1 Block Pm # I0 47 700 05/ 6lD Plat Receipt # Sewer /water permit #, Date CITY OF EAGAN 2000 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES ? EJCISTIPIta RESIDERITIAL PROPERTY L`l 4- s/ ul ?. yn C Cr?2T?-t-? ?? u ? ca... Lateral charge @ $22.30/f Trunk @ $900/connection City SAC BaseSAC Date paid Receipt # Account deposit Septic abandonment Sewer permit & surcharge Subtotal Total Water $? Lateral charge @ $? .55/ff $ ? Trunk @ $940/connec' n 100.00 Water supply & storage 840.00 1,100.00 Date paid Receipt # Treatment plant 492.00 15.00 Water meter "'Inspections q'd pri 114.00 30.00 to i uing 50.50 Account deposit 15.00 g Water permit & sur arge 50.50 Subtotal g g Plumbing permit surcharge 30.50 Total g Sewer and Water Sewer lateral charge @ $22.30/ff Water lateral charge @ $22.55/ff Sewer trunk @ $900/connection Water tnuilc @ $940/connection City SAC Base SAC Date paid Receipt # Water supply & storage Date paid Receipt # Trearinent plant Water meter '*Inspections req'd prior to issuing Account deposit Septic abandonment Sewer and water permit & surcharge Subtotal Plumbing permit & surchazge Total Ccswjm v- ? 100.00 1,100.00 848:80 -?5 492.00 114.00 30.00 30.00 100.50 $ CP, kOio• SO 30.50 $ as37. o d ? ae OFFICE USE ONLY Property Address Phone number `1S2 -`1 C/ 5 3/ 5V Plumber ? - 93P 7 70 7 PRV required: R-O-Vd Permit: Unpaid $ Permit Fees: City financed: y es City*ounty i?/q cc: Carolyn Krech, Finance Department .. _. -? ? / WATER LABORATORIES INC. Last Name: ppHENy Order Date: gIIgrpp First Name: KEyIN G0a #: 001-M Address: 9070 MOCpRTHY RJppE j?d OZ Unique Well #: City: EAGAN State: MN Zip: Drillers #: County: Legal: Samples taken and delivered by services other than Water Laboratories, Inc. are received at temperatures greater than 4°C. Ordered By: gp8 FREIERMUTH Sampled From: pUTgIpE Tqp Sampled By: 808 FREIERMUTH 333 East Main Street P.O. 8ox 388 Elk River, MN 55330 Phone: (763) 441-7509 (800) 554-7509 FAX: (763) 441-9176 e-mail: h2olab@lkdliink.net Date Sampled: 9V18l00 Reason For Test: ROImNE Time Sampled: 1;00 pM This sample ppEg meets Minnesota and U.S. Department of Health Standards far the following: TEST PERFORMED Coliform Bacteria Fecal Bacteria-E.coli REQUIRED RESULTS Negative Negative TEST RESULTS NEOnnvE NE(3ATIVE Nilrate Less Than 10.Oppm <1.Oppm Lead Less Than 0.015mg/L Not ReyueeW WATER LABOflATORIES, INC. IS CERTIFIED BY THE STATE OF MINNESOTA TO PERFORM THE ANALYSES OF COLIFDRM BACTERIA, NITRATES, AND LEAD . CERTIFICATIDN #47101-C WATER LABORATORIES, INC. ? 1 -,-. - - .-.--. BY: AMOUNT 81LLED: DATEPAID: DATE: W20rpp AMOUNT PAID: ?G? ' , r , ? , • ` .. n,-? -- Compliance Inspection Form for Existing ? IndividuaI Sewage Treatment Systems. ThisJorm re,Jlects the requrremenrs of the 1996 verslon of MN Rules Chapler 7080 Mlnnesota Pollutlon Control Agency Noto: Local inspection standerds may be more or less restrictive then the state rcquircments. Thcse differenees mnst be made available by the Local Unit of Govemment Date of Inspectlon: `7 - / 5Z . a l) • Property Owner(s) Person requesting in Rcason for ins ecti Site Address C Z[p Code Fire No. Townahip (if different than owner) Unit of G Parcel No. _ RanQe _ Telephone ( ) Telephone (40),5?..?fa- 3 7 0 5' City ?/l-2 .k ?1/ o1Z ? a.,v ; this property ' Townshlp Name &etloa Quarter ? (Check approprinte sewer system componcnt a.id indieate location on site skctch).. Tank (slt ? Septic tank^-? _ Aerobic tank Pump tank Holding tank Otha Other (briefly describe): _ Altemetive system Experimental system Werrantied system Exp. Date: Other Sail Trectment System; Rock trench _ Grevelless pipe trench Chamber trench Seepage bed Mound At-grede System Built Prior to April l, 1996 and not Located in Shoreland or Wellhead Protection Area or Serving a Food, Beverage or Lodging Establishment Any System located in Shoreland or Wellhead Protection Area or Serving a Food, Beverage or Lodging Establishment, plus all systems Built after April 1, 1996 Is the system an (PHT7 [1RQradg 1. Dixchurge of seNvrtge to the Sround surfaca? Yf:S NO 10 mo I. Discharge of sewnge ta ihe ground surfnce? YL•S NQ 10 mn 2. Discharge of sewagc to draintile 2. Discharge of sewage to draindle or or surface watersT YES N0? 10 mo surface waters7 YES NO 10 mo 3. Sewage backup into dwclling? YES 10 mo 3. Sewage beckup into dwelling7 YES NO 10 mo 4. Situatfon with the potentiel to tmmedietely and 4. 5ituation with the potential Immediately and edversely impact or threeten public health or ' adversely impect or threaten publiC health or safety? , YES ? 10 mo safery? YES NO ] 0 mo Is the system failing? Is the system failing? 5, Less than TWO feet of vertical separation between ? S. Less than THREE fcet of vertical separation between system boccom and saturated soil or bedrock? Y S N0 LGU•• system bottom nnd snturated soil or bedrock? YES NO LCU•• . 6. A seepage pit, asspool, drywell, or Icaching pit? E-N0 LGU•' 6. A seepage piL cesspool , drywell, or leaching pit? YES NO LGU•• •• LGU - Local Unit of Govemment ordinance must specify tha time period within whlch the system must be upgraded. STATUS OF THE SYSTEM Based on the compliance criterta o6ove the system status if (chcck one) O in compliance (functioning)?feiling ? an imminrnt threat thero[ore, this document is e(check one) O Certificate ofComplienceX,Notice ofNoncomplianca H Flow Meter Yes No If yes, PAge 1 of 2 W?at methods were used to make the determinations for the compliance inspection7 (--N)7 -e c-?? Please attach the followin¢: l) Site sketch. Suggestcd items for drawing include: Well, well setback to system, dwelling or other establishment, tank(s), soil troatment system, reserved soil treatment area, curtain drain, property lines, watenvays, and buried lines (those NOT installed by the utility). Include sizes and Icngth and approximate distances Gom fixed refcrence points such as strects nnd huildines. logs, showing exh horizon. Indic:iir the tcXfurc, titrUcture, colur, dep(h ?l ea.t: .li::ciem:.ui; ?)pe, uvidcuec ul uwiumg, ueurocr: and standing water end whether the material is fill. Locate each boring on attached site sketch. 11 n lkt nf anv inA all rectuirementc of the Inrni ?.a;????? ,!.?? ?.? ???r?.....• .?..... •?... _. ... _ CERTIFICATION A. I hcreby ceriify that all the infortnation 1 have provided regarding the individual sewage treatrnent system is true, accuiate, and complete. Properry Owncr Date B. I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qualified Employee Inspector and/or Qualified Employee Designer i that I conductcd en investigation in accordance with applicable requirements that accuretely determined the compliance status of this system and that my observations recorded are accurate as of this daie. No determination of future hydraulic performance has been nor can bc made due to unknown conditions during systcm construction, abuse of the system, inadcquate maintenance, or future water usage. Inspector's name (print)LC: ? 41 .?7?! Phone? ?"' y? ? 7z, d License and/or Registration Number Addross,a2,32MQ 2 i 1. L p li -0 Employed by Address ? .q s / sL" 4 S 0'1 ? -SS?° 33 Valid until . unless the system becomes an imminent threat to public health or safery as defined at Minn. R. 7080.0020, subp. 19a, before nace q` z ?- o a Minnesota Statutes § 115.55 ("law") Upgrade Requirements Any srtuation with the potential to immedlate/y and adversely affect or threalen public hea/th or safety, must be upgraded, replaced, or its use diseontin'ued wilhin ten monfhs oi recaipt of this notice or wiUUn a shafer penod o/ time it required by local. ordinance. ll the local unit of govemment with jurisdiction over the system has adopted an ordinance conlaining altemative locaf standaids, the existing system must comp/y wifh the ordinance. lI the system does not comply with the ordinance, it must be upgreded, repfaced, or its use discontinued accading to the ordinance. ll a seepage pit, drywelf, cesspool, or /eaching pit exisfs and the local unit of govemmenf with jurisdlction over the system has not adopted loca/ standarr/s fo the contrary, the system is lailing and must be upgreded, rep/aced, orits use discontinued within the t;me required by local ordinance. /f the sysfem lails to'provide sufficlent groundwafer protecfion, then the local unit of govemment or its agent shall order that the system be upgraded, replaced, or its use discontinued within the time requrrsd by rule or the loca/ orcJinance. Il an existing system is not failing as defined in law, and hes at least two feet ot design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, nohvithstanding any local ordinance that is more strict. This does nol appJy to systems in shoieland areas, weNhead protectfon areas, or those used in connection with food, beverage, and lodging establishments es defined in law. p:\istslprog_dev\exinp9.doc - 6/99 Page 2 of 2 Avpp.es5 GHAuUa tY??c_fl? ? tN? ? I ? G << ? - -- ------ ° ?4e?EL, ? ?0 4? ?oo os r oo?, e:x?STluy #&Vw2E?i?5 oF 30'70 S(ac..EY MC-Maj!.iaL NWY. SHauc..o CiE C-4-4+4W:)FD To 30'1o McC,neT.-IY [;?jD(aE. ep,Qc.ceEPTEt> B`l ?MEowwEfZ 9• 12 o86 NOTE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN COl41ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1?5ET OF ENERGY CALCULATIONS $29000 LANDSCAPE BOND To Be Used For: Site Address ? Q Lot ?.Block ? SINGLE FAMZLY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: ?-2 ooo Date: /G ??-- Parcel/Sub Owner _ ?2121??tJ---_?d Address 3l1 '7 6 'C5 , -? CtT- City/Zip Code Phone 7 pW lle? Contractor Address % City/Zip Code Phone Arch,/Engr. ?-" Address ? City/Zip Code Phone # " OFFICE USE ONLY Erect ? Remodel - Repair ? Addition ? Move ? Demolish ? Int.Impr. ? Install ? APPROVALS Occupancy Zoning Type of Const 0 of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer Surcharge ? Police Plan Review Fire SAC ? Engr ? Water Conn Planner Water Meter Council Roa •Unit Bldg Off?o•?3_ reatment P1 APC Parks Variane Copies ? TOTAL i so U Pera?it #: ^t' (c (C ?o I Receipt Date: E' - I y - cj CITY OF EAGAN 2001 SEWER AND WATER CONNECTION AND AVA{LABILITY CHARGES EXI371NG RESIDENTIAL PROPERTY Aaaress Property Owner Telephone # 9 ':; --)-' " ? ? r? 1) OFFICE USE ONLY 1'? PRV required N/L+ City N1r?} County R-O-W Permit Sewer L,ateral charge @ $22.85/ff Trunk @ $925/connection City SAC Base SAC Date paid Receipt # Account deposit Septic abandonment Sewer permit & surc ge Total = Water ? Lateral charge @ $23.05/ff Trunk @ $965/connection 100.00 Water supply & storage 1,150.00 Date paid Receipt # Treatment pl 15.00 Water meter Inspections req'd prior 50.50 to issuing 50.50 Acco deposit Wa r permit & surcharge P bing permit required $ / Total Sewer and Water Sewer lateral charge @ $22.851ff Water lateral charge @ $23.05/ff 5ewer trunk @ $925/connecrion Water h-unk @ $965/connecrion City SAC BaseSAC Date paid Receipt # Water supply & storage Date paid Receipt # Treatment plant Water meter **Inspections req'd prior to issuing Account deposit Septic abandonment Sewer and water permit & surcharge Plumbing permit required ->- Totsi $ 860.00 516.00 115.00 15.00 50.50 $ ?d f? AJJ?+l At •,; ? ?U ? ? / ? y r r•=a 1 00.00 ? Fyo /-t cd ? O? f ^?? ouf p?t ? ? 1,150.? , , ? p 860.00. 516.00 115.00 30.00 ! 50.50 . -?ioo.sa O ec: Carolyn Krech, Finance Department s ' 1 ' r 2Q06 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan 4"7000 3830 I'ilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FA.X # 651-675-5694 No Cais6Axtion Reauirements RerrqdeUReoair RequimTmis Oifice Use Onhr 3 registered site smveys sfiammg sq. ft d Id, sq. ft ot house; and aA roded areas 2 copies of plan stawiig faolirgs, beams, jdsts Cerl of Survey Recd _Y _N (20%maximum bt coverage a9kwoM 1 set of Eneigy Calculadais tor hea4ed aMans Tree Res Plan Recd _Y _ N 2 capies of plan showirg beam & wmdow sizes; pcwred found design, ft. 1 site survey fw additions 8 dedcs 7ree Pres Required _ Y_ N, 1 set of Eneigy Caladafions Addi6on- indicate if on-sife sepffc system On-site SepUc System _ Y_ N 3 copies of Tree Presena6ai Plan H lot Platted after 711193 Rim Joist Detsil Opfions selectian sheet (buiWirgs rritli 3 or Ims units) Minnegasoo mechanical ventilation form T? ?I Date ? / (,+ Site Address ,?30 - ? ?v l\1 / 0 ? Z. Construction Cost ??00D,, -2 UniUSte # Description of Work :[? ? I L-D IN Y E? Mult+-Family Bidg _ Y? N Firepla ce(s) _ 0 _ 1 1 2 Pmperty Owner Telephone #(CS) )-s 2= 3 7`L3 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category ` Minnesota Rutes 7670 Cateeor? + Residerrtiai VeMilation Category 1 Worksheet (4 submission lype) Submitted • Energy Erwelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted In ihe last 12 months, has the City of,Eqgan`issded a permit for a similar plan based on a master plan? _ Y _ N If yes, datek"cin?! ciddress of master pian: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( " I'hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; ' that;ihe work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN SCatutes; 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 ' approyai of plans. . G-' Applicant's Printed Name A 1' ' ignature ? ? , •,- DO NOT WRITE BELOW TAIS LINE f-•, . ? Sub Tvues ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-piex ? 06 04-piex Work Tvoes ? 31 New ?J 32 Addition ?? 33 Alteratinn ? 34 Replaoement 0 13 1&plex ? 16 Fireplace ? 17 Garage X 48 Dedc ? 18 Lowerlevel ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porc:hlAddn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Misceiianeous ? 30 Accessory Bldg ? 31 Ext. AR - Multi ? 33 Ext. Ak - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demoiish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors •Demolition (EMire Bldg) - Glve PCA handout to appllcant D@SCPiDtiOTI: 1Nater Damege ` Yes VeluatlOn Plan Review 100% or 25% Census Code ? SAC Units # of Units # of Bldgs Type of Const ? Occupancy MCES 5ystem 2oning City Water Stories Boaster Pump Sq. Ft. PRV Length Fire Sprinkiered Wdth Footings (new bldg) Footings (deck) ? V Footings (addition) Foundation Drain Tile Roof ice & Wffier Final X FTaming - _ Fireplace _ R.I. ` Air Test _ Final _ InsulaYion REQ[TIRED INSPECTIUNS _ Sheetrock FinaVC.O. ?C Final/No C.O. HVAC Other _ Pooi Ftgs _ Air/Gas Tests Final _ Siding ^ Stucco Lath _ Stone Lath -Brick Windows _ Retaining Wall Approved By: BuOding Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Pertnit 8 Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 08 O6-piex 0 09 07-plex O 10 08-plex O 11 10-piex ? 12 12-plex + .,. / ~ } i ? i, I... ?.. ` ?- ?i I, Peul R H[LOqOn, C[unry Swvy, poFolO LWnty MlnxiO?o, do M1erf? ce/fily Idpf l hove t iv" anC OlO/MO Hre p?opeNy CeacriEed on Ihis p/al e McLqFiHY R106E vnd hare plocM rrcn umevh ol IAe' c rs M2) )h? ec) o.r sAavn. m 2 orp o Iio?el/etl .ooe:, roe„ Pmds? neks?/ no??hrr? nE on or o«.w, ,o,ne -.or o: ,no.?. ? w«m s?an r MMx9o.e, ls ? CarnlY d ?kal0, f " On IM1is._ fr?_ Oay a! .?ry ?s'?? A.O /9S1, Owsone/r apppanJ Oelore me !ft unCersqneE? Pou/ R. Mc(oqon, M me 1e1 knwn, end vcAnvw/e qd ed IM' Ire tteuNeC Me Iarqoing cer,il,ole vr Ais orn /ree n[l . an0 IXeO. "? MY commissim e+0??es ?e?q?.yrv_,.14t?___ . , ?j?,YV Na/ary v b/ic, poYO1a [culib, Mlnnewo. IFrs v h ceif)ly Mo? pmnis Ma?Ma('oilAy, unmaiiietl, M/c'hoel Mccor!lyertG fibx McCOn? nis M`e? CoMerir McG?oerfj aM Bryan O MeGroery, M. nufeune? vrers oM emv-lors N ffie /o(/wing Gesc.ileC pvqe?y M>il.? Beginning of fAe Nvi/h-r/ ceinerol Gorpinmenl Lp? / Seellen y, T27N,R.23W., )hence Ea+l /9B 11, lhexe SeulA 20°39Wes1, 366.351I., lhsn[e Soulp 37•31'EOSf?26).7fP.. 'Aeice Smfh 12°29'Weal, l92 r!. rhen?e So?lh 30°29'Wer1 237 //. fhence Sou?n 2°/O'En.rI, 4491f. fa Me ?? s 1/? linr / soiJ Gaiwnmenl !pt I rnence West 664 /I. ? Me Eaal /im o/ SlamIrvmV ryiynny rye. /,i1 thena' /?olMVOS}erly abny Ihe SoNhrorlerl% Irve o/ soid hiyh.oy /o /Ae ll Nor??wes/er/y hp ol saiL 6oremmenl Lol / e Me-e NoNh W. EoaI33935 /f onq sa/1 /of /ice io Ih¢ Olace a( de0?nn?nq, Nve rasee 15e same fo ee sv.ren0 wM qvl/ed d ?ev2al/e? knmm os McCANTHI q/OGE o sno?'n an Ilrls alel o?d heieby JeJ/ceie ?o r0e pw?ic, ror pi0lic / ve? ell I?Idl, lexs, ane Nynsqss o: Aeifon /n9rcnle0 Wifies Aenps mJ seo/s Ihis /93/. /? v?ssence o/ ?' . ???4G 9are orMimerolo,?:. Gmnb (OORa1a; s. / I 0? l?is-. J?Z3iJ_. EoY ?.. A.O. /9J/. persom//y oppeoied Oefo?e me I/ra rmYr- yyneO, Ot/n?k KKCaiM/ u . mvirie0 Nbhce/ McCOrIhY an McCOrMY, M1,t ni(e , CvIl:er/x McG/ou//Y o^D B Y? O. McG/mrJy,'hor Ausbantl? p M MiwwkCyeJ Iney eiecuk0 Ih /oieyomq ?erli//ca?e as IMlrnwn !rce oc/ mE pePO 0 0 M. oa.,,9;- o.,; approref q me rwmeav.eo/E9on,Oware rowry, pim?xoro, rms_--{J'?Juy or prosl. Choirmm. -' d$ProvM onC o[[eOhJ /hr6-1!ZO*KOB' eI a.0. I95/ CWnyMinMmle V , by 1!r georJ l('wnry (ommiriiamie, OakoYa ? 'AU0/?L Mi L I / , T=Y.nvda%zik^? Ad IaL? S/ y ? nn v v? V AY6wRhEK?e IfbY? M t? WS Gf(EI? EV ?An H YAm ?qa.u. d l??Al i l K-73?1 (\?lC(OX kiL Ll??' 1Z? 1?(;91? Lcarv Se'a!e' / r A+ /00 ke/ Pwl fl. McGaSwn o mm?ern:.o? aowTm? ooton cw?rr surnya.. . / . t. 1 1 V x.a r.nn.nnw. / ? m J / s cn ?i ? o- ?21470 c.?oFaaN?wr. f:? k..."i u. R.ya..oap,m ti pMaelew'? ? •`?^??9 (.I4G???y ? nN M S ' ? M [.n14/c ? 1 0.951 Y • i ??.?? ?LL. Y pi ?`?^y ? ? ? S Dakota County Real Estate Inquiry Dakota County Real Estate Inquiry Data Updaled 8/10/2006. ; fr f? Page 1 of 1 00 Legend Real. Estate Parcels 10 Parcels M Commvn.Ownership MW a[er M RNU, EasemeM ? Oedicated RNU Standard ° a Choose a search method, enter criteria, and clidc Go or hit enter key. House #. ?a= Address PIN:. N This application was developed by the Dakota County Office of GIS in cooperation with Assessina Services, Treasurer - Auditor and Property_.Records Departments ? F c o u n T r Click on the Dakota County Logo above to return to lhe home page http://207.171.98.200/scripts/esrimap.dll?Name=webq 1 &Left=534293.3 50926239&Bott... 08/14/2006 Select option and click map: Zoom Out All ?Whple County '= ._ ? Refresh Map Big.'INap. '' 2006 IZESIDENTIAL MECHAMCAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwelfings & townhomes/condos when pcrmits are required for each unit -s? 30 Date ?/ ?( / ?(0 __ _ 5ite Address 0-70 ?L ( ? U nit #f Property Owner I Telephone 7 Concractor STANDRRD HEATING & AIR CONDITIONINC 410 L REE?T - Street Address MINNEAPOLIS, MN 55408 ---fi4g?g24 gfir?6_- City State Zip Telephone # ( ) _ Bond Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional Neplacement _ New air exchanger air conditioner heat pump other State Surcharge l I 11 $ 50 ? ? SEP2$2006 -? Total $ 7n ?c) I hereby apply for a Residential Mechanical Permit and acknowiedge 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 with the Mechanical Codes; that Iumderstand this is not a permi but only an application for a permit, and work is not to start without a permit; that the wo e in accordance with the appr 5lan i case of.OFR'yhich requires a review and approval of plaQQ,4, ? ???-,/j Applicant's Printed Name Applicant's Si? u e 17 750 / 2007 RXSIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pi[ot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructian ReQUirements 3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas (20°h maximum lo( coverage allawed) 1 Soils Report if pmposed building is to be placed on disturbed sal 2 copies of ptan strowing beam 8 window sizes; poured found design, etc. t set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical venfilation form /3O, Z RemodeURepair Requiremenis - Oxce Use Onlv 2 copies oFplan showing fooUngs, beams, joists Ced of Survey Recd Y_ N 1 set of Energy Calculations forheated addiUons Soils Repat Y_ N 1 site survey for additions & decks Tree Pres Plaa Recd Y_ N. Addition - indicate if on-site septic system Tree Pres Required Y_ N On-sde Septic System. _Y _N Plans are considered public information uniess you state they are trade secret and the reason. Date Qf - / ZO / 07 Construction Cost ? o-d o ? Site Address 130 r C Unit/5te # ? N?f --f? 1^'l N 55 ? 2 Description of Worlc Multi-Family Sldg _ YX N Fireplace(s) _ 0 _ 1X 2 Property Owner -t C4( VZ1A E 5 Telephone S Z-2 723 Contractor ' uv C'j rC? E?`? Address State City Zip Telephone # ( ) ? COMPLETE THIS AREA OIVLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculafions Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor 5ewer/Water Contractor 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 w:thout 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. Applicant's Printed Name Appl s Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3070 Mccarthy Ridge Rd Lot: 51 Block: 0 Addition: McCarthy Ridge PID:10- 47700 - 051 -00 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Crew2 Inc 2650 Minnehaha Ave Minneapolis MN 55406 (612) 276 -1680 Total: Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: Expired Permit - Closed w/o Required Insptections. Letter & correction notice (add good batte sent to homeowner & contractor 1/15/09 pf (o.k. per Sarah B) A framing inspection is required when installing a Bay or Bow BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - ndow or if the opening is altered. Smoke detectors are Owner: Carrie E Theis 3070 McCarthy Ridge Rd Eagan MN 55122 $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA081866 02/01/2008 ePermit es to all smoke detectors) I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature øþø ÿþ ýüü û ûúþ ùüüï õõì åõÞÿ ôßß ýüõ ýüûúùÞëõüúù ÷úùÞù ùöÿ õüõôóôðüù òÿ ýñüø ëùùùëþïüïùéìëûí ü üùûüëùí õûïêñüûéÿëïïí øçóæçí íô ôù ýüÿèüçóæçí í èüóþ í óò õñð ùù êõ ú ýüî÷þýüó ß åõÞÿÞ üîåãó ÿåã áàß ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü Use BLUE or BLACK Ink r----------------i i For Office Use � � �� I Clt Of �� Il ; Permit#: i Y � � G� � � Permit Fee: � I � 3830 Pilot Knob Road � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fa�c: (651) 675-5694 L Staff:—____ � ---------� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � ( " I Site Address: cJ� �� x ^ �. �� G t` �� Tenant: Suite#: �tesid;entJ4w-ner Name: Phone: Address/City/Zip: , c Name: l'� � � License#: ��/ �G(�j--�� ,��^ v� L Co11f�'�CtOY Address:�� `` � .� `�-- City:�� 7 �'��;�_ State: ��Zip: ; � Phone: l � �' G��' vG ` 1� ' Contact: Email: T�/pe O��I�I+�3TIc —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: � �� 'h �` E RESIDENTIAL Water Heater Water Softener Lawn Irrigation(_RPZ/_PVB) ��e Add Plumbing Fixtures�Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround'`(includes State Surcharge) *Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 Seqtic Svstem New(includes County fee and State Surcharge) TOTAL FEES$ 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. vwvw.qopherstateonecall.orp 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 wilt be in accordance with the approved plan in the case of work which requires a review and approval of plans. x >"�� X _.. Applicant's Printed Name � nt's Signatu e �OR OFfICE USE" Reviewsd By: Datec Required lnspections: Under Ground Rough-In Air Tss# Gas Test Final Meter Related Items; Meter S:ize Radio Read Manome#er Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA166438 Date Issued:01/11/2021 Permit Category:ePermit Site Address: 3070 Mccarthy Ridge Rd Lot:051 Block: 0 Addition: Mccarthy Ridge PID:10-47700-00-051 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: 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 - Neil P & Sara C Keane 3070 Mccarthy Rdg Eagan MN 55121 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173428 Date Issued:11/10/2021 Permit Category:ePermit Site Address: 3070 Mccarthy Ridge Rd Lot:051 Block: 0 Addition: Mccarthy Ridge PID:10-47700-00-051 Use: Description: Sub Type:Residential Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Neil P & Sara C Keane 3070 Mccarthy Rdg Eagan MN 55121 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature