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4079 Meadowlark CtCITY OF EAGAN $[LLANDALE ADDAR marks Addition MEADOWLARK RIDQE., C070P _ Lot 401 81k 01 Parcel 10-32950-401-01 Owne: ' Street 4079 MEADOWLARK COURT StatB EAGAN MN 55122 Rlrlcr #Q fi,,;+ #1 Improvement Date Amount A nnual Years Paymertt Receipt Date STREET SURF, ]. OI' inal rcel StREET RESTOR. GRADlNG SAN SEW TRUNK ' ginal rcel * SEWER LATERAI. WATERMAIN * WATER LATERAL 1973 WATER AREA 71'? 1975 11.39 .76 15 Park Donation ool 1977 52.82 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET UGHT WATER COMN. , BUILDING PEFi. SAC PARK CITY OF EAGAN $tI,I,AHDALE ADDNR marks RIDGE-CO-OP Addition (MEADOWLARK f. - ---. Lot 402RIk 01 ParceF 1 n_-5_qso_an9 -pl Owner ' Street 4081 MEADOWLARK COURT State EAGAN ItiIIV 55122 Improvement Da Amount Annuai Years Payment Receipt Qate STREET SURF. OI'1 1T131 rcel STREET RESTOR. GRADING SAN SEW TRUNK original p rcel * SEWER LATERAL 11 WATERMAIN * WATERLATERAL 1973 WATER AREA 1 .76 5.28 * STORM 5EW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN HTLLANDALE ADI Addition(MEADOWLARK RIDGE C0_- Owner P}Lot 403 81k 01 Parcel 10-32950-403_()1 street 4083 MEADOWLARK COURT State EAGAN MN 55122 R1dQ.#9 Unit #3 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Tl inal rcel STREET RESTOR. GRADING SAN SEW TRUNK original p rcel SEWER LATERAL ?r WATERMAIN 7 * WATER LATERAL WATE R AREA 11.39 .76 Park Donation 1 1977 52.82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONIV. 6UILDING PER, SAC PARK CITY O Addition Owner- pl:--Lot 404 glk 01 peroel 10-32950-404-01 Streec 4085 MEADOWLARK COURT state EAGAN hIIV 55122 ni aR ito rr,,; * AA Improvement Date Amount Annual Years Payment Recaipt Date STREETSURF, e pI'1 inal rcel STREET RESTOR. GRADING SAN SEW TFUNK O'rl 11151 TC@1 * SEWER LATERAL ?i WATERMAIN * WATER LATERAL 1973 WATER AREA Z??j 1975 ],1 9 • 7?7 15 Park Donation i?01 1977 52.82 5•28 . 10 * STORM SEW TRK 1973 STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PAR K CITY OF EAGAN HTI,I,ANDALE ADDNRwarks Addition CMEADOWLARK _RIDGE C0-0P I , Lot 405 g1k 01 Parcel 10-32950-405-01 Owner Street 40$7 MEADOWLAiZK COURT State EAGAN MN 55122 Bldg #9 Llnit #5 Improvement Date Amount Annual 1'ears Payment Receipt Date STREET SURF. DY'1 1ri31 rcel STREET RESTOR. GRADiNG SAN SEW TRUNK original p TCel * SEWER LATERAL WATERMAIN * WATERLATERAL 1973 WATER AREA 2 j?']5 11.39 • 76 15 Park Donation r 1977 52.82 5•28 10 * STORM 5EW TRK 1973 ST4RM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF, EAGAN HTLI,ANTDAI,E Addition Owner Lot 406 Rlk 01 pefcel 10-32950-406-01 4089 MEADOWLARK COURT ?._._ EAGAN MN 55122 R1rla #Q ltn;t #F, Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Y'Q inal a cel STREET RESTOR. GRAOI NG SAN SEW TRUNK OTl inal rcel * SEWER LATERAL ?t WATERMAIN * WATERLATERAL 1973 WATER AREA .76 i-s 10 1977 82 5.28 * STORM SEW TRK 1973 STORM SEW LAT CURB & GU7TER SIDEWALK STREET LIGHT WATER CONN. BUILDING PEFi. SAC PAR K CITY OF EAGAN HrLLARDALE Addition _ -. Lot 407 elk 01 Parcel- 10-32950-407-01 4091 MEADOWLARK COURT C..,- EAGAN MN 55122 Improvement Oate Amount Annual Years Payment Receipt Date STREETSURF. 1.IlAI rcle STREET RESTOR. GRADING SAN SEW TRUNK ariginal rcel ?*E.SEWER LATERAL WATERMAIN * WATER LA7ERAL 1973 WATER AREA Z f 1975 11.39 .76 1$ Park Donation 1977 52.82 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK CITY OF EAGAN gTI,I,A1fDAI,E pDDprRamarks Addition (MEADOWLARKRIDG?- C0-0P ? Lot 408 Rik 01 Parcei 10-32950-408-01 Owner Street 4093 AEADOWLAItK COURT State EAGAN R+DV 55122 Bldg.#9 Unit #8 Improvement Date P. Amount Annuel Years - Paymant Receipt Oete STREET SURF. Orl inal rcel STREET RESTQR. GRADING SAN SEW TRUNK original p rcel * SEWER LATERAL t? WATERMAIN WATER LATERAL 1973 WATER AREA 2 f 1975 11 , 39 .76 15 Park Donation )ro! 1977 52.82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN ffiLLANDALE ADDftRemarks Addition (MEADOWLARK RID E__ C',070P,} _ ' Lot 409 Rik 01 parcel 10-32950-409-01 4095 MEADOWLARK COURT EAGAN MN 55122 Blda_#9 Itnit #9 Improvement Amount Annual Years Payment Receipt Date ? STREET SURF. OTl inal rcel STREET RESTOR. GRADING ; SAN SEW TRUNK e ori inal rcel * SEWER LATERAL ir WATERMAIN * WATER LATERAL 1973 WATER AREA Z13 1975 11.39 • 7(j 15 Park Donation Iiol 1977 52.82 5.28 lp * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 5AC PARK CITY OF EAGAN HIT.T.ARDALE Addition RIDG;L Ownar !P). Lot 41n 81k Lil Paroel 10-37450-414-01 Streat 4097 MEADOWLARK COURT State EAGAN MN 55122 Blde.#9 Unit#10 Improvement Date AmQU?t Annual Years Payrnent Receipt Date STREET SURF. @ original arce STREET RESTOR. GRADING SAN SEW TRUiVK original p T'CE',1 * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA -21 1975 11.39 .76 1$ Park Donation rpl 1977 52.82 5• 10 I * STORM SEW TRK D973 STORM SEW LAT CUfi6 & GUTTER SIOEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARlC RESIDENTIAL r BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD • 55122 ?I L4 a 651-681•4875 NawConsWcfion Reauirements RemodeVRenairReauGemenfs . 3 regis[ered ske surveys showing sq. fL of lot, sq. tt M house; an?ll mo(ed areas • 2 oapies of plan (20% maximum ht coverege aWwed) . 1 set of Energy Calalatlons for heated additions • 2 wpies of plan sfwwing beam 8 window sizes; poured found desgn, etc.) . t site survey tor exienor additions & decks . 7 set of Energy Calculations • Indicate M home sened by septlc syslem for additions • 3 wpies of Tree Preservation PWn'rf lot platled after 711183 . Rim Joist Detail Options selection sheet (61dgs wilh 3 or 6ess units) DATE VALUAION JOB SITE ADDRESS 1-IC§6G IL C-t IF MULTI-FAMILY BUILDING, HOW MANY l1NITS? PROPERTY OWNER -?A0 v- TYPE OF WORc fi`Y-?Y Vv\ FIREPLACE(S) 0_ 1 2 APPLICANT ?-C12S??k°Yto ?'? PHONE#4_?_Vje-"_3 ADDRESS?\b ZIPCODE PAGER # CELL PHONE # Phone #: Iawn Sprinkler No. of R.I. Baths NFW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Enargy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechantcal Conhador: Mechanical System Includes: Sewer/Water Contractor. _ Water Softener _ _ Water Heaier _ No. of Baths Air Condiboning Heat Recovery System All above infortnation must be submitted prior to processing of applicatlon. FAX # G Sa-Rc1L I-C)S ?v Fee: $90.00 Phone # Fee: $70.00 Phone # I hereby acknowledge ihat I have read this application, state that the i rmation is coReci, and agree to C-OTMfq with all applicable State of MinnesoTa Statutes and City of Eagckn Or i nces. Signature of Appll nt Certificates of Survey Received _ Tree Preservatlon P an Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 OSpiex ? 13 16-plex 0 20 Pool 13 30 Accessory Bldg ? 02 SF Dwelling C3 OB 06-piex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4,sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 79 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demalition (Entfre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings(addipon) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other FmminB _ Paol _ Ftgs _ Air/Gas Tests _ Final Fireplace _ RL _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 3- FinaUC.O. FinallNo C.O. _ Plumbing HVAC . T RESIDENTIAL t BUILDING PERMIT APPLICATION iI CITY OF EAGAN s 9 9 3830 PILOT KNOB RD - 55122 l? 651-681-4675 NswConstruetlon Reauirements RemodeVReoairReauirements . 3 reg'slered sihe surveys shoxing sq. ft of bt, sq. lt of hwqe; arV roofed areas • 2 copies of Dlan (ZO% mazimum bt coverage albwed) . 7 set of Energy Calala6orts for heated addNOns • 2 wpies of plan strowirg beam 8 window sizes; poured found design, etc.) . 1 sfle survey for exterior addNOns & decks • 1 set of Energy Calwlafbns . Indicete'rf home served by sep6c system for additions . 3 mpies of T2e Preservation PWn fl lat platted afier 711193 • Rim Jo'st DeW Optlons selection sheet (Wdgs with 3 or less unlls) DATE VAW/nON cW JOB SITE ADDRESS L-IC)P%-l ?0 -?- IF MULTI•FAMILY ?BUIL?DING, HOW MANY UNITS? PROPERTY OW?NE?R ?\C?.$ TYPE OF WORK 1-CP4QC,eYVYv^?'c APPLICANT - ?Cl? ADDRESS J n I,l?• IALI)lI 13,L'?,l( PAGER # PHONE # FAX ?-!S`??-I ---?--?- NEW RESIDENTIAL BUILDING ONLY- fILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULFS 7670 CA1'EGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Conhactor: _ Plumbing System Includes: Mechanical Confractor: Mechanical System Includes: Sewer/Water Confractor. _ Water Softener _ _ Water Heater _ No. of Baths Air Condiaoning Heat Recovery System FIREPLACE(S) _ 0 _ 1 _ 2y? PHONE - -.?UJ? Fee: $90.00 Phone fk Fee: $70.00 Phone # All above information must be submitted pNor to processing of application. I hereby acknowledge that I have read this application, state that t e informati n is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan dinances Sfgnature of Appllc M Certificates of Survey Received _ Tree Preservation PI eceived _ Not Required _ Updated 1/01 Phone #: Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY . ? Ot Foundation ? 07 OSplex ? 13 16•plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex [3 18 Deck ? 23 Porch (scraened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Stortn Damage ? 06 04-plex ? 12 12-piex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Aiteration ' ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •DemoliUOn (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Foorings(deck) FinallNo C.O. Footings (addiYion) Plumbing Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation FinaUC.O. HVAC _ Other _ Poo1 _ Ftgs _ Air/Gas Tesu _ Fina] _ Siding Smcco Stone _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Totai C/ CITY of EAGAN BUILDING PERMIT oWn•= Addsees (Precenl)Ir?Sl. VV'4?: . ...........T ... ??G-?Irln:..• ?.i: l . .. ........ Builder ........ .?..........--' ............................................... i Addreae ...............°---....----....._...............-°°°----......................_---..... ? DESCRIPTION . ;. N4 3415 3795 Pilo! Kxo6 Road Eagaa. Miaaesola 55122 454•B100 Dale ...j.?....??.:..71 .............. Blosies To Be Usad For Fron! Deplh Heighi Ecl. Ca! Permi! Fea Aamarks fC) ?/ ,,...?. 1 ???1D40 9? or TYON I ? r7?G?? ? ??.il/.`..,?///? # // _ I d.?/ o/ /4 Aa.9s"a This perb(i daes aoi aulhorise the use of atreefs, roads, allaps or sidewelks noz does it glve the owner o= his sgenf ffia righ! Yo ereale any siiuation whioh is a nuisaniee or whieh presants a hasard fo the healfL, sately, eonvealeaes and geaeral walfase !o anyone in the eommunily. THIS PERMIT MUST SE,/ O ??E P ISE WHILE THE WOAK IS IN PA06RESS. ^? /- This ie !o aeriifp. !hal.I.r. ....---.? ...................has permission !o ereci ................ _upoa the above described ise subjeei !o the p:ovisions of all applicable Oedinances tor 36e`an. ..........?.. /../........ ....... ...... . ?"."`............"""""-......... Per .....? .. . ........ ........_...."':. ...... , . ....................... G '-" . . .. ayor Suilding Iaspeelo: ? ---------- ------- ? Fw Ottice Use E I I ? Petmit I I Dty of Eap ? PermilFae: I 3830 Pilot Knob Road ESgell MN 55722 j Date ReceNea: j Phane: (651) 6755875 Fax: (651) 675-5644 ----------------- 2008 RESIDENTIAL BUILDING PERMI7 APPLICATION s„eAdd.ow: -4fO93 1'YIEADOt..7LFk+? ?r 6A6-ptnl SSfo"t2? Temne Sufte X: RESiOENT f OWNER Name:6°55 t nl (Yl?e?l?C E J+? ? JJ 1 Phone: Addressl Ci[y I Zip: -702 1J L3 tJLH(F K£ R D [ 1] rLA /!`I r1 App6cant is: _ Owner X CanVactor 7YPE O F W4RK Descxiption of woAc: f?+ 2' FR ,? ? y S ?i c,;rr+ ? 4 c- t D i? R c p,9i r2S Construction Cost- ?-1 $OQ ? blutti-Family Bwlding* (Yes __?L I No CONTRACTOR Neme: 4 LL`5772,,R Cr" ST'. (Y) G-fn i License#: ..?i:?? _7 Atltlress:.J`! 37'2I9L '; Lt Lr- City: ?k,- P4y,w State: M rl ZIP: -?? 35J ar,w,e: C15a - a5 3 -.Y158- conracs Person: QfA? ?R-? CQMPLETE THIS AREA ONLY IF COHSTRUCTlNG A NEW BUILdING ? Minn ta RtAas 7670 ?'?teaorv 1 _ wtinnesota RuVas 7672 ' EI1Bwgy (',pdg • peyiqentlal Venalation Calegay S Wo?heel • Neu' Energy Cade Warksnaet SuOmittetl CtIdggpry Suhnlittetl (4 5ubmi68W0lYPB) ' E^819Y E^veh" Calculadons Submrttetl In 7Aa lasl 12 mordhs, hss 1he CItY of Em9on Iseued a peu+it for a simiiar pian based an a master plan? Yes _NO H yes, data an0 address M mes[er plan: . PhOne' Upnged Plumbar. Phone' MeehoNCal Contrscbor: Sewer & YMater Cantrador: ?nty. tAat you yupmlt are conaldered to be pub?ic lnfom+atlon. Portlons ot ehe lnfo.,,rerron n?er be olawtnea as ran-publlc H you Provide spealft reasons tlwf would pennit the aty ro ?? ?? 8? ?M cunelude [M1at tho are trede secrgta I tmeby adunwledpe tlw ttis kfammon is mnO" ara accurace; tnaz me wonK wu ae m.camannarx•x wwe uw wwnarK:es ara waes a uw ciry rn Eepan? iha 1 ut?td Uds is ?qt a perrnit, wt onh' an aod?elion tar a Pwini1, and wmx is nac ro scart witrwut a pefm ' trw the wuh .mu be m aownftvce wth Ihe apP'a'ed Phn in Me tase o1 wotk whiM ra4L4km a revnev+ ana appMYSI _7A4nM ?? K Sy ELG ?A N ;csnr n re Page 1 of 3 nY?..??..e 3 Z'd 0099-6L4-£9L jeRnneg auen4 dpg;ZO 20 ZO 1o0 . r DO NOT WRITE BELOW TH{S LINE ? ? pr?p? ? t6-piex ? Acce%9ar7l8uildi? O Pod ? F D Porch (3-seasonl ? F?ct. Alt. - Mupi ? Sf+?4ieFamily ? ?-P*K ? Frepl?e ? Pordh (4-seaaon) ? Fxt.lut-SF 9 o, mLo plex t] 07-01" nGarae h rd IEVI)ONOV901 3) p eM,ni ulc. ? ? 0 08,31ex L3 Dock 0 Porc (Sorea G ? 7"lex ? Wwer Leve1 ? Smrm Dama9e ? 03PIex Q lAis?ellaneous ? 044PIeX ? t2-plex 1?QRKTY?P $ p ffiding D Danolish8uiltling" D? ? hrteilor Imprwremen! ? Reroot ? pemolish lMerlor O/ddttlan fl Nove Buiidng ? Wlndows O Camolish Foundation d NteeMan ? Fire Nepsir ? ?x Egress Windo n? ?w Wafer Omnege ? RBplaOBnreM ' DemOli6on (mghe 6uiltlin9) - g'ive PCA handou[M appte? ? ano ? MCES8ysiem aWatlan 00 7l OccuP 5AC Untts _ wan ?v ? ?e ?? ?p aiy waw - {Zg/- 100%v-1 ?? ? SoOSterPUmp - ?us Oodd k 3 - PRV - ! ot UnMs ? Sqwre Feet _ Fira Sprlnklers _ # of Buildln9s f ?? - Typs of ConsL ? 1Nid1h AF[lILRED MPECIM FootlnBe (rtew bld8) ' FOOunBs (dadc) "- FoWlnps(eddttlon) ' Fourr6stbn - prstn Tlle - qaof: Ice & Water _Fmal ? ?ing R_I- Air Test _Fnal ` InsulaUon ? Rerietned BY' SAaetrock ? Flna1/C.0• ? Flrtallmo CA. HYAC ? 0aw: Air/GasTesfs Frmi ` PooL•--Footin95 Lath _Brick ?c Sidieg: ?ucc° Lath -Store Nfindows '-J RoWning Wail Building lnspectOr Rccmcu'?Iq1 FFE?sc '-?,-I Bass Fee Surcharge PLsn RevleMr MCIES SAC ----- Ctty SAC UtlIKY Connecibn Charge s&w vennrc b swc1urP Trealment Plarrt _--? Copies Totai - 9'd 0099-6Lti-£9L aeAnnsS,euena page 2 af 8 g5£ l6 80 06 P0 4?' Uty Ol Uagn 3850 PNoI KnaC Roatl Eagan MN 55122 Phone: (651) 675-W5 Fax:(551)s7s-asea --For --Dlfi-ce-U-se ----------- ? f PermLL A: I ?,lG I ? Parmit Fee: -?7/, ! ? - -- i ? Date q¢Celvea: j i i i sffia: i ------- --- LE" f- vkss? 2008 RESIDENTIAL BUILDING PFRMiT APPuCaTIoN 2a?- oaa: "Q / s? aea.ess: "??t r m?t?,:?t&eLC-T' E?a rof++a 551 ron.m• swts r: _ RESIoExr/ avnrFR rs„e:C?5fjv" Pnone:?S?-9aa :55175 AaaFeW iciry/ aR: -Aa75 B? ?r-+ L.a14F- Ro Co.Nn mA 5-5y3`'1 Apptiqnt i5: ` OwnE't ? Cont/OGtor TYPE OF WORK oes«;Paa, or work: 5c F3,?„ N c rsrr c-4 rN ?I ?JaC.t_ R cpjv, zS ConStruC[pn Cast: hEilti-Family Buildirg: (Yes NO CONTRACTOR Name: 4LL,S"ii4+2 ??5'T", f"YIGM+ Li?nseA: 3c24'1 nddrass: s4-5 ciry: !1'1a0 c.E Pcra "'r s,a:e: m14 zp: Phorre: y5a' S3 -'4rf53 Contact i'erson: ??YinlE .SAw?I ?W COIIAPLETE THIS AREA ONLY IF CgNSTRUCTING A NEW BUiLDlNG _Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 FJ19Igy COde . Rside+tiel vemflauon CategaY 7 woAcshael • New Enargy L',oda wonksheer Sii6mlQetl Submiltea (4 wbenbSfOnrytYPe) ' ErwrBY EnvaWe CalcWaaore Submiued tra tl* 1M. 32 months, lme tha G!Y W Ea9an iaxied a permit tor a similu plan based on a msster Ptan? Y95 No tt yes. da0e ard address of master plan: ' ucenasa Plumbor: %M? • dedmnic? CoMraefw. Phw?e Sewer 8 Watar Conbaclor: Phone- HdT,c: PJHIl9 811Q 8Y{?41f1l1$ dOqJrt1Bli13 tAat y4u sLbllllt Hfe public rWOUId PBIRtit G16 CI!)' tat de yA?atlpn rr?ay pe a/asslffed as non-publlc H you prov/se specllfa lB880/lS cortcfude that the are trade aeerets. l herWY adk^°wiedbe tlW ft rtdamfrtiui is campeoe an0 aocurata; tne[ ttw worK wui oe m coraormarxie wnn Uw wm"u00e5 ??s ? wiu b?e n tne E?: Ciatt ! unCeistE7d Cds b not a permit, Eut ony an aPWGauon ar a P?rt, ano wah is not ra :fert wiU?out a permiJ; aaeaaencewdl, uhe wnwad dan ki me caze a.lork whicn reqwras a.ewew ara Pla eLC LCAN X??? ApplFceM's S'ig re pyg61 ot 3 +?w+1^'?'2°"` - ? V'd 0099-6Lb-£9L jeAnneg auena d64:Z0 80 ZO 1o0 DO NOT WRITE BELOW 7HIS LlNE SUB TYPES ? FOundetton ? 05-p1eX ? lfrplex ? AcaessorYBUMing ? Pod p 'fifngle Family D O6oex ? 19rap6eee f] Porch (3aeason) ? Fxt. Alt.- Muni !E? 0i of )o Pleu ? 07-pfex [7 Oarage ? Pnrch (4xason) ? Ext. Akt- 5P ? 02-Plez O OSplaz ? Deck ? P+ord+ {screeNaezebwae+gola) ? YuM3 M3sc_ ? 03-Plex 0 7Pp18X Cl Lower l.evel ? Slam Darnag2 ? oa-voe: ? ,z-plex a M?xsim? wORK'rrPes 0 Slding C Oemolish Building• ? lMw ? InteAor lmp roveanent ? Adi6Uam ? Mwe Siudiflng ? Reroof ? Oemolish Imerior ? A1laraftn ? Rre Repair ? VYindows ? Damutish Fuun+leUon ? ReplacemeFrt 0 Egress w'mdow X Water Dama9e • Den104IGOn (entire builmrg) - 9ive PCA hand%a m eppiicem oescRIPIIoN: q,?,.,, 00 encY ?u Rc - 3 ?cES s,r.?+ - VeWatbn ?_ P -- piM aevie.. ? coae edhion 1007 sac uacs - (zs%_1oo%?? zonin0 R- 3_ acr wnw _ CensusCode N31?- SDOrlas -- BoastorPUmp ? m urdts ? square ree' ".' PR" - _ ? ?? ? Rre Sprlnklers # of BuiMings J Type of Const ? Wldth RInUnMO l"si+EC1lONS Foadnys Inex' bld9) ????k ? Foatln9s (deck) Fina11G.0_ ? ?? (???) FinalMo C.O. ? , ?? ? HVAC ` Drain 771e aher. ' POOI: Footings AirJGasTests ?Final ? FtoW:_?e B WaLer _Fnal ^ -c- Sldlng:? Lath Stone latlh ?Bridc F?am?ng RI. AirTes[ pireplaee: ,Final _ Windows _ ' Retainirng Walt btaulathm _ Revfewed By: Building InSpector Fg? oJ Bow Fee 413 Surcnarge .?-?- aasn Review MC/6S SAC CHy SAC lltility Connection Charge SacW Pe1111it 8 Surdmp _-.--- Treatment Plant copies ? ?64ea. Total Page2of3 8'd 0099-6LD-£9L ja,(nneg euen4 dZg:ZO 80 ZO 1o0 2004 CONOMWEVEL BUILDING PERMIT APPLICATION fo h 0 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ' `/'3 ? s "AU - • SWctural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structu2l Ptans (2) • Code Analysis (1) " . Certificate of Survey (1) . Civil Plans (2) . Project Specs (1) • Code Malysis (1) " • Landscaping Plans (2) • Key Plan (1) • ProjectSpecs (1) • CodeAnalysis (1)" • MasterExilPlan (1) • Spea Insp. & Testing Schedule " • Certificate of Survey (1) • Energy CalculaUons (t) not always" . Soils RepoR (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Powar & Lighting Fortn (1) not always•' • Meter size must be astablished • Meter size must be established ' • Meler size must be esta6lished-if applica 1 . Project Specs (1) - - - - - - 3 y • EnergyCalculations (7) 1 • Electric Power & Lighfing Form (1) " y b • Master Exit Plan (1) L - 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 L , i ? Q • SAC determinaUon - call 651-602-1000 • SAC delermination - call 651-602-1000 .call,651-60 SAC determi 2-1000" ; Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. - - •" Contact Buildmg Inspections for sample and if required when rt states °not aiways°. *•` Pemilt for new building or addition will not be processed without Emergency Response Site Plan. DateJ,O / K 01) (? ConstructionCost Site Address t?c,..UnitlSte # ? Tenant Name Former Tenant Name -7 SS ? f7 7 ; Description of Work _S4(,Ml7 PW?( ? Property Owner M",? 6 u/ Telephoue #(M)? ?>> v Contractor ll J(h Lt+w Address City__ State ?1.,- Lt Zip Telephone # Arch/Engr "`4' 1 Registration # ? Address eJ ps? 3 y O?J ? Crty c/v?,' ^^"A'Q o State Zip Telephone #(Q5Z) q4A Z UL ? Licensed plumber installing new sewerlwater service: Phone #: I hereby apply for a Commercial Building Perxnit and aclaiowledge that the informatio is comp d accur te; that the work will be in conformance with the ordinances and codes of the City of E 5tatutes; I understand this is not a permit, but only an application for a pemut, and wor 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. `9rhho,..? tw• ? ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? Ol Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement 0 26 Public Facility ? 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 35 Int Improvement ? 38 ? 36 Mave Bldg. ? 42 ? 37 Demolish (Bldg)' ? 43 'Demolition (Entire Bldg only) - Give F Valuatian Occupancy Census Code Zoning SAC Units "- Stories Nbr. of Units Sq. Ft. Nbr. of Bldgs ? Length Type of Const V- ' S Width Required Inspections _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundarion Drain Tile X . Z Roof Ice Pr _ Decldng _ Insul _ Final _V' Framing _ Fueplace _ RI. _ Air Test _ Final P.pproved By: Planning Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit 5/W 5urcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other ? 30 Accessory Building ? 32 Ext Alt-Apariments ? 34 Ext Alt-Commercial ? 35 Ext Alt-Public Facility ? 37 Nail Salon Demolish (Interior) ? 44 Siding Demolish (Foundatlon) ? 45 Fire Repair Reroof ? 46 Windows/Doors CA handout to applicant MCES System City Water Booster Pump PRV Fire Sprinklered V" Insulation FinallC.O. tl? FinaUNo C.O. orner STVcW ,, LA-Tff i PcPex, - _ Pool Ftgs Air/Gas Tests _ Final _ Siding _ Stucco _ Stone Windows "r" '_Building Inspector Total 2005 RESIDENTIAL BUILDING PERMIT APPLICATION Z, y City Of Eagan 3830 Pelot Kuob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nevr Consfructbn Reauiremems 3 registered site surveys showing sq. ft. oi lot, sq. R ot house; and all mofed areas (20% meximum lot coverage ailowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculafions 3 copies of Tree Preservation Plan if lot Dlatted after 711l93 Rim Joist Defail Options selection sheet (buildings with 3 or less units) RemodeUReoair Reauirements 2 copies of plan t set of Energy CalalaGOns for heateA add@bns 7 sRe survey for addifions & decks Addftron - indica[e Nwr-sde septic sysfem Office Use Onlv Cert ofSurveyRecd _Y _N Tree Pres Plan Recd Y_ N. Tree Pres Required _ Y_ N Onaite SepGc System _ Y_ N ro, aa a Date T / t> Construction Cast _ SiteAddress Wi2wi6J (.4bkI4' L't3cFR-F UniUSte # Description of Work ? Ane-. 4A'?E Mulki-Family Bldg ? Y _ N Fireplace(s) -K 0 _ 1 _ 2 Prope ty Owner Telephone#(qS2-) 4elf "61630 ` S o ? u LnCS v Contractor At-L, Ctq-ft?f,? b eJ Address ?(- ? N. ?0 ?` City ?? ( p-g-(4- State VLkt1!. Zip Telephone # (7b? 'I S7' " 5 +72- COMPLETE 7HIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 • Residential Ventilation Category 1 Worksheet (J su6mission type) Submitted . Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 ? . New Energy Code Worksheet Submitted tn 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 Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informafion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work ' s a vi ? d approval of plans. // ?? c-r? ??? ?? T???? 61 PL?? ? ??? N EPr< 5 ?. Applicant's Printed Name A p icant'k5ig4 e ?_ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg A 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc. ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition p 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ,I!r- 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg ) - Give PCA handout to applicant Valuation Occupancy MCES 5ystem Plan Review 100% or 25% Census Code ? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) ? FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof ? Ice & Wa ter ? Fi nal Pool Ft s AidGas Tests Final ? Framing Siding Stucc Stone Br ick Fireplace RI. Air Test Final Windows ? ? Insulation _ Retaining Wall 1.*rk Approved By: , Bu ilding inspector Base Fee Surcharge Plan Review MC/ES SAC Gity SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?ffdl5 C9 o ? 1o?uG 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements 3 regrstered site surveys showiig sq fi of lot, sq. R. of house; and all roofed areas (20% macimum lot cnverage allowed) 2 copies of plan showing beam 6 window s¢es; poured found design, etc. 1 set af Energy Calculatians 3 coples of Tree Preservation Plan if lot plaked after 1/7/93 Rim Joist Detail Options selection sheet (buildlngs wflh 3 or less unils) P?.c,k.?. ?rzZ?! RemodellReoair Revuirements Offica Use OnN 2 copies af plan CeR of Survey Recd _ Y_ N 7 set of Energy Calcula6ons for heated additions Tree Pws Plan Recd _ Y_ N t site survey for adddions & decks Tree Pres Required Y _N Addition - indicate Honsite septlc syatem On-stte 5aptlc 5ystem _Y _ N Date l Construction Cost Site Address UniUSte # DescriptionofWork / Multi-Family Bldg (IS, Y_ N Fireplace(s) Y 0 _ 1 _ 2 Pro erty Owner 0 G Telephone #?S? ' E? c? C cra?L ? 6? Contractor Address T(- g ?ty City State kfq Zip ?? ?jTelephone # (`Z(?3 ¢2-? ?7 L COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Categury t Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted • 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? _ Y _ N If yes, date and address ot master plan: 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 accutate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 6204?-c 5 4A-?e &20a ApplicanPs Pnnted Name Applicant's igna OFFICE USE ONLY Sub Types ? Di Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bidg ,)-- 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 0 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscetlaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair /Ic 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement ^Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Pian Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) 4 FinallNo C.O. _ Footings (addition) 7 _ Plumbing Foundation HVAC Drain Tile Other ? Roof ?( Ice & Wa? Framing? ? Final - Pool Air/Gas Tests Final Siding )C cco Stone Brick Fireplace R.I. Air Test Final Windows ? Insulation _ Retaining Wall L"6 Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Coristnuction Reauiremenls 3 registe2d site surveys showiig sq. ft. of lot, sq. R. of house; and all roofed areas (20% maximum lot cova2ge alloved) 2 copies of plan showing beam & window s¢es; poured found design, etc. 1 set of Energy Calwlations 3 copies of Tree Preservation Plan if lot platled aRer 711/93 Rim Joist De1s10ptians seledion sheet (6uildings with 3 or less units) ?d.ck.,u.2rzzY RemodellFienair ReouiremeMs Office Use Onlv 2 coples of plan Ced of Survey Recd _ Y_ N 7 set of Energy Calculefions for heated addilions Tree Pres Plan Recd _ Y_ N 7 srte survey for addNOns & decks Tree Pres Required _ Y_ N Add'rtwn - indicate i(on-site septk sysfem Onsite Septlc System _ Y_ N Date -q / /'? / 0? Construction Cost 61, ? ? Site Address ?a 4?3 [/42?&. UniUSte # Description of Work ?(??? ?j7,4hoi3'/L. Az/yQlfA_Xfri 57_14,Z-L?O Multi-FamilyBldg ?Y _ N Fireplace(s) K0 _ 1 _ 2 Property Owner C, Telephone t! (q5L) 494 - 2V c? l Contractor A'Z? 4erA'7 e•/ Address ? p? City ??i?l<cs?'/q f''? ?'? ?. N • State ?Gd4 ?/?? Zip T73 Telep6one#(_A17. 4?:C¢ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksneet • New Energy Code Worksheet (4 submissionfype) Submilted Submitted • 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 plan2 _ Y _ N If yes, date and address of master plan: 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 the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name r Applicant s Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement `Demolifion (Entfre Bldg) - Gi ve PCA handout to applicant L Valuation , Occupancy MCES System Plan Review 100% or 25°k Census Code Zoning City Water ? SAC Units Sfories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? _ Footings (new bldg) _ Faatings (deck) _ Footings (addition) Foundation Drain Tile Roof IX Ice & Water _)C Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final y Insulation T' Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Width REQUIRED INSPECTIONS Final/C.O. ?C FinaVNo C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding cco Smne _ Brick _ Windows ' _ Retaining Wall Lrr# Building Inspector U Wfti,?L ? 6147-6-e'-o -? o 4? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtbn Reauiramenfs 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and I roofed areas (20% ma;dmum lot coverage allowed) 2 copies ot plan showing beam & wintlow s¢es, poured found design, etc. 1 set of Energy CalculaUons 3 coples of Tree Preservatian Plan'rf lot plaHed after 711/93 Rim Jais( Defeil Options selechon sheet (buildings wiN 3 or less units) a ? ? Z?2LK Pd.ck.?• RemodellReoair Reauirements OHice Use OnN 2 coples of plan Cert of Survey Recd _ Y_ N 7 set of Energy GalcuWtions far heated additions Tree Pres Plan Recd _Y _ N 1 sfle survey for additions & decks Tree Pres Required Y N Addifion - indicafe Hon-stte sepNc sysfem On-site SepGc System _ Y_ N / .r Date / l?7 /05 ConstructionCast Si[e Address ?o,?-? /11 zF7*-,9 Q.ti ? UniUSte # Description of Work Multi-Family Bldg ? Y _ N Fireplace(s) ? 0 ?^ ?. _ 1 _ 2 / Prop rty Owner L47g_CL f2"QCrz?- &Sa G Telephone #(`? Contractor Address City _.ffnnk r S[ate p-LPQ Zip l?3 Telephone #( 2&)3 4-2.4- 5172 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted . 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? _ Y _ N If yes, date and address of master plan: 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 the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. (^o fAlzaapce Applicant's Printed Name //Aoo pl c s Sig e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg x 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mufti Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plhg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair AL 33 Alteration ? 37 Demolish Building" ? 43 Reroof 17 46 WindowslDOOrs ? 34 Replacement "Demolition (Entire Bldg) - Gi ve PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25°h Census Code i _ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 1/_ Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof ? Ice & Water ? Final ? Framing Fireplace _ RL _ Air Test _ Final 1C Insulation 7 REQUIREDINSPECTIONS FinaUC.O. ?C FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ft Air/Gas Tests Final _ Siding tucco Stone _ Brick W indows Aetaining Wall ` "-Tw- Approved By: '` Z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?" ?.'D / Aug 20 08 11:25a Duane Sawyer Citl of EagIl Ab? 3830 PAot Knab Raad Eagan IIB15St22 Pnone: (651) 6754s'r5 Fax: (651) 675-6694 008 RESIDENTIAL BUILDING PERMIT 763-479-6600 p.2 ^--------------- ? ? F? Oliice Use ? i ? P M LeZe:o?e : I ? I S?If: ? i ? ? - J 2 APPLiCAT10N oam: ?G O sneauaress: ?o?l/ <rG? ?„rcL..nES?o93 ??,B???Ae,?l? s.?. S1dte A: RESIDENT! ONMER Narne: (vftS?r >r?l n? ? "°•°. . - • Addnms/cftr fziP. nvwicanc s: . ? ? -COntm«or rrPE oF woaK Ds=qbocr work: Constnwtion Cost: ? ?'?a? . ?c? Muiti-Famdy Buildmg_ (Ves ?/ No ooNrnacroe "? Address: 112,75- R6JSff L //, %?p ?'-u/1 Sal6: ?i,? Z?: r5?79 Pfiorre: Contact Par..vn: ? .? CONIRLETE THIS AREA ONLY IF CONSTRUCM4 A NEW BIALDING Mirmesa[a 7870 CatprtaJ?1 _Monesota Mles 7872 E?y COdg . p? Vm?tlladan CamporY f wulsheet •? Oode WoA?heet CaueBOry StdNnYled (J submisaWn type) ' EneW Enweiqm cawuiaom SOn*w 4n " las[ 12 mmOs. lms tlhe Clly ot Fsgao Wased a Pemit for a slmper pian ba?ed on a omsDer PIan9 Yes tJO ityes, date ard address af masmr plan: ucensea Plumber Phurre: Phwre: I?Aed?antcal Cartractor. Sawer & Weter Contrado?: Phmw: If07E: PfnnsarMsuppo?fin9 doCUPHIS qe kgormffi(ori x+aY ae ctas~ as admIR e?e can9h*mvd t0 be pUbUe hd0nn8M+?. PDKkes O7 yoy providp voem twasvm tlmt would penntf tlw CIIY tO .... ..u.. a.o...n.m..ec aiA raaas M iM atr ol 1 hembY adciowkWoo to t's b[armawn is cmpremm ano ?anaw. tr e perm$ and waiit is rot lo s7mt vrUhout "Wmt tl?at the walt wll BB in ?arr?,e Iwitl? Ure ?epaa?ed? pla? tl??sB? wak?iMvrh a review and apryroval oF m"n Af/l1 x XAp{fBcanE's IPFP NBmB S PeOe 1 ot 3 ? ?----------------- ? I j Permit q: ? ?? ?-yr I I C)?•?S It ? PermN Fee: ?'y oc ? Date Received: I StaH: ? I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:Odt SiteAddress: ? Tenant: J ??? ? cfl , ?j Suite #: , ? I ? e I f i ?' ? 4"A% '9 RESIUENT / OWNER Phone: Name: , - ? / AddresslCity /Zip: V'71 ft(AJOwCRR,l4-- Ct' [``/q52n- MN 5'S'J?o1 Applicant is: _ Owner _?5_ Contractor TYPE OF WORK Description of work: ?? i --it- q; 20`'F Construction Cost: L?i 3 S? , 61) Multi-Family Buiiding: (Yes No ? CONTRACTOR Name: Q?qss;Fu L oM f? License #: r/?c&? yS / Address: ?70?-?S &S (-Ckc 2 o City: Co i tic?. State: MN Zip: Phone:y?(7 ?-z)-"S j-ySs 5-- contact Person: } e YY`-? i'?6 I N'? COM?LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Cateaory 1 _ Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submined (4 SubmissiOn typB) • Energy Envelope Calculations Suhmitted 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: Phane: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NQTE:PfansarrnfsUOpoh0$;rf6cumenfst?xatyvufl.s6limttarevonsidieie?€?bar;p?+bfi?:ii?farf?BtTan. PoFfionsof the infarmatiarsmak 6e:Gt8ssiffed?ss r?otrr?t?;fblfc Xyart ?rrourde_spec!Re neesum5 fhat7ca+on/i??rmlt the CIry to ?A?Ctutte+ittta?f? .arel?aet+?se?'et?,..`. I hereby acknowledge ihat this iniormation is Complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but only an applicafion for a permit, and work is not to start without a permit that the work will be in accordance with the appmved plan in the case of work which requires iewn roval of plans. x F?[? \ PJ? x ? ApplicanYs Prinfed Name ApplicanYs " nature Page 1 of 3 Clty of Eagn 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675-5675 Fax: (651) 675-5694 V° i FaiOfficeUSe -- - - - - - - I !xY I I ZVD9 j Pertnit #: ? Pertnlt Fee 17 r.?' ?0 J _ I i Date Received?? i starr i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ?dy• ?y Oate: _ 3-I1?5! j _? -- Site Address: -------?ct_9 a d 7enant: Suite #: RESIDENT I OWNER Name: ____ ea SSaeL?n 2-0rtisr???- Phone: &?r2? J?? =,,?5?? Address / City! Zip: 0/ f?_?T? 6?y? ?H'?c?,(as9 ??ea/?1'?c?S1?Y_?S?X? T Applicant is: __ Owner ?Q Contractor TYPE OF WORK Description af work: -J..o a1 Construction Cost:!!l?p' Multi-Family Building? (Yes No ??le CONTRACTOR Name: _ License #: Address: -------------- ?Lre/e-j Crty: __J' - &%.--------------- - state: ziP: 7 Phone:04?_ ??,$ ? ?= _ _ Contact Person: ___-y_rflr?_lC?r?c.??+-oL? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Resitlential Ventilation Category 1 Worksheet • New Energy Code Worksheet C2te8ofy Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? ___Yes ___No If yes, date and address of master plan: ____-------------------------- Licensed Plumber: ------------------------ -------- Phone: --------- - Mechanical Contrector. Phone: Sewer 8 Water Contractor: -------------?------------------ Phone: ---------- NOTE: Plans and suppoRing documents that you submit are considered to be public information. Portions of the information may be cfassiFed as non-public if you provida specific reasons that would permlt the City to conclude that the are trade secrets. i hereby acknowledge that this informalion is complete and accurate; that the work will 6e in conformance with the ortlinances and codes ol the Ciry of Eagan; lhat I understand this is not a permit, but only an application for a permit, arrd work is not to start without a permit; thal the work will be in accordance with the approved plan in the case of work vfiich requires a review antl approval of plans. xVo4"- --- ? ------------ ApplicanYs Printed Name ApplicanYs Sign re Page 1 of 3 ,?,? DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Single Family _ Multi 07 of _ Plex _ Accessory Building WORK TYPES New Addition Alteration ? Replace DESCRIPTION Valuation Plan Review (25%___ 100%___) Census Code # of Units # of Buildings Type of Construction Siding _ Demolish Building• Reroof _ Demolish Interior Windows Demolish Foundation Egress Window _ Water Damage "Demolition of entire building - give PCA handout to applicant Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS _ Footings (New Building) _ Footings (Deck) _ Footings (Addition) Foundation Drain Tile _ Roof: __Ice 8 Water ___Final ? Framing Fireplace: ___Rough In ___Air Test ___Final Insulation Meter Size• MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.D. Required 4 Final / No C.O. Required HVAC Other: Pool: ___Footings ___AidGas Tests ___Final _ Siding: ___Stucco Lath ___Stone Lath __Brick Windows Retaining Wall Erosion Control Reviewed By: _ -- vleoo? -_________, Building Mspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S8W Permit & Surcharge treatment Plant Copies _ Fireplace _ Porch(3-Season) _ Storm Damage Garage Porch (4-Season) Exterior Alteration (Single Family) ? Deck _ Porch (ScreenlGazebolPergola) _ Exterior Alteration (Multi) Lower Level Pool Miscellaneous Interior Improvement _ Move Building Fire Repair Repair TOTAL 2 ' ohz1(, ( '5 ??0D 0,/ ? ? f O`?u VILLAGE `10F EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.• Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By . Date Paid: Date of Insp.: .27rigralir Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: � Use BLUE or BLACK Ink r_______________�-^. I For Office Use � � � Permit#: l u � I Clt af ��pa� � k�� Y ° � Permit Fee: ��"' � 3830 Pilot Knob Road � i Eagan MN 55122 � � I Date Received: I Phone: (651) 675-5675 � � Fax: (651) 675-5694 I I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: C / ls t Site Address: Tenant Name: {�� v...�� ;��,/� � v� g� Tenant is: New/ A Existin Suite#: Former Tenant: Name: {� �-e•.cM�,�n� X� �'\�i �� Phone: Property Owner Address/Cit /Zi N��y , ti/^� � �f�, � aj�� I y�q?� {po�s' Y P�_ '10.P1. `f qk3.�i ��j , ` , • � �a� A licant is: Owner ��`^�'v''^'i"`� C'� pp �Contractor Type of Wot'k ' Description of work _s�. r.��r�N� h i�w1�.,�� Construction Cost:�t S�2 Y�� Name:��v 1^�v�.�t�� o v.i`1►�c�iv^ License#: � 3�5� � Contractor . Address: �� Q'�'� ��,� Q r. city: �/; ��.=.�� State: �`1 -� Zip: �S 3 c�' � Phone: G S� - d �j ° �� b b Contact: %he �'�'� � e� Email: .�. , ?r. � � J� �-Q�...;�.�,�. Name: Registration#: Architect/Engineer Address: City: ' State: Zip: Phone: ' Contact Person: Email: Licensed piumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents fhat 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 fo conc/ude#hat the are tracle 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.qoqherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the w rk w�l be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap c tionifor 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 r whi h requires a review and approval of plans: x `/�e �� g v� s e.^, X ApplicanYs Printed Name ApplicanYs Sig Page 1 of 3