1476 Englert RdCITY OF EAGAN Remarks- 1.LGrad[1.7?&Ak ,l '
Addition Bruestles Addn. Lot 2 B1k 1
Owner- Gt i,'? ". street 1476 Englert R,d.
- !? ?-
MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUIVK L#f'? q 1975 880.oo 88.00 10 Pa1.d
SEWER jolM_M
q
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1983 561.00 37.40 15 523.60 C008542 9-26-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC OO.OO 7 & 7O - - ,
PARK
I
EAGAN TOWNSHIP
BUILDING PERMIT
owoe! - ?-- -h - - &.( .......... '--------- -'- - -- - - ---- - -
Addresa (preseni) "y :? k`'? -
"'-'-'°' . ................_......................._............__..-
Buildaz _-_--
Address ._._..
?
N° 2915
Eagan Township
Town Hall
Date
5faries To Be Used For Front Depih Heighi Esi. CosS ' Permii Fee Remasks
~?? ?o ?. v-s) /V ,?-
.U?•?..a..•?-,_....?" ?i-- - LOCATION 7,c 'rU
Slreei. Road o: oiher Description of Locafion I Lo! Block Addifion or Trae?
This permif does not aulhorise the use of slraeis, roads, elleys or sidewalks nos does it give the ownet o= hie agenY
the tiqht io creale any siiuation whieh is a nuisanea or which presaxis a haeard !o the hea?!h, safety, eoavenianca aad
general welfare fo anpone in ffie community.
THIS PERMIT MUST B E?P/?T, `O"N" "THE PAEMISE WHILE THE WORK IS IN PROG SS.
This is !o cerrify, fhal..?..?:!r..?c:::.:°.:??'` ..................._..haspermission !o erec! a... ......: _.. ..__--•--_.._...._u
D?
!he above described premisa subjee! !o the provisions of the Buildieg Oxdinance far Eag? Township adopled Aprll 11,
1955.
Per ..................._......................... .........•9 ------p-° ----°
........-'-°'------'-:•'-'-?-=------- .`---.... -'--------- ??--??- a?-?.. ,?
Chaisme ard-- ?'t Buildin Ine ecl? Ifs
.d-/
CI'L°3 Or &AC-AN
3795 Pilot Knob F,oad
Eagan, P7innesota 55122
PF,-%NaT NO.:
,id+.uZs&A?o CeQ?4?
193
7sie City of Eagan hereby g.rants to Rocrez Hartmann
op New Prague, MN
a WELi. Permit for: (Owner) Leo Pruestle
at 1476 Bnglert Road _, pursuant to application dated _ E/30/74
FPe Paino $10.00 dated this lst day of JulY .? 19 74
.5o s/c
Building Inspecto:
Mechanical Permits:
Bid Total:
8Duct I
Zov RESIDENTIAL BUILDING PExMiT nrri.icnTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWrAOn Reuuiremenis
3 regatered site surveys showing sq ft. of Mf, sq. ft of house; and all roofed areas
(20 h mmimum lot coverage allowed)
1 Soils Repod'rf proposed building is W be placed on disWr6ed sdl
2 copies of plan showinq beam & wiMow sizes; poured found desiqn, etc.
1 se! M Energy Calculahons
3 wpies W Tree Preservation Plm if lot platted after 7l7193
Rim Joist Detail Oplions selectian sheel (buldings wAh 3 or less units)
Minneqasco mechanical ventilalion form
RemodellReoair Reouirements
2 copies of plan showing footlngs, 6eams,joists
1 set of Eneryy Calcula4ons fm heated addi6ons
1 site survey far addifions & decks
Addihar - intlicate il on-site sepfic system
Office Use OnN
CeR of Survey Recd _ Y _ N
SoilsRepod. _Y _N
TreePresPlanRerd _Y. _N
Tree Pres Reqwred . Y N
On-sileSep6cSystem _Y _N
Plans are considered oublic information unless vou state theV are trade secret and the reason.
Date 1Q l lCD lo-7 p Construction Cost
Site Address /A17L2 vr pI Q,tl-+ hIX Unit/Ste #
Description of Work P00 "?" ??l Q S t S U. I
Multi-Family Bldg _ YX N Fireplace(s) X_ 0 _ 1 _ 2
Property Owner 5?e- L9 -e_?a ? ? n 5 o n Telephone ii ((05 O Y S 2- -`1 ? 0 7
Contractor
Address
State CitY
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(,Isubmissiontype) Su6mitted SubmRted
• Energy Envelope Caiculations Submitted
In ihe 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 Telephone #( )
Mechanical Contractor Telephone #( J
Sewer/Water Contractor Telephone #( J
I hereby
Permit and
information is complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State ot 1viN
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.
5Ttve_ ko L."S Orl iz?
ApplicanY's Printed Name Applicant's Signature
h 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 P L' T KNOB RD - 55122
651-681-4675
New ConalnrcMon ReauiremeMs 4 I7 p..?-7Z ? Bemodel/Reoair ReoulremBMs
o + ?/
? 3 reglafered site surveys ahowing sq. H. of bt, aq. ff. of twuse Ia 2 copfes of plan
and g(? roofed areas @0% mmelmum lot covemae allowetll 7-?_r-0-0 1 set of energy calcWatlons for heatetl addlNOrx
? 2 copias ot plons (aFww beam & wintlow sizes; poured ind. tleaign; etcJ _ 1 aite survey for exterfor otltlifions 8 decks
? t sef ol energy calculaHats
? S coples of hee preservotfon plan H lot plaReQ aMer 7/1/93
DAiE: 9, a0e,70 CONSTRUCTION COST:
DESCRIPTION OF WORK: 1 ?Pa J-ac e a(JA k+? oA If mulN-(amlly bldg., how many units? `.+ 1
STREET ADDRESS: OE
LOT: ? BLOCK: SUBD./P.I.D. #:
l,vctlIac-0- L' 4 ?"5
PRoPEenr
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: P.ob I n s aA S-k e o'p- Phone C YcY7d
Las1 FIBt
Sheet
cny E49Q
State:
/t't n
Zip: SS / L Z
Company: Phone#:
(area code)
Sheet Addreu: Llcense #/ Exp.
Ciiy
State:
Company: Name:
TelephOne #: (
Zip:
/
Sheet Addreu: ReglshaNOn #:
CNy
Sfate:
Sewerfwater licensed plumber (if installina sewedwater): Phone #:
Zip:
I hereby acknowiedge thaf I have read this applicafion, state that fhe infortnafion is cortect, and aZ_T?Certificates kh a0 applicable State
of Minnesota Stalutes and City ot Eagan Ordinances. Signature of Applicanf: ?
of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
OFFICE USE ONLY
4.
,.
BUILDING PERMIT SUBTYPES
0 01 Foundation O 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex O 09 07-plex
? 04 02-plex ? 10 08-plex
? OS 03-plex ? 11 10-plex
? 06 04-Plex ? 12 12-plex
WORK TYPE
? 31 New ? 36
9 32 Addition ? 37
? 33 Alteration ? 38
0 34 Repair ? 42
GENERAL INFORMATION
SAC Code 0 /
No. of Units O
No. of Buildings ?
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
? 13 76plex ?
JR 17 Garage ?
? 18 Deck ?
? 19 LowerLevel ?
Ptbg _Y or _ N 0
? 20 Pool 0
21 Poroh (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
Move Bldg. ? 43 Reroof
Demolish (Bidg)` ? 44 Siding
Demolish (Interior) ? 45 Fire Repair
Demolish (FoundaUon) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
# of Stories
Length
Width
Basement sq. ft.
Main Ievei sq. ft.
sq. ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building YL.P Engineering Variance
Valuation: $
?vx 38y s s3),C"
? 31 Ext. Alt - Mutd
? 33 Ext Aft - SF
? 36 Mufti
y3
SAC Units
% SAC
?t??ces7"/e5 ?dWn.
I ? K
+ t
? •Prr.;.fr.in:rv fi.??
DELMAR' H. SCHWANZ
LAryOSUFlVE)(OF
Rep,sterp UnCv ?,aws Of Th65tate V MmaeSOfa
100h MAIN STREE7 P.O. BOX M • ROSEaIOUNT,1#iNNESOTA 65068
. SURVEYQq'3 CERTIFICATE
- NoR7H ?tNt SdN4 59 ?14 SdC.jb•TL7• R2'J7
.. . 200... . !
?
?
N
a
?
N
J
WI
?
sl .
WI
N
?
A I
2
J?
?` 88
N
u
3
33
7owNSN1p RGA D
et
?+ (fiJ6LEXT
• PHONE 812 423-1789
?
?40 0 D'D.
t?
I _
G?
N Q ? Q
/00.0 '"-
zc,vD)
- - Rlu1
?
N
IV
i '• 200... . • `
SCRLE 1"r5p' .
?
O = SROH'PIPE '
? h.r-u7 cort.fy t:a± taf- 1?; s tr.;- ar(i c.-,rrrct iworesentatt„n of a
a,.:•rr a: tbP fol=rn+inf- !••scr";ed Lrao-, o'' land:
•>rth ^7°.') s•t-i of ft;p 't;vst ?!h). i feet Of t:roC !9egt 233.:i frr-t_ r.J'
*t= :;,:,L},a.t .rtFr -)f t:.t' ;Dat:CZSL Q:..rter of SPCtion 16, Tor•r.-::ip
%.ny.. 3 Ja'?nta Cnlui•q, "trunerota.
' :';nt•?GiIi?RY ]..;) aCDEn. '
`;;,` ?_-•*.. !.- . rns+d e:^.er,r,nt Ivmr Lhe nort" 33 fNf't thcrFOf.
? . ? ? ' ? ?? ? -? ?? ,. •
?•? MJNNESQTA RE61S RATION
L BL 1 CITY USE ONLY
?SUBD.
RECEIPT#: t I `
RECEIPT DATE:
PERMIT #
1999 PLUMSING PERM1T (RESIDENTIAL)
crrYoFELkstuu
S$SO Pll.OT KAOB iiD
EA6AP, MN 55122
(651) 6$t-4675
Please complete for: ? single family dwellings
D Wwnhames and condos when permits are raquired for each unit
? backflow preventer for underground sprinkler system
FIXTlIRES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G85 I if1 OUtlet ' minimum - 1 3.00 x = $ '
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
L,vato 3.00 x = $
FAinimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal 5 stem new/refurbished ' re uires MPC iic. 75.00 x = $
Frivate Dis osal S sfem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
'.Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwel{in 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under c?nso-uction 5.00 x = $
Water softener if existin dwelliri 30.00 x = $
Water tumaround 30.00 x --- _ $ 0100
State Surchar e .50 --> ---> ---> $ 50
Total --> --> ----> .._' $ 0 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-- - --- • • - - -------------- ------------------- -- - -------------------------
- - - . ......--•?----------------------•---------- --- --
- -
I hereGy aUcnowledge that I have read this application, sNate that the informahon is mrtect, and agree W comply wifh all applicable City oi Eagan ordinances.
It is the applicanYS responsibiliry lo notify the property owner that the City of Eagan assumes na liability for any damages caused by the City during its
normal operaUOnal and mamlenance actlvities to the fadlitles consWcted under this permit within City property/righl-of-way/easement.
SITEA_ QpEFSSt 1476 Englert Road
OWNERNAME:: Tom wilson TELEPHONE#:
(AREA CODE)
INSTALLERNAME: Dakota Plumbing & Heating, InqELEPHONE#: 651-454-6645
(AREA CODE)
STREETADDRESS:3650 Kennebec Drive Suite 102
CITy: Eagan STATE:Minnesota
ZIP: 55122
SIGNATURE OF PERMITTEE
Paul Rascher, President
Lot? Bik -L_ PID # I0-K100-61MI Sewedweter permit #
Plat X& Date Receipt #
' CITY OF EAGAN
7997 SEWER 8 WATER CONNECTION AND PERMIT CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer Connection and Permit Charges,,
5ewer`availability charge (SAC) $1;050.00
Date pre iously paid ?
Receipt # ?
Account deposi 15.00
Sewer permft & su arge; 50.50
Subtotal $ 1,115.50
Water Connection and Permit Charges
Water availability charge (WAC)
Date previousiy paid
Receipt #
Account deposit
Water permit & surcharge
Water meter
Treatment plant
* Plumbing perrriit & surcharge 20.50 Subtotal
Utility !;onnection * Plumbing permit & surcharge
" Tap
7?otal Utility connection
Total
Sewer & Water Connection and Permit Charges Is
Sewer a ilability charge (SAC) $1;050.00
Date previrsqsly paid Receipt
Water availability`harge (WAC) 780.00
Date previously p Receipt # f-?
Account deposit 30.00
Sewer & water permit an `surcharge 100.50
Water meter 109.00
Treatment plant 420.00
Subtotal / \ $2,489.50
* Plumbing pe surcharge 2Q.50
Tap(s)
Utility cpmnection
$ 780.00
15.00
50.50
109.00
420.00
$1,374.50
20.50
86.? oa
* A plumbing permit is also required. It wip be issued only to a plumber licensed with the City or to
the homeowner if fhe homeowner is actually doing the work.
Property owner ?ft, O(Aft-
Address jqG &?„?- -
Phone no. 1+?-4°?G I oA.kw woR-IL
Plumber
OFFICE USE ONLY
PRV ',L 5
No. of taps
?
Utilityr connection 8G S'
s yRa?J,
o?P???' nwnv? r.?o.r?J
Waiver v
?W
Lot Blk PID # Sewerlwater pertnk #
Plat
Date
Recefpt #
CITY OF EAGAN
1997 SEWER $ WATER CONNECTION CHARGES
EXISTING COMMERCIAL PROPERTY
Sewer connection charges Water connection charges
SAC ($1,050/unit)
Date previously paid
Receipt #
Sewer permit and surcharge 50.50
Treatment plant ($420/SAC unit)
Water permit & surcharge 50.50
Subtotai
Subtotal * Plumbin
g permit 8 surcharge
* Plumbin Tap
g permit & surcharge
Tap Total
Total
Sewer & water connection charges
SAC ($1,050/unit)
Date previously paid Receipt #
Treatrnent plant ($420/SAC unit)
Sewer & water permit and surcharge 100.50
Subtotal
* Piumbing permit & surcharge
Tap(s)
Total
The number of SAC units is determined by fhe Metropolitan Council Wastewater Services.
* A plumbing permit is also required. It will be issued only fo a plumber licensed wifh the City or to
the building owner if he is actually doing the work.
Property owner
Address
Phone no.
Plumber
OFFICE USE ONLY
PRV
No. of taps
Assessments
Waiver
SPECIAL ASSESSMENT SEARCH SUMMARY
AS OF: 08/15/1997
PROPERTY ID: 10-15200-020-01 SEE COMMENTS
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
100396 SEW LAT 1977 10 8.0000 880. 00 0. 00 0.00 CL
100732 SS TR 297 1982 15 12,5000 561. 00 0. 00 0.00 CL
102596 WL 647 1994 15 6.5000 1705. 00 113. 66 1364.02
102598 WSVC 647 1994 15 6.5000 955. 85 63. 72 764.69
102599 SS 647 1994 15 6.5000 1572. 00 104. 80 1257.60
102600 ST 647 1994 15 6.5000 2015. 15 134. 34 1612.13
102601 STLT 647 1994 15 6.5000 252. 00 16. 80 201.60
------ SUMMARY OF LEVIED 6500. 00 433. 32 5200.04
****** 1997 P&I CERTIFIED 799. 48
------ SUMMARY OF DEFERRED 0. 00
------ SUMMARY OF CLOSED 1441. 00
------ PENDING ESTIMATE 0. 00
Press ENTER; or F1, F4, F5, F7, F8
I6-,) (, Lot ?- Block l PID
Sewer /water pertuit # b ?
Date < < O 19 Receipt
CITY OF EAGAN
1999 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer Water
\
Lateral c e @ $21.85/ff
ri
k
$8 $ Lateral charge @ $22.10/ff $ Q•? ?•? '? 'J4
Trunk @$920/connection 3g i t-`T 3 ?c? D pD 'Tl'?
connec
on
Trun
@ 1
City SAC 100.00 Water supply & storage ?,j c o N0 825.00}
°
Base SAC 1,050.00 Date paid l
1
Date paid Receipt #
Receipt # Treatment plant i,J -rR mT 468.00
Account deposit 15.00 Wacer meter '*Inspections req'd prior 114.00
Sepric abandonment 30.00 to issuin ?,,? yv\ ? ?-? ?
?
Sewer permit & surchazge 50.50 Account deposit r-? c c 0?
15.00
-'
Subtotal Water permit & surcharge w P? eo
? 50.50
5a
Su'?c "??g
-?
- I ?
Subtotal
$ D-
Total $ Plumbing permit & surcharge 30.50
Total $
Sewer and Water
?
Se r lateral charge @ $21.85/ff
Water tera7 chazge @ $22.10/ff
Sewer tiihg? @ $880/connection
Water trunk , $920/connection
City SAC
Base SAC
Date paid Receipt #
Water supply & storage
Date paid Rec ' t #
Treatment plant
Water meta "Snspections req'd prio issuing
Account deposit
Sepric abandonment
Sewer and water permit & surcharge
Subtotal
Plumbing permit & swcharge
Total
Property owner--? o VM W:\ `-3 E) Yl
Address V\ nt
Phone number
Plumber
tJ
ca Carolyn Krech, Finance Department 6"S l - y S q -(o (e q
I
I
?
?I
?
I
?
?
?
100.00
1,050.00
825.00
468.00
114.00
30.00
30.00
100.50
30.50
OFFICE USE ONLY
PRV required:
R-O-W Permit:
Unpaid
Permit Fees:
City financed:
Y?5
City4CountyW//14
oDa.&-
c
Well Ocvae.r azid AJ
Sdell Loc
tl- o I 1_?_
Vlrc?.Je L].(:.n.iZC..?. 1`IQO
Lril? ing ComPEZZ,
? . ,
`:2- q ? CU o&,
?
BlOCky
Date
6iz_ 7sdp - z :?L o ;
Addresa
°i za of Y?L-ll.? ?4 Inehea ? Water Level F?,? ?
,
We1l zei'th. /'7Faet ? Draw Down Feet at _„.-Yi+i
CaOing DSintb__ F`eet ; Capacity Gallona J?- (I D Pa?°/3IF..
Thiclazesa
Started Ended I of ?
c4v- ,,, n /?,-
-,.?..
? /2-" .-4LV?
R,Qae-
l 30.,-t /66et 36
.
h?cterior Space Around Casing Sealed With: E7Cement Grout fffPuddl=d Ciay
100ther
Diainfer.tant Used l7 / /'a ?CyL?e-a?v ?.
Hoare Left in We11 / xv-ee_?
?i? ?' Df?er's S L*ne , ..? .
r.
wEr.L xECOFn
4'ILLAGE OF EA :AN
RF.`I"J,W i'FII3 FUICORD AFTER COMPLETION
MASTER CARD
LOCATION y tic/er C 11'e/ t- _/9 767
? - / -
LAND
Permii
No. ?
Issued Issued To
Contractor Owner
BUILDING a9/?
PLUMBING J. O ,
445?
CESSPOOL - SEPTIC TANK
WELL
A Ui.
??lL?
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWEk
OTHER
OTHER I I
Items Approved
(Initial)
Date
Remarks
Disfance From Well
,OOTING ? ? . SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HE.4TING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBI NG
WELL
SANI7ARY SEWER
Violations Noted
on Back
COMMENTS
EAG-AN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE; June 17. 1974 NUMBER 2255
--,? _et.,aG
OWNER: Leo Bruestle Address L2-B1 Bruestle Addition
PLUMSER Weierke Trenchina TYPB OF PIPL+ heavy cast iron
DESCRIPTION OF BUILDING
Industrial[ Commerciall Residential
xx
Location of Connections:
Multiple Dwelling
ConnecCion Cha
Account Dep.
Permit Fee
pd
?/ 1'/>,e
.50 pd 12/26/72
Street Repairs IG s,Q .,e.. ..-id 6/17/74
Total
Inspected by:
Date
Remerks•
By
Chief Inspector
In consideratioa of the issue and delivery to me of the above pexmit, I
hereby agree Co do the proposed work in accordance with the rules and
regulationa of Eagan Tamship, Dakota CounCy, Minneaota
By. .
Weierke Trenching & Excavating
No. of units
Please notifq mhen ready for inspection and cocuiection and before any portion
of the work is covered.
WAIJER OF HEARI4IG
REQUEST FOR UTILITY IMPROV*'tSEtTfS
I/V,e hereby request of the Village Council, Village of 6agan,
Minnesotag utility improvements on and over property owned by me/us as
follows: (Mention type nf improvement, e.g, soater, sanitary sewer, etc.)
SANITARY SEWER LATERAI, 1975
Tkie location of said utility improvements shall be generally as fo?Ioaso
Lot 2 Bloek 1, Bruestles Addition, Section 16, Township 27, Range 23
100 feet at $8.80 per front foot =$880.00
I/VTe hereby waive notice of any aad all hearings necessary for t;ie
installation of said improvements and further consent to ary asseasmaa!s
necessarily Levied by the Village of Eagan for such improvemants.
I/u'e furthex agree Co grant to the Village af Eagan any easements IIcC-^-S•
sary for the installtion of such iriprovemer,ts.
It is fuxther understood that this request shall be reoie-ged by the
Village Council of The Village of Eaga;t or its agent and I/we will ba given
reasonable nat3ce as to whether this request is possible under preseat
utility pianning as to Yiming, location, et ,.
Dated: June 18, 1974 49
7eqifest accepted by _J, 6?,_fc? Date (Q •-/op -7 y
Village of Eagan
Request referred to Village Engineer: D;te
Ccpias: 1. Village
2. Village Engineer
3. Applicaut
/ ? ?
O
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot ICnob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstruction Reouiremenfs
3 registered sAe surveys showing sq. @. of lot, sq. fl. of house; and all roofed areas
(20% ma)(mum lot wverege allowed)
2 coDles of plan showing beam & windax s¢es; poured found design, etc.
1 set of Enargy Calculations
3 copies of Tree Preservatbn Plan if lot platted afier 717193
Rim Joist Delail Options selection sheet (6uJdings wilh 3 arless unils)
$qq 2s
??- Ws) 9/z9- dw
RemodeUReoair Reauirements Off?ce Use Onlv
2copresofpWn Certo(SuweyReoi _Y _N
1 set of Energy Calculafwns for heated additions Tree Pres Plan Recd _ Y_ N
1 site survey for addifions 8 decks Tree Pres Required _ Y_ N
Add'rtion - rndicate if on-site septic system On-sfle Sep6c System _ Y_ N
Date q Canstructian Cost o?? SpQ 1
Site Address rrY UniUSte #
`-
0
?escription of Work 0S
1
CYI
Multi-Famiiy Bldg _ Y & N Fireplace(s) LC 0 _ 1 _ 2
Property Owner 54e up_ Rp 6?n^j py\ Telephone #( 651 )?'??' 'Y 6 7z
Contractor 7E ?
s?
Address ?
State Zip J Telephon )
'gy *L . . ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 EateQOrv 1 _ Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
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.
t ?
S7 Q. J,e K00L,n S o n I?'L?-'-
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 Drplex ? 13 16-plex ? 20 Pool q 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchfAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plez Plbg_Y or _ N? 25 Miscellaneous
Work Types (nVN' 7l t?OP fi`14?? !? 64-6L
t
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
/71? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 1-1, 00?. 00 Occupancy MCES System
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
? Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing ?
_ Fireplace _ R.I. _ Air Test _ Final
Insulauon
Approved By: -r
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQOIRED INSPECTIONS
Final/C.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ ReYaining Wall
Building Inspector
9-If6
S 1??o i
?
-________________?
? For Office Use / I
? Permit
I ?
i Permil Fee.
? Oate Recerved:
? Staff: z? ?
I -----------------'
2008 MECHANICAL PERMIT APPLICATION
Date: /D/iIk/rS SiteAddress: ?'y7Le En4- PJ
Tenant•
Suite #:
J Q Kob ? n SO ? Phone: ? 5?-`I 5Z' `I ad 7
S?"F
N
RESIDENT / OWNER _
ame:
Address ! City / Zip: t?i av? Mn ?5-5' / 2 Z
CONTRACTOR Name: License u:
Address:
City: State: Zip:
Phone: ContactPerson:
TYPE OF WORK _ New _ Replacement _ Additional _ Alteration Demoli[ion
Descripiion of work:
NOTE:'BOtti 'root mounted and ground mounted mechanical equipment is requlred to
be screened by Ciry Code. Please contact the Mechanica! InspecTOr or one of the
Planners tor information on eimitted screenin methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Construction _ Interior Improvement
Furnace -
Install Piping _ Processed
Air Conditioner _
Gas E#erior HVAC Unrt
Air Exchanger - • HVAC units musl be screened
_ Heat Pump Under / Above ground Tank ? Install /_ Remove)
Other ( ,o.5 ifnf. "' When installing/removin9 tank(s), call lor inspecUOn by Fire
- Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire f6p8if (replace bumed out appliances, duclwork, etc.) (includes $.50 StatB SurCharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Coniract Value $ x 1°k
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee ,
- It Perrnit Fee is less than $1,000, surcharge is $.50.
=$ State SurCharge
- If Permi? Fge is >$1,000, surcharge increases by $ 50 for each
$1,000 Permil Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
TOTALFEE
$ i
... .. ... ------ -' --'-- -. .?_ ?:.. _. ?..,._,.....,,
I hereby acknowledge ihat Ihis intormation is complete and acwrate; inat Ihe mrk wlll be in cornormance wim ma aminances m W ?wo ?? o?=-y - ..aya, --
I undereland this is not a permR, but only an application for a permi[, antl mrk is not to start vnihou[ a permit; ihat the mrk will be in accordanCe wilh the approved
plan in Ihe case Of mrk whwh requires a review and approval ol plans.
x x
Applicant's Printed Name ApplicanYs Signature
FOR OPFlCE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat _Final