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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