1627 Hawk Pl? CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD •
e'
EAGAN, MINNESOTA 55122
, .
DATE 79 ?
REtErvEn
FR01'A
6
AMOUNT $
& DOLLARS
,ao
O CASH 0 CHECK
.. r
FUND OBJECT AMOUNT
Thank You
BY
? . K
wnne--Per- CovY
. . velloMr-Fosting Copy
Fink-File Copy
t ? ',;?a •
BUILDING PERMIT
ro ? usea fo?
Site Address 1627 RAWiC PL
Lot s? Blo'ck 2 Sec/Sub. ALACKHAWK P4IdD.
Parcel No.
W Name CLASSIC H?iES
; Address 136U1 GOUNTKY LiV
° cityUit!: ,:SVILI.E Phone 435-2757
:i10 Name :)?1?:
00 uc Address
? City Phone
?
W W Narqe
?
X-
Address
a W City Phone
I hereby acknowiege Ihat I have read this application and state that the
informahon is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Permitee
A BuildiRg Pertnit is issued to: ??? ?L.1 t'SLti:' C;,ASS I C
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
1V0J1
J/ /8/13 9 . i 9-B.9-
Est. value w 1 ?'b , 4m
OFFICE USE ONLY
Occupancy R^'3 *--I FEES
Zoning ZIL
(Actual) Const til_N- Bldg. Permit f?• ??y%
(Albwable) V-N
sur?r? 9 (jQ
# ot Stories
Length -
? 7!
Plan Review 470.
00
oepm sac, ciry 1 00* ?
S.F. Tolal - gqC. MCWCC 575,
?
S.F. Footprints -
On Site Sewage _ Water Conn 550.00
On Site Well - Waler Meter 90•00
MWCC System V
C
3
City Water _? Acct• Depos't 0.(?
I
PRV Required ? S!W Permit 20•00
Booster Pump - S/W Surcharge z•?
Treatmenl PI 228.
APPROVALS Road Uni1 325.00
Planner - Park Oed.
Carticil -
BIdg.Off. Copies
Variance - TOTAL 3,422.00
W-4MVAM FM BASEMrr 9/28/59 CITY OF EAGAN . ? r. rr 4
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PFRMIT Receipt #
To be used for •` ° Est. Value ? 186, 700 Date 19
Site Address
a
` OFFICE U SE ONLY
DS
Lot Block Sec/Sub. ???
• ?'b ??G`?' PUr
ParCel N0. Occupancy ?N° ?? ?1 FEES .
. Zoning
? N8fC12 • '?' - ?,?? ?".?i`??a (Actual) Const Bldg.Permit =40-00 '
o_ Addre5s (lulowable) -?- Surcharga '-? 3•a+
City Phone 7 # or stories - ?
Plan Review ? 70,00
- Length u?
ip 7
yyQ r/Sd
Name /
DePth
54N._
SAC. City
o"
U Address S.F. rotai
SAC, MCWCC , ?
? 7 5. U
? City Phone S.F. Footprints _
F .
. '. On Site Sewage _ Water Conn
yVj W Name .
i, or, srte wen -
Water Meter ')U.?
'
=z AdClf@SS ' MWCC System !? I
< W
City f _ptlane
City Water
y Acct. Deposit I Q-GA)
i
S
W P
PfiV Required ? ,
erm
t
I hereby acknowlege that I have read this application and state that the Booster Pump - SM! Surcharge
information is correct and agree to comply with all applicable State of ?
Minnesota Statutes and City of Eagan Ordinances. Treatmont PI -- ?'-??
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: r+OT_-i nr, I2." l'.j,!!:l"a 1 i; i.l o Pla""er - Park Ded.
on the express oondition that all work shall be done in accordance with all Council -- ?
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy, pff, _ Copies
Building Official
- -- --- -
Variance
-
TOTAL 3. 42l . C`_'
-- - - ?
Permit No. Permit Holder date Telepfione #
wnTEa
SEWER ,. !4 / fg 8q
PLUMBING,
H.VA.C. ????I r ,L/l?iN?"} /? 01 -3I 1
ELEcraic 7?j//0 p7
Inspection Dats tnsp. Commerns
Footings I ?/? ?C/ 4 t t
Foundation
Framing /W 41-T77G
Raofirg
Rough Plbs. - 2?- ? ,Q,C?
Roi* ?tg.
ls,l.
Freplace
Fnal Htg.
Fnal Pibg. ?
Consl. Meter Pibg. Inspector - Notify Plumbe?
Eng?JPlan
Bldg. Final 9d? LG/
Deck Ftg.
Deck Final
Well
Pr. Disp.
7-6 r-l)eP PLg c4?'
'
? PERMIT #
. ?
` . MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
?
? Name Mult Add-on
_T ?
Address, S > > "?
?•-?.? , « Comm. Repair
? City Phone 1j 3 d -/S c? S Other
Name
Z
, FEES
RES. HVAC 0-100 M BTU
:-,W00
c Address ` ' '' , ADDITIONAL 50 M BTU - 6.00,
p City Phone UDES A/C ON NEW
'
ION
CONSTRUC7
GAS OUTLETS (MINIMUM
1 PER PEkMl7) -
1
50 EA
- L
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLOGS. - COMM. RATE APPUES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT - 20.00
-
50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES _
_
t
Gas Piping Outlets # $ __F BEYOND $1,000) ?
Other $
FEE: --
S/C: SI ATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
ities Digital Oualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
, . ,
. , PERMIT # _
• PLUM8ING PERMIT RECEIPT # _
CITY OF EAGAN
3890 PIIOT KNOB ROAD, EAGAN, MN S5122 DATE:
CT PRICE PHONE: 454-8100
S+te Address
Lot " Biock
m Name
? Address
c City Phone _
? Name
3 Addre
O City _
FEES I
COMM/IND FEE -19b DF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPUES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM11N0 FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE (iOES
SIGNATURE OF
BIDG. TYPE WORK OES CRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
REB. PLBG. ONLY - COMPLETE TFIE FOLLOWMIa:
NO. FIXTURES TOTAI
- Water Closet - $3.00 $
' - Beth Tubs - $3.00
' Lavabry - $3.00
-
Shower - $3.00
T
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE 3/C:
GRAND TOTAL.
DATE: 1/18/89
pr-1627 HAW[C PLACE. I.4, BZ. BLACRHAiiK PON1D
xx Your Sewer & Water Permit for the above property has been completed. It will be heid at the
Public WorlWGarage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBIAC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
.J*
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuanCe.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
-?-REQUIRED BY LAW.
. .
,?•_
CONTAC OMMUNITY QEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE:
i/18/89
?'• `i°`- 1627 HAIiK PLACE, L4, S2, BLACK}IAiRC POD1D
AE•
XX Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Worjif Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
r
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
.
5ecretary, Building Inspections Dept.
i _ -;1
?
, .?
. , (Itrtif tratit of (Orrupanry
titp of eagan
lRPpa1'tlitPttf of i6tlitttp jm}1Ptfttttt
This Certificate issued pursurrnto7h? requiremenu of Section 306 of the Unrform ,6?uilding
Code certifying that ar the tivw,of issuanc,e thls.structure was in compliance wi11r the various
ordinances of the City regulating building construction or use. For the following.•
u. afri. SF DWGX?R eldg. Pennit No. 16051
oaupancy Type R3/!?1 I Zo„ing DWjice PD Tra CM„ VN
owner of ewMnWNXMW aA.SSIC M'ES nmres, 13601 ffAW1RY IAtE. B' VILiE
8w7ding Addre, 1627 HAWK. H•EM 1.oca14tyTA_ ? ? ?AMWK PCMS
Mu: S=R 28. 1989
Buildiag Offida[ /C--
POST IN A CONSPICUOUS PLACE
`.?
SEWER & WATER PERMIT
CITY OF EAGAN PERMIT C
3830 PilOt Knab Rd. wATER PERMIT #
P.O. BOX 21199 METER #?
Eagan, MN 55121 ER ? Q o
METER SIZE ?
ISSUE DATE ?
SITE ADDRESS "' ? '7
LOT '` BLOCK Z SEC/SUB °^'
APPLICANT: rl IJ 0 ?-p s S 1 c r ,' , V r5
ADDRESS: / s (cCi / ^O'i•t, ? `1 - , % .
CITY, STATE LfNSV"< ZIP SS3' 7
PHONE: `J ? S ' 7"?? ?
PLUMBER:
CITY, S1
PHONE:
OWNER: ? r`•? ts S A
ADDRESS:
CITY, STATE ZIP
PHON E:
PLEASE ALLOW TWO WORKING DAYS F
ENGINEERING DEPT.
METERISSUED
SEWER PERMITS,
SEWER & WATER PERMIT OFFICE USE ONLY
CITY.OF EaGA•+! PERMITDATE 1/1$/g9
3830 PIIOt KI1ob Rd. WATER PERMIT # 10236 SEWER PERMIT # >>AIS
P.O. BOX 21199 METER # B.P. RECEIPT # 9t1574
Eagan, MN 55121 READER # B.P. RECEIPT DATE 111819
j?
METER SIZE
ISSUE DATE xXPRV _ BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT -?LOCK - SEC/SUB = ? ?«
YSEWER K WATER - TAF
APPLICANT:
ADDRESS: - - - COMM/IND X RESIDENTL
CITY, STATE ZIP
PHONE: x NEW - EXISTING
PLUMBER:
ADDRESS: _''U?cT;iL:4..?) :)':. I AGREE TO COMPLY WI'TH CITY OF
CITY,STATE '"='•?L? ints., nm Zip 55120 EAGANORDINANCES:
..
PHONE: 688-6876
OWNER: ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP ,
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEINER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER PERMff # > > 375
B.P. RECEIPT # 90574
B.P. RECEIPT DATE 1118I?9
xx PRV - BOOSTER PUMP
PERMIT REGIUESTED
R SEWER x WATER -TAPS
_ COMM/IND
X NEW
X RESIDENTIAL
_ EXISTING
I AGREE TO COMPLY WITH CIT1f OF
EAGAN ORpINANCES:
CITY OF EAGAN N? 16051
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE:454-81D0 ('„-, ,-.-,, 1
BUILDING PFRMIT
Tobeusedfor SF DWG/GAR Est.Value $186,000
Site Address 1627 HAWK PL
Lot 4 Block z Sec/Sub. $LACKHAWK POND.
Parcel No.
w Name NORTHERN CLASSIC HOMES
o Address 13601 COUNTRY LN
City BURNSVILLE Phone 435-2757
,o Name SAME
?a Address
,
- City Phone
N Name
Address
City Phone
I hereby acknowlege that I have read this application and state that ihe
infortnahon is conect and agree to comply with all applicable State of
Minnesota Statules and C?ity.n?f ?Ean Or c?es.
Signature of Permitee I?
A Bmldmg Permit is issued to: NORTHERN CLASSIC HOMES
on the express condition that all work shall 6e tlone in accordance with all
apphcable State of Poynnesota Stalutes antl Cny ot Eagan Ordinances.
8uilding Oflicial
Receipt # ?
n??o / /[?
OFFICE USE ONLV
Occupancy R-3 M-1 FEES
Zoning PD_
(Aauap Const V--3_ Bldg. Permit 940.00
(Allowable) V-N
Surcharge
93.00
# ol Srories -
67'
Plan Review
470.0
0
Length
Depth $4! SAQ Ciry 100.00
$.F TaWI - SAC. MCWCC 575.00
S.F Faotprinls -
On Site Sewage _ Waler Conn 550.00
On Sde well - water Meter 90.00
MWCCSystem X
City Water x AccY. Deposil 30.00
PRV Requirad -x_ S/W Permit 20.00
BoosterPump - SiWSurcharge 1.00
Treatmenl PI
0
228.0
APPROVALS qoyd Unit 325.00
Planner - park Ded
Council -
BIdg.Off _ Copies
Variance - TOTAL 3,422.00
BIDG. PERMIT NO.
>+- N _ 0C-Ka
1
OS-3210
01;3422
01-3445
? o1-saas
01-2755
? 75-3860
20-2275
\ 20-3865
203868
? 20-3716
Q 20-2252
? 20-3713
20-3743
Bldg. Permit
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
q,q c o?
I ?
q? ?a
3as 00
5a
55u eo
Q°' a' Oo
?'1 O 00
? 00
1? o0
79-3866
28-3855
TOTAL
REQUEST FOR E?ECTRlCAL INSPECTION eeooomo?
? Sce InsGUCtions for crompleUng this form on back ot yelbw copy.
U? 79116 ")C" Below Work Covered by This RequesF
ew Add Rep Typeofeullding AppliancesWired EquipmentWiretl
X Home K Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher (SpecAy)
Comm./Industrial Furnace
Fartn Air Conditioner
Olher (specityi ntrnciw5 Flamarks-
Compute lnspection Fee Belaw:
8 Olher Fee # ServiceEnhanceSize Fee # Qrcurts/Feeders Fee
Swimming Pool / 0 to 200 Amps pv d? 0 to 100 Amps
Transformers Above 200 _ Amps Ahove- Amps
Sgns inspeclw5 Use Ony: ? TOTAL
Irrigation Booms
Speciallnspaction
Alarm/Communication
Other Fee r
'q 4
I, the Electrical Inspector, hereby
certif
th
i th
6
i
i AW9h-in
-
71
y
a
e a
ove
nspect
on has
been made. Flnal
a?
,
OFFlCE USE ONLV
This request mitl 16 monNS ham
0 7 9116
Request Dete
Mar ch 1, 1989 iire Na. Rough-in In9pection
Re(ryiretl'+
C7Was ? N.
? R?dy ??" iy?ryen Reed/?ror
I CX licensed contredor ? owner hereby request inspection of above electrical work at:
.bb AEdress (Sbeeq Bw or Raute No.)
1627 Hawk Place City
Eagan
Section No. Township Name or No
Renge No.
Counry
I Da kota
Occupenl(PRINT) Phone No.
Northern Classic m 435-2757
Power Supplier AEdrew
Dakota P w r
Elsqriwl Contraqor (Compeny Name) Conirectar9 4cense No.
Sk Elec ' I
Meiling Aatlress (COnirador or Owrer Malang InsWllauon)
1121 W
Authoriz IgnaN (COMraqa/Oxner Makirg Inslellanon) Phorie Numbet
MINNESOTA STATE BOAPO OF ELECTNICRY THIS INSPECTION REQUEST WILL NOT
Grlggs-Mltlway Bltlg. - Room S173 BE ACCEpTED 9V 7HE STATE BOARD
10TI Univerelty Are., St Paul, MN 55104 UNLE$$ PROPER INSPELTION FEE IS
Phone (61I) 692-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-07
pi? Sce mstruchons tor completing this brm on back ol yellow copy ? I pv i/G/' C?.'
/ r?
R 79110 •X" 8elaw 4NorM'Cavered 6y This Request
ew Add Rep. TypeofBuiltling AppliancesWired EquipmaMWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Buildiag Dryer Olher (Specify)
Comm.Jlndustrial Furnace
Farm Air Conditioner
Other(speaty) ConVadork Remerks:
Compute InspeCfian Fee Be/ow:
# O[har Fee # ServiceEntranceSize Fea # Cimuits/Feeders Fee
Swimming Pool D to 200 Amps 4_2 s 0 to 100 Amps 3
Transformers Above 200 _ Amps A Amps
SignS Inspedd5 Use Only: ? pTAL ?p
IrrigationBOOms
Special Inspection
Alarm/Communication
Other Fee ,50
I, the Electrical Inspector, hereby Rough-in oare
cerdfy that the a6ove inspection has
been made. F,,,si
r oma f
_ 70
OFFICE USE ONLV •
Thie requesl void 18 montha irom
//?3/Yj 9n5?9r
E 7 9110 I ' ? `
YK I
Reqi Date Fire W. Rough-in IrepBpian
Re9uIreG' ,p/
I
ector
? ReatlY N. r'l
'
Ja n. 10, 1989 ? Ves ? No ?
W
hen R
IX licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box a Rwle No ) Cily
1627 Hawk Place Lot 4 Block 2 Eagan
Sectqn No. TownsNp Name or No.
RangB M.
CouMy
I Dakota
OcaipaM (PRINn Phone W.
Northern Classic Homes 435-2757
Power Supdier pryrees
Dakota Power 4300 220th Farmin ton
Eleclricel Contrectpr (Comparry Neme) ContraGorS License No.
Sk Electric Inc. 042173 1
MaiLeg Adtlress (Coniractor ar Owmr Makng Installation)
11210 Wa h r Av So B1 min t P+1N. 55431
Au[horizeU Sgnature (Contractor/Owner Meking Inslallatwn) Phone NumOer
888-1736
MINNESOTA 5TAiE BOA11D OF ELECTHICRY THIS INSPECTION REQUEST WILL NOT
GriggsMitlway BIEg. - Raom St]3 BE ACCEPTEO BY THE STATE 60AflD
1821 Unlverelry Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (614) 114241800 ENCLOSED
^r,?
?
_r; ?•, ? ? , ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCtion Reauirements
• 3 registered site surveys showing sq. fL of lol, sq. ft. of hause: and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showirg beam & window s¢es; pou2d tound design, etc.)
. t set of Eneryy Calculations
• 3 oopies of Tree Preservation Plan if lol platted aNer 1/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 orless uniLS)
DATE
SITE ADC
TYPE OF
APPUCANT r.adar VatleY Exteriors, Im
MLTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 8820 Zllla Street
,G ?Q?M?q ?a3 CITY STATE_ZIP
TELEPHONE # ?7SS aZ 3 ? I CELL PHONE # FAX # ?Sr7 CJ.? 9l !
PROPERTYOWNER.?" I?? ? :??.L/ 11C?b TELEPHONE#.?(??I'
---------'--------------------'----'°--_"----°-------'--------------•----'-----------°-----
COMPLETE THIS SECTION POR NNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category ?Ilh'NESO'PA RliLES 7670 CA'1'EGORY I MINVliS
c
Fr dC k
(J submission lype) • ResidenGal Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
2 8 2ooZ
UN
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor.
Mechanic:il systcm includcs:
Sewer/Water Contractor:
Phone #
Pee: $70.00
---------------------------------------°---------°-----°-----°-°----------°------------------------------°---------
I hereby acknowledge that I have read this application, state that the i formation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ances. //////??
Signature of Applicant ??1
---- / --------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4/02
_ Water Softener
Water Hea[er
_ No. of Baths
?
2s
RemodellReoair Reouiremenis
. 2 copies of plan
. 1 set of Energy Calculations for heated addihons
. 1 site Survey for exterior addiGOre & decks
• Indicate if home served by seDtic sysfem fwadditions
VALUATION J ? ? I ??-511
Phone #
_ L,awn Sprinkler
No. of R.I. Baths
Phone #
Air Conditioning
Heal Recovery Systeai
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 Ot 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final
_ Franung _ Siding S[ucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Wmdows (new/replacement)
_ Insulation _ Retauting Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
1
. r •
1989 HIIILDING PSAhIIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I u 0 6 I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRFSSFS FOR CORNER LOTS - COPTRACTOR/HOMEOWNSR MOST DF.SIGNATE WHICH ADDRESS
IS DFSIRED. AO CHANGES KII.L BE ALLOWED ONCE BIIILDING PEAMIT IS I33IIED.
MQLTIPLE DWE[.LINGS RENTAL IINITS FOE SALE iJHIT3 i OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFIC9TE OF SIIRVEY - CHECH WITH HLDG. DEPT.v 1 SET OF ENERGY
CALCULATIONS
COP4MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
.0 /?8?'?yo?0_0
To He Used For: ?oc?lrut?? Valuation: ?
Site Address 162-1
Lot ? Block oil
Pareel/Sub htAc/-'119,.vK1 ?uC?S
Owner N o2r?1?e,? G?SS ? c 4("?5
Address )9E01 00&,A,7}-9 4,qvi
City/Zip Code ,?ur`tis?r?ccf SS33'J
Phone y? S - -) 75 7
Contractor SAA1£ As A.-6orE
Address
City/Zip Code
Phone
nrch.?Engr. e1a'WFS PisiCe,os vfs??.?
1
Address ? 1/2(? I 0-'0Q qvf.
City/Zip Code Q-PPL t V4UY,?j S;
Phone # 42- -V2hD
Oecupaney
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
Date:
?-po-
VJt!
!0 7
SY 33
On site sewage_
On site well
MWCC System ?
City water 117
PRV required ?
Booster Pump _
APPROV9LS
Planner
Council
Bldg. Off.
Variance
Council
?H±oS
JAN : S 1999
?3 - y9
F6B3
Bldg. Permit d
Sureharge 3
Plan Review 2D
SAC, City / o 0
SAC, MWCC S?) S
Water Conn SSD
Water Meter SD
Aeet. Deposit 30
S/W Permit Z d
S/W Surcharge /
Treatment Pl. 2Z?-
Road Unit 3 zS
Park Ded.
Copies
TOTAL
3eWer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sever and vater permita is tvo daqs once a licensed
plumber has applied for a permit at City EIall.
'? -
?-
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w "
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.? S /s
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>bo
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10i
2,k z = z
I sk y - 7?
/ Ga/X Z '-
?y?v.s x Lj? 7z, ?yo, s
?<r
?
z? X z?/' . -?2y
/z,r zZ = z6y
'7`/?.
j?s?s/z,ss
r
.' . ti tniEkluk ENYELOPE HVEkHUt "U" TA(tu<i _ , .
:y.'-OWNER Q,,I D2'sN`l/I N/-lbr'f S
' SITE ADDRE5S
? CONTRACTOR IW./PAk^' C"s:c ?hmrS DATE /.- I%-?yPHDNE , ?- 2 7s 7._
Determine working square footage of each.
1. TotaT exposed wa11 area . .... . ?7Z. ? ? ?q Zs9• ft. x
°
2. Total roof/ceiling area ..... I?S? 2r sq. ft."x .0210
Total exposed wall area above floor = Zrl `F3
._,,. .
' a. Total wall window area ...........................
b. Total door area .................................
: ?.....
:..: c. 7ata1 sliding glass door area ....................
'.d: Total fireplace.wall area....'...............•.....
e. Total wall framing,area (average 10%)............
f. Total net wall area above floor .................
.... g, Total rim joist area ................•••••••••••• .•
• Total exposed foundation area = Z, L
h. Total foundation window area.............. ..
. 9, Toal net foundation area abpve grade ............
Oetermine "U" value of each wall segment.
a. ?3 lo X????t 1 = I U'1,SZ
n. X „ui,,i3 = ol ?
c. '2..z.o X louli . 1z , ? . . .
a. x „ui, ? ?? ? _ , 5 fo
e. 70 S.? X IJU13 ,A lo = Cf?'? '
f. IFi?z?2. Xkiul, ? oW3 = hq?lo .
g. -LrtS x „U„
h X fouli ._--• _ . _
_._--
i. x u uu , a 72- 1,-l-?-
3 . . . . . . . . : . . . . . . . . . . . .?.z .Z 5. t.. ! Z.Total
If item #3 is the same as, or less than item #l, you have met the intent
of 56C 6006(c)2. .
Total exposed roof/ceiling area l'Z-
Total gross roof/ceiling area
:. 3. Tota1 skylight area ........................ --r'?
' • k. Tota1 roof/ceiling framing area ..........., I
1. Total net insuiated roaf/ceil9ng area....... ?lo-An,f?
. Deterinine "U" value for each roof/ceiling segment.
_... ... ' -.... X touil
j
' k. I E?I,Z x l,u„
. ?. 1Lm 'So,& x " u,oZZ
4 . . . . . . . . . . . . . . ... . . 1.6A .L. . . . . . . . . Total ° [ .2i,t_..J •
If total of #4 is the same as, or less than #2, you have met the intent of
SBC G006(c)T. To utilized the total envelope system methad, the values.established 6y the
sum of items #3 and #4 shall not be greater thatt the sum of itens #1 and #2.
+ 2.
3.
MATERIALS
Ext erior Si7r
Siding ]daterial
Sheathing
Insulation
Sheetrock
Interior Air
Stu3s
Rim
Conc. Blks.
+ 4.
Therm. Eesistance
?-?-
1, O lv
(v
14-`•=??
?.
1?0-AeaPW iFTC-
SINGLE FAMILY DWELLINGS
1989 BIIZI.DIHG PERMIT 11PPLICATION
CITY OF E9GAN
Cl(?O?I
MQLTIPLE DWELLING3
2 SET3 OF PLANS 2 3ETS OF PLANS 2 SETS OF ARCHIiECTIIRAL
3 BEGISTERED SITE SIIRVEYS xEGISTERED SITE 3IIRVEYS - & ST9UCTQRAL PLAN3
t SET OF EltERGY CALCS. (CHECg iiTTH BLDG DIV.) 1 SET OF SPECIFZCATIONS
1 SET OF ENEAGY C6LC5. 1 SET OF ENERGY CALCS.
1lULTIPLE DWELLINGS RENTAL DNITS FOR SALE IIBITS # OF DNITS
HOTEt kDDRESSES F09 CORNER LOTS - COATRACTOR/HOMEOWNEA MOST DESIGN92E IiHICH ADDRESS
IS DESIRED. NO CHANGFS FILL BE ALLONED ONCE BIIILDING PERMIT IS I3SDED..
SENER 8 NATER PERMIT FEES 9ND ACCOUNT DEP03IT FEES YTILL BE INCLIIDED i1TTH THE BOILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND W9TER PERMIT3 IS TWO DAYS OHCE A PERMIT H9S
BEEN CONIPLETED INDZC9TING A LICENSED PLiAMBER.
PENALTY APPLIES WFIENs PERMIT IS NOT PAZD FOR IN SBME MONTH IT IS REQUESTED.
LOT CHANGE I3 HEQi)ESTED ONCE PERMIT IS ISSDED.
To Be Used For: EAStnz,v i?7Nr5r/ Valuation:
Site Address 16Z 7 14??," PL441 r-
Lot ?- Bloek 2
Parcel/Sub /D
Owner /l/02i ft.(til. GL-R-SS,C ba'n?-?
Addresa l36 a i ('pv.1-72u? L;#nvIc
City/Zip Code lajr'^+SVarl S533"7
Phone 2"7y7
Contraetor ?'???I? ?? h6°-ve
Address
Citq/Zip Code
Phone
Areh./Engr. _
9ddress
City/Zip Code
Phone #
COt44ERCIAL
Date: ?i - 2 9 -n
Oceupaney ??
Zoning
N
Aetual Const C-
Bldg. Permit
Allowable Surcharge
p of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On aite sewage S/W Permit
On site Well S/W Sureharge
MWCC System _ Treatment P1.
City rrater Aoad Unit
PRV required _ Park Ded.
Booster Pump _ Copies
SIIBTOTAL
9PPROVALS Penalty
Planner TDTAL
Council
Bldg. Off.
Variance
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan O-0?
3830 Pilot Knob Road, Eagan N7N 55122 ??? Ce
Telephone # 651-675-5675 FAX # 651-675-5694 C C- ?
New ConsWCtion Reauiremenis RemodellReoair Reouiremen4s Office llse OnN
3 registered sRe surveys shovnng sq. ft. of bt, sq, ft of house; and all rootsG areas 2 wpies of plan showing Poo6ngs, beams, jdsts CeR of Survey Reoi Y _ N
, 1setMEnergyCalala6onsforheatedadditions SalsRepaM1 _Y _N
(20°kmawmumlotcoverageallowed)
7 Soils Reporl if praposed bWding is m be placed on disturbed sail i site surveyfor additions 8 tlecks Tree Pres Plan Recd _Y _ N.
2 copies of plan showing 6eam 8 wintlow sizes; poured fowd desgn, etc. AddN'on - inM'cate if an-sde sep6'c sysfem Q?? SepRequVed
syslem _ Y_ N
7 set of Energy Calculatlons
3 wpies of Tree Preserva6on PWn il lot platted aRer 7/1133
RimJOist0eltilOphonsselectbnsheet (bu0dingswith3arlessunits)
Minnegasco mechamcal ven6lation torm
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date ? ? Q ? Construction Cost
?
Site Address 14W7 ?&?? UniUSte #
?
Description of Work
Multi-Family Bldg _ 1' '?/ N
Fireplace(s) V. 0 _ 1 _ 2
Property Owner ?jvrg ?s?2?j?7?d? ?/ Telephone #(0-1 ` 6x/ I
Contractor
citr -.?z--
ZiP j? ?l?77_ Telephone #( loq ?
?`•`_- rr ,. /10 i
Address
State
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
- Minnesota Rules 7670 Cateeorv 1 - , New Energy Code Worksheet
Energy Code Category . Residential Ventilation Category 1 Worksheet
(d submission type) Submitted Submitted
. Energy Envelope Calwlations Submitted
In ihe lasT 12 months, has ihe CiTy of Eagan issued a permit for a similar plan based on a masier plan?
y _ N If yes, date and address of masTer plan: ,
Licensed Plumber
Mechanical Coniractor
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; th the work will be in accordance with the approved plan in the case of work which requires a review and
approv of pl s.
Applican' PrintedN e ApplicanYs ignature ? D
JUL (1 6 2007
DO NOT WRITE BELOW TffiS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
Zff 02 SF Dwelling ? 08 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 Ext. AR - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demalish Intedor ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
T' 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Oemolitlan (Entire Bldg) • Give PCA handout to applicant
D8SC1'ipt1011: Water Damage _ Y es
V
ti
l
3 ?13
CES S
a
on
ua
4 Occupancy ystem
M
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
REQLTIItED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
Footings (deck) FinaUC.O.
? Footings (addition) I Q&D IAO Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace R.I. _ Air Test Final _ Windows
_ Insulation Retaining Wall
A
d B l
pprove
y: iding Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1
40" City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
I
j ?i:, ,...?...,..,,..._? - - - - - - - - -
,
? Permit Fee:
? Date Received: ?
i ?
i
? StaR:_
2009 MECHANICAL PERMIT APPLICATION
Date: ?:)_ aC3Cq Site Address: ?U?a :1 44CU-V k? P i .
Tenant:
Suite #:
u ?
PhMf?????co?) cl
RESIDENTIOWNER Name:
Address / Ci / Zi ?-
b P:Iu.2-7
License n: l-Z OS'-I -7 q H
CONTRACTOR Dan Wohlers Southside Htg. & A/C
6950 W. 146' St., #106
Apple Valley, MN 55124 State: zip:
(952) 431-7099 0
Person: ?? 1 lfh
TYPEOFWORK -New '/Replacement _Additional _Alteration _Demolition
Des¢ripHOn ofiwactc; R a ROC C? C_l[_0 - I'? 1 l (? ? ??? t-_n
NDTE Boffi ra49 mouMed and g{ou rr?u?Med?mechanic? e?uip ?t? ?Ire,d fo ;
??or?e
e?r??o
c?
r?f
"
P
t
Ms??
e
?
?ease r
cL' T^a
anneis?XirDwatiotr
RESIDENTIAL COMMERCIAL
PERMITTYPE New Construction _ Interior Improvement
Furnace _
? ?
V Air Conditioner _ Install Piping _ Processed
Air Exchanger - Gas _Exterior HVAC Unit
Heat Pump
- _ Under / Above ground Tank (__ Install /_ Remove)
" When installingfremoving tank(s), call for inspedion by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FiYB fEpalf (replace 6urned out appliances, ducrtvork, etc.) (ineludes $.50 StBte Surchafg0)
? "?jO. SO TOTAL PEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contraa VaWe $ x i%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- H Per it F,e is less than $1,000, surcharge is $.50.
- tl Permit Fee is> $1,000, suroharge increases by $.50 tor each =$ State Surcharge
$7,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
I here6y acknowledge [hat this information a eomplete antl accurate; ihat the work will be in con(ormance witn [ne ominances ana coaes m me ury of caya?I, LIIaE
I undersfantl ihis is not a permit, but only an applicatlon for a pertnit, and work is not to start without a permit; that the work wdl be in accordance with the approvetl
plan in ihe case of vrork which requires a review and appraval of planb ?
XChadL t?Jot,?e?,-s ??Gd
ApplicanYs Printed Name ApplicanYs Signature
?
SURVEVOR'S CERTIFICATE NORTHERNCIASSICHOME3
a DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - gsz.g FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 844-5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK ° 8s3. L FEET
WE HEREBY CERTIFY TO NORTHERN CLASSIC HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 4, BLOCK 2, BLACKHAWK POND, ACCORDING TO THE
RECORDED PLAT THEREOF,DAKOTA COUNTY,MINNESOTA.
IT C50ES NOT PURPORT TO SFiOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I I TH DAY OF JANUARY , 1989.
PRQPOSEQ GR9PE5 SHOWN WERE TAKEN SIGIVED:
FROM THE DEVELOPMENT PLAN FOR
BLACKHAWK POND,PREPARED BY
PIONEER EN6., LAST DATED 12•9-88
BY:
J7=z:/ , INC.
?C,
H AROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. 9 BLOOMINGTON, MN 55431 • 612-884-3029
?
.. .
I SURVEVOR'S CER4IFICATE
NORTHERN CLASSIG` HOMES
?^-
? I
o
5 6
63 " PER I
? OPP E0;`' I
i
/
/ / O'` / Ntt
rL\g / qJ
ps, 9)
? g\ eg°? -- 28 a
, ?? .
1 14.0
? .? I
/ ?85Z5? ? /m
W lI
?m\ 19A pROPOSED HOLGE m v ? ?
i
@? \ 6fl / g51.4 /
,? l1933 ? O / ^y /?Yi
Z i \ ?42$) Ib m
?D GARAGE
u1
/
C?
? 0
? Q ? ? .C$Sx•? ? '? ? jy ?
U6j i l,?-; p?P45ED o / ?, (O ? ?1
pi g ! ? rv /
OE ? ,
56.68 „ -- „
es \ .
` r?
pti 9 p,t}°O7 13 ?
?j °"' A?K \
/ /r? ?,1
P LACE I INCH=30 FEET
pa (?o V o U lsEQU VMED .ea'r.s
U)
ml
-
1
O
n T
pF- ao 0 i0 O
m
Z
c0
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A
0 o m
„ , -
? ? iv F5 ?.?_? _.?r._... .. .?._?._ .
..)
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1627 Hawk P1
Lot: 4 Block: 2 Addition: Blackhawk Pond
PID:10- 14395- 040 -02
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Wendy Nelson 3095 162 nd LN NW Andover, MN 55304 763 - 427 -7680 wnelson @larsonplumbing.com
Fee Summary:
Contractor:
Larson Plumbing
3095 162nd Ln NW
Andover MN 55304
(763) 427 -7680
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
Robert T Meekin
1627 Hawk P1
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA075825
11/09/2006
ePermit
----------------1
For Office Use
Permit City of Eaall E
Permit Fee:
3830 Pilot Knob Road 7
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
-----t-_._ J
Fax: (651) 675-5694 Staff:
2009 MECHANICAL PERMIT APPLICATION
Date: A7--- Site Address: P I
Tenant: Suite
RESIDENT /OWNER Name: i 1 1 Cl,
Address/ City/ Zip: - 1 Y- Pl. _ - fl
CONTRACTOR License 05 T7 q
Dan Wohlers Southside Htg. & A/C
6950 W. 146' St., #106
Apple Valley, MN 55124 State: Zip:
(952) 431-7099
Person: J1..? V t~
TYPE OF WORK New I,/Replacement Additional Alteration Demolition
Description of work: ~ IC L_ P*t li (t
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Install Piping Processed
i/ Air Conditioner
Air Exchanger Gas - Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ 5() -SO TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plant.
re
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In Air Test -Gas Service Test In-floor Heat -Final
Exterior HVAC Screening inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117143
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 1627 Hawk Pl
Lot:4 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
George Younes
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert T Meekin
1627 Hawk Pl
Eagan MN 55123
Cedar Custom Builders & Remodelers
1501 Keller Lake Rd
Burnsville MN 55306
(952) 215-5141
Applicant/Permitee: Signature Issued By: Signature