1628 Hawk Pl
Use BLUE or BLACK Ink
r - - - - -
I For Office Use
Permit I `
City of Eaa~ . ~ I hermit Fee:
I I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
JUG, i I I
Phone: (651) 675-5675 2P ti
Fax: (651) 675-5694 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION '
Date: (0 j Site Address: w Unit
Name: SA~,_ 4At)L Yw Phone:
RESIDENT l
OWNER Address/ City/ Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Ca#(o~ Multi-Family Building: (Yes / N~)
Company: (~Z~eeJ S i~,, t 1 v► L Contact:
CONTRACTOR Address: 171 /y , ILA ~a, City: i~nd ~c
State: Zip: S50-2-5- Phone:
License ,;?O-yq d p q Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
< r ~Q t v 1W 1'_ I-41 cu
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that 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 to
conclude that the are trade 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.gol)herstateonecall.org
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 p1l n the cas f work which requires a review and approval of plans.
X x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
&C6DO NOT WRITE BELOW THIS LINE
STUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) ::Y4 Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests 'Final
Y Framing Siding: -Stucco Lath -Stone Lath -Brick
-7~ Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: lad , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review`.,
MCES SAC ! 0 L
City SAC f
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
~ For Office Use 1
j Permit j
City of Eajan I I
2 1 Permit Fee: / 1
3830 Pilot Knob Road JUN$
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 i staff _j Ju_
Fax: (651) 675-5654 1 /
2010 RESIDENTIAL BUILDING PERMIT APPLICATION C ~~G
e'_
Date: 1-I a Site Address: AM n , - ) a- 6, so /
Tenant: Suite
RESIDENT/OWNER Name: A/c/la, ~e lj Phone: (lob-,
F T
Address/ City /Zip: ~tpa-~ ~a.•~ ~c pir--ce- Lin m n S~-
Applicant is: ' Owner Contractor
TYPE OF WORK Description of work: 13, d Flew dew k. / / FFc S u~, cc/ d ec l -
Construction Cost: 6,000 Multi-Family Building: (Yes / No M
CONTRACTOR Name: 5 ~-w C r1(G jryc4ia n J~n l: - license r LL91 ' y 187Lig
Address: 71 .l1lo r-HN L. ke- 61- City: Fares Lam.. ~e C
State: j Zip::. 5'5-01:5-- Phone: (0 5 L) Co d- H 6 67
Contact: JU iC/k G1CN''5a%'_ / Email: ^.i r1 lV ;crt -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that 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 to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against u~nde[Vround utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. rwww.aocherst~teonecall.ora I
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 Mans.
X Az&g'S__C'_t/ X
Applicant's Printed Name p cant's Signature
Page 1 of 2
NOT WRITE BELOW THIS LINE
SUB TYPES
- Foundation _ Fireplace Porch (3-Season) T Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
r Multi Deck _ Porch (ScreentGazebo/Pergola) _ Exterior Alteration (Mufti)
01 of T Piex _ Lower Level - Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition - Move Building _ Reroof Demolish Interior
_ Alteration Fire Repair _ Windows Demolish Foundation
_ Replace Repair _ Egress Window Water Damage
Retaining Wail 'Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 7cw Occupancy l c MCES System -
Plan Review Code Edition A V,2 SAC Units _
(25%_ 100% Zoning P City Water
Census Code A/3 Stories - Booster Pump _
# of Units - Square Feet PRV _
# of Buildings Length did Fire Sprinklers
Type of Construction Width Illy
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -ice & Water iFinal Pool: -Footings Air/Gas Tests -Final
Framing Siding: TStucco Lath Stone Lath Brick
Fireplace: -Rough in Air Test -Final Windows
Insulation Retaining Wail: - Footings _ Backfili - Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES /0
Base Fee 1i, 7 r1` I~Ii~c fc /J t~ 0
Surcharge
Plan Review ~y
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
L
2422 Enterprise Drive
Mendota Heights, MN 55120
* PIONEER LAND SURVEYORS • CI V IL ENG1 NEERS
_ 1eng ineering . • LAND PLANNERS- LANDSCAPE ARCH11TECTS (612) 681-1914
Certificate of Survey for: WE.SLEK C0A197-RUCr10A1
NORTH
h o; _
/7
4
REV E W FL, D
B GPS S, ?6o4a'p~..
Q
Date o ILI~ ZB,Uy~ 41
1' d = 82 ~ 8
EAGAN ENGINEERING DEPl g48A 86.82
r
0
-r V (OF% 1
1
i
Ns A 5C-0
? \1~ / A
??4.S_N ~V) Z-
/ PiZe
0,
15
EAC AN
RE I WED
BY.
IONS DIVISION
900.0 Denotes exisfin$ Elevation PROP05~0 14QQ5E EL EVATI pNS
9oo.r.~ Oorrinfes propost d Flevahon
Denotes Urarna e ~Ufdity 1(wsernent lowest floor Fleval on = 840.63
Denofes Dra(n r a Flow Arrows Top ai'flock Flevalion = 848.67
0 Oenok mooumeo t Cara~Q Slab
r--
Rea it ~ s sllowit ar~E assumed Sub.iect lo ta;ernen is o f record
LOT 7 1 9L'OC9 2 &ACk1,YAW9 POND
D/ar4a7A CocJKZ-y I MINN.
I hewhy rrrtily that this is a trtrr and rotnftt rrpre4entntj0n of a survey of the haundaries of the above de nberl la+t anct'gi thr location of all
Imildrngs, thrteot,, and all visible encroachments. if any, from or mi said land. As surveyed by me this-2 day of A.D. 19~.
Carle • 1,nC1 :_4 -Ael
PORERT S. SIKtCH L.S. REG NO. 14891
88 r2g
? CASH RECEIPT 10
CITAOF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
F ?
DATE 19
-f
Wcerveo
FROM
AMOUNT $? G? L y V
& DOLLARS
100
? CASH '-fA,CHECK
ev '-
li
Whde-Pa1em CAfyY
Yelwrk-POSting copy
Pink-Fib Copy
Thank You
CASH RECEIPT ?
• " CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
i ?-
DATE
RECENED _ • .
Feoe,
AMOUNT $ I
8 DOLLARS
ioo
? CASH ? CHECK
KM
FUND OBJECT AMOUNT
,i .
!
.?,
?
i
- -- -
\ ? ?
Thank You
BY
White--Payers CopY
Yelbw-Ppsting Copy
Pink-File CoPY
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
2Q-12275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
CJ
TOTAL -#:
BUILDING PERMIT
To be used For
Fieceipt #.
Est. Value , ,•?l?; Date
,19
Site Address
Lot Block Sec/Sub. -!;'•`+rk' FONi?5
Parcel No
oc Name WESLEY COiVSI'Ri1CII0;i
W
z Address ?71 ''•
0 City ? Phone
?
.o
.
Name ~
? 4 Address
? City Phone
"W Naee
W Ly
F
_ ? Address
a W City Phone
I hereby acknowledge that I have read this appiication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan OTdinances.
Signature of Permittee
A Building Permit is issued to:__ _
on the express condition that all work shali be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official "'_?_ '
CITY QF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
OFFICE USE ONLY
On Site Sewape Occupancy
MWGC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth -
S.F. Total
Footprint S.F.
APPROVALS FEES 9
Engr./Assess. Permit
Planner Surcharge
Council Plan Review - "I
Bldg. Off. SAC, City
Variance SAC, MWCC
.? ? •?
i
Water Conn. - ?r _ . ;?•'
Water Meter
Road Unit
Treatment Pt
Parks
TOTAL - ? ='?
CITY OF EAGAN
?,*~• ?••' 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
PHON E: 454-8100
BUI?DING PERMIT Receipt # .
To be used or Est Value . Date ,19
Site Addr??§ OFFICE USE ONLY
Lot r Block SeC/Sub. On Site Sewage Occupancy "• ?y j
MWCC System Zoning
ParCel No. i
W
ll t
l
A
C
t '
On S
te
e ua
)
ons
(
c
City Water (Allowable)
a Name
W
z
Address :.' J. : PRV Required ? of Stories
? City PhOne ?aster Pump Length
Depth
o Name S.F. Total
,
? ` Address Footprint S.F.
ra- City Phone APPROVALS FEES
? W
W
Name Engr./Assess. _ Permit
?y
?
Planner
Surcharge
_ g Address
Council
Plan Review
? W City Phone Bldg. Off. SAG City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with ail applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
?
Signatureof Permittee Road Unit
A Building Permit is issued Treatment P1
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. T4TAL
Building Official.--.-,_-,--- -
- Permit No. Permit Holder Date TeIOphone *
Plumbing -?
.??? ,
[?Lc c -
? '?i? n '? ? /?/??Jj?•
H.V.AC.
Electric
C
Softener
Inspectfon Data Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
ISUI.
Fireplace 4(,)
Final Ht9•
Final Pibg.
AWN
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PRICE:
m Name
? Addre
c City ;
? Name
c AddrQ
O CitY'-.
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
PHONE: 454-8100
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # ?
FEE
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTI ON
Res. New
Mutt Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HYAC INCLUDES A/C ON NE1N
CONSTRUCTION
)
GAS OUTLETS (MINIMUM - 1 PER PEiiMIT)
- 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 COND05 - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE - 12.00
- 20.00
STATE SURCHARGE PER PERMIT - .50
-?I SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
, .
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN,
NTRACT PRICE PHONE: 454-8100
? Site Address ' ? "'?
? Name
ro Address -
? City
L Name
c Addre
p City _
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
r/0" -1 ?e'
PERMITTEE
FOR CITY OF EAGAN
BLDG.TYPE
R es.
Mult.
Comm. _
PERMIT # RECEIPT
5122 DATE:
WORK OESCRIPTION
New
Add-on
Repair
nca. rL.Mu. vnL. i - a.vmri
NO. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
OTAL
>
?
Well - $1p.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: .?•> ?, .•?e
??• ; r,?r , .,.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
F
L
TYPE OF WORK:
--1
Li
????
Pertnk No. Permit Holder Data TNephone 11
ELECTRIC
PLUMBING
HVAC
InspscUon Dab Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
7ES7
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIOG FINAL
BSMT R.I.
BSMT FINAL
oECK FrG ? .? ? N e? r d c u,? ?
DECK FINAL C 142
1
i
• ?
Y ?
- fgerttftratt u# Orrupanrg
'.
.
Citp of eagari
apmanlPtlt Of WLtl?ltg jwPt#iDti
?
' This Certiflcate isrued pursuant to 1he requirements of Secrion 306 of the Uniform Building
Code certifying thaT at the time of issuance tlus structure was in compliance with the various
ordinances o,f the City regulating buflding consmrction or use. For tke foUowing.•
v. ckr?.ti.. SF UAG"R Ea& ftyuik No. 15993
0-panq T?Iw R3/M I Zo,;ngDisw R I T?pc C-,,. VN
Owner ot Bw'Iding M'?'. M OONSTKM(? ?= 9401 MaM AVE S, Mn.S
A4drm 1628 HAWK PIACE LO-MY L7, B2, RI.ACnW PI,NIDS
i
-?t '- i '?' a.u: MAY 31, 1989
su,iamg oamd
POST IN A CONSPICUOUS PLACE
i ? r !?IJ1re?
OF EAGAN Permit No: Date:
Pilol Knob Rosd Meter Na 9 Size: Sox 21199 Reader No: d Pq J? Oate: ?
m, MN 55121
:?Li•.. ?;ON5';
'AJJ?....n. IS7Z0 ClliWK PL.-. L7. 132,. Sl.l1:;K':
Conn. Chg: -p^
Acct Dep: ` no ?(i--
Permit Fea nri y
Surcharge: .?f`• ?d
Tr. Plant
Meter. Slf' aG??
Misc.: ''j;TJ c:'?? IIBED
WATER SI
CITY OF EAGAN Permit No:_
3830 Pilot Knob Road Meter Mo: -
P.O. Box 21199 Reader No: _
Eagsn, MN 55121
Owner. "TFS LP.Y :,ON5T
Site Address: ' ''
ei.....w.,.. . _ •
_ Zoning:
_ No. of Units:
_ 1 agree to comply with the City of Eagan
= Ordinancea.
- a /,I.? _
:RVICE PERMIT
10211 3 2!'f0/8 ?
Date:
Size:
Date:
r , , 5 .._.iAW•. , . ,
.r.
Conn. Ghg: s`' •?*? Pd Zoning: 111
Acct Dep: ? No. of Uniis:
Permit Fee:
I agres to comply with the City oi Eagan
Ordinances.
, • 1135d
CITY OF EAGAN Permit No:
3830 Pilot Knob Road B/ P No:
P.O. $ox 21199
Eagan, MN 55121
?
No. of Units:'
Owner. ?~L?`
Site Address: ?`} 84AWt: P'•.A?E. , L7 . 32. . PLA.^,KHAV7K
Plumber:
a7`>0-t3C p•?
MWCC: Go. G'7
Ciry Chg:
Acct Dep:
10.00 id
Permit Fee:
Surchar e:
..---g'uu
&"nUlRr.C
Date:
Date: 12/23/RR
*t 1
I agree to comply with the City of Eagan
Ordinances.
SEWER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 NO 15993
PHONE: 454-8100
BUILDING PERMIT Receiptu t5 I l0
Date DF1!ib'MRF.R 23 ,19 88
To be used for SF g,?ICAp Est. Value $167,000
Site Address 1628 HAWR PLACE
Lot 7 elock 2 Sec/Sub. BLACKHAWK PONDS
Parcel No
rc Name WESLEY CONSTR iC ION
3 Address_4401 XYLON SOI7TH
0 City MPT.S Phone 452-0587
o Name SAME
*
oQ Address
? Ciry Phone
w
z
u
t
w
Name_
Address
Cify
I hereby acknowledge that I have read this application and state that ihe
mformation is correct and a9ree comply wrth all applicahle State of
Minnesota Statutes and City of an di s
Signature of Permittee ?
A Bwlding Permit is issued lo._
on the express conddion that allwork shail be done in accordance with a!I
apphcable State af qnesota Siat9t$s anQ City ot Eagan Ordinances.
BwldingOffiaal ?<'?'??i(SLC.I/?_
OFFICE USE ONLY
On Srte Sewage - Occupancy R3 M t
MWCC System X Zaning R 1
On Sde Well _ (Actuap Const VN
City Water X (Allowabie) VP1
PRV Required X # ot Stories
Booster Pump _ Length 70 '
Dapth 481
S.F. Total
Foo[print S.F
APPROVALS FEES
Engr/ASSess._ Permit 792_..110
_
Planner Surcharge 83-50
Council Plan Review 39_6?Q
61dg. Off _ SAC, Cdy 1(10.00
Variance SAC, M WCC 99000
WaterConn _SSn nn
WaterMeter afl nn
Road Unit _325.00
Treatment Pt 204.00
Parks
TOTAL -3y 090.50
11,31y"
? 62 5 0
Requesl DaW
) Flre No. Rough-in Inspeclion
flequired'+
? Reatly Now ?,Will Notdy Inspector
Wh
( Z ? ?' s' a' Yes ? No e?
I)f licensed contractor ? owner hereby request inspedion of above electrical work at:
,bb Atldress (Street, Bax Or Route No.) Gry
16,
n'j? K G14-G t-
9/'F6'
Secllon No. Township Name w No.
Range No
County
I k U
Occupant (PRIM) Phone No.
G9£5Gb Sl-- DS?
PowerSUpplier Atltlrass
i7RKv /?¢ EcEc 7z i `5? /r.1 G
Elacvicei Contractor (COmpeny Neme) Convactor§ License No.
A
Maihng AEdresa (COritractor or Owner Meking licetellallon)
A G Sv
AuNOtlzed SlgfuWre (Contraclor/Owrer MaWng Installavon)
_ '4',r4'i'^? ./ __ Phone Numbar
q9a -3 s'sS?
MINNESOTA STATE BOARD OF ELEC7Ii1CT' ? THIS INSPECTION HEQIIEST WILL NOT
Gdgge-Mitlway BItlB. - p.m S173 BE ACCEPTED BV THE STATE BOARD
7821 Unlversiry Ave., St. Peul, MN 55101 UNLESS PF70PEH INSPECTION FEE IS
Phane (612) 642-0800 ENCLOSED.
?/3/8`5' REQUEST F(`R ELECTRICAL INSPECTION EB-00001-0]
? See Inslrudions'kicompleting Ihis form on back of yellaw copy. C? <' 2
? 6 25 7 Q l`X" Below Work Covered by This Request
e Add Rep. TypeoiBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industnal Furnace
Farm ' Air Conditioner
Other (specdy) Conlrador's Remarks:
Campute Inspection Fee 8elow:
# Other Fee rY ServiceEnfranceSize Fee # Cimui[s/Feeders Fee
Swimming Pool 0 to 200 Amps - o to 100 Amps A
Transfortners Above 200 _ Amps bove 100 _ Amps /p
SigOS Inspedor5 Use Onty: TpTAL
Irngation Booms t S C>
Special Inspection
nlarm/Communication ?
Other Fee ?
I, the Electncal Inspector, hereby
f
h Rough-in oeie ?^
certi
y t
at the above inspection has
been made. Finai ?
?-
OFFlCE USE ONIY
This request vatl 18 monMS from
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when peimits are required for each unit
)?? () , ,-o
Date
L9 C)
_
Site Address Unit #
Property Owner Telephonc # ( 6s? ) ? /J4/f/
Contractor al+?
Street Address ??)?? ? ?'??!' ? ???G•.J?/D? City ?
State Zip Telephone# (Q? )"WI
Bond #: Expires:
1'he Appticant is _ Owner ? Conhactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? fumace _Additional ?Replacement
air exchanger
airconditioner _New _ Replacement
other
State Surcharge $ 50
Total $ ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conforniance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to star[ without a pemnt; that the work will he in accordance with the
approved plan in tlte case oC work which requires a review and approval ol
Applicant's Printed Name
2005 COMMERCIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc wmmerciaUindustrial buildings
multi-family 6uiidings when separete; pemnits are not requ'ved for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if appticable) Previous Tenant Name
Praperty Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
'^"When installing/removing underground tank, call for inspection by Fire Marshal and Plum6ing Inspector
P0ttC1it FfC3: 570.50 Underground tank ina[attationhemoval
$50.50 M'vumum (includes State Surcharge)
or
ContractValue $ x 10'0 = $ P:rn!i[Fee
• If peimit fee is $1,000 or less, add $50 => $ State Surcharge
If pernut fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Pennit and acknowledge that the inforniation is complete and accurate; that the work
will he in conformance with the ordinances and codes of the City of Eagan and with ihe Mechanical Codes; that I understand this is
not a petmit, but only an applicauon for a permi[, and work is not to start without a permit; tliat the work will be in accordance with
the approved plan in the casc of work which requires a revicw and approval of plans.
Applicant's Printed
Applicant's Signature
Approved By: Inspector
S
(o sS??!
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when pemti[s are required for each uni[
36, 5Z)
Date$/q_/ ?
Site Address I ?-b! ? ?aa ,? 70 • Unit #
PropertyOwner ood-- Yic-Ilu Telephone#(IDS'? )y?-?SS
- -?
r-
Contractor ? Wohless 5outhside Htg. & Air,Inc. i
? 6950 W. 146' St., #106
Street Address Apple Valley, MN 55124 , C;ty
? (952) 431-7099 '
State ? Telephone # ( )
? -? --
1-L(o-4?^? ?`?2) E
?L
i
]as-cA
C
xp
res:
Bond#•
-- .
The AQplicant is _ Ownec ? Contcactor _ Othec
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
J? airconditioner _New ?kReplacement
other
StateSurcharge AUG 16 2004 $ .50
By ?
Total
$--
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work will
be in conformance with tbe ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a
pernut, but only an application for a pernut, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval oa
pnniC-f `, /
ApplicanYs Printed Name ApplicanYs Signature
2004 COMMERCIAL MECHA1vICAI, PERMIT APPLICATION
City Of Eagan
3830 Pilot ICnob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: wmmercial/industrial buildings
mul6-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) previous Tenant Name
Property Owner Telep6ane # ( )
Contracror
Street Address City
State Zip Telephone # ( )
Bond #• Expires:
The Applicant is _ Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Install _Remove'*see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
'When insta!ling/removing underground tank, ca!l for inspectiorr by Frre Marsbal and Plumbing lnspecfor
Permit Fees: $70.50 undergmund tank installation/removai
$50.50 Miniinum (includes State Surc6arge)
or
Contract Value $ x ]°/a = $ Permit Fee
• If pe rmit fee is $1,000 or less, add $.50 ? $ State Surchazge
If aermit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector
?
? Uy'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
1628 WAWK PL
LOT: 7 BLOCK: 2
BLACKHAWK POND
P.I.N.: 10-14395-070-02
DESCRIPTION:
Blding?'Permit Type
Buildin9 Wo'rk 7ype
? .
\\
PERMIT TYPE:
Permit Number:
Date Issued:
DECK
NEW
&e o y;?',os
BUILCIING
025528
05/04/95
„
,
.
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - appliaant -
CHEATUM MELVIN
1628 HAWK PL
EAGAN MN 55122
(612)683-9566
I
I hereby acknowledge that I have read this 6ppl3cat9on and state that tha
infiormat'ion is correct and agree to comp;ly with all applicable State nf Mn.
Statutes and City ot Eagan Ordinences.
AP CANT/PER EURE
I
fl?,a
?s? I ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P'I•N.: 10-14395-070-02 APPLICANT:
LOT: 7 BLOCK: 2
1628 HAWK PL CHEATUM MELVIN
BLACKHAWK POND (612) 683-9566
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
?
auiLozNe
025528
05/09/95
?
a ? ?
.?. .
,_, ?. •- CITY OF EAGAN
3830 PILOT KNOB RD - 55122
] 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
/ 681-4675
? 3 registered aite surveys ? 2 wpies M plan
? 2 capies of plans (inGude beam 8 window sizes; poured tnd. design; etc.) ? 2 atte eurveys (exterbr additiona & dedcs)
? 1 energy calculations ? 7 energy calwletions for Aeatad additbns
? 3 copies of tree DreeeNation plen if lot pletted after 711193
required: _ Yas _ No
DATE: /yl4, /9z"s- CONSTRUCTION COST:
DESCRIPTION OF WORK: '06?&
STREET ADDRESS: /?nwl'-Alwe f= /-?nn WI /o
LOT r BLOCK ? SUBD./P.I.D. #: I1Jp..E?h,?k &7d 40' l5!?9? au -a?
PROPERTY Name:-,09a1tt,n Phone #: &'/2 - Cfl? l?SG?
OWNER `""
Street Address? ?A 17 11AweA/9.e
Ciry: F.9 An State: tllll Zip: 5--sIzZ
CON7RACTOR Company: Ph011e #:
Street Address: License #-
City:
ARCHITECTI Company:
ENGINEER
Name:
Street Address-
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the informaNo correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
State:
State:
Penalty applies when address change and lot
Zip:
Phone #•
Registration #•
Zip:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
No
Tree Preservation Plan Received - Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
e-? New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
2oning
# of 5tories
Length
Depth
APPROVALS
Planning
0 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
0 13 Garage/Accessory ?
0 14 Fireplace o
?5 Deck
? 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
?
D
u
Permit Fee Valuation: $ lZ?? l
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
. .?.
..
?
f'00'r),
16 Basement Finish
17 Swim Pool
20 Public Faciliry
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
% SAC
SAC Units
APFLiCATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
,
? NO'fE: PAYF¢:Nf OF Fg AT TIME OF
i APPLICATIOTI OOES PAT OON-
i SI'IN1E AYPR('iJAL OF PERPffT.
•
? INSPFTTIOU OF 56Sd32 ADD/OR WATIIt
3 INSfWATIO[15 WiLL N(7f SE SCfDULID i
s[1N3'fL PFIihIIT HAS HE@1 APPRUVm.
dtV ?t.t?+?+e?rf???w?.t???itteY»ftxy??x+++t
o¦ acY6?cin ' .. .
(PLFASE PRINT
1) PROPII2TY ADDRESS:
LEIGAL DESCF22PTION
IF EXISTILVG STRL'C'IURE, DATE OF ORIGINAL BCIILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID OSE:
Q CODMMCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDLSTRZAL ? R-2 DLPLEX (Ztao Cnits)
Q INSTI'iS)TIONAL/GOVERNMENT ? R-3 TOWNHOTISE (Three + Onits) ( Units)
Q R-4 APARTMENT/CODIDOMINILM ( Lnits)
2) NAME=
ADDRESS:
CITY, STATE, ZIP:
PHON&:
3) ''- ?+? NAME :
ADDRESS:
CITY, STATE, ZIP:
PHONE: 4 .Py c
4) e ?e ?•
NAN1E:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
J0-
j) MASTIIt LICENSE # ;,)3 ?
?lumbers License:
I? ACtiV2
Expired
Not recordec
St Imtial
5)
CONNECTION 'Ib CITY SEWER f?;Q CONNECTION TO CITY WATII2 ED QTI-IERR
6)
3a /f
*?*******?,r**+**************:*******?+*******??*x**?*?*******?***????*?**+******************?**++?*a
*
* TfE GOLD COPY OF THE PII2MIT WILL BE SENP DIRF7LTLY ZO PUBLIC WDRKS TO FACILITATE ME1ER PICK-[JP. ;
PLEASE ALIAW 7W0 WORKING DAYS FY?R PROCESSING. SOP7FAPIE FROP7 TfIE CITY WILL CONPALT YOU IF THERE ?
* ARE ANY PROSLENIS. +
?*?,+******:r?*«?*+?x**:****++*?*+**?***?***************+r*+***,r**?+************?*?**,r*??****?**,+*****;
F4R CITY USE ONLY
PERMIT # ISSOED
Pd w/Bld
g. Permit FEES:
$ $- ?? SzJ SEWER PERMIT (INCLUDE SDRCHARGE)
$ $
WATER PERMIT (INCLUDE SIIRCHARGE)
$- $
WATER METER/COPPERHORN/OCTSIDE READER
$ $
WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ `/
$ ?
J
- ' ACCOUN T DEPOSIT - SEWER
$
$
ACCOCN
T DEPOSIT.--
WATER
$ $
WAC
$ ? $
SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NR SEWER
$ $ LATERAL SENEFIT/TRUNK WATER
$- ? 0? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
TOTAL
RECEIPT RECEIPT ,
DOES UTILITY CONNEC TION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
NO ROADWAY" MUST BE ISSUED By THE ENGINEERING
DIVIS
ION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE :
January 3, 1989
BRUCKMiTELLER PLBG
3750 KNOLL RIDGE DR
EAGAN, MN 55122
;?bl???e? ?or:?t
A -J
REt 1628 HAWK PLACE, L7K, B2p SLACKHAWR PONAS
WARNING: BEFORE DIGGING, CALL LOCAL OTILITIFS - TELEPHONE, ELECTRIC9 G93t
ETC. - REQUIRED HY LAW
XX Your Sewer and Water Permit for the above property has been completed.
It will be held at the Publie Works Garage (3501 Coachman Road) until
the meter is picked up. BE SURE TO CALL PUBLIC WORRS (454-5220) FOR
YOUR PERMANENT WATfiR TURN ON.
Your Sewer and Water Permit for the above property cannot be completed
Por the following reason:
Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occupancy allowed until further
notice.
Stncerely, Jan Severson
Secretary
JS
C2.7y C7 .:FGAN
Cr?Sr+:rER; .1S T[I;f'I7.nlG'_ h7: f7':.8
T'A-,.^ 03/21/19 ,'";iG'g ..OeSWQ
_Uu .
N(-WE.". ADr: PF.T-:Nt CTS
32tfJ ";Cl(11 '.628 Fap?:'< Pt. 1530S
2155 901; 42c^, HOA4: F'l.. 4,f)n
:3r lo }JUCJ:! 094 DE'EFi1ti_^OI7 C W„25
?M 9001 W! 1'6EE::n43L`ll C 4.50
(i
I
?
roi:a'. Rr:ceip';: fimourtii; _ ;3?:J., _P,7
CR1 j.7^cC:,'
,_isEr :tz?: Jrr,
i
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?? ? ? (? 3830 PILOT KNOB RD - 55122
? 651-681-4675
New Conshuetion Reau(rements Remodel/Reoalr ReavlremeMs
? 3 registered aNe suneys showing sq. k. of lot, sq. H. of house
and dil roofed areas (207, maxfmum lof eoveraae allowed)
? 2 copies of plans (show beam a window sKes; poured fnd. deslgn; etc.)
? t sM of energy calculaNOns
? 3 copiea of hee preservatbn plan B IW plaMed aHer 7/1/93
DATE: q I II 19 1 1
DESCRIPTION OF WORK: F-It _
STREET ADDRESS:
LOT: 7 BLOCK:
Name: Phone#: lnS} '45G-C)LI65-
tast Flnt
-?' SUBD./P.I.D. #:
GL C '("
PROPERTY
OWNER
Street
ciy
W?- I lLiC -e-
state: 1'? ?'? zip_ S51 ?-
Company. ?1?c??"SPhone#: Io1 `70`?`logS`?
(area code)
CONTRACTOR ??CO I\?X" ? ?
Sheet Address: ? License # cUI b) 3 t?53Exp. ' o c.
ciy BUt n,SU'? )l e.. state: zip: 55??
ARCHITECT/
ENGINEER Company:,
Telephone #: area code ( )
2 copies of plan
1 sef W energy calculatlons lor heWed oddiHona
1 ske survey for exterior addHtons J. decb
COST: '51 1 46OO .O C
Name:
Stree't Address: RegistraNon #:
City State:
Sewer R water Ilcensed plumber (reaulred for new consiructton onlv):
PenAly appifes when address change and lot change Is requested once permH is issued.
Zip:
I hereby acknowledge that 1 have read this applicatlon, stafe that ihe InformaNon is cortect, and agree to eomply wHh all applicabl
State of Minnesota Statutes and Cify of Eagcn Ordinances. ?
Signoture of AppllcaM:)
OFFICE USE ONLY /
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
_ No
_ No
Not Required
JLC L L?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck 13 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/5offits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge 'T ? o
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: I
Valuation:
?
SAC Units
% SAC
t
04lNER
SITE AODRESS
CONTRACTOR
DATE /? o? r PtIONE 9? 7o9z
Determine working square foota9e of each.
1. Total exaosed wall area ...... 33 sq. ft. x = 2S
.-11- 1_-- ---J
2. Total roof/ceiling area ...... sq. ft. x_026 =.
Total exposed wall area above floor
EXTERIOR ENVELOPE AVERAGE "U" COhIPUTATION
a. Total wall window area ........................... 258.9 9
b. Total door area ................................. 37 77
e. Total sliding glass door area ................... 73-3 z_
d. Total fireplace wall area ..................:..... 20
e. Total wall framing area (average 10%)............ ?55.8 O
f. Total net wall area above floor .................
g. Total rim joist area ............................ 30 3.33
Tatal exposed foundation area = __/50
Determine "U" value cf each taall segment.
a. ?55. 99 x "u" , y9 = /zG -9/
b. 37,77 X ,OU„ , 123 = y6s
c. 73 32 x "u" 1 1/9 = 35.
d. x ??U"
e. 35S.fjo z "u" .09 , = 32,4Z
X Oull ,ay = /42 !VC7
y. 303,33 x "u" . Dy _ 1z,/3
n. 4 -22- z liuii ,ot5? .SO
i. /y3,9& X itu,l SZ = 9?/,17 7
3 .....................................Tota1
h. Total foundation window area..... .............
i. Toal net foundation area abcve grade ............ ?3• 7
If item #3 is the same as, or less than item #1, you have rtiet the intent
of SBC 6006(c)2.
Construction R-Value
1, e ior i film 016Q
]. / ' p 10
3, Linches sofr, wnod
4. 1l/GT !U
5. 5/vr
6. Exterior air film = 0.17
qvotal //, OS'
41= :09
5#[L
Pczi-p
FIG. Nl TOPVZEfV OF
FRAHE F1Ai•T"
F0C.WlTICN
k'A_LL
?
1.
2.
3.
4.
5.
6.
:oy
1.
z.
3.
4.
5.
6.
1. Interior air film 0.68
Z, p /1 t.lc: O-5U
• 3. / 2' i.? r? ?r?lY ?• Z,?
• 4.
5.
6. Exterior a1r film 0.17
Total /,7,6>
?=.Ob
SLAB ON GRADE
FIG. N3
? `•?`sL?
. ? .
. o - . ? .
? • :
p _' ?/ - • b ?
.
•
/(( ? ? ?
' . ? Ifl ?
6
?
/ll •
, ' • /(/
•
FIG. H4
Ifl
?
°
?//I ?
? 1 >
' /Cf X lC
1/? ? Ilf c lit ?
NOTE: Indicate tyoe, "?:" value, deoth and
placenent of insulation.
wur, serrinNs
NM'E: Use 15% of opaque wall.area for
frame construction
ROOr/CEILING
. `
\iFdiT
Veated Heat flov
up .
FIG. 95
Paqe Three
CojiaCruction _ R-Value
Inter? or air film
1. 0.61
?
2. a'.f' ?CUGtf!//r! -S?
2'dG?Sl
? 3. /
Pp
4
4. Fxterior air film (still 0%1
, Total
.. • . Y?; .0?$
1. Interior ai film 0.61
2.
3.
4. Er.teriur air lm -i _
1.
2.
's.
4.
5.
Notc: Use additional sheets if more space i.
-- needed for.details and calculations.
? Heac flow up ? . vented
FIG. $6'
. HeaC U
, flov up '
Fr.r.. #7 •
Total exposed roof/ceiling area = /396
J. Total skyllght area ............ ....... ... . ?
k. Total roof/ceiling framing area (average 10%)...
1. Total net insulated roof/ceiling area........... /.75 6-y
Determine "U" value for each roof/ceiling segment.
?.
- x °u°
k. x °uH
?; ??sG•f? x ^uil
, az6 = 3•G 3
a ..................................7ota1 = s ?t
If total of ;Y4 is the same as, or less than #2, you have met the intent of
SBC 6006(t)l.
Alternate Building Envelope Oesign
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be qreater than the sum of items #l and #2.
,. yyi. ?s + 2. ??-30
s. yl3 ?9 + a. 3s• By
?W
_ 'f7? S5
t3
PERMIT # ?? l I (0
RECEIPT DATE: ` 6 _?5/ - v /
RnIDFPTtlkL PLUbI$IAfi PFfiM1T A"I1Ci4TION
CiTYOP Ek&AN
3$30 PDAT KROB iiD
El4fiAR, bfP 5518E
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
_? backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAMEKELLY, JOHN
1628 HAWK PLACE
EAGAN, MN 55122
(651) 456-0455
. . TELEPHONE #:
-- -- - -- --- --- (AREACODE) .
INSTALLER NAME: NORBLOM PLUMBINO CO. TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY: MINNEAPOLIS. MN 5.54Q8 STATE: ZIP:
Place a check mark neYt to the oermit work tvoe
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modifcation or alteration to existinq dweliing unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: lKv /?e?' ? L?,r4?
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $
i
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water sotteners, e[c.
1 hereby acknowledge that I have read this application, state thatthe Information is correcl, and agree to complywith all applicable Ciryof Eagan ordinances. It
is the applicant's responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilitles wnstructed under this permit within City propertylright-of-wayleasement.
SIG T E OF PERMITTEE
Updated 1/01
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? * ? * 2422 fnterpriSe Drive
? PIONEER LM1NOSURVEYOMS•41VIlENCINEERS Mr.ndotaHeights,MN55120
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* * * * 2422 Enterprise Drive
* PIONEER LANDSURVEVOHS•CIVILENGINEERS Mendore Heights, MN 55120
? en9IlleeI?II19• LANOPLIINNERS•LANDSCAPEARCHITECTS
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Certificate of Survey for: WESLEK vor " ? ` ^ " C` • ON
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1 hrirbV mriity that ihis is n tmm and rmnc?[ rrpre5rtntaunn ol a survry of Ihe houndaries of Ihe ?Anqved?rnbed im? w?d o? ?he Incation ?ol pall
huildmgv. UhFienn, and all visihle eneroachments. if anY. from or nn said IaiiA. As surveVed bV rne thic daV ot A.D. 193_Q_.
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88129 ROAERi B. SIKICH L.S. REG NO. 10891
.
55
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
16qF3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
.
NOTEz ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS Il OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 169? 0C0Zr _ Date:
Site Address / & a0(9 Niqw,r //
Lot ? Block )-_
Parcel/Sub dy."Qr /.? / r)2!LO
Owner Lo Q,tJS 7
Address :Z??0/ XJ/??,?? J a
City/Zip Code
Phone / SoZ O Scr 7
Contractor ?Si'S?62Je
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
On site sewage_ Occupancy
MWCC system ? Zoning
On site well Actual Const
City water y Allowable
PRV required ? # of stories
Hooster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off. ?12'ZI
Variance
FEES
R 3 M-I
R- I
y-rl
V -!J
Permit ?qZ,oa
Surcharge 83, O
Plan Review 3%,
o0
SAC, City 100,00
SAC, MWCC 5 O,?
Water Conn p, Do
Water Mete r 40,00
Road Unit 32S.C+?
Treatment Pl 204,oo
Parks
Copies
TOTAL
?3? •50
.
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PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA084562
Eagan, MN 55122 . Date Issued: 07/23/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1628 Hawk Pl
Lot: 7 Block: 2 Addition: Blackhawk Pond
PID 10-14395-070-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Minnesota Rusco John D Kelly
5558 Smetana Dr 1628 Hawk P1
Minnetonka MN 55343 Eagan MN 55122
(952) 935-9669
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA084895
Eagan, MN 55122 . Date Issued: 08/04/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1628 Hawk Pl
Lot: 7 Block: 2 Addition: Blackhawk Pond
PID 10-14395-070-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Minnesota Rusco John D Kelly
5558 Smetana Dr 1628 Hawk P1
Minnetonka MN 55343 Eagan MN 55122
(952) 935-9669
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office use
I I
City of E*dn Permit#:
I ,a
Permit Fee: C/
3830 Pilot Knob Road
Eagan MN 551220 i Date ceived: I
Phone: (651) 675-5675 C I sta I
Fax: (651) 675-5694 _ _ - _ - - - -
2011 RESIDENTIAL PLUMBING PERMIT APPLIC ION
Date: Site Address:
Tenant: Suite M
RESIDENT / OWNER Name: ~56 Phone:
Address / City / Zip:
CONTRACTOR Name: h 11(-e License
Address: -26 City: lyavri S
State: Zip: o 7 Phone: &5-/-
Contact: &nT O'l Email: &~& ey~ 7 /1"TL
TYPE OF WORK - New X-Replacement _Repair -Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures C_ Main Lower Level)
Septic System Water Turnaround
New
-Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
II
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
li $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. oaherstateonecall.or
g a
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 plans.
x K~.~Tj,~~ x
App ant's Printed Name Appli is Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
r-----------------
I For Office Use
Permit
j
Ila
City of Ea,a I 1~
I Permit Fee: 7, G,
3830 Pilot Knob Road I I
Eagan MN 55122 sn Date Receive :
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION''
Date: Site Address: Unite'
Name: . [ / t/t~l 1, Phone:
RESIDENT / y p
OWNER Address / City / Zip:
Applicant is: Owner Contractor
P
TYPE OF WORK Description of work: L) c~ y e a (h l V1Loci- I
Construction Cost: ~C) Multi-Family Building: (Yes / No )
r (
Company: Lq-~ 6'Y\ silt 0 C-44 ~ Contact: A c k (L' y ! tiVx
CONTRACTOR Address: 11, - " 4 (~l- City: f~yes~_ L*f(4-
State: j!A K) Zip: D Phone: 6 e~/ l G I
License at) 02 Lead Certificate !U A T__ 4 0 7 75-1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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: Phone:
I
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that 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 to i
conclude that the are trade secrets.
i
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.gopherstateonecall.org
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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x -t x
Applicant's Printed Name Applicant's Signature
L / U) ( age 1 of 3
L
* DO ~MLRIIN)EkLOAHIS LINE
S B TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 00 Occupancy MCES System
Plan Review Code Edition f SAC Units
(25%_ 100% '10) Zoning City Water
Census Code ~~7f Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: Rough In -Air Test -Final Windows
Insulation r-d1.tj f rrkvr-v,*j Retaining Wall: ' Footings Backfill Final
Sheathing Radon Control
Sheetrock~ Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
,f r
Surcharge 1 r'
Plan Review F
MCES SAC
City SAC
10
Utility Connection Charge S&W Permit & Surcharge - Treatment Plante`
Copies
a
TOTAL Fy
r' L
Page 2 of 3
* ~t 2422 Enterprise Drive
* PiO1VEER LAND SURVEVORS.CIVIL ENGINtEt RS Mendota Heights, MN 55120
LAND PLANNERS- LANDSCAPE ARCtaeTECTS
* engineering.. • {612) 681-1914
Certificate of Survey for: WES L E) 00AI-97-RUCrION
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By C~~s S, 7Go~~ ' .0,~
Date (z gB oy~= hl•Q
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EAG.AN ENGINEERING DEP
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EAGAN EN
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EAGAN
REV1 -WED
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ATE:
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'~1"1 TIONS DIVISION
-~•9oo.a Denotes exidin F_levalion Peg osEU NoucE ft cm IoNs
~aoad , Denotes roP.o d Flevrxt~on
f' lowest Floor Elevaf on - 840, 63
Ue»ote4 Urd na e lil!'~ Easement
~U
Denoles Drain a Flow Arroyos Top ai-block Elevalion: 840.67
Gara~e Slab Fleva lion= 949.
o Oer les monumen t
Reat•n s sltow/l acre assumeai 5ubJecf to tasernen1s of record
LOT 7 1 9LOC14 2 &AM14AWAI POND
0AV,07A CWNT'y I YY1 jrQV.
I briPI)V rertily that this Is a trier And rorncct rrpresrntatton Of a survey of the houndarire of the Above de nbld fan anI f the location of 811
Imildmge, thrteore, and all visible encroachment. If aoy, from or on said land. As ulrveVed by me thi% day of A.D. !9 -
.s Cale : I i►lch d p 2Wel
Rt7REA1 d. SIKfCtt L.5. AEG NC). 14891
S8 r2g
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115133
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 1628 Hawk Pl
Lot:7 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
John D Kelly
1628 Hawk Pl
Eagan MN 55122
(651) 456-0455
Cedar Custom Builders & Remodelers
1501 Keller Lake Rd
Burnsville MN 55306
(952) 215-5141
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168347
Date Issued:04/19/2021
Permit Category:ePermit
Site Address: 1628 Hawk Pl
Lot:7 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-070
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stuart Koch
1628 Hawk Pl
Eagan MN 55122
(612) 590-6212
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168350
Date Issued:04/19/2021
Permit Category:ePermit
Site Address: 1628 Hawk Pl
Lot:7 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stuart Koch
1628 Hawk Pl
Eagan MN 55122
(612) 590-6212
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169783
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 1628 Hawk Pl
Lot:7 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stuart Koch
1628 Hawk Pl
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170303
Date Issued:06/25/2021
Permit Category:ePermit
Site Address: 1628 Hawk Pl
Lot:7 Block: 2 Addition: Blackhawk Pond
PID:10-14395-02-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stuart Koch
1628 Hawk Pl
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature