2861 Highview TerCITY OF EAGAN Remarks
10 81400 120 04
Adaition _ Valley View Plat 1 Loc 12 sik 4 Parcel
Owner 541A iI L (Ict f} (kr -Loy1 street 2861 Highview Terrace State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.pavin 1962 $735.00 $73.50 10
GRADING
L SAN SEW TRUNK 1968 $100. 00 $3.33 30
* SEWERLATERAL 1970 20
WATERMAIN
ATERLATERAL 1970 2510.00 $125.50 ZO
* WATEA AfiEA 1970 ZO
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET UGHT
WATER CONN.
BUILDING PER.
SAC 525.00
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
AMOUNT $ I
f
???-,7) '1W 1W ,11 & DOLLARS
1 oe
L' 10b q ? CASH ? CHECK
a?dtl
FOR '
RlJNO COOE A1+IOUNT
ThankYou
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN SEVVER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. Box 21199 PERMIT NO.:
Eagan, MN 55121_ DATE:
Zoninfl: No. of Units:
4wner: : . ? L : : ,, • . ?'- ? ,. -
Address:
Site Address:
Plumber.
1 aara !o eomplp wleh the City of Eago¦ Connedion Chorpe:
Ordinances. Account Deposit:
Permit Fee: 1?) nd
Surcharge:
By Misc. CF+argea:
Date of Insp.: Totol:
I nso.: Dote Pold:
EAGAN TOWNSHIP
BUILDING PERMIT
oWn.= ... .?.4t. ..?..-?-•:-?-•c ....... .... ... ..
Addreu (Preseni) ...:?!?.?..? ...... .... ........? ???
Builder ......... 7A4?sr...........................
Addreas ......... -°-'Ael.:...'t-...... -°-....................................
DESCRIPTION
N° 2230
Eagan Townahip
Town Hall
Dale ............. --...--7--v °°- .............:....
Btories To Be Used For FronS Depth Heigh! Eei. Coa! Permit Fee Remarke
l
Y4? c,?') LOCATION
? /,;'- ? .? I -V'L? 6-.?-.
This pesmit doea aot auihorise the use of sizeels, raads, alleyc or sidewalke
the righi !o creafe aay siluafion which is a nuisance or whieh presents a hesard
general welfare fo anpone in the eommuaitp.
TtII3 PERMIT MUST BEPT THE PREMISE WHILE THE WORIC IS IN
This Ss !o eeriifP. lhaf'--" '-. ..." "------- -------- ..has permission !o eree
..................... -
!he above deseribed premise eubjee! !!he provisiona of the Suilding Ordinance
1955.
.......... -.... .."- -?_"'-'-"_-_'--'..... Per
Chairman of Tnvo Board
nor does it give the omner oz his agenf
!o the heallh, eafefy, convaa5ence and
PROGRESS. - _ 4 poa
t a-'....?:...-.?t 3%?-w-c?u for Eagan Township adopfed Aprtl 11,
.... .............. 4.( ...................
---........-.` ..
- .....--'-------------°'
13 Bufiding Inepeclor
ir z ".
r:io
CITY of EAGAN N? 3508
BUILDING PERMIT
3795 Pi1o! Keob Road
OwTB! ..._..?.%!C?' ................._ ?..................... .......... ..........
Eagaa, Minnesola 55122
Addrees (Precenl) . ......f:- 454-8300
J
Suilder ------------------ ----------------------------------------- ...................................' .
lG
a.:e .... .......... ...............................
Addzeas ......--------'- ..............................................---------.----..........._ .
DESCRIPTION
63oxie To Se Used For Fronf Dapth Haigh! Esl. Coe! Psrmit Fea Aamarks
P
TION ?s?,S o
5lreel, Road or olher Deseilprion oi Loearion I Lo! nlock wqClIIOtI on TlBCt
This permif does not avthoriza the usa ot sizeefs, roads, alleys or sidewallcs nor doas it giva the ownas ot hii agea!
the =igh!!o cseafe eny siluafion wbich is a nuisanee or whieh pzesenic a baaard fo the heallh, cafetp, convanieaaa and
genesal welfare 3o anpone in the communiiy.
THIS PERMIT MUST BEEPT ON TH£ PREMISE WHILE THE WORK IS SN PAOGRESS.
This is !o cerlify. lhaf ... ..:..........._- ----_--------......_......_.haspermission !o ereet a?.W..:!t.`.."::_-•?.^::`.?.`.?`.`.?f:
the above described premise subjeci o the pxovisions ot all applicable Ordinances fos the Ciiy of Eagan. ?
c
...................... .............. ""'-"'_'?:-----------......................_.."'_.""................._........_..:.""'--'
`/.. ` (?J l y"E? -' .................................. Per ----'------
Mayor ?f- Huilding Impecloz ?
r r
EAGAN TOWNSHIP
BUILDING PERMIT
OWRex /?-?'?:`.f.^..'.? .................
Address (vresent) ..a??.'..?1. - - - -- •. °-- ? .........._c?s?..:...._.
Builder ............. ................................................ _..............
O
Addreaa .__...--'--------------- .........................'.............
DESCRIPTION
N° 2146
Eagan Township
Town Hall
Daie ....................
5laries To Se Used For Front Depih Heighi Est. Cosf ' Permii Fee
- Remarks
-
:g- J A `a
LOCATION
Slreel, Road or other Deseripiion of Loca2iort I Lot Block Addifion os Trac!
This pexmit does not avShoxize the use of sireeis, roads, slleps or sidewalks nor does if give the ownes or his agent
the righilo creale anp sifualion which is a nuisance or which presenls a hazard !0 the healfh, safe2y, convenienee and
ganesal welfare fa anpone in the eommunify.
TFIIS PERMIT MUST BEAEPT Q THE PREMISE WtIILE THE WORK IS IN PROGAESS.
This is !o eertifY. Shel---. .....a ... . ......... ............. . . . ........has permissioa !o areci a........ f? ` .. . . . ... .... . . ........_upon
the above described premise subjeet the provisions of the Building Ordinence for Eegan nshiled April II.
1955.
. ................. , °'--'------- - ' -/.?.`.^..p.?..'.._'-.'. .......................-'--. Per ..-------......... . `!..- i?.L.cn?nJ----------.....°°--
? C?ir a?h n of Tnwn Board Builditfg Inepealor
E'B
EAGAN TOWNSI-IIP
o BUILDING PERMIT
Ownee ""
- GT?!I/-._ .
?--°-...-`----
C / /--?------?-
Address (Presenl) ..... 41..? ice .... 2'-`???----C?l!?.
Buildes ................ ? 4?? -`--'-------`----..-------°----'----°----
Address ._--.
DESCRIPTION
N° . . 731
Eagan Township
Town Hall
Date
Stories To Be Used For Fzoni Deplh Heighi Est. Cos! Permii Fee Remaxks
( -f-?l ?i 2 l IS?26?0
LOCATION
sxreex, noaa or oxner uescrspnon oi l.ocanon I Lo! I P.lock I AtiCiifon or 1"raci
This permif does noS auihorize the use of sireefx, roads, alleys or sidewalks nor does if give/ihe owner or his agenf
the righi io create anp siYuaSion whiah is a nuisance or which presenfs a hazard fo the healih, ?safelp, convenience and
genexal welfaze to anyone in the communiYp.
THIS PERMIT MUST BE? j?p? T ON T PREMTSE WHILE THE WORK IS IN PROGAES?Sj?? ?
This is !o cerlifp, ihat.__y.?-flQ1?-............. has permission !o ereet a..__.."'..t.__"'._.upon
the above deseri _ mi ub1'ec She
1955. ovisions of the Buildin9 Ordinance for Ea4an TownshiP adoP!ed APxil 11,
? /??'
..._:_..."._......"" ...... .... .....'.... . . _.' ..' _ 9 ' __
...'__""'--_ • . -? ... Per --C??_c(z?rwt??... .._?-.?.a4?L!i,//-l? ..............."'-'----
Chairman of Tnwn 8oard ,.audin 'h?, cYa:
(0?0e ?
RESIDENTIAL BUII.DING
Permit AppGcation
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?0 60
New Construction Reauirements RemadeVReoair Reauirements Office Use OnN
3 2gistered site surveys showing sq, fL a( lot sq. N. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _Y _ N
(21% maximum bt ?ver?e allowed) 1 set of Energy Cakulations for heated addiiions Tree Pms Plan Recd _ Y_ N
2 copies of plan showirig beam & windaw s'rzes; paured (ound desp7rt, etc. 1 site survey fw additions 8 decks Tree Pres Reqd _Y _ N
1 sel of Energy Cabulations Addifion - indicate if on-s17e septic system On-site Sepfic System _ Y_ N
3 wpies of Tree Preservation PWn it bt pWtted after 711193
Rim Joist Detail Options selection sheet (bidgs wiN 3 a less uniLs
Date ?-7? O'D
ConstrucUOnCost ??l )o'
Site Address ?o / !2 Tc C2 F1 UniUSte #
-4546-4 j/ . s?a/
S(0/n/6 R-eoVE Ch?p?E DmO?.S.'t o2 S??rFSae4Ti= ? ??'S
Description oF Work S em in?6 /36^l0 + 2 G w1 6e6C0n:j) 64a2A6F oaB(ZS
Multi-Family Bldg _ Y V N Fireplace(s) _ 0 Vl _ 2
ProperTy Owner ? jlGE/R?L . ?btf n( 2!4FGff40S Telephone #((o 5-1
Contractor /1? L-(-
Address Cjty.
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential VenGlation Category 1 Worksheet . New Energy Code Worksheet
(+! submission type) SubmiKed Submitted
• Energy Envelope Calculadons Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y t%N If so, 25% plan review
fee applies.
Licensed Plumber 4/0
Mechanical Conhactor
Sewer/Water Contractor /?O
Telephone #(
Telephone # (
Telephone # (
I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printecf Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Nt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 P.lteration ? 37 Demolish (Bidg)* D 43 Reroof ? 46 Windows/Doors
O 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Gity Water
SAC Units Stories Baoster Pump
Nbr, of URits Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
! Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fnming _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air,Test _ Final _ Wiudows (new/replacement)
! Iasulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
.. .. . . . .... ..... . ....... . . .. .
CIYY (lc C.i?i.ii^l:i
..,,,??.....::.: .?,
.. . .. ? -Th+ ? . .hl.'r. I... !+: UL 72?
.,r?._: ??.:.
r,,.. 7.... ? ,l .? . .'.. .,...
.r.. . . ' /r.":. .? ... n
0050P
-FT."'D
jE.'.(1 9001 ''.°.i}F: CklOI'I'.R;i 1-: lli'n'S`i
_ ;' .. il0'. 023 2.. (;LT'"PER3 R , . :`1
:. .... '?CO::. 'r'869 .:::?.`-?.V:['.-.i , -.G_' ?M
ui_° I? 9.:9i'"I. epcf pT%?t??i.?.; • ,.°TJ
.2 '.l .i . ?.L .:.?4?.) '???J N?-;??1?? I R'..._ 0 ....:.. f L'.
. . . 13 ':1' )r S1:.) ? ? N'T}' L.. _. 0 .?)
'.l ..•IYn..l.l..??. iCIiP;,??, G,.FY.??C'.J
i
F''.'.. 1,112
i... :.'i (P: .INI
)'. k-. p•Y :YC'r..a"
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
? CITY OP EACAN
3830 PILOT KNOB RD - 55122
651•681-4675
baw Conahuefion ReaulremeMs
D 3 regktered sRe surveya :howing sq. k. ol loi, sq. fl. ot houae
and II roofed areas (207, maximum lof eoveraae allowed)
D 2 copies of plana (show beam R window shes; poured fnd. design; efc.)
D 1 set of energy calculaflons
? 3 copies W he preservaNOn plan B bf plaMed aHer 7/7 /93
DATE:
2?
STREEf ADDRESS:
Remodel/Reoah ReaulremeMs
-757
2 copies oi plan
1 sM of energy calculaNons for healed addlXons
t aNe survey fa extedor addMions i decks
CONSTRUCTION COST: ? 9 CI -3 a, U c'
Name: Phone #:
PROPERTY Firn ?
OWNER Sheet Address: ? ??° ?
City cf, 4 v"'AJj State: M n J Zlp:
Compan() Phne #: (o
(area code)
CONTRACTOR / j2VR??rj I CC c{
Sfreet Addreu: y- License # Exp.
cny TU cP1?1 S\! 1 C L?= state: 114 .?) Zip: S-5 3 3 7
ARCHITECT/
ENGINEER
s
r Telephone #: area code (
Name:
Streel Address: RegistraNon C
CHy State:
Sewer 3 water Iicensed plumber (reauired }or new constructlon onN):
Penafy applles when address change and lot change is requested once permR Is Issued.
I hereby acknowledge that I have read this appllcaflon, slate thal the
Stufe W Mfnnesota Statutes and CNy of Eagan Ordinances.
Signafure of Applicanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Zip:
fo comply wHh all applicabl
'A P
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex O 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 ? OB 6-plex ? 13 16-plex ? 18 Deck O 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/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. 0 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) 0 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 5ystem
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES 5AC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
r
SAC Units
%SAC .
MASTER CAR,D
LOCATION
U U T.
OWNER
STRUCTURE AND
LAND USED AS
Permi} I
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING ?
CESSPOOL - $EPTIC TANK
VJELL
ELECTRICAL I
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER ? I
Items Approved
(Initial)
Date
Remarks
Distance From Well
EOOTING SEPTIC
FOUNDATION CESSPOOL
FqAMING TILE FIELD FT.
FINAL
ELECTRICAI
?
HE,4TING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPIY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPEC710N
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interesc present or prospective, and that I have reported herein
all significant conditions o6served to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site imprwements relatin9 to the property inspected.
1-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR
DATE
,fi?:. 2.
MASTER CARD
• LOCATION
/1 ? A n v
OWNER
STRUCTURE AND
LAND USED AS
0
r ,
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING w l
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Ifems Approved
(Initial) '
Date
Remarks
Distance FromWell
,100TWG SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HE,4TfNG DEPTH
OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO 8E USED ONLY IN EVENT OF OBSERVED VIOLATIONS
.
PERM17 NO,
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
INSPECTION
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
?I NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLlOWS
I I COMPLETION OF CERTAIN IMPROVEMENTS
U WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
1 ?
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLServed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
.- ments for off-site improvements relating to the property inspected.
11 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
Bt11LOING INSPECTOR DATE
*MAC* Airport Noise Mitigation Project
Jilbblil CK IIlov -j
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
vv?
i Fa?orr,?a-use - - - - - - - - -
i
j Permit #: 4U3
?
? Pertnit Fee: 6b•
I ?
I ?
? Date Received:MAR 13 2009 ?
? Staff: r?
?
J
2008 MECHANICAL PERMIT APPLICATION
Date: Site Address: aV.o 1 q?N'? V- w 7v-- rr C.-c P
Tenant: Suite #:
RESIDENT / OWNER Name: rn? C?ne?e ? Z ec k e- S Phone: teS t-`-{ J(O•9`-I Q a
Address/Cfty/Zip: a8(o? L4 l hUIcw 7e•
CONTRACTOR Name: CENTERPOINT ENERGY License#:
Address:9320 EYERGREEN BLVD SUITE B
City: COON RAPIDS State: MN Zip: 55433
Phone: 763-757-6202 Contact Person: JOANN ZINKEN
TYPE OF WORK - New ?eplacement ! Additional _ Alteration _ Demolition
Descriptionofwork: Snslra.k\ fc?rncnP Aa, lUSAS,e55 NG.
NOTE: Both_roof mounted and ground mounted mechanical equipment is required to !i
'
Code. Please contact fhe Mechanicaf Inspector or one of,the `,",
be "screened by Ciry
Planners for information on ermitted sareenen methods:
RESIDENTIAL COMMERCIAL
PERMIT TYPE ? Furnace _ New Construction _ Interior Improvement
? Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ EMerior HVAC Unil
'
_ HVAC units must be screened
_ Heat Pump Under / Above ground Tank ? Install /_ Remove)
Other " When installing/removing tank(s), call for Inspection 6y Fre
Marshal and Plumbin Ins ector
RESIDENTlAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FIfB f2polf (replace bumed out appliances, duchvork, etc.) (inClUdes $.50 State SufchargB)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installatioNremoval OR Contrect Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less [han $1,000, suroharge Is $.50.
- Ii rmit Fee is >$1,000, surcharge increases hy $.50 for each =$ Stat2 SufCharge
$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 vrork will be in conformance with the ordinances and cotles of the Ciry oi Eagan; that
I understand this is not a permd, but only an application for a pertnit, and work is not to start witYroytt a pertnk; that the work will be in accoM?ce with the approved
plan in the case of work which requires a review and approval of plans. // ,1 x JOANN ZINKEN
ApplicanYs Printed Name
*MAC* Airport Noise Mitigation Project
//yy a
L%K l { For Office Use
City of Ea~d n~ Permit
Iu I7
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 qr~
Fax: (651) 675-5694 Staff:
2008 MECHANICAL PERMIT APPLICATION
Date: Site Address: eZ Q ~o I ~jr~V E ~ 1 ~e rf ~C ~E'
Tenant: Suite
RESIDENT / OWNER Name: t C~ne~e z ec S Phone: te_ t _ N 5(c). 9y q a
Address /City /Zip: a1~6( ` ~t+tJ c W ' m PJ 5-'s /;;a]
CONTRACTOR Name: CENTERPOINT ENERGY License
Address: 9320 EVERGREEN BLVD SUITE B
City: COON RAPIDS State: MN zip: 55433
Phone: 763-757-6202 Contact Person: JOANN ZINKEN
TYPE OF WORK New V Replacement I Additional Alteration Demolition
Description of work: Zns1-o.\\ ~i,rr~~ne A , ~caar\- .$5 Nei
.
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 forinformation on permitted screenin methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
* HVAC units must be screened
Heat Pump Under / Above ground Tank Install / _ Remove)
Other When installing/removing tank(s), call for inspection by Fire
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)
$ 'S O ' S O 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 witho t a permit; that the work will be in accorda ce with the approved
plan in the case of work which requires a review and approval of plans.
x JOANN ZINKEN x
Applicant's Printed Name A tic-ant's Signature
FOR OFFICE USE /F#eviewed By: Date:
Required Inspections: -Under Ground Rough In _Air Test Gas Service Test -In-floor Heat -Final
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�� For Office Use,
., ,,‘,: ,,,..44 , ,, EAGAN
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�;Y � Date Received: /
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginsoections@cityofeagan.com 9 2018 L
v-11(v\ A`
2p8 RESIDENTIAL BUIL ING PERMIT APLICATION o\,\ 1
Date: Site Address: ' 0 (12..., \ � \ e--W \eA Unit#:
Name: \(\(\t(..\(\c),1c), \ .e_(_) tP 5 Phone:
Resident/OwneCAddress/City/Zip: �1So 1 n\'\(J l f-L& ,l i1 1 CA.C
Applicant is: Owner X Contractor
Tye of Work Description of work: C.' ) Vl '(1Pf c CA LvnC) C (1:1.-c)\cL-�-
A� \
Construction Cost: I Multi-Family Building: (Yes /No )
Company: e_ c.C 1lm` - ' (�t J Contact: ' .I, Cr c \Cese(d
Contractor Address:t_0() 'SO 0 c.a(.7„ity: \or
State:V\A.S Zip:GS\' Phone:(p5-11 itEmail: l.(\ )/C '( IMO CI( r6c-,m lJOrn
.
License#: �
_ Z7.)(p Lead Certificate#:
If the project is exempt from lead certification, please explain why:
1 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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the infation may be
classified as non- ublic if .•u=rovide->- Mc reasons that would .=rmit the CI to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.gooherstateonecall.orq
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
a�rdan�with the appwed plan in he case of which requires a review and apirpval ,. plans. I _
rI/n 11 1\�1\I 1
f
x x , . /__ —I lk ilii. 0
Applicant's Print Name App Want's Si•nat e
tiOto et/ /5 :=7q4' 7
DO NOT WRITE BELOW THIS LINE LI
SUB TYPES
_ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
_
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool 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 do d Occupancy n..,L%a>- MCES System
Plan Review Code Edition plet..ad i SAC Units
(25%_100% ) Zoning IZ ( City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V6 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
X Fireplace: )(Rough In _Air Test )(Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower PanOther:
_
Reviewed By: ! T , Building Inspector
RESIDENTIAL FEES
Base Fee G flivA Ask'i'll
Surcharge ,,
Plan Review 14 r9 6111.
MCES SAC V L
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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