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1369 Interlachen Dr Use BLUE or BLACK Ink r I For Office Use I I Cit y o f E m (>In j Permit#: ~ j all ~-1, I Permit Fee: 3830 Pilot Knob Road I / I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 RESIDENTIAL BUILDING PERMIT APPLICATION C Date: S" / c Site Address: 1 /N7,XLAC,VfEtJ Tenant: 1",t C ,rf,+E 4. 14 L4 Suite RESIDENT / OWNER Name: .541" Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: / Mr+ 'Xi ~i i~t® r c~ /40 9✓. i~ ty G W Construction Cost: Multi-Family Building: (Yes / No -Y,) CONTRACTOR Name:?vi4-VIN` 9sVK5 AiV7 jJk6Z*4/rp► 44C.. Licensem -Z06 ?t'7791 Address: T 3 " City: ^V(, 5 State: 01W Zip: 55 s ? 3 Phone: C.-S/ c/ a cZ~ Contact: dtQ"~ Al Email: !?v1 t_Vt V k 17=GG5 AW,0 .#J" . 6M 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.clopherstateonecall.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 1 understand this is not a permit, but only an application for a permit, and work is not to sta ut 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 lans. iAP r Applicant's Printed Name L lJ 1J nt's Si re Page 1 of 2 ~~Nr 11 2010 z ~ DO NOT WRITE BELOW THIS LINE ~~p7 SUB 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 Buildin9* - - 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 po'G Occupancy ?G - MCES System Plan Review Code Edition 21 -ov SAC Units _ (25%_ 100%_z Zoning City Water Census Code ~Y Stories Booster Pump # of Units Square Feet 33q PRV # of Buildings Length / ? Fire Sprinklers Type of Construction Width _ X 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 -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough in -Air Test -Final Windows Insulation Retaining Wall: - Footings - Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: z2 IL- , Building Inspector RESIDENTIAL FEES 3 4/0 5 Base Fee Surcharge Plan Review A, MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies @ o~tf f° TOTAL Page 2 of 2 r~ . . _ /yJG pan~+p C~v~T, Rose tVGt YI R~NC `P~ANN485 o dOLAND 3iURMORS Iz3 PME SS complINY, INC. ......~.....~.,1UStU EA81' 1461h STREET, BURNSVILLE, MINNESOTA 5533T PH 43Z-3000 Certificate of SLll-vey Legal Descrip►liaii : L0T' BLO4< ; `A19W,4)1 N/GL.,~ 2wVP 4.001 7'14A/, PAXOM COVWY, 1011 IVE.~;arA z) DENOTES EXISTING ELEVATION • DENOTES PROPOSED ELEVATION INDICATES VIRECTION OF SURFACE DRAINAGE FINISHED GARAGE FLUOR ELEVATION ~Oo Urli-17Y C-ASE'1V,6A1T s e 30' r"i'V7' B,VIL M,6 ~~p r a 'V ' ~ oV~s~ x(036 , .S / 3 f ~63$ p Gq '4► ° ,g0 ~0 ~0 0~ oa Ix/,33 doe y~ i ALL` boa o ~ S /,yam ~'yr RIEVEWED aCV U U" 4- ate g EAGAN ENGINEERING DEP ~ col ~e3~o` • ~ of I hereby certify that this Is a true and correct repiesentation'ol a trout of land as shown and described heron, As prepared by the on this 8 day of /YI4n# •tg 89 ' /d og5 V CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: , . (651) 681-4675 i SITE ADDRESS: APPLICANT: ? ? +???Hirn ??r, ; ?,< . ?. 1 h11r1`i 1111 1 PERMIT SUBTYPE: (r'l I N I f NAi I I' r f•I AN HFVIt'LJt t) FZY 1•41YNf N11 I 1=Fi 17AI1 ir;il) 44r-.o :'840 FtFI:AV1J114(i f11 TYPE OF WORK: ill ?;r,F? ? ?• ? ? (M AM I Ni, !k(c AI F'F 1111011 + A•.jsN f I Ivi t •. 1 r, I f: ` N'l 1 N'-Vf ( I tIiN' ? J Permit Holder Date Telephone X SEWER/ WATER PLUMBING HVAC Mspeetion Date Insp. Commenta FOOTINGS lL 6 /?? 6 ? FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FiREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAI DOMESTIC METER ' IRRICNTION METER FLUSH MAINS coNDucrivirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ,r--- ,/ ?. 01-3210 01-3422 01-3445 Q1-3446 01-2155 -75-3860 20-2275 20-3$65 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 28-3855 Bldg. Permit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL ' ? - ` ? ? a ? CASH RECEIPT CITY OF EAGAN - 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE Fn?OOM ,:G?.!?.: ? • 1' ? AMOUNT s?=? !? . r G d l L & DOUARS loo . ? CASH Q CHEGK i .? 'e?,°????Ii?? ???'-? ???a ?J??"c/ ?? ? 4 J ,?1?-??-c.? ?-l? F'.? ???- ?C/, . ? //, C ~ ? Whifa--Payers Copy ? Yelb---PaslMg Copy Pink-FYe Copy SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 _ UFFICE USE ONLY PERMIT DATE - ? a ' `) WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT # 1313 READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE _ PRV -?BOOSTER PUMP SITE ADDRESS ' iftc-hrN Drive LOT BLOCK ' SEC/SUB rL,Aw +4 ? I I:k ? APPLICANT: 0. _J _ :L- • ADDRESS: CITY, STATE ZIP PHONE: _ - _ •; S4u PLUMBER PERMIT REOUESTED `_`SEWER !'- WATER _TAPS - COMM/IND - RESIDENTIAL "NEW _ EXISTING ADDRESS: '.J? "-t•;. _ ?-;;-,, r, -,: rrA, ? I AGREE TO COMPLY WITH CITY OF CITY, STATE ?Zip EAGAN ORDINANCES: PHONE: - ; • "" - I , G owNER: _ -r- ADDRESS: CITY, STATE ZIP PHONE: ? ? : / '? t? i ?o.?'r'?. " • "'?CL1hv4 it SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # SEWER PERMIT # METER ? a 7" 3 S?- zB.P. RECEIPT # 1, 1333 ER # 4 B.P. RECEIPT DATE 3 31 8 3 METER SIZE - ISSUE DATE - PRV '-? '$OOSTER PUMP ?-?- SITE ADDRESS r 3409 =r-jLfdrKJ Drfvo LOT 1? BLOCK ! SEC/SUB J APPLICRNT: Lk CN. •.?A i u f',.-:-,,f -ctCL 6„_, Z. 1[_ ADDRESS: _ 1 ZI? E?I,.ri: . CITY, STATE PHONE: PLUMBER: ?r?,r Plu.?nhwc. ADDRESS: !,':15 M;"A5???-, C!'s( c;* CITY, STATE 'LL-•,, ZIP 55q20 PHONE: - - - ?-? f OWNER: ?,/? ? ?Y r?A I " 1 ?.? it ? ?.?.• ? i?.. l T _ : _ . ADDRESS: u?c)- CITY,STATE ?lu??_F.?• .;.: ?;:?r? .?-' ZIP yc;, PHONE: ?-+ jl - `T,' PERMIT REGIUESTED 8EWER `'WATER _ TAPS _ COMMIIND !? RESIDENTIAL "NEW - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN 09?1INANCES: ? J SIGNATURE WH ETElt ISSUED ?..- PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , , - ' ? t?`•+?° CITY OF EAG AN ? • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 4143, t'0t7 Date NAR CFi 31 19 SiteAddress " rL` Lot Block • Sec/Sub. fAi r'.??7A`_' }i : LLS OFFIC E USE ONLY M ? Parcel No. ` accupancy R-3 "-- 1 FEES R" 1 ¢ Name ''?'3''':'.1L?.'• t:(`AiST:?liCT1i1F;, : I?+:; Zoning (Actual) Const Bldg. Permit 79:.' o Address I:: i!; 'i F? x l.. L BAY RD (Allowable) Y-N - ? 1•? City -'?''2-L? Phone ?+31-7 Sbb # of Stories Surcharge 395 00 62' Plan Review . Lenglh ? Name oePm ?? ? SAC City 100. oC: Z ?a Address S.F. Total - , snc nncwc c 57 g• ? ? ¢ City PhOtl@ S.F. Footprints - . N/ater Conn 5S0 ? • On Site Sewage _ W W Name On Site Well Water Meter G . ? ?; Address MwCC system ? 36 00 a W City Phone City wacef XX Acc?. Deposit S W P i . ??•? PRV Required xx erm t i oo 1 I hereby acknowlege lhat I have read this application and state that the Booster Pump S.+W Surcharge ? information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI ? 18 •?? Signature of Perrnitee APPROVALS Road Unit 340. C`Q A Building Permit is issued to: ZILDUI:HLU CO!iSTkilCTli?N Pla^ner - Park Ded. on the express condition that all work shall be done in accadance with all Cotincil -- applicable State of Minnesota Statutes and City of Eagan Ordinances. gid9. pff. _ Copies 3,220.50 Building OffiCial Variance - TOTAL PermR No. Permit Holder Dffie Telephorte # WATER L? ???.? (-?? (??•.- '?'? ?l SEWER PLUMBING ?"''Y-?? J? u? ? .^ ( `c ? ?•? ? H.V.A.C. ELECTRIC Q7U??4° /Y(_?? Inspectlon Date Ins Commenta footings I °?• <% Foundation Framing Roofing aougn aicg. - ' /. Rough Htg. / Isul. i • - Fireplace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notily Plumber Engr./Plan Bldg. Final Deck Ftg. //.7 Deck Final Well Pr. Disp. GCp G?tio ` .1`9a0EG - A1111'&V rt? ??A?- + a (gtrfif xra#it nf (Orrupanry titp of tagan ????? ? sidlawg insppnim This Certificate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code certifying that at the time of issumece this structure was in compliance with !he variaus ordinances of the Ciry regulating building construclion or use. For the jollowing: tbe classirKauoo SE' ':/GAR BWa. Perutit Ho. 16236 0-W-Y TYPe RINI Zoning District Ri Type Coast. VN Ownu of Bwlding ruwaveiw c¦ ?vnuun.ilur pddrm Bwlding Address 1369 ?M MaW I.ocaGry Date: _ Bwldng Otfiaaf% POST IN A CONSPICUOUS PLACE . PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 ? Site Lot . ? Name ?o Address c City Phone ? Name c Address O City Phone FEES COMM/IND FEE - 194 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADO $.50 S/C IF PERMIT PRICE GOES PERMIT # -- ' ' J RECEIPT # DATE: BLDG. TYPWORK DESCRIPTION Res. New Mult. Rdd-on Comm. Repair Other RES. PLBQ. ONLY - COMPLETE THE FOLLOWING: N0. FIXTURES TOTAL 1; Water Closet - $3.00 S Bath Tubs - $3.00 ?_Lavatory - $3.00 _ Shower - $3.00 Ki!chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Orains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1,50 , (MINIMUM - 1 PER PERMIn Softener - $5.00 ? well - $10.00 ± Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: PERMIT # MECHANICAL PERMIT • • CITY OF EAGAN RECEIPT # 3830 PILOT KN08 R4AD, EAGAN, MN 55122 DATE: _ - Name .N Addre c City Name lu- lJClrx.L Ia ?`>j 3 Address p City rlki:,'? Phone TYPE OF WORK Forced Air _qQjC_L,"M BTU - r - Boiler M BTU Unit Heater M BTU Air Cond. =? • ? ? cLlq1A BTU Vent Gas Piping Outlets # CFM ?- I• 5 Other FEE: ? S/C: TOTAL• r' BLDG. TYPE WORK DESCRIPTION Res. V New ? Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU , 524.90 6.00 (RES. HVAC INCLUDES Ak&ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPL.IES wuivnwum f1CJ1UCIV I II1L rCC -/1LL r1UU'VIV Ot REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE V\C- DATE: 4/4/89 1369 1tiTER1.ACHBH DR., Li l, B1. FAIR4iA Y H1I.I.3 2ND ??Your Sewer 8 Water Permit for the above property has been completed. It will be held at the Pubtic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. 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 U7ILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 4/4/89 ?. 4068 PE SYLVAft* E., L39, B1, STAFPORD PLACE FjE- 1369 INTERLACHEH DR., L11, B1, FAIRWAY HIL4S 2pD XX 4096 STATBS AVE., Lb. $3, STAFP'4RD PLACE Your Sewer 8 Water Permit for the above property has been completed. It will be held at the ' Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO - CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completerJ 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 turther notice. COMMERCIAL PROJE6TS 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. - REOUIRED BY LAW. CONTACT COMMUNITY DEYELOPMENT DEPARTMENT FOR WATER TURN ON PQLICY. Secretary, Building Inspections Dept. '? -- CITY OF EAGAN NY 16236 3830 PilOt Knou'ROad, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8700 BUILDING PERMIT Receipt # , 40-? Tobeusedfor SF DWG/GAR Est.Value $143,000 Date MARCH 31 , 1989 Site Address 1369 INTERLACHEN DR Lot 11 Block 1 Sec/Sub. FAIRWAY HILLS 2NU Parcel No. w IName MCDONALD CONSTRUCTION, INC o Address 1212 BLUEBILL SAY RD City BURNSVILLE phone 431-7566 Name - Address City - Name _ Address Phone Phone BuiidingOfficial n ?-?1q 4 pi-IL OFFICE USE ONLY I hereby acknowl6ge that I have r tl t app"callon and state that the mformation is cottec( and agree to co pi rth all applicahle S[ata ot Minnesota Sfatutes?anQ Ciry ot Eagar rdmanc . Signature of PermRee?? A Bwlding Permit is issu to: on the express condilion hat all work shall be done in a rdance with all applicable State of Min?n?esota Slatutes and C?it.{y of Eagan OrdinanCes. Occupancy R-3 M-S FEES Zoning R-1 (AcNal)Const V-N Bldg Permit 790.00 (Allowable) V-N Surcharge 71.50 q of stones 62 ' Plan Rewaw 395.00 Length Depm 42' SAC, Ciry 100.00 S.F.Total - SAC,MCWCC 575.00 S.F Footprinis _ 580 00 On Site Sewage - Water Conn . On Site Well Waier Meter 90.00 MWCC Systam XX Deposit Acet 30.00 Qty Water ? . PRV Reqwred SNJ Pertnit 20.00 Baoster Pump )LX SNJ Surchar9e 1.00 Treatment PI 228.00 APPROVALS Road Urnt 340.00 Planner - park Ded. Council - BIdg.Off. _ Copies Vanance - TOTAL 3,220.50 .`?`/? sz/8'7 . Yan.3s [? 0 4 6 6 6Z i"ar ,_4& c ? "?"? Reques aIe ? Flre No Rou - Inspechon R I es ? No ? fleatlY Now m.Wllrouy lnspector Wfren Ready? I icensed contractor ? owner hereby request inspection of above electrical work at: Joe Ad s(st t, eox m Ro e o.) c?ry ^ ? \ Sectian No i nship Name or No Range No. Caunry Occ P t Power Supplier ' PdUre9s Electncal ConVactor (Comparry Name) KENDRICK ELFCTRTC Co w5 ' anse N. D? MaNng Pdtlrj5,fT4t50M1V11TM.TT"LANE 1 2 . 4 AuNOriz g I hft55 1 Phone Number MINNESOTA STA7E 80APD OF EIECTRICRY THIS INSPEGTION REQUEST WILL NOT Grlggs-Mldway Bltlg. - Roan 5179 -•-^• --- -' ? - • ?° BE ACCEPTED BY THE STATE BOARD 1821 Univereity Aw., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(812)W&0800 ENCLOSED. JZ2?11r? P 04666 REQUEST EOR ELECTRICAL INSPECTION ? Ses mshuclions for completng this fortn on back ot yalbw copy. `X" Below Work Covered by This Request EB-00001-0] U 9aOZ5 ep TypeotBUilding AppliancesWred EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Drye Oiher (Speci(y) Comm.llndushial rnace Farm Air CondRioner Olher(specdy) Contractor? RemeMS' Compute Inspection Fee 8elow: # Other Fee # rviceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool to 200 Amps -Q a to 700 Amps 7ransfortners Above 200 _ Amps e _ Amps Slgns Inspecfor5 Use only 7pTp S' IRigaM1On Booms ?? ? ?• Special Inspection Alarm/Communication Other Fee ( I, the Electrical Inspector, hereby ?? ? Rough-in ? oer ?- certify that the above inspection has been made. F,nai OFFICE USE ONLY This reQUest voitl 18 monlhs from i. City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ,,? A? : q C:= eD I ? I ? Permit#: r ????? I ? . ' I Permrt Fee: 0 ? 1 ? I ? I Date Received: ? /1'/?v"' j Staif: L?`Zy I i I J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J • c'? `? C) S Siie Tenant: RESIDENT / OWNER I Name: rni Address / City / Zip: Applicant is: _ Owner __Y_ Contracror TYPE OF WORK I Description of work: I () IL° a.z?Slb_C9.1l? I q oa ` Construction Cost: ? Suite #: Phone: 4(5l0 - Multi-Family Building: (Yes _/ No _2?j CONTRACTOR Name: la? ldp.?'T.? G'2"5? License #: /-7 qt'S , Address: City: c4notz ' State: Zip: S S fo r? Phone: (??) '? N' 02? 4 W Contact Person: /L? COMPLETE THIS AREA ONLY IF CONSTRUCTING A lQEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventiladon Category 1 Worksheet • New Energy Code Worksheet CetegOry Submitted Submitled (4 suhmission type) • Energy Envelope Galculations Submitted 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: Mechanical Contractor: Sewer & Water Contractor, Phone: Phone: I hereby acknowiedge that this infomatian is compiete and accurete; B!at the rrork will 6e in conformance with the ordinances and codes o1 ihe City ol Eagan; that I understand this is not a permit, but oNy an application for a permit, and work is not to stan without a permit that the work will be in accordance wilh the appraved pla in the case of vrork which requires a review and approv x? ans. ApplicanYs Printed ame Applica 's ignatu e Page 1 of 3 S?a O RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 NewConeWetlon Reauiramanb • 3 registered site surveys shoxirg sq. R. of lot, sq. ft. of hause; and aQ roofed areas (20% maximum bt coverage allowed) • 2 copies of plan showiig beam & vnndow saes; paured found design, etc.) • 1 set of Energy CaICWa6ons • 3 copies of Tree Preservation Plan if lot platted aRer 1/1 i93 • Rim Joist DeWil Optians seleclbn sheet (61dgs vrith 3 w less unAS) DATE 5231 "OA _ Water Softener _ Water Heater _ No. of Baths YBLDG _Y 4N i(S) _ 0 X 1 _ 2 APPLICANT 4ih8lT494 ? o?iito61attgCf8660 IS STREETADDRESS /22 V7 .9yp? < . CITYRuf 1JifI? STATE/JJL/ZIP W TELEPHONE #= 707nM CELL PHONE #?Qaa9fl-ddtl4 PAX # 90 j07-?9a? PROPERTYOWNER4ZL4"IQ?,[f XP?I TELEPHONE# aV yo6 9659 ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 _ (J submission type) • Residential Ventllatlon Category 1 Worksheet Submitted • Energy Envelope Calwla6ons Submitted JUN 0 4 2002 Plum6ing Conhactor: Plumbing system includes: Mechanical Conhactor. Mectiviical system includes: _ Air Conditioning _ Hea[ Recovery System Phone # Sewer/Water Conhactor. Phone # I'ee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicant .-•?^- OFFICE USE ONLY Phone k1 )7 , 7S? RemoMVRewlr Reauiramanb . 2 apies at plan . 1 set of Eneigy Calculatiore for heated additbns . 1 site wrvey fw ezterior additions 8 decks . Indicafe if hqne served by sep6c system for addiGons ? VALUATION$?• - _- _ _ Lawn Spru _ No. of R.I. Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4l02 C.T.TY QF EAGAN CASH.T.ER: S TEFMINAI_ NQ: 719 DATE: 02/19/93 TSt4Ee 12:21:37 ICi: NAMEs F'ANEI_CfiAFT 0F MINNF_SCITA TNG. 3210 9001 4829 .SHEVI_ZN CT lii..25 2155 9001 4929 siirVt_1N cr 2.50 3Pi.A 900I 1369 IM1l7CkL..ACHE 139.25 21:15 9001 1.369 INTEfiLACHF 3.50 r To#al Receipt Amoiln+„ 256.50 CR103056 USER ID: NANCY ?kXc?C?k%cXc??c v?Xc?C#?kXc?C?k ?C?X?k?X?X? ?C ?kXc?CXc%c?K%c? #?CXc?%Xcrk%?? PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: rMil-nirir PermitNumber: 0 345?b Dafe Issued: 43 2 J 19 ; 3 9 SITE ADDRESS: ?' . T.I+I. ; L(-0?-25Gm1-11 o -o 1. 13 s?, rid I cF raI A r,iiFid nr I.OT: 11 RLOCK: l Pl1i RWRY fl I L l: 9N D DESCRIPTION: 3 1-3PrAS(7N/IPdCL BTALRS t3i.ti1d'i •iR - Perinit l4oa S'"r PORCfi Bc ildinq WbY-k 7v pe PlFW ,F:ans us Cnc1c, `., 4'34 AI_'1, liESTLIIahiTIAL i ` i i i ? t ?-? . - ? .,. ? .??i` ... .. . . , . _ .. l REMARKS: vI vr< nE?.ie:i,j ro Bv wavidr rizi CFlLL (6LL) 446-2 £348 REI;A?+D7W6 ELEC:fRICAI_ PCRM1IAT IiNU TiVS.PECIIUA5.. FEE SUMMARY: vA i_uA rr0 rJ 1;7 a,Hv, h,-,se Fee 9.1 3 9.25 `.,urcharqe ;3.50 Tci'C:?1 i-ee $'L/12' e 75 COiVTRACTOR: - r.'an t- s't e i Tc. OWNER: F'Ah!FLCftAPi OF MN 1tdC 17:1662.9 0002179 KFLI.Y P'IIi,HAEI. 'illr; ;iVELL7NG AVE S L3rv INl"EFLHChIEIV Df2 IrIIP.IVL-FlI'OL.I; MN 55406 ERi3ldl%l hlPl 5B ;1%f:3 (61>1 72t-66;'8 (551) '!P?6-?1 4)I 9 L i ii2rc:)v ach.;aw.lrcua chrT I htiv:? r??ud this, ,:colir., 'Lion .nd ?t, i"_e r.h,? ? ci,c ;i,lormt,tiqn !s corre( .. and aarn^ t:c: rornolV wi.CYt c?t zoplic:ablp ',i ';tc oP itiln. .;u0",iit?c anrl Cit:y ot f-aocn Ordir1ances_ ' -?APPLICANT/PERMITEE SIGNATURE SUED BY SIGNATtSRE " J 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN L4 3830 PII.OT KNOB RD - 85122 3 ? ? ? (651) 681-4675 New Construction Reauirements RemodeUReoair Requirements (Ip?ku-o ? 3 registered sde surveys ? 2 copies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? t site surveys (exterior edddions & decks) ? 7 energy calculations ? 1 energy calculations for heated add8ions ? 3 copies of tree preservation plen if lot platted after 7/1193 required: _Yes _ No DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: I I BLOCK: _I SUBD./P.I.D. #: CONSTRUCTION COST: Name: 4l.l.4 ? ? c4r::? Phone #: (051 MaP " 61059 PROPERTY /.ast First OWNER • - - ? , , I ?-. . Street Address: Ciry State: ? N Zip: Company: M4 Phone #: 1P12 ?? 2 ???2?v?j CONTRACTOR Street Address: ?lg? hv' License# 2M .? Exp. City f4lNhi 4,12OLI,-?7 State: Zip: F>?.O ARCHITECT/ n.' ENGINEER Company:MO?, A"i7 Phone #: Registration #: Street Address: City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. State: Zip: Penalty applies when address 1 hereby acknowledge that I have read this application, state that the information i rrect, and gre o comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No RECEIVED FEB 11 1999 _ Not Required B OFFICE U5E ONLY BUILDING PERMIT TYPE . .. ,. 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility J? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ?? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ?IIv Basement sq. ft. Census Code 3y (Allowable) UBC Occu anc ? Main level sq. ft. SAC Code .0/ p y sq. ft. Census Units O/ Zoning sq. ft. Census Bldg _(Z # of Stories sq. ft. MC/ES System _ Length sq. ft. City Water Width Footprint sq. ft. 140 Booster Pump PRV Fire Sprinklered APPROVALS Planning Building -La-? Engineering Variance Permit Fee ! 3q . ?5 Surcharge -3 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''I 2•"?15r % SAC SAC Units Valuation: $ 62 G/Oo /Zu 135+=/,?-o X y0=6yDd P?, ? ry Q;. j -a„ 2 ? i ? . ? i/ ? NEW STAIRS ;n = EXI5i1W HOUSE ? m S8 p? r ?• - y.?443? F GONSTRUCTED Bl" PANELCRAFT OF MINNESOTA, INC. / i FROPOS'cD R/ M 1 ?- D°_CKADDIiIOR 2 ?p 11%aAm BYev,??OCM? D DATE BUiLDIniG INS Fr.rinnic ni:pr • mamm can N W n E S &TE PLAI \ SCALE: i" = 30' 99-KEL051 MICNAEL < JILL KELLY 1369 INTERLACHEN DRIVE EQCsAN, MN 55123 651-406-9059 N/A N/A 3.5 5EA50N W/STAIRS BOB MAIETTA RON ANDERSON BR.4NDON RUITER JANUARY 29, 1999 FEBRUARY l, 1999 FEBRUAR7 10, 1999 : JOB NUMBER : GUSTOMER NAME : STREET : GITY : NOME PNpNE : tllORK PNONE (HIS) : UJORK PNONE CNERSJ : GONSTRUGTION TYPc : SALESMAN : PROJECT MANACsER : DE&IGNED BY : DATE : IST REV1510N : 2ND REVI510N #GEL051-KELLY-A1- 5JR - . ?.' 1989 BDILDING PERMIT APPLIC9TION - CITY OF EAGAN ~ SIAGLE FAMILY DWELLINGS i TI3 Y INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS ? NOTEs ADDRESSFS FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WfiICH ADDRfiSS IS DFSIRED. NO CHANGES 4iILL BE ALLOWED ONCE BIIII.DING PERMIT I3 I330ED. MQLTIPLE DiIELLINGS RSNTAL IINITS FOR SAL& ONITS INCLQDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHEC% WITH BLDG. DEPT.p 1 SET OF ENERGY CALCULATIONS COirA1ERCZAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS L&t, PX'iC¢ To Be Used For: Valuation: j4=j.:22!2 Date: 3-29-89 --?-T Site Address 13b9 Zu+crlAchenl PA. Lot lf_ Block I_ Parcel/Sub ??irwau k4illb 2C Owner MClJoaald C1iNS'F1(A[EJ6v TNC• Address 1212 Blu 6;Il EiRU ed City/Zip Code $,,,rusville ., 5533-7 Phone 4131-'751010 Contractor Swnne n-, ql06ve Address " .? City/Zip Code _ Phone Arch./Engr. _ Address City/Zip Code Phone d t y 3' oco- OFFICE t1SE ONLY oecupancy (1- M-I Ffi63 Zoning R_1 Actual Const V- N Bldg. Permit Allowable V-N Sureharge # of stories - Plan Review Length 62T SAC, City Depth SAC, MWCC S.F. Total. Water Conn Footprint S.F . Water Meter Acet. Deposit On site sewag e S/W Permit On site well S/W Surcharge MWCC System v Treatment P1. City water ? Road Unit PRV required Park Ded. Booster Pump ? Copies TOT9L APPROVAI.S Planner _ Council -/ Bldg. Off. Varianee , Council _ i OF UNIT3 -3+7 2 Mo NOTEs Sewer & Water Permit fees and acoount deposit fees rrill be ineluded in the building permit fee. Processing time for sewer and riater permits is two days once a lioensed plumber has applied for a permit at City Hall. .. VAUuaTiQ? GARAGE Z4X12= Z?3B?; ; Zox??s= s6o `?XR= oI? `?CV?7 X I5.-= IISOS ?3AS`'E- rn?N'I? 114 X ?8 ? zsz ? X 26 I I I 3 X ? y= l,SS`82 ?bKSF ?-? Bsm-r = 1113 ZKV ; A. Z x6 ? ly __---- IIy3 XSa= 5 r7?so zNO ??na 1X12 = Zx4 = R? ?I'I3 iZ aV ? 11?,SXSQ= $SZSo 1 yzyn ? ? . , , ? _. . , , ?NGINCIERING /YIcDo? CONS B?? iz3 PLRNNEflS f dO?AhD 19URVEYOR5 55 CornPflNM, iroc. IUUU EA9T 146fi BiREET, BURN6VILl.E:, MINNESOtA 6683i PM ?IDZ-3000pAC,? Certificate of Survey Leyal Descripliou: LOT //, BGOCK ;`AiRW.4Y N11-L5 2NO ADDiT/oN, pAKATR Covn/TY, M/NN?.?oTA UENOTES EXISTING EI.EYATION ' UENOTES PROPOSEU ELEVATION -INUICATES UIRH(:'I'ION Or SURFACE DRAINAGE 10¢1.33 = fINISIIEU UAI7AUE rLUUR EI.EVATIPN ?32, ir SCAlE : /"= 30' DRAiNR6E AND UTI[.iTY EASEMENT \\Ja?U ? / s 600 2?. '? yR UrE,p? 8s0? ?.3 •. ? ? 'Vc,9? Sy`c o,? ? ,sJ s;,?y?????? ?y? a L 30' GieDNT B1/1L.O/N6 SET&4C,e G/NE C/03 ? ? ?3?ZJ ¢/,, ? ? `Yo3\?o, ?' ? ? (?? ?O\,$. S3 / / G?\d-.39 \V. SF M?/' \ n? ?? ?o 3j x Zoo ? ? ? . *Y V(? /7 IJ U L T?.?? sr? ? ??3? G FS ?EWED d O?NJ U?? U"vWU ??? <\9??ate 3-3o-gq _ ????? •??D _ C??1??' Co3 \ EAGART ENGIIVEERING DEP ea, I hereby cerlity tllat lhis is a Irue nnd aorrect repiesenlalion ot a tracl of land as ehown and described heron, As prepared by ioe on Ilds 8711 day ol 1144RCH 1987 , ?# rni„i,, Reg. Plo. /6 1115 ? -- UZTI OF ? UU14UI1111 UfiPAliT4lFlll'r ` • , " ?X'lElllull'F:114F;LVYEI AY?:ItAUl7 ??U?? UoI4pU'rA'YIOIi ?Z;;? ..;.' (Yo be s?rha?4EEed rvitL 6uildiug perinib upylloslion) te or x'vro Faiaily llwelli ---Lk • ' ' ' • o rruer - ?l vtl?er gire Addrene ?I L Q, :Putt'aaEor ?L . 2F+ Atb Ki, Ua6e Fitolte zuE;nt, eegr or N '• XI'oSEU YIALL ? ?? ??..??i?f-? .tEs sVove grad"e e z'7D., g Z. . • • 7'0'xAL EXYUBEU {YALL AItF:A 6q. F"r• PAqUE; Y7ALL CotlHl'11UU'xioll t IIUII Va1ue x Area 10EU??. r IIV11 •inr LZ!! J7 ??y, .• re[orauae nnUu -??k BQ. . r' r (U)(A) Sq, Crom GL11nn nu?t- 9q• FT? L?U???) nttaclted aUn (?)(A) slleeta ii?ii"?---x sq. F'f. a ???W • nUn x pQ. FT. - ? (Uu?) ? (A) W1111?W51 itUip ValUU g Area . . Itaice & TYi'a -J ( 11 11 ??"'?..?_'X SCl• r'1'• •LU3/`iJn OI 11I \U) ! \AI „ uR. F'r.- ° tU)tn) n u n?n x 8R. F"r. n ?u)(n) . ? x 8q. F'T. n • UoUIiHt "U" Valua x Areu • `-tu'tA) . Ilnlce & TYPe u ' .. . n ° _$rtRlUvt?Lz??upu + Ia' x Hn. F'P. ?C7 ? 7i tU?(A) n u ? ?x 8tj. F'r. ? (U)(A) n ?? • npu'______---x 8c?. F'T. a (U1(A) , lu)(n) b°r._ Z Z?.?b Z tu) tn) xorni, (u) (n) vni.uES • nJEi?nu? ????t , . zz4, cz.d lliVl,UEU llY TUTAI, _1{/WL ANF.A Z AVF:IIAUE l'U,,' /O? ?. `• ? 15 vr leee ior 1&2 fainily dee?.l.i?ige , ItooF/UEiLItIU '1'v'fAi, AIIEAI .?, .? .. Uetail re[ereuoe ' npn from ' R n ? Z3.?(?)11?1 ?u nttacliad slieetn. lr. . ? (U)(A) ------?_ 8R. E' lloacribe opeulu6e •n?n R sq•' I"'r• r?j pI (A) iu roof. ? ifu n------?._x 8?. F"r. M ???(A) x &@. Arp. . - (Ul(AJ To'AAL (U) (A) YALU49 ll1YIllEll 13Y Z3? Z iq.r(z3i 1'oTAL I100F/pEiLI11U AIiEA , y . t•;,. AYENAUE n?-? . I I 3? • i OZ?• . •. .;,:.;, .?z5 imr,veu?ilatad roote. . ' •1i I I . • ???^? I - ? ?4*K --s+?1"'-N----- _ --__ __ -- ----- - ------- ----..._.._----- -- ?? ------------ ??54x .- -- --------? --------- . _ __ Jr o 3x 1-3 z'-- --- - - -- 27?v?$Z------...._- ------ --._.._..----- - r.(a1X .1 ?U..= ?oo.s •---- ---- ---------------____...----- - - ?--??3n.1?__=. IZ?},5_ . -- ---- -------- -- -- ----- --- - i s -......_.- I I z?l-Xc?? _=_ 13,Z5?z = 27,5 - --_ -- __ __ -,--- ----.---- --._.__._ -__ . - ---- _. ----- _.__- I tLOO ?,S?1 S 3? =_??5 _ x z ?o - - - -- ---- - -- --- - -_ _ __._--- - --- --- .... ._---__.------- ---------- - --- _ z? o.0Z -- ----- --...- - - -- --- ??ss I??,. ?c?_- ---- -?---- ---- -- _ _. -- ---------- ---- -- -- ----- ??55- - ----- - ---__--------- - - ------ - -----------.. -t,5 - ----___ ----?----- --- -._ Z1. 3,L;? .--- _-----. ' - Z7,a.--.._ _?` S?5? z5 ----- --- ---.. - - ----- -----.-- ---- ------__Z.Z?S__,S7_?._.._ --YIIWL SECTION-- Determining ",U" values at Roof, Wallo Rim# and Conc. Block MLL Ft00 1.) 2.) 3.) 4.) 5.) F/CEILII4Q Interior Air E'ilm 5/8,, 4YP. Bd. Insulation Exterivr Air Film (STILL) R VALUE 0.61 56 ?0 0 .61 uV° = 1/Re 40Z I 'i'OTAL (R)=4i?0g WALL 6.) Interior Air Film 7.) 1" Gyp. sa. S.) Insulation 10.) h?falQOniPt?eSiding 11.) Exterior Air Film (R VALUE 0.68 .45 /9, Va Z,a4. .67 .17 up?? = 1/R_ TOTAL (K)=Z??D I RIII A R VALUE 12.) Interior Air Film 0.68 13.) Insulation 19,00 14.) 2" Fir R3m Joist 1,88 15.) ?5V IL"i' P?I'(r:T Z, c4- 160 tlaaonite Siding .67 1700 Exterior Air Film .17 "IJ'l = 1/R- . (??D 'TOTAL (R)= Z? 1.4+ ? FOUNDA'PI011 fl VALU 18.) Interior Air Film 0.68 19.) • zo. ) t= IF-Gr- (?J+_W,/, 1`j, o0 21.) }9"-9GUtre4e 8le84F- -- i-r-a& zz. ) 112." pL.Y zI04- 23.) Exterior Air Film .17 TOTAL (R)= Z I?7j 1 ?.-_- ??ve? Wbd p r-0UNDA?qdN ' 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ? / 3830 PILOT KNOB ROAD, EAGAN MN 55122 ??6 .SU?\ 651-675-5675 Please complete for modifications to existing residential dwellings. Date .J 1 ?;2' I site street Aaaress -74 unit # PropertyOwner 1 Q'- Telephone# (?SI) S?CJG ? `?"OS? Contractor Telephone # ( ) Address City State Zip The Applicant is: X Owner _ Contractor _Other Alterations to existing dwelling 'A Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment Water Turnaround (add $121.00 if a 5/8" mete-rr -is required) Other: ?1 QAA,.?.C VJ- $ 50.00 Water Softener Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ?i?lS"' I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed N e Ap icanYs Signature? ,,--"-;; - . 2004 RESIDENTIA L BUILDING PERMIT APPLICATION City Of Eagan -Q,-? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nex Construdion Reauiremenfs RemodeUfieoair Reaui2menls Office Use OnN 3 registe2d sKe surveys showirg sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Real _ Y _ N (200/o maximum lot coverage allowed) 1 setof Energy Calcul2tions for heated additlons Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for addifions & decks Tree Pres Required _ Y _ N lsetofEnergyCalculations Add'dion-inMicateilonsdesep6csysfem On-siteSepticSystem _Y _N 3 copies of Tree Presena6on Phn rf lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs wiN 3 or less unRs ? r Date l l struction Cost Con SiteAddress ? ? (P/?t/ //2/ V e UniUSte # Description of Work ?/}t r hn 1? ? ? J ? `- °v^' e- L v Multi-Family Bldg _ YZN Fireplace(s) _ 0 c,-'l _ 2 PropertyOwner /!//L f'''w,n Telephone#((Oi() Contractor C d? ti t41 J£riY Address `? -7a q 1 y 7?' S T, ?i? 5r- City f1?? i+' -[-?= State w &/ Zip Sr J1- `' Telephone #er2 )`? COMPLETE THIS AREA ONLV IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenUlatlon Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Suhmitted • Energy Envelope Calculations Su6mitted ?J--? 3 _' ?- ?.?d .? (D Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor h: ? ?f? I? Il Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential BuiIding Pemtit and-aclcnowledge 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 pemut, but only an application for a pemut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the cW of workAhich requires a review and approval ofplans. ?-- I " Applicant's Printed Name Ap licar OFFICE USE ONLY Sub Types ? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 AlteraGon ? 37 Demolish Building* ? 43 Reroof ? 46 ? 34 ReplaCBment •Demolition (EMire Bidg) - Give PCA handout to applicant Valuation oo Occupancy `6?-;4- MCES System _ Census Code ? Zoning City Water _ SAC Units Stories Booster Pump _ # of Units Sq. Ft. PRV _ # of Bldgs Length Fire Sprinklered Type of Const ? Width _ Footings (new bldg) _ Footings(deck) _ Footings (addi6on) _ Foundation _ Drain Tile Roof _ Ice & Water Final Y Framing ? Fireplace :?. R.I. ?( Air Test XFinal Insulation ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. ? FinallNo C.O. Plumbing Y HVAC t? Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ' Total ? ?? -75 Use BLUE or BLACK Ink ` 1, I ForOffice Use I -7 -2 ermif r C ity a of Ea p P I Permit Fee. _ a I 3830 Pilot Knob Road Eagan MN 55122 I Date Receiv : I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: I Q 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: Phone: 42 / - `m/p ' qQ spy Address/ City /Zip: ` ~o g .~%C,t.CALP/1c Applicant is: Owner -y- Contractor TYPE OF WORK Description of work: Pie - G ^ Qa -VLV Construction Cost: d ~d Multi-Family Building: (Yes _/No X CONTRACTOR Name: . License 14 8 _ Address: Q -7 `'t bdl J 4 City: 1/Lt-d Aj:-la State: A) Zip: ~SQ Phone: 4PS/- -7 9 L-1-,2-4, `t' IP Contact: Email COMPLETE THI 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: NZ~TE: Plans-and supporting documenfs that yow submit are considered to be public°information. Portlohs'ot fh:e information: maybe classified as non-public `if you provide specific reasons tliat would:permit. the c tyao . conclude 'that ..they 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.-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 rmit; 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 Jed X -9/" Applicant's Printe Name Applican s Signatur Page 1 of 2 Use BLUE or BLACK Ink For Office Use t I 7, I I Permit I City of Evmu t Permit Fee: I 3830 Pilot.Knob Road Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 I Staff: Fax: (651) 675-5694 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 119 Site Address: OWR fh+L 60 C2r. Tenant: Suite Resident/Owner Name: ith.0fj ` t K i( 17 Phone: (Q~~ y ~-"`Q,'FCj Address / City / Zip: A/ 55 1 Name: Wenzel-Plymouth Plumbing, LLC License#: 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email: cmichels@wppmn.com Type of Work - New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Lawn Irrigation L_ RPZ / _ PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures Main Lower Level) New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ N/A i 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. wvvw.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; thtthe worts will be in accordance with the approved plan in the case of work which requires a review and approval of pla x -Carl Michels x Applicant's Printed Name Ap ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final ' Use BLUE or BLACK Ink -----------------i � For Office Use I Clty of E��Il ; Permit#:�� . � � ' loo . on � 3830 Pilot Knob Road I Permit Fee: � Eagan MN 55122 RECEIVED � ' Phone:(651)675-5675 � Date Received:� - i Fax:(651)675-5694 c � �� I �Cr � 5 2��;! I Staff:;�](J �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Plea e su mit two (2)sets of plans with all comm rcial ap lications. Date: -1 V'1� Site Ad ress: � �.1� Q� \JY Tenant: \ ` Suite#• ResitlentlOwner � Name: � Phone: \ ,�`� � - �� " Address/City/Zip: �f' p,,n I�l �'�� ` Name: V � 1� License#: W�"0�" `7�J`1� Contractor F Address: ��U �0� �r � .� �/ ��ry. � p �S � Z�P Phone: �1 1 !� ': State:�_ ' ; J� � `Q 1 `./ �\0 1 � v"I � � Contact: � �0 Email: ` �,�1 U.In _ New Repl ce ent Additionai Alteration Demolition Type of Work ; Description of work: �R$ ` � b Y �J `NOTE ;Roof mounted and ground mounted mecharncal equrpme'nt�s re,quired to be:screened by-City , ; - ' . p ,. p". .. , . ,. ; . Cotle Please contact the',Mecharircal lns, ector;:for information on erm�tted�screenmg.methods. , � RESIDENTIAL COMMERC/AL " Furnace N — ew Construction Interior Improvement 'Permit T @` _Air Conditioner Install Pi in Yp. P 9 Processed _Air Exchanger Gas Exterior HVAC Unit _Heat Pump _Under/Above round Tank 9 �Install/ Remove) _Other — RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge =$ � � � TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee Surcharge=Contract Value x$0.0005 '� Surcharge ' If the project valuation is over$1 million, please call for Surcharge I '$ 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 plans. x � � ApplicanY Pri ted ame x ApplicanY Sig a re �"OR`(OFFIGE USE � `' ` ° , , ,.: , , ... , Requi.red Inspections ' : " j Reviewed By Undergiround Ro� h In ' - Uate ,9 „.„ Aic Test ;. Gas Senrice Test': In floor Heat Final HVAC Screening :. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159785 Date Issued:01/17/2020 Permit Category:ePermit Site Address: 1369 Interlachen Dr Lot:11 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Michael Kelly 1369 Interlachen Dr Eagan MN 55123 (651) 587-9829 Water Heaters Now Inc 23310 Canby Ave Faribault MN 55021 (952) 688-2222 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162384 Date Issued:07/13/2020 Permit Category:ePermit Site Address: 1369 Interlachen Dr Lot:11 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Michael Kelly 1369 Interlachen Dr Eagan MN 55123 (651) 587-9829 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature