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1377 Interlachen Dr• / ?CASH RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? . DATE Y 19 ?rara We;' AMOUNT , 8 DOLLARS ,oo O CASH LJ.,CHECK VJhile--PaYm CoPY C ° Yekw-Posong Copy Pink-FOe Copy Thank You ? BY i01-3210 Bldg. Permit 01-3422 Plan Check Ui-3445 Surch./Adm. 01-3446 , SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 24-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. A If) TOTAL SEWER b WATER PERMIT CITY OF EAGAN 3830 Pilot KnOb Rd. WATER PERMIT P.O. Box 21199 Eagan, MN 55121 METER SIZE ISSUE DATE 'I SITE ADDRESS ? LOT TeLOCK SEC/SUB APPLICAfYrT: ADDRESS: C , . i CITY, STATE ZIP PHONE: . ?' ? `,. • ` I PLUMBER: !• ?./ ', ,; ! ? I ADDRESS: 4,R 4 Ny 42jeZ L CITY, STATE ' ZIP PHONE: I OWNER: A ?'- ADDRESS: ?:? '• ' CITY, STATE ? ZIP i-'- , PHONE: OFFICE USE ONLY PERMIT DATE SEWER PERMIT # B.P. RECEIPT # ^ 276.1 B.P. RECEIPT DATE 7, 3I E9 ? PRV _ix_ PERMIT REQUESTED ? V SEWER WATER _ TAPS - COMM/IND ? RESIDENTIAL .? NEW - EXISTING I AGREE TO COMPLY WRH CITY OF EAGAN ORDINANCES: SIGN URE WHEN R ISSUED 11124 - __' k2 ! PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ' ENGINEERING QEPT. . SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE 7' / - 9 WATER PERMIT # SEWER PERMIT # - METER # - READER # _ METER SIZE ISSUE DATE PERMIT REQUESTED ? SEWER _ WATER _ TAPS COMM/IND _ RESIDENTIAL ? NEW PLUMBER: ' ADQRESS: CITY, STATE ?3S L *? ' ZIP " PHONE: OWNER: ADDRESS: CITY, STATE ZIP PHOIVE: B.P. RECEIPT # ti 47153 B.P. RECEIPT DATE 711192 - PRV Y x BOOSTER PUMP EXISTING I AGREE TU COMPLY WITH CITY OF EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERlNG DEPT. BUILDING PERMIT To be used for Receipt # ,,,,._ 3ULY 3 Site Address Lot Biock I SecrSub. = k YR WAY =' ?L' Parcel No. OccuPancy Zoning ¢ Name (actual) const z,: Address (Allowabie) 0 City Phone = ?7 --0 69 U #orstories Length o Name ?,c?, = o "Q Address S.F. Total U ? City Phone S.F. Footprints • On Site 5ewage U¢ W W Hame on siie wen f W r:? Addf2SS MWCCSystem o a W City Phone Ciry water PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump infarmation is correct and agre to comply with all applicable $tate of Minnesota Statutes and City of agan Ordinanees. , - p Signature of Permitee ?'C'w ! APPROVALS A Buiiding Permit is issued to: /QlALU`.?x ` IF.5= ZN' Pianner on the express condition that all work shall be done in accordance with all li bl St t f Mi t E t S d Ci O Council ca e a e o nneso app a tatutes an iy o agan rdinances. gid9, pff . 8uitding Official Variance 2U & EEM 11/17/89 176 CITY OF EAGAN 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 OFFIC E USE ONLY FEES yA-- Bldg. Permit Surcharge 7 4. ?u 4 1?ra?00 Plan Review ?--- Snc, ciry i I'i . OJ XX_ XX-- xx? 571' u"' sac, nncwcc Water Conn Water Meter ' il • (.i ` I Acct. Deposit SNV PeRnit 2Q - CG S,'W Surcharge i • 00 ? Treatment PI 2 2d• Q() 34U . O r Road Unit Park Ded. Copies TOTAL =r 5 U . .ri J Permk No. Permk Holder Date Telephone # WATER ?G SEWER PLUMBING ,1(-?/tt? .... H.V.A.C. L't/C i. _ ?•?/?/ ELECTRIC i; S 4 ?? Inspeetion Date Inrp. Comments Footings I •7 'el Foundation Fra„ins ?7? Roofing Rough Plbg. Rough Htg. Isul. Freplace ?? d'4 0 S h ;,on e c ?, Fnal Ht9• Final Plbg. - ? Const. Meter Plbg. Inspector - Notify Plumber Ergr.lPlan Bldg. final D Deck Ftg. Deck Final i ! Weli Pr. Disp. ? , • ?, PERMiT # . • • PLUMBING PEHMIT RECEIPT # CITY OF EAGAN 44x pn 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address LOt / BIoCk ? Sec /Suo, , ? ?r?'`L ^^?:Cf?ANICAL CONTR. INi: Name ? Address 12409 COUNTY ROAD #11 c City BURNS?IJ..L Phone 890-486 Name HAT-T-MARK - 3 Address p -n Fny .4• p City ?nvnr_- • Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RE5IDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADO $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. X New X Mult. Add-on Comm. Repair . Other RES. PLBG. ONLY - COMPLETE THE NQ. FIXTURES ?_Water Closet - $3 00 ? Bath Tubs - $3.00 - ?Lavatory - $3.00 - __j__Shower - $3.00 _l-Kitchen Sink - $3.00 Urinal/Bidet - $3.00 _LLaundry Tray - $3.00 _LFioor Drains - $1.50 ?Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMITJ Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE SlC: FOLLOWING: TOTAL S ; - i GRANO TOTAL: Site MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 m Name ' - ? ' { ?- ? • ? Address ', ? ? ? ? 1 ? ^'_ ? .- -1• i. , t' c City Phone ? Name ? ?.. ?? ...? ? m c Address '_ . ?.. , • ? ' ? ?: ,?. ' _', ? 0 City S;. v _ Phone - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuNets # ?_ M BTU M BTU M BTU M 8TU CFM ? FEE: S/C: TOTAL• BLDG. TYP Res. 17 Mult Comm. Other PERMIT # ? RECEIPT # DATE For Office Use Only: WORK DESCRlPT10N New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HYAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLJES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) '? ? '? • _k. J ; - ? -- - SIGNATURE OF PERMITTEE •j FOR: CITY OF EAGAN AM , rL.vmaan" ranmi I For Office CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #?-? ' PRICE PHONE 4548100 DATE: Site Address 1='7: T Lot g, Block Riehfield Phone FEES COMM./IND. FEE -196 OF CONTRACT FEE APT. BLDGS: - COMM. RATE APPLIES - TOWNHOUSE & CONDO = RES. RATE APlL1ES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT 50 (ADD $450 S/C PER EAPFI $1,OO0/OF PERIy{FT FEO FOR: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair aner RES. PLBG. ONLY - COMPLETE THE FDLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 Finish onfy Bath Tubs - $3.00 Lavatory - $3,00 Fi.nish- oinly . ; . . Shower - $3.00 iniah on1g?? Kitcfien Sink - $3; D UrinalBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 ' Whirlpool - 33.00 _.. Gas Piping Outlets - $1.50 ' (MINIMUM -1 PER PERMIT) Sohener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: STATES S/C: GRAND TOTAL: / 2. ?50 ' CITY OF EAGAN N? 16731 ? 383d Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8700 il' y/7/.,?1 BUILDING PERMIT Receipt # ?? OY / 1?-? Tobeusedfor SF DWG/GAR Est.Value $148,000 Date JULY 3 19 89 Site Address 1377 INTERLACHEN DRIVE Lot 9 Block 1 SeGSub. FAIRWAY HILLS ; 2N OFFICE USE ONLY Parcel No. occuPanq R-3 FE ES R-1 ? Zoning ? W Name 1TAi.i.MARK HOMES INC (ActuaqConst VEL- BIdg.PermM1 808.00 00 , ?4 3 Address P_O. SOX 273 (Allowa6le) Un- n S . - ? urc arge City SAVAGE Phone 687-0880 x of Stones - 404.00 ° Plan Review Length 6a F Name SAME oeom 3g- snc cny 100.00 t , ?a Address S.F.TOIaI - M C S7S.U0 ? City Phone S.F. Footprints _ SAC CWC , 580.00 Water Conn On See Sewage Name On Srte well - Waler Meler 90. 00 IN Address MWCCSystem XX 30.?? City Phone aty waier `I-]- qmt Deposit S/W Permil 20.00 PFV Raqmred _ t hereby acknowlege ihat I have read ihis applicallon nd state that ihe Booster Pump ]{?(- SfYJ Surcharge 1.00 fnformaaon is correct and agr to comply wrth?all pplicable tate of " ' • 228 00 Minnesota S[atutes and Gty o agan Or na Trealment PI . Sgnature of Permitee APPHOVALS Roatl Unit 340. 00 ur. e r. A Building Permit is issu to: Planner - Park Ded on the express conditi hat all work shall done in accordance with all Council - applicable State of Mi eSOtaOSt a es and ity of Ea Ordioances eidg pN _ Copies 350. 00 Building Ofiwial Variance - TOTAL -S DATE: 7/26189 RE:1377 1NT6RLACHEN DRIVE. L9, B1. FAIRWAY, HILLS 2nd x Your Sewer & Water Permit for the above property has been completed. It will be held at the aPublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO k?ALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. _ y 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 confumed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMEN?DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 7/26/89 RE: 1377 1P7TERI.ACH@N DR1VE. L9, 81. FAIRWAY HILLS 2nd xx Your Sewer & Water Pertnit for the above property has been completed. It will be held at the F'ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO 4ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _.`Your Sewer & Water Permit for the a6ove properry cannot be completed for the foltowing 'reasons: i- Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PRWECTS ONLY: Please pay for meter at Cily Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. sf%?/fl9 r ? ` ? ?S p 46852 ?? Request De1e / ? ? rta No. Ro m specton Req ' ? Reedy Now?tll NoLty Inspec[or WA R d 7 ? es ? No en ea Y I licensed contractor ? owner hereby request inspection of above electrical work at: b Atltlrass (Sireet, Bm or Routa No ) Qty r?4e1-AcNW be- EAGA Section No Township Neme or No qenge No. Co ty A,L-o Ti4- Occupent (PRINT) ? 1e Praw No ' 363 PawerStippher 0T/yj T ??.. r?I w tlress ?? _ I qd / "p /?/•/ Electrical COntraclor (COmpeny Name) F Convector5 Liceme No. 0 G£4 oGccT,el ? ; Mail,ri, Add,eas, «"Mr or Oiiirne, ?? Insiallanon, LF??.U?F? ,vt•V• ? 05 Authanzetl Wre ( raciw/OwnpJ Makon) ` ,r Phone Numuer MINNES&A STATE 60ARD OF ELECfA1CRY a THIS INSPECTION REQUEST WILL NOT OrlggsMltlway eltlg. - Room 5773 BE ACCEPTED BVTHE STATE BOARO 1841 Univerairy Aw., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phona (812) 602-0800 ENCLOSED 018? REOUEST FOR ELECTRICAL INSPECTION ? Sea insWCeon? brgvmpleting this lorm on back ol yetlow copy ? 4.G 85 2 'X° Below Work Covered by This Request EJ6-00/0?01-O1 W C?/Je.idZ/ e Add Rep: ' TypeofBUilding AppliancesWired EquipmenlWrted Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Indusirial Furnace Fartn Air Conditioner Other (speciry) Contrectork Remerks: Compute Inspection Fea Befow: # Dther Fee # ServiceEniranceSize # Circuits/Feetlers Fe Swimming Pool 0 to 200 Amps , a to 100 Amps hansformers Above 200 _ Amps Ahove _ Amps , S Signs Inspectork Use Oniy. O7pL IrrigaFion Booms C? ? Speciallnspection Alartn/Communication Other Fee ( I, the Electrical Inspector, hereby tit th th b i Rough-in cer y at ea ove nspectionhas 6een made. Final OFFICE USE ONLY ' Thrs request voitl 18 months irom p 3 2 2 4 2 FteQUest Date Q? ? Fre No. Rough-in I edion Re ulred7 Heady No Will Notily Inspector ? // ?? ? ? No en Ready7 licensed contractor ? ownei hereby request inspection of above eleClrical work at: ,bb Htltlress (Street, Bax or Routa No.) /3 7 7 /,) Cily J a " „ Sectwn No. Township Name or No. Renge No Cuun X)!; Occupant(PRIN'p Phone No. Power 5upplier qdpre;,y Elecln I Contredar (COmpany Na ) r Coritracror5 ?cense No /.? 2'1 Meibng Atltlress (COnhactor or ar Making Inste?lla'tJion) AuNOnzetl Signetura (Conb eking Irlstallalion) Phone Numper MINNESdF STATE 60AfD LECTpICrtY THIS INSPECTION REOUEST WILL NOT GrlggsMltlway Bltlg. - Ro &179 BE ACCEPTEO BViHE STPTE BOARD 1821 Univereily Ave., SC Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0600 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION 4111 e13-00010,1417 ll? See msVUCnans lor completing thrs form an back of yellow copy T F. 32? 42 `x° eelow wora covered by rnis Requesr ew Add Rep. Typeof8uilding AppliancesWiretl EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.llndustrial Furnace Farm Air Conditioner O[her (speafy) CoMraciork Remazks Compute Inspection Fee Be/ow: # Other Fee # ServiceEntrance5¢e Fee # Circuiis/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SIgn3 Inspac[or5 Use ONy TOTAL Irngation Booms Special Inspection Alarm/Communication Other Fee ? f I, the Eledrical Inspector, hereby til [h h b i i Rough-in oaie `r `,?r pg O Oy y cer ai t e a ove nspect on has been made. OFFICE USE ONLY Thia requefl mitl 18 rtqMhs 1mm Requer Oate Fire No gh-in inapemion 4-28 u ? C?Re9dy Now U W P?br -92 G e? ? No han Raatly 1-C hcensed contrector ? owner hereby request inspection of above electrical work at: Job AOdress (Sheet 8oe or qoute No ) Qry 1377 Interlachen Drive Fagan SecFOn No Townshi0 Nama or Na, flange No Counry I D3I{O}8 o"u°alpffa?T?am Tierney PhoneNo Power Sopplier pydress Igkota Electrlc Farmingto n Eleclncal Conhaclor(COmpany Neme) Conttaclor's License No Naber Electric a-40591 Maibng Adoress (COnhactor or owner Making Inslallaoon) 12 Falk Taril Northfield Aulhorrze05ig aWr (COnVacmn n Making staliation? PhoneNUmber 64 0- 60 MINNESOTA STATE BOAFO OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT Grvggs-MiEwey Bltlg - Floam 5473 BE NCCEPTED 8Y THE STATE BOAFD 18Y1 Unlversny Ave., SL Paul, MN 55104 UNLESS PqOPER INSPECTION FEE IS Phone (612) 602-0800 ENGLOSEO REQUEST FOR ELECTRICAL INSPECTION Ee-000ryoi-0e 9 9 See mstruc0 Xons br compl-llng Ihis torm on back oi y¢Ilow copy. ?y??` ?05 /3?,• J " Be/ow /ow Work Covered by This Request ewp.tltl Rep 7ypeofBwlding AppliancesWrted EqmpmeniWrted X Home Range Temporary Service Duplex Water Heafer Electnc Heating Apt. Bwlding Dryer Other (Specdy) Comm./Industnal Fumace Farm Air GondRioner Olher i Conirector's Remarks' DEA - AC Control Compute lnspecfion Fee Below # - Other Fee # ServiceEntranceSrze Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 4.00 Transtormers Above 200 _ Amps Above 100 _ Amps $19n5 Inspscmr'sUSeOnly' 'S?^L? AL ?Q Irrigation Booms U?J r t5. Special Inspection / J Aiarm/Communication TMIS INSTALIATION MAV DERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecror, hereby Rough-in oate certify that the above inspection has been made F,,,ai r Date ? ? OFFICE USE ONLY TNS requesi voitl 18 montM1S Irom Gq('q? 2005 RESIDENTIAL BUII.DING PERbIIT APPLICATION City OFEagan 3830 Pilat Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _7?_6 58.0(a New Cons4uction Reauirements ?eUReoair ReauicemeMs OflN? Usa Onlv 3 registered stte surveys shmving sq. N. of lot, sq. h. of house; and all roofed areas copies of plan Cert of Survey Recd _Y _ N (20% mazimum lot wverege albwed) 1 sef of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 coples of plan shmviig beam 8 wlndow s¢es; poured found design, etc. 1 si[e survey for add'Aions & decks Tree Pres Required _Y _ N 1 set af Energy Calculafions AddiNon - indicate doo-SNe septk system OrrsHe Sep6c 5ystem _Y _ N 3 copies of Trea Preservation Plan'rf IM plalted afler 7/1193 Rim Joist Detail Optans se4ection sheet (buildifgs with 3 or less unRs) Date CO l z 1 / SiteAddress 137 05- Construction Cost ??Sj d00 -? ? »?LF?1E/v lic>c_° Unit/Ste # Description of Work Multi-Famity Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2 • , _, . ._ ?" Property Owner !?/?L.[ .?rrnc ???i?? 7???`•?-'? Telephone # ( ) Contractor Address ez2 State 614-,? City f00LT'LAW? Zip S5% 2 q Telephone # (t75Z_ ) -93/ 1107(.> COMPLETE THIS AREA ONLY IF CON3TRUCTING A NEW EIUILDING - Minnesota Rules 7670 Catecorv I Energy Code CBtegory . Residential Ventilation Category 1 Worksheet (4 submissiontype) Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fes applies. Licensed Plumb6r! ` Minnesota Rules 7672 . New Energy Code Worksheet Su6mitted Y._ N, If so, 25?M1an review Telephone #( Mechanical Contractor Telephone # t? Sewer/Water Contractor ` Telephone #( ? ?,? l 90? 65 ? I hereby apply for a Residential Building Permit and acknowledge that the informat n i"_ ` accurate; that the work will be in conformance with the ordinances and codes of the City o ? and the State of MN Statutes; I understand this is not a permit, but oniy 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. ? plic's Pri- nted /Name anYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessary Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ ptex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screenlgazebo) ? 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 r 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowsJDoors ? 34 Replacement `Demolition (EnHre Bltlg) - Give PCA handout W applicant Valuation ? QdDo= Occupancy R -3 MCES System Census Code q3q_ Zoning ^_2 ~! City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire 5prinklered Type of Const V?3 Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. Footings (deck) ?0 Final/No C.O. ? Footings (addition) ?fkp le _ Plumbing Foundation HVAC Drain Tile Other Roof ` Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final ? Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows ? Insulation _ Retaining Wall Approved By: r , Building Inspector -------------- ------- --------- --- Base Fee --------°------------------- 3 y f. Z S ----------- - - ------ --------- .?v ? o m j??--i ???ffti? surcharge I L• 5 b l?,?C 7? X S y •'p 0 Plan Review ZS ? • 3 ? MC/ES SAC City 5AC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total S 3 3 ?-3 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681•4675 New ConaW dbn Reauirementg • 3 registe2d site surveys shawing sq. ft of lot, sq ft. o( trouse; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & wiridow srzes; poured taund design, etc.) • 1 set of Enargy Calculetiom • 3 copies of Tree Preservatlon Plan if lot platted afier 7/1193 • Rim Jaist DeWd Optrons seledion sheet (Wdgs wilh 3 ar less umts) DATE '-?'" -'OZ- SITE ADDRESS TYPE OF WOR ULTI-FAMILY B DG _Y f4L, FIREPLACE(S) 1 _ 2 VALUATION J U2-• LkD APPLICANT Catastrophe Restoration Services Inc. STREET ADDRESS 2489 Rice St Suite 70 CITy Roseville STATE MNip 55113 TELEPHONE # 651-734-9433 Ce« PHONE # FAX # 651-483-0219 PROPERTYOWNER ? A??L?1c?rc???GrC`tG\J TELEPHONE# ------------------°---------------------------------------°---------°--°------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ?INNESO'1:? RliLES 7670 CATEGORY 1 MINNFSOTA RULES 7672 submission type) • ReSidential Ventllalion Category 1 Wotksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope CalculaUons Submitted Plum6ing Contractor: ___ Piumbing system includes: Mechanical Contractor: Meclianical system includes: SewerJWater Contractor: _ Air Conciitioning _ Heat Recovery System Fec: $90.00 Phone # p I? (r f? ?I Phone # ------------------°---•-°------°--------------------------------°°------°--- I hereby acknowledge that I have read this application, state that th ' with all applicable State of Minnesota Statutes and City of a Ordinanc c. Signature of Ap .___ .............______------- -----------------------.._..........------- - - - -------- --... OFFICE USE NLY Certificates of Survey Received _ Tree Preservation Plan Received _ Water 5oftener _ VVater Heater _ No. of Baths RemodallRaoair RanuiremeMs . 2 copies of plan . 7 set of Energy Calwlations for heated additions . i sRe survey for exteriw additbns & decks . Indicate d frome served by septic system for additiofz _ Phone # . Lawn Sprinkler No. of R.I. Baths Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation 0 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwellirig ? 08 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Att - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entlre Bldg oniy) - Give PCA handout to applicant Valuation , Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foohngs (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fmal _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Capies Other Building Inspector Total 23 iV Of' EAi;f'dd CAUH.I.I:R7' ..IS IGI'fifLN^,L PGL't 764 Ofi7f2 09l9.b!93 f.T.t`Ee M3734 ID„ T'A if:. CL_A'3>T.C i.•t.????..3•, L?!r:. 30.0 9611 :i377 .1'i!"i'I'..i4CH'1 ,_,.'S:[i ? 3f.?iJ:'. 'i.3?P' -.i@7>;i..r'i"?1 i:t.Ii+l ; :R.l `:)(.ltli RQ02 EriFRPL.ri li! MA.ll 2155 :)Pii. 2082 r,;iS:h/-i:_', Li`J 'e.i?50 :3i:; 0 ,",(ti RCp:: ?i:RM'J I..t: i39,,25 . 241S . ')?"c,L 2::"'?t, Z f i':C['' I.. ?? '3 'i0 ? liii::i.{ k^ct.':Ij.it AR'i)IY'}'F,:, 0.`.:rJet',`i M^ i,IN. us:=r< 1% .,Ari 7'P:7:,Y,!y.w•• ?;$f?$:; .;X???:''t;.., 5??;t%n':i$? $:}$Z `1 ?e:?'a:3i:9F>X? i 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PI651-681-46 5- 55122 -I I New Conshuetion ReauhemeMs D 3 regisfered site surveys showing sq. R. of bt sq. H. ot house and gp roofed areas (209G maximum bf eovemae allowed) ? 2 copies ot plans (ihow beam 3 window sizes; poured fid. design; etc.) D t ast W energy calculatbns D 3 copies W hee presenaHon plan tl IW ptaMed aMer 7/1/93 DATE: ?J- I2--6[151 DESCRIPTION OF WORK: ocw11- STREEf ADDRESS: ` LOT: 1 BLOCK: SUBD./P.I.D. #: 1 -\--x ? lS -?' Name: Phone#: ??1`??"f• ??1 PROPERTY OWNER Sheet City Company: CLASSIC ROOFS INC Phone #: ???q21 S 12000 12T-H A . • (area code) CONTRACTOR BURNSVILLE, MN 55337 Sheet Addreu: UCenSe # ?• '" ?? City Sfate: ARCHITECT/ ENGINEER Company: Name: Talephare #: a:ea code ( ) SheeR Address: Regishation #: Cffy Sewer 6 wafer Ucensed plumber (reauired for new conshueflon onNl: penaly applies when address change and bt change Is requested oi I herEby acknowledge that I have read ihls appllcaNon, stafe lhat fhe State of Minnesota Stafutes and CHy of Eagan Ordinances. Signafure of Applica OFFICE USE ONLY Certificates of Survey Received Remodel/Reoalr Reaviremenh q a5 2 copies W plan 7 set W energy calculalbns for heafed addiNOro 1 tHe survey lor exterior addHlons 3 decks CONSTRUCTION COST: '3,?' r _ Yes _ No Zip: No - Not Required i(1? Tree Preservation Plan Received - Yes - Jv? ??1 1 State: Zip: v012:-? State: Zip: I BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage 13 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous woRK nrPe ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ?' 43 Siding/Soffits/Fascia O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair ? 34 i2epair ? 38 Demolisn (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 Bidgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee C)-1- ?5- Surcharge a.cJ U 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: Q Q - D-S Valuation: $ SAC Units % SAC 1989 BtTILDIPG PERMIT IPPLIClTION CITY OF EAGAN it; 73 SINGLE FiMILY DiiELLIPGS !lOLTIPLE DiTELLINGS COlA3ERCIAL 2 SETS OF PLANS 2 3gTS OF 4LLN3 2 SETS OF 19CHIIECTUAAI. 3 REGISTERED SITE SDRYEYS REGISTBRED 3ITE BQRVEI3 - 6 STBDCTIJAAL PLANS 1 SfiT OF ENERGY ClLCS. (CHECH tiITH BLDG DIV.) 1 8ET OF SPECIFICATIONS 1 3Sf OF F1iEACI CALC3. 9 SET OF ENERGT CiLCS. ltUI.TI4L6 DWELLIHG3 HENTAL OtiYT3 FOA S,I.fi UfiITS i OF DHTlS iDTHt iDDRES3FS FOB CORIiER LOTS - CONTAACTOR/HOMEOYNER HaST DE4IGNAlE iiHICH iDDRFSS IS DESIAED. HO CHANGFS WILL HE lLLOiiED ONCE BOII.DIAG PERMIT 23 I330SD.. 3E5tEA 8 NATER 7EAMIT FEES 1BD 1CC00RT DEPOSIT TSB3 WIId. B$ INCLIIDED ffITH TSE HUILDINfi PERMIT FEE, PAOCE3SING TIME FOH SSWEA lAD iiATER PEFplI?S IS TiiO DAYS OBCE l PERMIT 8AS BEEN COMPLETED INDIC9TING A LICENSED PLpMBEA. PENALTY APPLIFS i1fiENt PERMIT IS NOT PAID FOR IN 3AME MONTH IT IS REQUESTED. - LOT C$ANGE IS AEqIIESTED ONCE PERMIT IS ISSUED. ,JUN 2 8 1989 ?To Be Used For:? Dete: 6,"ztQ-6p9 31te Address t -. _OFFICE OSfi ONL2 Lot 9 Block I Oecupancy R-3 M-I l/S P b Z04" arce u _ O?mer r-. Address?-Ro 6 0X za:? City/Zip Code ? I 0. Phone O R'?6 CoatracLor iddress En2 pX 1,2) City/2ip Code Phone I n- ?b (1 ? 6rch./Engr. 4!12,; dddress JLA6-30'T?nn" ttUC, City/Zip Code Ss' Z Phone # y,'?Z-Zotaq Zoning Aetual Const Allowable 1 of atories Length Depth S.F. Total Footprint S.F R-1 V-N T On aite aevage On eite xell MWCC 3yatem ? City water _ PRV required BoosLer Pump ? 1PP80VAI.5 Ylanner • Council Bldg. OfT. Variance FEES Bldg. Permit , Sureharge r?4, -? Plan Reniex O sACP ciey o? o,o0 SAC, MWCC 2 95 O Aater Conn 58n • 0-?;, Nater Neter `to.c)o Acet. Deposit 3/il Permit ?Wc)? Sitii Surcharge 1 ?Otf> Treatment P1. ;a8.oo Road Uait 3L40 ,oo Park Ded. Copies 80BTOTAL Penaltq TQTAL YALu ATr C) N ?l -Z X ?z = 2C, `i a`l k a c7 = L4 eD 9 y4X15= 3y k 3co ? Y, y X ?o ax?? lsT R.?CY? i Z'zy C y? ? L) ? .2w I 2?5 x 14 = !`1y30 6smT= ? ayS ?Yb = la- ? ?a5'7 x -C) b = C, zC6 5-D 2•"'?? C^--??>c>rL /o(4 y 1???? 13 3 X ? = a?i j I 2) X S-0 = S& b,Sr-> . j yr?LIaO . , SITE PLAN FOR: HALLMARK HOMES TRI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 LEGAL DESCRIPTION: LOT `,BLOCKI , FAIRWAY HILLS 2nd ADDITION ACCORDING TO THE RECORDED PLAT ? THEREOF DAKOTA COUNTY,MINNESOTA SCALE: I"=30' LOT 8 0 ??'4g ?ry "' cF Llkir L 0 T 9 `F4S 8; e?N T S'?2? \ \ \ r? / `?6• ?g bP '?ROio ? 1O2? O .,? ` yo?SFFa ? \ ?S 6 ? . . o? 32. " - ? 103 \ qR, ? // 1029 `?? `\?? ,yo 0282 \ ~y P? 89-082 \ LOT 10._ ...._.,._... ° " ` E9 ?Y D w33 8 ?.o 10 By r ` ?o ry? Date ti ? EAGAIV E1UGINEERi?.?i'G/r;yPAP p316o \ oooSTER pUMp ?F LEGEND `F'RUPDSti) FULL 3HSENiENT WALKGli7 INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON MONUNENT PROPOSED GARAGE FLOOR ELSVATION= /D?r o OENOTES WOOD HUB SET PROPOSED FiRST FLOOR ELEVATION DENOTES EXISTIN6 SPOT PROPOSED BASEMENT F1.00R ELEVATION ELEVATI ON DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hsreby certify ihat ihis survey,plan or rsport was proparad by me or undsr my direct supervision and fhat i am a duly Reqistered Land Surveyor undsr the Laws ot the State of Minnesota NOTE' VERIFY ALL FLOOR HEIGHTS WITM FINAL HOUSE PLANS ? ??f7??;7?.?/,? . •, ., Bradley J. enson, Mn. Rsp. No. 15235 Date .,? :` EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE 60 OWNER '-i-pM?c T n SITE ADDRESS /? 7?A/T??f `?(?1E?1 DL G?.41V I?I.J CONTRACTOR An,unnaa ane"1:21 Tv,n pHONE lpr^cm Determine Working Square Footage of Each. 1. Total Exposed Wall Area .,?3/?D•GS? Sq. Ft. X.11 = 2. Total Roof/Ceiling Area ..?a-n rrv Sq, Ft. X.026 - 33.a o 3. Total F2oor/Cant, Area .. J' Sq. Ft, x.OS Total Exposed Wall Area Above Floor = J,2?9&,Q7 a. b. c. d. e. ? f. . 9• Total Total Total Total Total Total Total Wall Window Area. . . . . . . . . . Door Area . . , . . . . . . Sliding Glass DoorArea . . . . Fireplace Wall Area . . . . . . Wall Framing Area (average108) . , Net Wall Area Above Floor :.... Rim Joist Area. . . . . . . . . . . Total Exposed Foundations Area = h. Total Foundatfon Window Area . i. Total Net Foundation Area Above Grade Determine "U" Value of Each Wall Segment. a. g foUll b. X Hull c. X alUst d. X soull e. X fotils f. X olull 9. , X $lUll h. g soup$ i. ? g #lull ? a ? z ? ? z a SUBTOTAL a J al 7V 4, TOTAL = If item N4 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. ('?5 i"+T Total Expoaed Wall Area Above Floor a. Total wall windoW area . . .' t . . . . . . -qJ.(97 b. Total door area . . . . . . . . . . . . - c. Total aliding glassdoor area ...... d. Total fireplace wall area . . . . . . ? _?_ e. Total uall framing area (avrg. 108) .. ?«?[tz f. Total net wall acea above floor .....??j,?•.?qb g. Total cim joiat area . . . . . . . . . . . /??4,94 Total Exposed Foundation Area 1()7,99 V Total Foundation Windov Area / Total Net Foundation Area Above Grada )(T7,94 Determine •U" value of each wall aegment. a. x -o• 6. ? x 'U" ? - C. X •U? d. x 'U" @. X SUr ? • f. X 'U" ? g. x 'U" Il. X "U• ° - i. ()? -- x . U. --14--- a /,'r LT.?...? SUBTOTAL = ?O Sc=G Total Exposed Wall Area Above Floor a. Total vall vindow area . . . . . . . b. Total dooc area . . . . . . . . . c. Total sliding glassdoor area ... d. Total fireplace wall area .. . e. Total vall framing area (avrg. 108) f. Total net wall area a6ove floor .. g. Total rim joiat area . . . . . . . . 1,714, av . . . r?? ?. .?,. . . . ?- . . . ` . . . -? o O . . . Total Exposed Foundation Area ?- Total Foundation Windov Area Total Net Foundation Area Above Grade - Detarmina "U• value of each wall aegment. s. x "u" b. ? X "U" C• ^ X MVp d. X "U• ' -- _ " e. x "U" a f. x •U" 9• x "p" h • x NUp O f 1• 1? -- x pUp ? C SUSTOTAL = ? . Total Exposed Roof/Ceiling Area 07?00 j. Total akylight area . . . . . . . . k. Total flat roof/ceiling framing area . ? _ l. Total net inslted flat roof/ceiling area . 1 M. Total vault roof/ceiling framing area-lOt n. Total net 3nslted vault roof/ceiling area Determine 'U" value for each roof/ceiling se9ment. J. x "U" ° ? - k. x'U" _.(-)3° - 1. x .U. ? /. -- m. % • V ¦ n. _G _1_Lllll_? x "U¦ ?- a 5. . ^ TOTAL °?E:C^7/ .?a _0 If item 15 ia the same as, or leas than item 12, you have met the intent of SBC 6006 (c) l. . Total Exposed Floor/Cant. Areas o. Total floor/cant. framing area (avrg_ 108) p. Total net insulated loor/cant. area ... ? Determine •u' value for each floor/cant. segment. ? x .u. o. 6 : p. • x •U• ' • 6. TOTAL If total of 16 is the same ae, or lesa than i3, you have met tlie intent of SBC 6006 (c) 3. ALTERNl+TE HUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values establlshed I by the aum of items 14. 15 and 16 ahall not he greater than the aum I of items 11, 12 and 13. ? .,399,?7 2• 3 f?3,07 3• ? ° 4. 5. 6. ? - ?drl? G9 e .? , Prepare '< ? - ?? - Date THRU STUP . .u/'S.R. E SIDING ?l ,I ?E THRU CLG. H=Y9ER i Int. Air .GB s•:n. Stud ? g? Shtg. ' 02,0'9 Siding '(P7 Ext. Air .17 7ota1 "R" =/O•?J 1/R= "U" Int. Air ,61 S.R. 15-60 ?f,35 Clg. 1•tanh. Ir.s. (lU") 90100 Still Air '.61 To:tl "R" THRU CONC BLOCX' .Tht. Air ' • •.68 . ' ' . C.B. •Opt. Ins. Ext. Air ? .17. ? Opt. . . S.R. •' ? ? • .? Opt. ? Sid. •' Total "R". ? Z/R s aUu = TIIRU INS. 4JALL Int. Air .6e w/ S.R. E SIDING S.R. ?45 Ins. . • ' SHTG. 7 Siding F.xt. Ai•r ?.17 , Total "H" 1/R _ ??U" _ ?. T}?Rl) CLG. Int. Air .61 I9SULATIOri S . R . (g-" ) , Ins. (1-t") ?.OO ', • ? Sti?2 Air .E1 Tota2 "R" • 1%R c nVu , . ? . • .. t ' . • ?. . . ... ? .• ' ? • '?HRU kI11 JOIS7 ' : . , Int. Air .68 Ins. 0,00 lk" Wood . .1.89 ' Shtg. Siding • F.xt. Air • • ..l? Opt. Brick '`-`?• °? .50 . Totai "R"• =' .. , 1/R = ??U" _? 1989 HBII.DIHG PERMIT APPLICATION , . _ CITY OF EAG9N SINGLE FAMILY DWELLIIQGS 2 3ETS OF PI.ANS 3 SEGISTERED STTE SIIAVEYS 1 SET OF ENEAGY C9LCS. MOLTIPLE DWELLINGS 2 SETS OF PL9N3 REGISTSRED SITE 3URVEYS - (CHECS iiITH BLDG DIV.) 1 SET OF ENERGY CALCS. MIJLTIPLE DWELLINGS RENTAL DNITS FOR SALE ONTTS w- COIR4ERCIAL 2 SETS OF ARCHIiECTURAL & STEOCTIIRAL PLANS 1 3ET OF SPECIFICATIONS 1 SET OF ENEEGY CALCS. i OF DNTTS 60TEs ADDRESSFS FOH CORNER LOTS - COATRACTOR/SOMEOSiNEA MITST DFSIGNATE iiHICH ADDRFSS IS DFSIRED. NO CHANGFS iiILL BE ALLOWED ONCE HDII.DING PERMIT IS I3SDED.. SEWER & 11ATER PERMIT FEES AND ACCOONT DEPQSIT FESS WILL BE INCLIIDED iTITH T8E BIIILDIN6 PEAMIT FEE. PROCESSING TIME FOA SE4iER AND ii9TER PERMIIS IS TWO D9YS ONCE 9 PERMIT HAS SEEN COMPLETED INDICATING 9 LICEN3ED PLU!ffiER. PEN9LTY APPLIFS iIHENs PERMIT IS NOT PAID FOR IN 39ME MONTH IT I3 REQUESTED. LOT CH9NGE IS AEQIIESTSD ONCE PERMIT IS ISSIIED. To Be Used For: e? Oja.nt.?: Valuation: ,? ??- Site Address 13 ') 2/e, /,:, c /' '.. r- Lot / Hloek ? Pareel/Su6 ??nd OWIIBT' ?()///d-IQnw.ee //Cn?LNy Address City/Zip Code 1 'V r.? Hou 16 es nate: Oecupancy Zoning Aetual Const Allowable 0 of stories Length Depth S.F. Total Footprint S.F. Phone ? O 0 On site sewage On site xell Coatraetor c `ca "'7 MWCC System _ ,?/ City rrater Address PRV required _ ? ? Booster Pump _ City/Zip Code .a. APPROVALS Phone Planner _ Couneil 6rch./Engr. h-v 't Bldg. Off. Z9mlvri Address Varianee n ?1 City/21p Code FEFS Bldg. Permit Ni4 Surcharge Plan Review SAC, City SAC, M47CC Water Conn Water Meter Acet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SDBTOTAL Penalty TOT? N G. ? Phone Ik ?... . fRl-LAND C0. S SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 LEGAL DESCRIPTION; N SITE PLAN FOR: HALLMARK HOMES iRyyAv uu i s 2nd ADDITION LOT--,BLOCK ACCORDWG ?? ?TA RECOCOUN7Y THEREOF ,MINNESOTA L 0 T 8 G? s ?r \\ ? L 0 T J/T rF48F,yFNBS °O ? \ w3 I S. /Z5 6O ? \ ? •\\ ?? . O (p / SCALE: I"=30' r2 ? 0? ? v 3 0' Op \ / ?a pR /j p21 yOGSFF? \?? r L 0 T 10 o? 3_ / • . / 3? / 6o . .. . . .-- 'ev I ?\ ?? ?? ? \. ? caR ? RE??lEYYE D oM ? ? \?p ?O? UClt3? ?....?.?j0 O EncaArr ErrGzNEER;.av/T???; : \ ?p3 L gOOSTER PIJMF REQUIRED .--- \ J \ 7 \ ?ZB2 3 wk O ? E-1 Contract No.: Project No.: v N ITY OF FA Submittal Date: /O 2 7 9 , SFWER&WATERPERMITRE LEASEFORM f7a,???' Sh<-phe rcf ?C3? Sc hcz i'`f?rc PROJECT DESCRIPTION: i ?C QCJ?yQ/? ? V'E Substanrial Complerion of Sewer & Water ? Date of Occurrence S.P I: PF. MT4cION TO HOOK 1P S NiT RY SEMIR WATER MAIN V'_ Lines Lamped and Acceptable ? ' _ Properly Chlorinated & Flushed ? v7 Deflection Mandrel Test Passed -? Entire System Pressiue Tested d i i Manhole Structures Properly ty Teste Entitire System Conduct v Constructed (Cstg. & Cover, Rings, Cone, f All Valve Boxes Accessible, Straight 1 ft. Sections, Final Rim Setting, & & Keyed Build and Invert) ? All Valves Opened or Closed as Approp. ? Infiltration Test Bacteria Test Completed SERVICES All Wye Locations Confirmed n! All Curb Boxes Exposed, Set to Proper Grade & Mazked with Fence Post /E Required Service Risers Televised COMMEN TS: 6•34y ?? s?-fTGk?T - --J'/7-a-=:7 UTiA?/Tj 6:ty O p? , _ ?f ? oL. J3v i?.9i?..-• CT P II: Fn SE PE MTT (OCCUPANC)n STORM SEWER Lines Lamped & Acceptable STREETS Material Tests Checked & Passed CB Structures Properly Constructed (Cona Compressive Strength & Air (Cstg & Cover, Rings, 1 ft. Secrion, Content, Bitum. Exuact & Gradarion, Invert, Final Cstg. Setting & Build, Gnvel Base Gradation). DL-DR Correctly Set Rings & Cstg. Utility Structures & Lines Cleaz & Free Set in Full Bed of Mortar) of Debris & Gravel (Gate Valves Keyed) COMMEN Aprons, Dissipaters & Rip Rap Properly Installed TS; RECOMM EiYDATtON: I herein verify that the tests and inspections indicated above have been successfully completed. Any deviations or exceptions are described in my comments. With this co 'dered, I recommend that permission to hook up or permission for occupancy be granted as a rap te t e abov indic tions. _ Signe : _ nsp ctor r ect I Confirtned by: Public Works D partment G:Furms&Lists/SewScWjtPermitRelForm.dac . i?3 ? f 'r 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 0 AZ 11?/ I D& C Site Street Address / 'T "1 4L?? Unit # 6 43 - a ?a ? Property Owner ?Telephone # (&6 1) Contrector fY }? )""c?A-.s/ _ Telephone #13 X0 Address,?L9a (Q !Q& City 5tate-z??? Zip 9SI-1-3 The Applicant is: _ Owner VCOntractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener ?Water Heater $ 15.00 ?replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge S ? $ .50 APR 2 3 2004 $/,$Q Total I hereby apply for a Residential Plumbing Permit and ack6xk-e in-drmation 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 Name ApplicanYs Signature ?7 c,(o9 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 PleaGe complete for. single family dwellings & townhomes/condos when permits ere required far each unit bo.a) Date Sit Add )-7 r i U # e ress_ I , / il/ . n t Property Ownero T", er?? Res; phone #( ) COOtI'BCtOf C en-z- Street Address I? City )5uLi' K)S V / State _N, Zip 6?53nTelephone# ( "/?) llh?- Ial) Bond#: vl 2q2q ? E:pires: The Applicant is _ Owner ? ConVactor _ Other Add-on or alteration to eiisting dwelling unit $ 30.00 fumace _Additional _Replacement air exchanger air conditioner New Replacement K. other J'YlOY-C kitC.hev-\ - VG'14- E'lOUd , ?"t? C. 1<C.k- ? State Surc6arge $ .50 Totel $ 3U . 5v I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a pertnit, but only an applicazion for a permit, and work is not to staR without a permit; that the work will be in accordance with the ApplicanYs Printed Name ApphcanYs 5ignature AUG ?i 3 2005 iL ? J -?------ approve plan in the case of work which requires a review and approval of plans i 1( lm , ? V\V e , 1osl S 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? City OfEagan ' 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 zP3(3.,= New Consimdion Reamrements RemodelfReoair Reamrements i7ffiae l3seOnlv 3 registered site surveys showing sq N of lot, sq fl of hwse, and all roofed areas 2 copies of plan Ced of SuNeyRecd, T AI (20°h marimum 101 coverage allowed) 1 set of Energy Calwlatrons fov heated additions Tree Pte§ Ften ftWd _ Y_ N. 2 copies of plan showmg beam & wmdow s¢es, poured found design, eic 1 site survey for addihons & decks Yree Pres t2equired . _`I ,,.. N iselotEnergyCalculatwns Adddron - indicafaiion-sifesepticsystem O"itsBepGcSysiem _Y _N 3 copies of Tree Preservalion Plan rf lot platled afler 711193 Rim Joist Detail Op6ons selectan sheel (bmldings with 3 or less units) G,, Date P6J Construction Cost Jf00. Site Addresa t i?7r.C1AC.v?.v t?T? Unit/Ste # Description of Work ''7 J?ez L o1J c?n/ ?o ?im ? a C Aj Multi-FamilyBldg _ Y7`?CN Fireplace(s)?0 _ 1 _ 2 ? y`?J Property Owner B t/l T r'e rn ! Telephone #( W) ) Io V?-0)00 Contractor Address City State r) CSO? Zip Telephone # c2 Sz G, '7(5 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 (J submission type) Residential Ventilation Category 7 Worksheet Su6mitted • Energy Envelope Caiculahons Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planB _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( ) Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an permit; that the work will be in accordance with the apj approval of lans. rls , c(%A Applicant's Printe ame for a permit, and work is not to start without a in the case of work which requires a review and OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? L9' 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext Alt - SF ? 04 02-plex ? 10 OS-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 Building ? 42 Demolish Foundation ? 45 Fire Repair ? NI 33 Alt ti • era on ? 37 Demolish Building ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'DemolRion (Entire 81dg) - Give PCA handou[ to applicant a?0 Valuation S Occupancy MCES System ` Plan Review _ 100% or= 25% Census Code 43Li Zoning ? - City Water - SAC Units Stories r" Booster Pump ^ # of Units - Sq. Ft. PRV # of Bldgs -? Length - Fire Sprinklered - Type of Const Ve, Width REQUIItED I NSPECTIONS _ Footings (new bldg) FinaUCO. _ Foodngs (deck) f FinaUNo C.O. _ Footings (addilion) _ Plumbing _ Foundation HVAC _ Drain Tile Ofher ,Roof _ Ice & Water _ , Final _ Pool _ Ftgs _ Air/Gas Tests Final . Fr?un?tig _ Siding _ Stucco Stone Brick ,-Fireplace R.I. AirTest Final _ _ Windows ? Insulation _ Retaining Wall Approved By: ???te- L . , guilding Inspector Base Fee ?30, O d Surcharge , Sd Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total 7y 50j 5v !.? -'l 1-f°A 2005 AESIDENITAL MECiHANICAL PERMTi' APPLICATION City Ot Eagan 3830 Rilot Knob Road; Eagan MN 55122 Telephone # 651-675-5675 Pleese complete for: single family dwellings 8c Wwnhomes/co¢dos wlipi pemdtv are re(iiited for each mit Dater) Site Address f? ?J?(/ 1'? I l?'U..iY ? 1?/ V/ U ei Uuit # Property Owner Telephone # ( tPSI ) I1 I D I ContrACtor ?ef)Z- QUQ1.1-1 Streqt Address city State ? J V T6p Booa #: 0/?, q?_q Na-q szPims: ? Telephone # ("??a ) ! ?O /? ?UA ? g 1 I-C 4 C D The Appllcant is _ Owner v-,Contractor _ Other Add-0o or alteradoo to existfog dweliing unit 7L---fumace _Additional ? ?ReplacemeM $ 30.00 ? air exchanger ' _ airconditioner _New _Replacement other State Sare6arge S .50 Total $ W , ? I hereby apply for a ResideMial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinences and codes of the City of Eagan and with ihe Mechanical Codes; thaz I understand this is not a permit, but only an application for a permit, and work is not to start without a permh; that the work will be in accordance with the approved)plan in the case of work which requires a review and approval of plans. , 2 ? L4?Yllte_. Applicant's Printed Name Appli Si ature Use BLUE or BLACK Ink For Office Use I I I ` I City of Eajan I Permit of I I I Permit Fee: I 3830 Pilot Knob Road I) Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 ! _ _ _ _ _ _ - - 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 01 111 Site Address: 12~1 Tn Ay& 1 a (,/b&Q Dr. Tenant: Suite Resident/Owner Name: I ?Zr 6'u,Phone: L, 19 - 1 ~1. 7110 Address / City / Zip: / 55~ 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 Water Softener Lawn Irrigation l- RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System 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 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.aopherstateonecall.ora 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 pl x -Carl Michels X :12-07ZZ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In -Air Test Gas Test Final I PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA114620 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 1377 Interlachen Dr Lot:9 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Stephanie Vought 3451 W Burnsville Parkway Suite 120 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William J Tierney 1377 Interlachen Dr Eagan MN 55123 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature �, � , . •a Use BLUE or BLACK Ink r--------- ---- --� I For Office Use � ' 31 �3� � �� O� �� '"'`"- '..r i Permit#: �� i � � �irN s. I Permit Fee: � J`. � 3830 Pilot Knob Road ��,. '��°�� ' � Eagan M N 55122 ' � Date Received: �-�'�� Phone:(657)675-5675 R��. � �^ �5;;� I � Fax:(651)675-5694 I Staff: �'� I ? ' �_�1�� -------------- �, 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �7-rs-lj Date: Site Address: Unit#: �1 Name: ��1�1►� �'��!��Gi,a Phone: � � �� _ �� Address/Ci /Zi 377 It��TOac �� r�td�V1, �i� �.�t�3 �� 1�� tY p� � r � � Applicant is: Owner �� Contractor � ; � � � � '"�� Descri tion of work: ��Cr�� P;5�� R e w � v,�'�0 t� '�X �� T��C�C ' P �ec� -�a �41h�. �r'1e�1Sf ntr1,S �� Construction Cost: �p�d�� Multi-Family Building: (Yes /No�) R r � Company:_�q�u,c�t,,,,�( , C;o►^�'y ,Contact:_�N�2Y i�✓i�'N � � � Address: 12�'17 /�i�,o��t- �V�. .� City: (�ufnSu'r�� 4�t��k� - State: �� Zip: �'�3�) Phone: �t�Z�73�-�3�Email: �N��(��,��°��G�(, �Q� > �� License#: ��,�'�0�i� Lead Certificate#: � � If the project is exempt from lead certification, please explain why: � � ,' � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING � In the last 12 months, has the City of Eagan issued a pennit for a similar plan based on a master plan? � Yes No If yes,date and address of master plarr. � � Licensed Plumber: Phone: Mechanical Contractor: Phone: � Sewer�Water Contractor: Phone: � � Fire Suppression Contractor: Phone: � AFt��`�* �$t��,�t�d�#!�#Ql�'if�li,�;��1i��`�3t/�Cl��!'It�s�`#.*G01�Sid@F@d��b��?l//ll��fJf�'l�#%Q!?: P�r#+cns of � ��r,��on�rr� �e� ' r ��`$�� rt�if o�°prQvrcfe� e��re��c�i�s�t,r�rt tiar�►u�t erm�t�he�+ tt� � � � , �� . Y., R P tY � , -. � � ,° ��;��r�t�e �re fr�tle secrefs.' r � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 Mours before you intend to dig to receive locates of underground utilities. wvaw.gopherstateonecail.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 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. '��1�2�( �,�✓�`�{ ., x x /' � Applic t's Printed Na Appli nt's Signature Page 1 of 3 - �� 1� ��"��'(lac�.� c 3� i�DO NOT WRITE BELOW�H S LINE � �` I SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ Multi � Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES 'C�i 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 �j 6 7� ��e�3 Occupancy �L-�k'C- 1 MCES System Plan Review Code Edition � 20 �� SAC Units (25%_ 100%� Zoning � -� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings(Deck) Finai/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice 8�Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: `��lnJ� l/�/) � k��-1r� ,, Building Inspector RESIDENTIAL FEES Base Fee ' �}( �� Surcharge Plan Review -� �� , � x (s�, f�� S�° � MCES SAC City SAC Utility Connection Charge S8�W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 y" i '\ a . . * .f . rt �y / �/ ��' ��V�L ' TR�`L.�I�C� ��1* T . � �c�R: S �"1J��1�1� s� � �� 1�� HA�.L�l1AF�� HC��ES 1�60 YANK�E��LE l�AD �AC�AN,�l�t�TJI 55'126 LEGAI� E?ESCR I PT 1C�N� �c��,��+�c�..s...y.��w�.s � �rxr� ArC�+Dl�GING 7C3 Th1E F��t�t#��► �..A�" 1'HEREOF e�e ' C4�NTY,lu�il��OTA � . �.�� $ , ��k � r. �' `�.. ,,� / •�,� 8� � l�flT � � ta� r � �"��``'`� v , l��(„�-�,,,'�� ' , ,, �.��. ��+at��; r'��o -� ,��. � `~.,''`�� r�- , , `�,` � r .•,�'�'� '��,_ '�` �� '�'` ..��y �. � -'`�r`u�`'a ' '``., �`' : ...: ,o,�+� �`� �..f�T I{) . .� � ��,�, •;,,,.�� . �,► �;. � �� . , � .._ ,. ..... , . `�: �`'� � � �� /' � �.,�. ,, ..� ��' � A � . �t �' � f *b�'�� $lr C � � �� EAGiAN' ENt�IN�E�t�� #7��s " � �� 'i�, � ,,�,__ �� — �" c� �t� �u�.�.s,�s�MEn��r wal.rct�u�t , ��R E�„E�4TWN AT''�R1ACE EXT�N^I4N� `r` +� �� (R41i MQ�Ii�':MT � t�1�A�E 1'�AOR �:LEY�ATtON+� �„C ;µ-s r. +► !� W0l�D 1� S�7 PI�M�t'�BED�`1!t$T g'1.t�t Et.E�IAT�QM= �T�S E%i i {� �P07 �D�A�IE�' ��OO�t • ' ' �L��AT101i ELEYAFtflt! OEIVGTE8 P�t�l�1? SP�T �,.-��!b"��S OR�AI�bYfl��lON E= VERiFI� Af,.l.� M �"� F1NAa. HC� P1.�1$ i lMrab��f! tNot#1f1��1�'ttfy.ptat � � �, �,f 1'��f ��,M}��1�_�1!�11` 1IIp�1' 1� �r*..�",��• +,��. Xa ..��. .# . diriCf W�INYI�p� +0�1�i�1 Ofl1 0 �► $1'��f *�-�'��/M�� MA. I�ia.i�14�.I�3�� if�l1� L.il� SW"1►�OC Wldl�l`t� �� o��. s�r.�r ��o�a. t�r�=..�!.:.=��:.�' � PERMIT City of Eagan Permit Type:Building Permit Number:EA158452 Date Issued:10/15/2019 Permit Category:ePermit Site Address: 1377 Interlachen Dr Lot:9 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Ryan Malloy 1377 Interlachen Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature I EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspectionsc citvofeaaan.com r For Office Use, Permit #: �� Permit Fee: / 40 46) Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident! Owner Name: .9_ J` VIA l �r 1. v 4 h Phone: TA, 1 X-Alty-1 ! a t' 4 ��, r % U Address / City / Zip: 131 � Applicant is: Owner Contractor Si I) C la,e5i ile•-& 't r®el Type of Work Description of work: Construction Cost:Multi-Family Building: (Yes / No ) Contractor Company: S 0 C 4.0 Y AA.® 1 Contact ® 1 Address: l 0 I F �a•Ls V i i w `` k V" i City: ek rillV i l Le rl State: / " " Zip: S 31 Phone: Coda 201;0 4 I IEmail:C..\tis dO 3&5tt'aL Co`iS�"i�i,01x Co ;I//° [1 License #: 2 l_i -1 1 1 -1 0 Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: ' Licensed Plumber. Mechanical Contractor: Sewer & Water Contractor. Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.comisubscribe. 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.aooherstateonecall.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 accordance with the approved plan in the case of work which requires a review and approval of plans. Ckv as 1Rr S$ Qt Applicant's Printed Name Applicant's Signature