1850 Jade Lane
Use BLUE or BLACK Ink
I
Office Use 1
I 1
2 ~ I Permit 1
111100 1
City of Eat(, 1
1 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: !J 1
Phone: (651) 675-5675 I 2 1
Staff:
Fax: (651) 675-5694 L -----------------I
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: License O ~30 f M
Address: 5593 l City: t
ZzOkW
State: /-Zip: O Phone:
Contact: ~ "-'g ✓1 Email: ! tic rw % ~l~ rh+ a, 7 ~~i i''
TYPE OF WORK -New _Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures C_ Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accorda a with the approved plan i the case of work which requires a review and approva plans.
x 1 x
Appli ant's Printed Name Appl cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
For Off ce Use
I I
city ~a an Permit of I C) c)
I Permit Fee:
3830 Pilot Knob Road I I
-~-1~
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: In I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a} t'/ Site Address: V Gad` /fir`
Tenant: Suite
RESIDENT / OWNER Name: 20M 30A Phone: S-Z-6-0
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Y tr C)
~U
Construction Cost:'-0, Multi-Family Building: (Yes / No )
CONTRACTOR Name: License #:?6,~~~L✓~✓
Address: L~~... S City:
State: 01l✓Zip: ;_6L53 Phone: 2oz?
Contact: "A", Email: j`od~~y~,!ra:~~ru:4
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.gopherstateonecall.orcl
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 x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use
Permit#: q `7 3V O cc-
Cit of EaEd ~
I Permit Fee: O
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - cT- /C7 Site Address: 18 SO :Yjf L Y-N
Tenant: Suite
RESIDENT/OWNER Name:G;, c I(aip Se,1,", l err C- Phone: Co f / - S of -oooc>
Address/ City/ Zip: ~3cx-_,) i~PJ C ~4-F
Applicant is: X- Owner ~6 Contractor
TYPE OF WORK Description of work: _Tn s t~ed( Ke ym-e ( (0-"~ cre~ Q n14 4-~-e i-'yroec - -3-P '
Construction Cost: op 4?z,000.6D- Multi-Family Building: (Yes / No/6--)
6S Z g/ S-
CONTRACTOR Name: Cnc (inJ2 S0N"8v1P License
Address: 3cx) Ask S~~ r Zoc, City: _4
State: 1\~ Vv Zip: S S/ a (a Phone: 4,S 7 S' S ' S_ `J S 7
Contact: 0. & 2-e W_ Email:
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's P ted Name Applicant' gn re
Page 1 of 2
CITY OF EAGAN
3795 Pilot Knob Road
Eagoe, Minnesota 65122
Phone: 454-8100
`,IR COP7DITIOTdIT PERAAIT
Date: 180 1977
? Site Address: T?'; e Tr_: e
Lot -7 Block ?Sub/Sec. C• G•
No.
875
Receipt No.: f)
Single I
Residentiol
Multi Res., Comm./Ind. I
Name Richard Ra(11_ New/Alter./Repair. '
.
? Address 'a'--1 Jade L?.?ne Cost of Installation
City Faadn , Phone: Permit Fee _ `; nn
? Nan,e Standar d Heatinq & Air Cond. Surcharge • S0
?
g Address west TAke St.
C
? City Phone: ? • ?' `i
Toto I
This Permit is issued on the express condition thot all work shall be done in accordance with all appliwble State of
Minnesota Stotutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Remarks
Addition =DAR GROVE 7 Lot 7 Blk 5 Parcel 10 16706 070 05
Owner -?- a f ?,-t-w GWeet 1850 Jdde L3ri@ State Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK S' 1970 58.18 2.08 28 Paid
* SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL ?I 1.615.00 80.75 20 PdiC?
WATER AREA H
* STORM SEW TRK ( 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 6154 7-26-72
BUILDING PER,
sac 260.00 6154 7-26-72
PARK
i
EAGAN TOWNSHIP
BUILDING PERMIT
Owner --------- l?C-s-.---??!-_..?-a. -
/? ... _ .._.' .............
Addrecs (Presanl) ..... ....... ?..... ?.`.`."-----S............ ....
Huildet ---------------------------------- -------------- -- -
Address
DESCRIPTION
N° 2790
Eagan Township
Town Hall
ns:e..?-a/-7?
Slories To Be Used For Froni Depth FIeighf Est. Cos! emarka
M5 7?
LOCATION .;i-l 9• ?
Slreef. Roed or oiher
-This pexmiY oes not aufhorize the use of sfseels, roada, alleps or sidewalks nos doas if give the ownas or 6is agent
the righS to creale anp ei2ua2ion which is a nuisance or which preseals a hazard !o the healih, safely, convenienca and
general welfare !o anyone in the communifp.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGRESS.
This is !a earlifp. Shai__C?.,r.G.c.z..?*-?-?.._Ee.,-:-°.?:..hes permission !o ereei t-- ?---- - u on
. __'. -'-...... ' - - ....... _._'-. . . p
lhe,a6ove described premise subjaei !o the provisions of the Building Ordinanee for Eaqan Township ado fed April 11,
1955. ----,•?!^:"-"".`.=?`... -?-'..`.ti'1--""'_---'--
Chairman of Tnwn Board
"I
Per ----------- _........I&_ u--------------
Suilding Impeefor
?
TOWN 0; EAGAN
3795 Pilot Knob P.oad
Eagan, P1lnnesota 55121
PERMIT N0. 9M,
The Board of Supervisors hereby g?-ants to C6dat` Q2'ove CcustsveLm pp,
oF 7343 Ccnoord Hlvd. Ba,eL. 8outh St Pi 55m5
a rl.urlesllYu Permit
at 1050 aade Lane 7•j ?3G ;?'? , pureuant to application dated
7/2t /`j2
Fee Paiti: w60."0 DaCed this 26th day o£ 17117.4 , 19J2.
1150 sc
Building Inspector
?-
7-.5
C , c,, 7
TOWN OF EAGAN
3745. Pilot Knob P.oad
Eagan, TSinnesota 55121
PERMIT N0. ?zr?
The Board of Supervisors hereby grants to Cedar Grove nn„a4w....ti.,.. 00.
of 7343 ComcorA Blvd. EaeL. Aouth st KO75 ?
aHBO= Permit for: (owner) 06d[sr Ck'ave Coaatruotiau Co.
G?2- #aatEi ?.+^!
at 18± jgeln =- 7-f'+
, '•h7 , pursuant to application dated_
7/21/72
Fee Paid: "s'60,pp Dated this !, .h day of 19?.
1.50 e/C
Building Inspector
?
?-----------------
? POPO?CP.USe
? Permit#: I
I Permit Fee:
I (
? Oate Received: 06,; !095 ?
I I
I
? Staff: I
L__'_-'____-______?
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: S- I 2' 0 p Site Address: I X S U Ta, d G GLf ii, t
Tenant:
Suite #:
RESIDENTIOWNER Name: Phone:
Address / City 1 Zip: ? f( S U La"
CONTRACTOR Name: S4C;nrkyti{JS piµil License#:
Address: _I I 2 E SP-1 S+ S tilA 10 1
(65 f m
Cit
y:
State: /W _ Zip: 51j1r
' Phone: ?R-36I'?I LS? Contact Person: MQ4M
TYPE OF WORK _ New V Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of w(irk:
PERMIT TYPE RESIDENTIAL
? Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
L-- RPZ /_ PVB) Main _ Lower Level)
I _ Septic System Water Turnaround
New
_ Abandonment
RESIDENTIAL FEES;
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (indudes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic Sysiem Abandonment, Water Turnaround` (includes $.50 State Surcharge)
*
Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ducrivork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ Sd. SO
I herebv acknowledoa thar rr,i,
- - ------------- --•••.•?? ?? ..1e1 11,e .1R wni oe in cvmormance wrm [ne oramances antl cotles of the City of
Eagan; that I understand this is not a permit, 6ut ooly an application for a permit, and work is not to start withou a permit; that the work will be in -
accordance with the napprovetl plan in the case of work which requires a review and approval of lans. - x Ra4h. K??LtT x
ApplicanYs Printed Name App canYs ignature . . ?;r .., { .. . ? : _- . . ,..
FOR OFFICE ?USE? ReuJewed By:, ." 'x u° ?? Date. '° =
-7 17
Required lnspections: - _Under Ground' , ?' Rough In _q?Test ?,afsallTesf ,_?inal
. ._ .......?.:.1 ??.' ? " rn. .` .
Cpe
40? City of EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------?
? I
? C I
? Permit N: I
? ?) ? I
? Permit Fee: ?l6v7 I
I I
? Date Received: I
i I
i
? StaN: _ _ _ I
2008 MECHANICAL PERMIT APPLICATION
Date: `?)- 5 - ?A_ Site Address: I % cx' Ocxcke- L-Yl
Tenant•
Suite #:
Ph311'?L'?
c
?ki
2
'
RESIDENT / OWNER
-
l
,1
Name:
l
1 o E hQn
Address / Ci / Zi :
?-y bs`? ? 4??
CONTRACTOR Name: _ Dan Wohlers Southside Htg. & A/C License #:
6950 W. 146" St., #106
Address:
Apple Va11ey, MN 55124
?'h' - (952) 431-7099 tate: zip:
Phone: Contact Person:
TYPE OF WORK __ New -YReplacement ^Additional _Alteration _ Demolition
Descriptionafwork: RE'PSQC'?.; 'Fl1YRdCQ
i1,? ltlCL'PI. ?hf^'"c"'Bt'4'It?I3ltYBf?t?IS?f?Yff?'d'? r
?
NQ}"L`' ;i00WWfl/C'LIM?t???fld'$XR'?`?Yltld
i
t
!-
E seFftyS?o?er ple?iSB?1?`yC??kf?a??s?oCyN"tAri@siYtflB
,
`
*-
.
? ; c, a.
lA?ftY#d$.
?
? a. ; . , .. .,"P??h.1iB'?4"hYY?"itXfdttliBftGDI??,'?'#?i' ? ????P
RESIDENTIAL COMMERCfAL
PERMITTYPE _ New Constmction _ Intenor Improvement
? Furnace
? Air Conditioner _ Install Piping _ Processed
- _ Exterior HVAC Unit
Air Exchan er G?
9 ` HVAC units must be screened
_ Heat Pump Under / Above gfoUnd Tank Installl _ Remove)
Other ?" When installinghemoving tank(s), call for inspection 6y Fire
Marshal and Plumbin Ins ecror
RESIDENTIAL FEES:
$50.50 Minimum Add-on or altecation to an existing unit (includes $50 State Surcharge)
$90.50 Fire fepaiY (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) -?
?5
TOTAL FEE
$
COMMERCIAL FEES:
$70.56 Underground tank installation/removal OR Contract Value $ X1%
$50.50 Minimum (includes State Surcharge)
= g Permit Fee
- Ii P rmit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each _$ State Surcharge
$1,000 Permit Fae (i.e. a$7,001-$2,000 Permit Fee requires a$1.00 surcharge).
TOTAL PEE
$
I here6y acknowledge thffi this information is wmplete and accurate; that [he work will be in conformance with the ordinances and cotles of [he Ciry of Eagan; that
I untlerstand this is not a permit, but only an application for a permft, antl work is not ro s[art wRhout a permit tnat the work vnll be in accortlance with the approvetl
plan in the case of work wfiich requires a review antl approval of plans.
X Chad c.Johler 5 X
ApplicanYs Printed Name Applicant's Signature
PLiJMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts are required for each unit
Date ? I?:y?-` I D 3
SiteAddress f rsU L??7e- Unit#
PropertyOwner L???e-4 Weer Telephonek((iS/)
'
9
13-
Contractor /
/
Qd r1
6
Address .2y?y9 ???/7v('LW /gl/G City L4hGlli /le,
State Zip(:r6'6_3?Telephone# (9s2) yG4-G999
l `C
The Applicant is _ Ocvner -,o<
ontractor _ Other
Septic System New Refurbished Submit 2 seCS of plans and MPC license $ 100.00
Includes County fee. Adtlitional consultant fees may apply.
Alterations To Esisting Dwelling Unit, Includiug $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ A6andonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener Z`Water heater
r? (' j??? L? I,l
$ 15.00
_ replacement additional
L1
?
State Surc6ar
e $ .50
g
gY ------•-
Total $ ?5.!ro
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 with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
?4nG ,$?'ZUJ.b2r9' p ?
Applicant's Printed Name ' App o nYs 3ignature
-7-5-7
f '
EAGljN TOWNSHIP
3795 P31ot Knob Road
St. Paul, Minnesota 55I11
Telephone 454-5242
PERMIT FOR SEWSR SERVICE CONN$CTION
DATE: NUMgER 1062
J
OWNER. Lie R-)ns:Address I!1 50?J AC'? E'
PLUMBER n 9 TyPE OF PIPE
DESCRIPTION OF BUI1A ING
IndustrialI CormnerciaiI Residential I Multiple Dwelling I No. of untts
Location of Connections:
Connection Charge260.00 pd 7/26/72
Permit Fee 10.00 pd 7/26/72
. 72
Street Repairs
Total
Inspected by:
Date
Remarks•
Bp
Chief InspecCOr
In consideration of the issue aad delivery to me of the above pexm3.t, I
hereby agree Co do the proposed work in accordance with the rules and
regulationa of Bagan Tormship, Dakota CounCy, Hinnescha
BY -
Pleaee aotify mhen ready for inspection aad connecCion and before any portioa
of the work is covered.
-7-5 -7
EAGPN TOWNSHIP
3795 Pilot Rnob Rosd
St. Paul, Minneaota 55111
Telephone 454-5242
PERP41T EOR WATER SBRVICE CONNECTION
DateNumber: 899
Billing Name&.Aa)r \z*,MO21'_(hSSite Address:CXp ?nhe
Billing Address c3 -
Pltmmber: \h Nl,.-h'1J?h? ?O. ?I`- ?l,lA.` ?111h i
T.nrafinn nF f'?nnenhinn Meae? Caon f`nnnurt?nn r.ho_ • /26/12
Meter No, IPermit Fee 10,00 pd ']/26/72
:?-p'U-7'/2fs/72 s/c
Meter Reading _ I Meter Dep.
Meter Sealed: Yes lAdd'1 Chg.
NO ITotal Chg.
Inspected by
Date
Building is a: I Remarks:
Residencexx
t4ultiple tio, Uni
Commercial
Industrial I By;
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tUe proposed work in accordance with the rules and
regulations of Eagan Towaship, Dakota County, Minneso a. ? Oa? By:
L?? '00'L:'t\-Q
Please notify the above office when reedy for inspecCion and conaection.
{,[p MURPMY
/ MAY011
TMOMAS EGAN
MAFK PARFANTO
JAMES A.SMITH
TMEOOORE W/.CMTER
COUNCIL MEMBEPS
7- S C G 7
Decaber 19, 1978
ML'. RLChdLd Radl
Eaqan, MN 55122
TMOMAS NEOGES
CIT ??wwATwAiON
?LYCE BOINE
CtTV CLFRK
CITY OF EAGAN
37i3 PILOT KNOB ROAD
EAGAN. MINNESOTA
75f22
•NONE ?5?l1D0
• ItE: Park' REStsiction Reauest - Jade Iane
Tfaar Mr. Radl:
Z am fonwasding to you a copy of a Msro that will be presenbed to the
Cotmcil at the Deoenntaer 19, 1978, Council Meeting.
Zt is in response to your request for parking control on Jade Iane in
frcxit of the Chateau Riviera Apartrrnnts. As you can see by the Maib
that is being forwaxded to the Council, parkinq restrictions will be
placed cn Jade Iane but only restricting the traffic during the perials
of 2:00 a.m. to 6:00 a.m. 14e feel that this will have a tendancy tn
discourage on-street parking by the residents. However, if you feel
a total parking ban is required, it caill be necessary to have a petition
stilxnitteci with tlroe signatures of at least 758 of the praperty o.aners
frun Rahn Ra3d to approxinately 1,200 feet to the East. 'ihis petition
is required due to the fact that a tntal p3rking ban will haveY in effectx on N,o
p+existing propexty owners. Consequently, before the Council will consider
issuing such a total parking ban, they will want assurance that the
majority of the property aNmers are in concurrence with that request.
1b awid duplication of mai.ntenance manpaaer; in the fonn of installing,
reroving and reinstalling any parking restriction, it would be helpful
if such a petition could be sutanittecl to City Hall by Januasy 10, 1979,
for consideration by tle Council at their reqularly scheduled meetinq of
January 16, 1979. If no response is received by .Tanuary 10, 1979, we
will proceed in the manner I have discussed in the previously mentioned
Meno to the Council.
If you have any questions or concern regarcling this inforniation, please
feel free to contact me at your convenienoe.
Sincerely,
CITSt CF FlGAN
U `l t
?-?
'IYwmas A. Cplbert, P.E.
Director of Public Works
oc: 7tan Hedges, City Ac3ninistrator
Martin DesIauriers, Police (hief
3j
TAC:tlp
En4HE LONE OAK TREE ... THE SYMBOI OF STRENGTH ANO GROWTH IN OUR COMMUNITY.
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED A5
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING 7ql)
vO _I
I
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL I
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER s? q II
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION -t CESSPOOL
FRAMING o TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
A
e DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
2005 RESIDENTIAL BUILDING PERMIT APPLICATION rx'1
Fl`•
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
Ngw Cansiruction Reauirements RemodeUReoalr Reaulrements Office Use Onlv
3 registered sRe surveys showing sq. ft of l04 sq• ft. of house; and ell roofed areas 2 cop'es of plan CeR of Survey Recd _ Y_ N
(20%maximumlotcoverageallowed) isetofEneFgyCalculationsforheatedaddNOns TreePresPlanRecd _Y _N_
2 copies of plan showing beam & window saes; pou2d found design, etc. 1 site survey for addifions 8 decks T2e Pres Required _ Y_ N
1 set of Energy CalculaGons Adddion - Indicate Honsde septfc sysfem On-sile SepBc Syslem _ Y_ N
3 copies of Tree P2servation Plan if lot platted after 717193
Rim Joist Detail Options selectbn sheet (bulldings wHh 3 or less units)
Date _!?__/ ?13 l Constructioo Cost 616 ?_,? 00
Site Address UniUSte #
Description of Work ,l/ f L m eI74_ (yIh Yjhu-J
Multi-Family Bldg IYY _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner (j Telephone # *?F) Zk-4?30
?
M
Contractor ,V
Address r
? City /??/
y
0)mQs
-
State Zip J j 6?J
Telephone #(?
6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved lan in the case of work hich requires a review and
ap val of plans.
?
ApplicanYs Printed Name ApplicanYs Signature
Use BLUE or BLACK Ink
r-----------------,
I For Office Use
Permit
t
City of Ea an I as
I Permit Fee. ~Y I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ! /b Li 3 Site Address: l 14 Je Unit
Name: t Phone:
Resident/
Owner Address / City / Zip: '`I CIS G ~2J
Applicant is: Owner Contractor
Description of work: ci/ C) f f?. foo f ~ C)&.5'e
Type of Work dc o
Construction Cost: 1 Z C.~C~ Multi-Family Building: (Yes / No K
Company: U S c~G S 7c~ci Contact: LC r4 A LA e
Contractor Address: 2 1 /J C P c'C City: LL s ~S V r Lie
State: A4K/ Zip: 3-S- 3 3 Phone: 6 ~ Z 3 6W LVO 2-
License ~ C 6619'13 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A .NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
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 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 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 ermit issuance.
x ~ LP4 ~
1 AI x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651).675-5694
RECEIVED
FEg 0 3.2014
Use BLUE or BLACK Ink
For Office Use �(, l
Permit #: j � V3 1 V
Permit Fee: W L.' . UJ
Date Received:
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I'"}i 11- Site Address: 1/5D fr '�‘.511
Tenant:
Name:
Suite #:
Phone: 61)- 3�l
Address +City / Zip:
Milbert Com • any I 'c dba Cullign Wat 'r WC643176
Name: License #:
Address: 1801 50th Street East
State: MN. Zip: 55077
Contact: William RMilbert
City: Inver Grove Hgts.
Phone: 651-451-2241
Email:
New replacement _Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures L. Main / _ Lower Level)
Water Turnaround
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)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. gopherstateonecall.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 a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and
xt�/,1 Al
1-int
Applicant's Printed Name
approval of plans.
Applicant's Signature