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2192 James St? •i:. CASH RECEIPT CITY OF EAGAN .3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 DATE 19 ? \ ??? FROM V . AMOUNT & DOLLARS ,oo ? CASH ? CHECK i FM L. E_i i ? 1 ? ,?- ? ( ,. -. ?.__ • I FUND OBJECT AMOUNT 4T3 Z-_ C7j - Thank You ` BY 4_ !rc c .( ,-•. , Whtte--Payers Copy Yellow-Rostlng Copy Pink-flle Copy CITY OF EAGAN 15336 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 .' ' , . BUILDING PERMIT Receipt# To he used for •' i??c?:` Est. Value : i 2{ , ill't3 Date .1l'LY 14 ,1 g a,9 SiteAddress i;. 4Z ..?_lr?l:.',: Lot ' Block Sec/Sub. "`? ?LIFF Parcel No. ? Name VAAt ZBE li4MES INC. Z Address i?84 Kz!'L?.;1G AV?,. o Cit? SAVAGE Phone 440-6090 MBme _ Address Phone W W Name s z- Address V Z • ? W City Phone a . I hereby acknowlecige that I have read this information is correct and agree to comp Minnesota Statutes and City pf Ea9an OFd Signature of Permittee = A 8uilding Permft is issued on the express condition th applicable State of Minnes Building Official n and state that the applicable State of R-3,M--i PD YN YN 2 60 25 11-(-)5 EL. 00 ? b}.QQ ? 329.00 100.00 SSQ.II(} S3O.Gu 67.0t., 325•0U 204.00 OFFICE USE ONLY On Site Sewage Occupancy MWCC System A Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required X # of Stories Booster Pump Length Depth S.F. To4al Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, Ciry Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL ?. BLDG. PERMIT NO. 01-3210 Bldg. Permit 01-3422 Plan Check ?- -' `A' 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? 01-2155 Surcharge ? 75-3860 Road Unit ' 20-2275 SAC )Q 20-3865 Water Conn. , 20-3868 Water Trmt. GU 20-3716 Water Meter r ? 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. ! ` - 28-3855 Park Ded. TOTAL ?? ' CASH RECEIPT CITY GF.EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ?? DATE 19 REcEivEn I a? S-'? & 161 C, . 8 DOLLARS ioo p CASH VCHECK I FM BY_ ? -fL?? ?q?ry r, r1 R'? YYhite-Payers CoDY Yetlo-Posti^9 CoPY Pink-Ffle Copy Thank You - A-? . CITY OF EAGAN Remarks Addition OAK CLIFF A.DDITION Lot 3 eIk 6 Parced0 53550 030 06 Owner 5treet 2192 James Street State Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. lQa 1 2420.83 242.08 10 STREET RESTOR. GRADING SAN SEW TRUNK r c 1973 103.83 6.92 15 SEWEF/ ATERAL 1981 5$17.17 581.72 10 WATERMAIN WATER LATERAL WATER AREA "r 160.$3 I0.72 15 STORMSEW TRK 'Z 1979 349.33 17.47 20 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK y ?.. 1 1? ?•!??'+.+?'? CITY OF EAGAN . 454-8100 ` DEPT. OF BUILDING INSPECTIONS : Correction Notice ? Located at ?/ y-? I have this day inspected fhis structure and these premises and have found the following l violations of city codes governing same: Wfien corrections have been made, please call 454-8100 for inspection. . _ ; w Y. Date Inspector Clty of Eagan DO NOT REMOVE THIS TAG . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 551 21 PHONE: 454-8 100 BUILDING PERMIT J Receipt? T? tie s' d for Est Value .•?, ? Date ,19 SiteAddress OFFICE USE ONLY Lot Block ' Sec/Sub. On Ske Sewage Occupancy MWCC System Zonin9 ParCel No. On Site Well (ACtual) Const ¢ Name City Water ? (Allowable) W 3 Address PRV Required of Storiea 0 City Phone ? Booster Pump Length Depth ¢o . Name S.F.7otal ? i Address ' Footprint S.F. 1- City Phone ? APPROVALS FEES yVj W Name Engr./Assess. Permit ? - ' Planner Surcharge uZ ¢ W Address City Phone Council Plan Review 6 Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature ot Permittee - - Road Unit A Building Permit is issued to:__ Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official _ TOTAL Permit No. Permit Hoider Date Telephone ? Plumtstng H.V.A.C. L, Electric T Softener Inspsctlon Date Insp. Comments Footings I Footings II Foundation Framing t,4 Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. p_ Final Plbg. Bldg. Final Cert Occ. , Temp. LP :,LI/vc •?•c /?'•i1" - Deck Ftg. - ? [Yeck Final V Well Pc Disp. ? i . • eI (gextifira#t uf (Orrupanr - y Citp of (tagan ErparfntrnY uf wullding jwrrtinn ¢ This Cen)Icate issued pursuant to the requiremenu of Sectron 306 of the Unifornt Buildrng . Code cenifying lhat at the time oJissuance lhis structure was in compliance wirh the variaus ordinances of the City regulating building construction or use. For the following: ux ci,.r.6. _DC SF V+G/GAk' BW&. ttnWt rw. 1c336 OWUPWX.Y n'P? R3/M1 Zonin6 Diatrict PD Type Cnmt VN o„wae",g VM ZEE fM.; ' Ad drm 14084 K'YLIW, AVE, SAVA' eWka;,,a ,wam 2142 .TW.S L=firy I.3, B6, C1PdC p,, 00=FR 28, I:88 Budding Oflkcial POST IN A CONSPICUOUS PLACE ,._ ? ? . .. . . T • , °' PERMIT ? • ' ' # MECHANICAL PERMIT RECEIPT # • CITY OF EAGAN CONTRACT PRICE W830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? 4 PHONE: 54-8100 Site AddXess' ' 1- - BLDG. TYPE WORK DESCRIPTION Lot_, Block Sec/Su b ? ?L R N _ ew T es. - Muft Add-on ' Name Comm. Repair Addr C City f La. L Phone Other ? FEES Name RES HVAC 0-100 M BTU $24 00 c Add . - . ADDITIONAL 50 M BTU 6 00 39 O ress City Sd ? ?. hone - . (RES. HVAC INCIUDES A/C ON NEW _ CONSTRUCTION) GAS O ETS MINIMUM PER PEF MI' 50 EA T n - 1. U L ( - 1 i . TYPE OF WORK 60 COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ?? M BTU t ' APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM (ADD $.50 S/C IF PERMIT PRtCE GOES Gas Pipin9 Outlets # BEYOND $1,000) Other l ? ? f FEE: S/C: t SIGNATURE OF PERMlTTEE r• TOTAL: FOR: CITY OF EAGAN ? , PERMIT # PLUMBING PERMiT CITY aF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? (- COMTRACT.PRICE: PHONE: 454-8100 Site Address, Lot =3 ? Block Sec/Sub 4 m Name ? ?o Address • ? -;-? c City-!?Aii;e?k£ Phone 2` _ 2t Name 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMlIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADQ $.50 S/C IF PERMIT PRICE GOES BEYQND $1,000.00) . (t /, ? i ,I [ SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BIDG. TYPE WORK DESCRIPTION ' Res. x New X Mult. Add-on Gomm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES TOTAL Water Closet - $3.00 $ ?• 4 C- Bath Tubs - $3.00 c C•' 00 / z • C U ?Lavatory - $3 . -4_Shower - $3.00 _-3 . C v ! Kitchen Sink -$3.00 3. G O UrinaliBidet - $3.00 ?Laundry Tray - $3.00 ?Floor Drafns - $1.50 1 5 A ?Water Heater - $1.50 _,?__Whirlpool - $3.00 '3-?? C -t_Gas Piping Outlets - $1.50 i • `? v (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: '! • STATE S/C: ' GRAND TOTAL: ? ? r---- t CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 , Permit No: 1 ?172 Date: 9-911- G`, B/ P No: Date: 714 _.u,,.,'- ? Owner. '.-ia?me?,3haf Site Address: 2U7 Jamee Stree': 13 BF ^? k, Cl_ if F Plumber: r C "ecraaical MWGC: Zonin9' City Chg: LL) . 00 d No. of Units: " Acct. Dep: 0•??F? 1 agres to cornply with the City of Eagan Permit Fee: .000 Surcharge: sOrdinances. Misc.: BY SEWER SERVICE PERMIT CITY OF EAGAN Permit No:_ 3830 Pilot Knob Road Meter No: _ P.O. Box 21199 Reader No: Eagan, MN 55121 Conn. AcCt. I Surcharge: Tr. Plant_ Meter. _ CITY'OF EAGAN 3830 Pilot Knob Road P.O. Bax 21199 Eagan, MN 55121 Zoning: _ No. of Units: Date: Size: ' Date: 1 agree to comply with the Clty of Permit No: 9931 Date: Meter No: ?/O 7?6 Z" Size: Y ocl Reader No: 0 ?C /Z 3 S/ V Date: ? 6 mn. Chg: _ 550 oolaa Zoning: ` ct. Dep: No. of Units: rmit Fee: 00nd rcharge: S?nd P 1 agree to comply with the Clty of Ea an lant 7 rl4 f1(lnci ?ter. g Ordin es. sc.: -) ,:T ... By WATER SERVICE PERMIT CITY OF EAGAN N? 1 5 3 3 6 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PHONE:454-8 B I 100 F go'" U LDING PERMIT Receipt# To be use'd for SFD/GAR Est. Value $126, 000 Date .lULY 14 ,1988 Siteitddress 2192 .IAMES STREET OFFICE USE ONLY Lot 3 Block 6 Sec/Sub. OAK CLIFF On Site Sewage _ Occupancy IL3,.PL-1 MWCCSystem ? Zoning PD ParcelNO. VN On Site Well _ (Actuap Const e VAN ZEE HOMES INC. Name Citywater x (Allowable) 1Z..N w z Address 14084 KIPLING AVE. PRVRequired _X- #ofStories 7 o City SAVAGE Phone 440-6090 BoosterPump - Lengm 60 Depth 2$ , p Name $AME S.F.TOtel ? a Address Footprint S.F. 0? Ciry Phone pppROVALS FEES Ww Name Engr./ASSess. Permit i- Address Planner Surcharge 63.00 a w City PhOne Council Plan Review 129.00 Bldg. OR. SAC, City _100.00 I hereby acknowledge that I have read this applicalion and state that the Variance SAC, MWCC 550.00 information is correct and agree to comply with all applicable State of WaterConn. 550_00 MinnesotaStatutesandCityEaganO inanc WaterMeter _fiZ_?Q0. Signature ofPermittee RoadUnit _325.00 A Building Permi[ is issued to: VAN _7, .E HOMES INC_ Treatment P1 904_ 00 ontheexpresscondltiont tallworkshall6edoneinaccordancewithall applicable Slate of Minne o aNtes a ity,of Eagan Ordinances. St parks Builtling Oflicial__ ?j_ TOTAL $ z$"4-E-:Bfr- This reQUest voitl ?j/C j?? 18 nnnths Irom / ? E 23366 ,3 , 9a.k. .? ? ? 7?51 5 kequest Oaie { / Fire No. flo '. n Insperiion Reywred? • ZK.-dy Now ? Will Nntity InsOec- ( QyeS (?'7.... ? ?y tor When Headv VLicensed Eleclriwl Cmllraclor I hereby repuest inspaction of above ?Owner elaclrical work instelled at: Street AAdress, Box or Route No. -7?l y Z ??d City f ecuon o. Township Name or No. Hange No. Couni A OccupantlPfl}NTI Phune No. U Yz o? Power $uplier, ? Aedress ? / ?? ?C? Q' Elec.trical Cppt tor IGom? NOmel ? ( ??- S ? pl, trar.lor's License No. MailinB Addra. IContrec or Owner Maki ns ailation) l? /1 ,?w " y3Y AoNorized Si n ,fi tvre IContractor Owrer Makfny Install ion) Phone''7Numbery ?f 6 ?r/ MINNESOTp STpTE BOARD OF EI{6CTqICITY I THIS INSPECTION REQUEST WILL NOT Griggs-Midwey 91dg. - floom N•191 BE ACCEPTED eV THE STATE BOARD MN 55104 UNLESS PROVEP INSPECTION FEE IS 1821 Universitv Ave.. SL Paul, Phonei6121692-0800 ENCLOSED. 7/sln- REQUEST FOR ELECTRICAL INSPECTION . ee-ooooi-os / Sea instructians lor comoletine this form on beek oi yellow cooV. E 2?3 ?3b?6 . "%" Below Work Covered by Ihis Request AdA Reo. TVOe oi Baiidine APPlionCa! WiroA Equiu?+ent WireA Home Range jo Temporary Service ' Duplex Water Heater Liqhtiny Fixaues Apt. Buildlng Dryer Electnc Ho2Un Comnercial 81dg. Fumace Sllo Unloader Industrial Bldy. Air Conditioner 8ulk Milk Tank Farm otner pe?:i v C11npr (spmcilyl , .! $yC[:I(y OthC! 01h4f omuute lnsoection fee Below M Fee ServicaEntrenceSize 4 Fee Fexders/SUhtaeders b Fee Gircuies 0 to 200 qm 5 0 to 30 Am s 0 co 30 Am s Above 200 qmps. 31 to 100 Amps 31 tu 100 Am s Swinuning Pool Abave 100_Am s Above 100_AmPs Transiormers Irrigation Booms 5 Partia6?Other Fee Signs Spec:ial Inspection S T AL FF flemarks ? 1 ? ? _ar i Rough-m ??t 1,. I, the ectrical - InsDactor, hereby cerlily that tha above Final D)Y° ?Q soaction I?ea Daen . I2 I' made. Thle repueet vo1018 montlie Irom This repuest void S/G/OQ 18 nwMhs from D 8°324'9 ? y r7,2VS ? Request Uate ` Fire No. Rouph-in In w ction Requiyed? ?HeaAy Nuw ?Jiil Notifv Insoec- ? /?? ? ? [?.?es No lor When HeadY E?LicenseA Eleciricat Con[ractor I hereby request inspection of above ? Own¢r electricel work installed at: Street AAdress, BoGz or ftovte No. CitV e.cUOn o. Townshi0 Name or No. I RanOe No. Coumy V% OccuGanl(PRINT) Phone Nn. Power Su?er a _??C C? Atltlress Elec[rical Contra or (COmpany Nume) c ? S El ' ?C Cnn .mtor's License No. i c e c r- ' / MailinB A.dJress ICOnvnctor or Own Maki Ins la[ioN ? 7 ?lD ' AuNorized Signatute (C nhacmr Ownor Makin) ? Phone Nu ber ? MINNESOTA STqTE BOAPD OF ELECTHICIiY THIS INSPECTION NEQUEST WILL NOT Griggs-Midwey Bld9. - Room N•191 BE ACCEPTED BY THE STATE BOAflD 1821 Universitv Ave.. St. Paul. MN 65100 UNLESS PROPER INSPECTION FEE IS Phone (6121 642-08O0 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os i15ee insfractions lor compleling this torm on betk ol Yellow roCV. 6 ? 93249 "X" Below Work Covered by 7his Request eve AAd Rep. Type ol euilCing Apolionces h'bed Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaLn Commercfal Bldg. Fumace Silo Unluader industrial Bldg. Air Conditioner Bulk Milk Tank Farm oin«, ne,Hv .mn, lSU??=?tvl i n. Suec?(v Omee Otni<r omnute lnsoection fee Below p Fae ServiceEnvaneeSize tt Fee Fneders/Subfeede,s b fex Circuits !- 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qm )s 31 to 100 qmps 1, 31 m 100 Amps Swinaning Pool Above 700_Am s Above 100-/amVS Transiormers Irrigation Booms Pdrtial.'Other Fee Signs Special Inspection $ TOT L F E am?rks A 5? f? ?? / v Nough-in p?:e I the Elecbical . „/? spector, hereby rlily thnt the bove Final inspection hes baen '? i mede. TMn requast voltl 18 monihe Imm ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-0675 , j New Constructlon Heaulremants pemodellpeoeh RenuiremeMe • 3 registeretl sAe surveys showing sq. tt. of lot, sq. tt. of house; antl all roofed ereas • 2 oopies of plan ? (20% maximum bt coverage allowed) . 1 set of Energy Calculetions br heate0 additbns • 2 coples of plan showing Oeam & window sizes; poured faund design, etc.) . t stle survey for axlarbr additions & decks • 1 set of Energy Cakulatbns • Intlicate tl hame served by septic sysiem for add8bns • 3 copies af iree Preservatbn Plan if lot plened a8er 7M/93 . Rim ,bist DetaN Options saled'ron sheet (hldgs wMh 3 or less units) DATE I G Z VALUATION ?!() f O 7 Z SITEADDRESS__Z? MULTI-FAMILYBLDG _Y Y N TYPE OP WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ? STREETADDRESS Z?3Z ?kF::-- 2? "br;vL ? CIN 1`X,Mntt0k/+ STATEMO ZIP TELEPHONE # l nI2- Z-4?,`Il:o? CELL PHONE #UZ-?Z I-?SSS FAX # G SZ -3 S Z' `I FS Uc( PROPERTYOWNER TELEPHONE# (OSI-95L4 -3Sl 3 COMPLETE THIS SECTION FUR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RIIL,ES 7670 CA1'EGORY 1 M R?RIl3L?S? ??n submission type) • Resitlential Ventilation Category 1 Worksheet Submitted • N y Code o e • Energy Envelope Calculations Submitted p J U L_ O 8 2002 I Plumbing Confroctor: Plumbing system includes: Mechanlcal Conhactor. Mechanical system includes: Sewer/Wafer Conhactor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge fhpt I have read this application, state ihat The information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin,Qnces. • ll(r'"? f SignatureofAppllcant I ?LjJv-l?s(' OFFICE USE ONLY Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPeacad aroz APFLICATION FOR PERMIT . NCriE: PA3Tfr1`If OF FEE AT TIME OF i APPI.ICAIZOM WES flGf C17N- ? i STI1LTfE APPR6JAI. OF PIItPIIT. : R + SEW ER AND/OR W ATER CONNECTION :?mmION cF =*R Am/cR w=? ; ?r?ccaTx?s wna. Nar ee s.....,r"^ : . • ,'? [!NCIL PE[74IIT H1LS BE@I APPRWID. ,*F '#filkit?lflff?IrkR#1fliiii;lrk?ff4i*Rlfi oF eaqcsn (PLEASE PRINT 1) PROPERTY ADDRESS: SIIy? ..)f?/J?2 c S? T'FY;AT' DESCE2IPTIONJ . . . . . . . . . . . . . . . . . . . Lot B ock S vision or Tax Parcel ID IF EXISTING STRL'CTIJRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mon ear PRESEbPP ZONING/PROPOSID USE: Q COMMEE2CIAL/RETAIL/OFFICE Q IAIDUSTRIAL Q I[VSTITUTIONAL/GOVERrA7ENT I?J R-1 SINGLE FAMILY ? R-2 DLPLEX ('Stao Cnits) q R-3 TOWNHODSE (Three + Dnits) Q R-4 APARTMENf/CODIDOMINIUM Units) ( Units) 2) ? tvArtE: Vn?r,?,r ? SewerS° 6rJ?37cr ADDRESS: 7 CITY, STATE; ZIP: ??t} PHONE: T For City Use 3) NAME= Pl rum es License: ADDRESS: Active Expired czTr, sTATE, zzP: Not recordec pxorE: S?9Y?z7?g' MASTEK LICENSE 9 3_3yA?;V7 s? za n= 4) e .,? i • ?i NAME: !/i?.s:? ? ? l`,?a.•r? e S ADDRESS: CITY, STATE, ZIP: PHONE: 5) s, o? • a?• • u . ia ?ik n CONNECTIO[V TO CITY SEWER 14 CONNEcrION To CITY WATEF2 O QTHER 6) ? Al ?._ r-) r_M1. l.cZA ?rzz7`"?1C?! "X1 ******??*•******r:**r******,t*+*,t+**,t********:c****?,rx*****,?+**,t****?**?*t**++*x.t*t*:rx**+***********+*r ? ,*k TfiE GOLD COPY OF THE PERNIIT WILL BE SETlr DIRECPLY TO P[)BLIC WORKS TD FACILITATE ME.TER PICK-UP. i' *k PLEASE ALTAW ZSAD WORKING DAYS FOR PROCESSING. SOP'IF'ONE FROM TfM CITY WILL CONPA(.T YOU IF 7EME * ARE ANY PROBI,IIMLS. + PERMIT # ISSUED Pd w/Bldg, Permit FEES: S le) . 5Z) SEWER PERMIT (INCLUDE SURCHARGE) $ $ lC?•SZ) WATER PERMIT (INCLUDE SIIRCHARGE) $- 6 WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ / ? •??? ACCOONT DEPOSIT - WATER $- ? ? - $ WAC S ? S 0-1171 S sac $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $- 6-6 $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ / C` 7 TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQOIRE EXCA VATION IN PUSLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC ? NO ROADWAY" MUST BE DIVISI ISSUED BY THE ENGINEERING ON. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: iC" J " TITLE: DATE : , . FOR CITY USE ONLY 7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN / 5 SINGLE FAMILY DWELLINGS ??? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTA6CTDR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT ZS ISSUED. MULTIPLE DWELLINGS RENTAL DNITS FOR SALE UNITS 4 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAtERCIAL INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTUIiAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: ,?iiCIGIL? `Rir. 4/valuation: Z? Date: 7- 7^d P Site Address M ES S%_ OFF' Lot -7 Block p On site sewage_ ! MWCC system v Parcel/Sub On site well / City water Owner ??.r{ u'/?? f C?'1 +'? /? PRV required _ Booster Pump _ Address City/Zip Code Phone ?L2 .3 - 6 1{7 7 APPROVALS Contraetor Lr ?s ngr/Assess Planner Addressly???/?-cj??itV Council City/Zip Code,s? ( fWGG- ?? Var?anaef? Phone / Z tq -irc? ( cv Arch./Engr. Address City/Zip Code occupancy 4?- 3;/Wf- l Zoning p p Actual Const ViY' Allowable I/ 4/ !1 of stories 2 Length /vd Depth 7 S; 3 9 S.F. Total Footprint S.F. FEES Permit Surcharge o3 Plan Review 3 Z 9 Z?lt 7/11 SAC, City !00 SAC, MWCC SSO Water Conn Water Meter (?2 Road Unit 3 zS Treatment Pl '2 oY Parks Copies TOTA[. Phone !1 Is? Fido? 3?.r .38= t??P?, yr. 5?7zz 24 / I00? 3/,r3a = ?3o ry^?? y?s?c vqYas?' ?-?y L?s6N ,- 2 P,?- s? ? ) G? Y ?-- 1/Sy?. ! 3 = lS?oc?Z / ? s? D '?0. n?? {Q/ayNE SCHAF PROBE ENG NEiERING ?`?NSllLt1H6 fHGINEfAS, #I?aO70/ PtAHHEAS ond LAHD SURVEYOQS g?? /5 COMPRNY, INC. yAbc 17 1000 EJ.ST ISfiL1 S7RE?7? 9URNSYILL£, L?1liHEZGT. 51227 PH 1'e2°eOQU Ce7-1 Z'Z czz7e o?' •.SZ:t?-Ye y ??CCI .?C.s r? a?+'c?- • L4T ,? gZ C? C.1< 6, O<iK CG/FF, DAKbTA CvUitl7y, MIN.VESOT,r'-r t `957, 3 JAMES S??-T -- ? O ?95 o'T,C, 90.00 ? ?-_. ?$7,2. (9s ].9) ? - I ? i (957, z) r--?--- , g i ; 5I ?/ ° ? 5 U6/o?? i(96/,0) '96/.33)???53,a ? " I `L? _•=' l'?KC/Y I? LL.Se I8.00 ? F?W US8 (oi oRr,o ? ? ) 4 n; ? J a + 2 I ` `,? -- ?6?•0??96?,b? ? I- LOT 3 _ ?5 r / / . ,I, P, m D5.U07-z5'3 P20aoS:-rJ1 Ic; iniIs oIRECTic.v oF 5'URF4CE 0RIWit/A6c &cR UT/L/T?at?ASE? ' EF?GAN ENGINEERING DEPT REVORWIREDW -- ? ,, o 90,00 (pb6.7? S 89° 48' a4" W I hersby cartity Lhat thia ia a i:,se and ccrrect rapraaentitiaft of a tgxr-f ot land as shoxrs'and described ht:ecn.• Ae prepared by ma on this 3?0? c9ay crf Ju,,re , 19 8 g • r Hinn. lEge Pteo /boBS $CAGE . /", _ II ? 50' FRCiI,'T BU/LOi/II i SETBqCK [ /tic C23?-O7 DENO TES EX/?57/NG ? ? ` al C96/•o) M p o Q r ? \ ) ? - ? 96/.33 = • EXTERIUH tRVELOPE AVEP.ACE "U" L011PUTAT?Ott , ITE ADDP,ESS: e? )/? L' , / _... ...._,.... Ot1TRACTOR,: 1?7?N ff(9/Y 11?j DATE: PHOTIE: 1,6 O D.ETERMtNE 1rORKItiG SQUARE FOOTAGE OF EACH: . TOTAL ERPOSED ilALL AREA,,,,,,,, z3cJ7 sq ft x"U" '11 a ?59.3 . TOTAL ROOF/LEtLItlG AREA,..,,.., sq ft x •026 = 30, . TOTAL EX?OSEO 1JALL AREA CALCULA TIQtIS: Total exposed wall area above floor,,,,,,,, a?pgp sq fC a) Total wall window area: dweL*, Qlaied'' ..'.. I'Sq , I sq ft x".u" . 352. -rLpQP?Lj- qlazed....... 4, la sq ft xflu,, , 352- = 33,3 b} Total door area ,,,,,,,,_ sq ft x"U" c) Total sliding glass door a rea: qlazed7 .... sq ft x "U" _ glazed...... sq ft x nUn v d) Total flreplace wall area ' sq ft x "U" ? e}? Total.wall framinq area . (Average 10°).......... a0$ 3q ft x "U" L a z0.$ f) Total net wall area ahove ' floor (Insulated)...... I 51?? sq ft x "U" g} Total rim Joist area...... c?4$ sq ft x "U" ,V`t = $,3 Tota.l foundation arca (Exposed) .......... sq f t h) 7ota1 founEatlon winc'ow area.............. sq fc x "U" _ 1) Total net foundation • - arca above qradc........ sq ft x"U" „?4 TOT„L a) thru 1) I f iten N3 is thc s:,me a;, or lcss [han i[en Pl,,you havc rr.t thc in[en[ of S.R.C. Section 6CQS (c) 2. ERPqSED RnqF/r.EILItlr, f.qLCI1LATlot15: roof/ceilinq area......i.. s,q ft., • • To[al expnsed :1 _ . Tota_l skyl iaht area...... -------- sa, ft x "U" ,.. .: : s ..' k) Total roof/ceiTfnq,framrnq ' area. (Avera6c ln°;) ..... sq ft x"U" .03 • e 3?(o I) Total net insuiated "?• ' roof/cef 1 inq arca..... )p3?;(o s9 ft x"U" l?.. „ TOTAL J) thru If.total of."11 is the sare as, or less thznyou haye met.[he intent of S.B.C. Sec[ion 6006 (c) 1. _. , . . ?_.. ALTER;,ATE BUILDl.IG EpVELOPE OESIGPI To u[iTize- the total envelope system nethoE, the values established by fhe sum . of i[ems 03 and H4 shall no[ be areater t`+an the sum,of,,Vxens Rl.and °2. + a.. . , 3. + ;;. . , 7,.? SL% , . . , . . . _ _ , , . . . . . . 'r , . ? a . .. .. .. ' . .. . . . :. . . ., ? . : . . k.....- C E P, T t F f C A T I A H • I• h.eceby certify.that 1 have calculated the "U" factors and "R" rolues herein and that the buildinn he.re descrihed meets or exceeds the State' ' )f Minnesota Enerny Conscrya[ion Act. . . LUfIZ, I HUI.1 IWil 11aLL FRnr11tIG SE[TIOtI: --(I I..rnrinr air Filen A R YOIWG (1 ?A ??? . . V ° I/IZ =. .??.'.. . . . • 1•rpLL SECTIOn (ItJSULA.TEO) = --{1 Interior air Filn n,FR z 3 ri afa.GUtss L. ' . . 4 _ L'??Owt H , oh¢O . , :. 115 Z..?'?. . S ?. ltp s?ue . , • .6T, +' _ ` F Exterior air filn • 11.17-: ? • T07AL R ? =2?3`- ' _. .' . ' . u ° I/fZ °-.D1J :.. RIH JOIST SECTIQtt: .' ,1 Interior air fitm n,6;a , 2 5 i' FI 65eCoLMS L I 3 ? .4 14," i',jswuKtaa ldakrtA !-3Z 5 'l? b.P?p y oru? ? 6 Exterior air film 0,17 ? TDiAL R / . . . ' ' U ° .I/f2 i ? -.aa, . ? •?? ' . .. p` i. .. . . , ? . . .. . . . . . ?- - FOUt7DA71or! SECTI0r1: ..r..?. ~ 1 .. Interioc.air film. n./,3. ?? j?-?? . ._. Z • ; 'a r ? L Exterior ai r Pi fn -0, 17 Aq ; , R.A 6 1 . 1 4 ??// TI ? ? , ,.o s• • TOTAL R Q. 7.1 U = 1/R ? ,14 SLAR Ott GRAOE - a• . '\ '? V•.-•4 •Q I . ? ? ' ' • ' a• : ; , .:ij•y,;,?/' '• ,',; ;i ? ' ? . ? 4 p C', Fi '? t ? :. . ? ,, f Q.:•?; ? ? ' •V ? .? . .d 1Q ° ?; , , • u,.; A n•., ?„//i;'/ .:" „?,::- a, c:t . • d• • •• •. ? ;. . ••, • :\.a . . ;S I r./,% , , , , ?': " . NrV 41 4 / cl n ? I l ? VENTED _. LU71S I Hi1C t I(111 ? RVHUJ[ f,Cllltlr SECTIat! (IHSULA7ED) :.. . . I Interior air filn n.61 2 $/ 5 ?TEocIL ' .58 3 14" BlswJa . ri 5s¢:Gt.trs l4q. 4 Exterior air fiim (still) . 0:6I T07AL R P= 5.8 Ui/R = ;02. ,.? CEILIttr FRA4I11G SEGTIOtJ: 1 ' FntArior air film n,61 2 a" 5wf,srr-oclL 3 1o'L. BlowiN FI$£Q('oL 4 Interior air film still) S 3'L inches soft wood 0 V ° I/R a i. 03 CEILII:G SECTIQN (INSULATEp): 1' In[erior air fifM f1,?1 Z 3 4 F.xcerior air f'ilm stiil) (l.hl IOTi,L R = ' • .. V a I'R .Q 'VtNTED LEILIrlr, FRA.yitlr, 5ECT1aN: . . I- Interior air filrn 0.F1 z 3 4 Ext>_rior air film still 0. I S inches soF[ wood TOTAI. R ? U = IIR +R. 1 2 3 r, S Insi0.e air filn "n,f 1. Ou[5i!'e air filn- /1.17 Weat6mtrips A'?•„•V•tGuide lows ? Doon Referwa Qut. Wal1 Inl -?pf?_ Yea-No 19_ i•ImA. t'Nw11 Room Length n,j_ Width Windawn and Doors -Crackage and Atea Ne. WIUth of Dine Helsht o( Dsne No. of IIfFb Llncal (L ef coct Area ?0. It. Coef. Btu In6ltration Glasa Exp. wall -` x 19 l8 Nee e:p. wall hl?wall , (e L '146 Ceiling -(. t / 'LL F1oac I iowi nm. Required eq. ft. E.D.R. or eq. ins. W.p. Leader area •I g,,, + 3ath Room Lenqth,?9-6 Width i: Windows and Doers_(`..?k.s. ....1 A... Na. WIOIh ot Dane Hel,ht of Dana No. e! U?ql? Llneal tt. of eraat Ana q, ft a4 yY ? ,, ColF. Bm In6ltratioo aJ,-? ay Glese ExP. Wan o.4.{, „ atA! Nec exp. well a0,S bq '?^W? R'M 0•t? V !a ',?, Ceiling p.` I 2.s 1 -E6Qr-. wtai um. Required aq. ft. E.D.R. or eq. ine. W.A. Leader arcs 11,11.1 liadQne.n Room I Length I // WidehQ- Windows and Doors-Crackav! nd 6... No. wiacn e1Dans Helght otDane No. o[ pghb Lln.al (0. oterack Area m.ft, av 6 y, ay Coef. Btu Infiltntioe 34,r ?,? Sa Glsu ;t Sb ?ao0 Exp. ws0 I i-1 . Net exp. wall ine,-w.Il R i w.` ? i ?o I Ceiling O -41aen iom ow. LjOH$ Required p. ft. E.D.R. or sq. ins, W.A. L.eader ana Comtruclion Na Wel) Ceiling Roof Floor INSULATION K?'od r- Fl.l fja14Nm Room I Lensth 1 N-6 Width ?/ y Height f d wmaows ana uoon-i,ncea ge saa nrea Ne. Wletn of pans Ho1glt Of paao No. o! Ilghts L1eu1 tt. of eeaek Ana M. [t. , 3 ?e o ? Coef. &u Infiltrstioo D a `190 Gluf ? O uU Enp. wsll 14-fo Iq 4 .71919 Net elp. wsll e7034 /(/ 95 4".-..u 2 w, v- . t, d+.r. [. A Ceiling /_ b I SI ! f4eer ' Tohl Btn. y 1$ Required p. ft. E.D.R oT p. ies. W.A. Leader nns Fl.IGeawl.yKARoomll.ength,?0 R+idth ly Height ? W Ioclowf e00 LqOri--l.faGLO gE pq4 H7la No. WNIE et oam XNtnt o! png e.Of 11(Ah LInHI f0. of eraet Am p. ri l CoeL tV IOfiltIit10A Glsas Fsp. wall ao+iiaZio Y H NN e:p. wall r I H S4 -i?.aralt -C?iting. Floor po v r1 .?Co 3 ?? v Tot el &u. Reyuired .y. fe. E.D.R. or w. io.. WA. Leader arcs Fl• [i nsa~+- Room I Length ? b' wicM J?• Height c Windom and Deon-Crsekaae snd Ares Na W IAth of Mne Nf t o! p"r Na ot 11ghts LInwI [L e[ erut Arw p. (L S i.3y Coef. Btv Infiltratioo 61 ;? Glau / C O 4,30 Exp.wsll ]$iibt,l a-/4x 76$ Net exp, wall SA sl .. a.t.wall Flaor k 791. 24 io1a1 tltu. B 71 Required p, h. E.D.R or sq. im. WA. Leader axa      ð  ý     þ ý ü ÿþþ ý  üúüúûû     ùýýþþ úûúé þù ë ïï êêê ÿ ÿþ÷  ûúùø÷öõòÿæ ÿÿ úø÷ö õ ø÷öõòÿæ ÿóòæíö î ÿ öôúÿ ÿúÿëúö ÷ Þý ûÜú é îö  îÿ  î Üú ÿî ÿ ù îÿãï  ýòòöýÿü ï ï îý  þ ÿöã ï ï ÿö ï ÿ  ã  ùîá ÿ  Üú ù÷ òÿýï î÷ îÿã  ÿéäìäââãêâãâê öù  ûú  ý ÿÛ ú äìäãêàãàê Û ú üã  õó ÷ òñ öö  íò  ÿ ÷    àú÷í õÿàß îÿû íÿ þ ý ñóêê èêå   ù÷ òý     ÿ öö  ÿ   ï î ÿ   ý îö÷ò   öö ùû  ïñÿ û úÿ ÷ïþ ý ë  ÿã öö æ îûý ú ÿÿú÷ûý ú  Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r rl'{ED Use BLUE or BLACK Ink For Office Use Permit #: j009F�J (4 Permit Fee: / 7c 13(0 G� -1 Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION / Site Address: 2/ Yds 79/17b-75 1/6t Unit 8-1 #: RESIDENT 1 OWNER ' Name: .),I116-i6&/9e1) '. digt°!,'drrdfigr-.,(?f L- Phone: e -0 -5/ -Te- 44/3 / _ ,\ Address / City / Zip: Z/ 4/2 c) R1•t? YT- 4,lGfi4 /v 55/LZ Applicant is: Owner X Contractor TYPE OF WORK Description of work: 'r7e�N&tii grad %'� /c)✓Th' 4,041 ,ee} tin Z. Construction Cost: l.:5®, ®d Multi -Family Building: (Yes I No CONTRACTOR R Company: J'r M iII/LDDg .dc. Contact:U,-fr•f,�,/ ) Address: 'MY/ Z 2 eU`Pii/F�. <-. - City: /1f;.rl/J5f PdV05 ll State: /7/1) Zip: 440 7 Phone: Zp / Z - 7Z 3' 5g2'7- Ig2License License#: ZO Zig'/4/ Lead Certificate #: If the project is exempt /7/6rM6 Barer from lead certification, please explain why: (see Page 3 for additional information) 'Pier, 1 Y78 In the last 12 months, Yes XNo If 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? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: 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 publleu provide specific reasons„ hat would permit the City :.... ; : conclude. tha#,the :,are tr`ade;secr,ets . E' 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.gor herstateonecall.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 p, ns. ///:#.4. Applicant's Sig ire Applicant's Printed Name Page 1 of 3 DO NOTWRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Interior Improvement Addition Move Building �} Alteration ✓'� Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fire Repair Repair i/r h13 �l Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: rfrp RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window 1 0524 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant PD MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: Footings Backfill Radon Control Erosion Control Building Inspector /O 3 / 67 a Final Brick Final Page 2 of 3 City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Cc Use BLUE or BLACK Ink E4t! Permit #: Permit Fee: Date Received: Staff: J 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 8 1 S Site Address: � G,2/ 9)- 2 Sl,"4 Tenant: / l 7'r -t v�'1-�^'��.cL ( Suite #: RESIDENT / OWNER Name: /740,47-1. - (�i'i L I Phone: Address / City / Zip: o2 I i c) - ..f Stt.--4 CONTRACTOR Name: b In <✓.S T '/"— b e Ai (,a License #: 05-13 b `? /4fri ► Address: ( -)<( 1 (,,-:-r,.,2 esu Cr— City: /K,ct Lir..../1-C...- Le._State: State:%f4"/ Zip: Sr/ / V Phone: ( ) 1 3 $- 7 t( U /6s Contact: / C4 Email: Gleet co i `G� 744.1.4, . C a•.A TYPE OF WORK f _ NewRepllacement Repair Rebuild Modify Space�Work in R.O.W. _ _ Description of work: /eIv e -t ��fi' `'4-1— //-c14-4 7/ f- cWV 'ie • 1114-_ PERMIT TYPE RESIDENTIAL Ke Sg^k 4-" - Water Softener Water Heater Add Plumbing Fixtures ( Main / Level) _Lower Lawn Irrigation (_ RPZ / PVB) Water Turnaround Septic System 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 $55.00 Add Plumbing `Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 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.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 rs and is got a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accord- a with a. ,i•' as > the case of work which requires a review and approval of plans. pli t's Printed Name L J rN c1.S x A•plic Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In _Air Test _Gas Test _Final *' City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: /l l q Permit Fee: / D 5 . 6L -5 - Date Date Received: _ j 5- 13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2 PS- /3 Site Address: Zl92 cTAr"7FS r. Resident/ Owner Name: 416,ey Gi0,Pc9erD{a142. Address / City / Zip: 2/ yZ TH. ? Applicant is: Owner X Contractor Description of work: &/4. /)Z4) t -i9 272 Construction Cost: j©DD„ aZ) Multi -Family Building: (Yes / No ) Phone: Unit #: I2.7 Company: errYB fl Hca/L,P fle7.7� ..Je Address: `LZ)`I / ZZ Contact: /91/ City: State: IV Zip: -5 4U'7 Phone: ei/Z,- 72 3- '4 - License #: 441044 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: Mechanical Contractor: Sewer & Water Contractor: 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. 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 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. Applicant's-P-rin e.Pnvts frytg,, d-Namc x 1 /yr / pplicant's Signa Page 1 of 3 Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 L Use BLUE or BLACK Ink For Office Use Permit #: 10°1(035 +, Permit Fee: �►/® •OJ Date Received: ,5))5 /) 3 Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION 3 Site Address: Tenant: Resident/Owner Contractor Type of Work Name: Address / City / Zip: c=?/f.2. Suite #: Phone: CI -- Name: J7 -7 S Address: License #: /42e %3a. P� / 7 Y/ City: 4...)/7", .r2.c,r, Statc0/,‘-/ Zip: 3-3-71 Phone: ,s / ^ % % .3 — S ? f''v Contact: G4- --/-) i-r.r Email: cfrn tv r c� t.c.t^.00. C WA_ New _ Replacement _ Repair Rebuild ✓-Modify Space Work in R.O.W. Description of work: .114.-k,7„,..... Permit Type RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / ✓Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 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 $ 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 aid 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 • Qrhrtwi out a permit; hat the work will be in accordance with the approved plan in the case of work which requires a review and approv, = . a x I &/16 `c" l^//%S Applicant's Printed Name Aprcant's Signature FOR OFFICE USE Required Inspections: Reviewe Under Ground _Rough -Ln y Air Test Gas Test Date: _Fina City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 2 0 ?O!3 Use BLU or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: 1 ZO' (3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / Site Address: 7 / %L.G 41 ':_ Unit Resident/ Owner Name: '�J�v /4,0e Dge,'e- Phone: ea )z- ear Address / City / Zip: 2/ 11 3"Pm s�,'?e e-;16.49 Applicant is: Owner h Contractor Type of Work Description of work: 150g ,FrY es -7 Construction Cost: 3 2, ;Teo, 4)6 Multi -Family Building: (Yes / No Contractor Company: ' `t" i Buic,,pme4) J,✓z;. Contact: .4.:0,4v`Y-1 y(3: Address: `/6'f/ Z� g; . City: /V/ALotergp ids State: ri2) Zip: 5'V/67 License #: L' zt ggoj Phone: /d/ Z- 72.3 •- 3 Lead Certificate #: ,UP T'- 32-/ OZ -/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional informatio fc)usr-; t 1fzT f/ .5n 1t7' 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 X No If yes, date and address of master plan: Licensed Plumber: 0 11.04(../ Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 damages Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 1 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; thdt 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 comp eted within 180 days of permit issuance. x /9V):0 dry x t / I ; f Applicants Printed -Name- Applicant's -Signa re Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Ak Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% 1/ ) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck ,t Lower Level Interior Improvement Move Building Fire Repair Repair 43ti ra3 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: AO/ RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window to 10(4 Storm Damage Exterior Alteration ($ingle Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundatic n Water Damage *Demolition of entire building — give PCA handout to applicant 26r7 PA MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Al Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests Siding: _Stucco Lath Stone Lath Windows Retaining Wall: Footings Backfil Radon Control Erosion Control , Building Inspector Final Brick Final � 00q-44 & e2o P•3 TOTAL 91/iii90 wS Page 2 of 3 From: Mary Olson Date: Tenant: Fax: (763) 400-4503 To: Eagan Cllyof Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 Fax: +1 (651) 675-5694 Page 2 of 2 01/27/2014 3:12 Use BLUE or BLACK Ink. For Office Use Permit #: /90337 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION 1110"111 - Reskient/Ow t+er Contractor, Typo of Work Perm (t Type Site Address: D12 bent J Suite #: Name: hay Oh “!4 Ar t I Phone: tI1L- '1 !t4 . id ff Address /City/Zp: 2192_ Jatta the-- An 5T122 Name: AvI ppfcqivio,{ 7Utrt1/1 i m N License #: C e 0 i U L-'! i Address:71v VW44lV O Oa ft/6W `' City IY / A haft/ h State: _ Zip: `� J � t81 Phone: 7 • 4--2$ - I I Contact:ll Email: ►T?-Qjt�1 �,�LS I V,VI Cf1f1l New Replacement _ Repair _Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL 1 Water Heater Lawn Irrigation (_ RPZ/ _ PVB) Septic System New Abandonment aft Water Softener Add Plumbing Fixtures (_ 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 (110.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ • CALL BEFORE YOU DIG. Call Gopher State One Cail at (651) 454-0002 for protection against underground utilitydamage. Call 48 hours lbefore. you tntend:to dig to receive locates of underground utilities. www;aopherstateonecall:orq hereby. acknowledge that:this information is complete and acci.irate; that the work will be in conformance with the ordinances and codes .of the City of Eagan; that 1 urderstand..this ls:not. a permit, but only an application fora permit, .and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Ignature FOR OFFICE U Required Inspection Meter Related Items: Under Ground Meter Size,. Radio" -Read PERMIT City of Eagan Permit Type:Building Permit Number:EA126781 Date Issued:09/09/2014 Permit Category:ePermit Site Address: 2192 James St Lot:3 Block: 6 Addition: Oak Cliff PID:10-53550-06-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Gary Underdahl 2192 James St Eagan MN 55122 (651) 696-6195 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature . Oct 7. 2014 3: 34PM No. 0623 P. 2 Use BLUE or gLACK lnk iFor Offlce Use � ^ � C� Of �� a� ; pa�,f#: ; � � .. _ ,.... � Pertnit Fee: � I , `.�r 3630 Pilot Knob Road �� ! '-�-f ° I pate Received: � Eagan MN 55122 � I Phone;(651)675-5875 ��� ; :� ���;?; I � Fax: �651)675-5694 I Staff: 1 I � 2014 RESIDENTIAL �UILDING PERMIT APPLIGATION J ������5 � �o�,s-� Date: /o ���' s�teAddress: c��9a .��,�n es c�� un�t�: �i� , _:_T�.�a::� r-_:_�_ � � �-� � �+ � h ��/�(o�/(o- (��� �- =�����"�. �.'xY Name: �U-� f D � Phone: �- ::..=r..x.,„� , ;: � >� r-8S9�4f .� � � 9� �T�h�ie s � ti,�. ��yy��p,:,, ;� Address I Cliy/Zlp: � , � a q,� lM� J��/��- �T�, ���_,_� . �-�=-�:: ;�+, ,��_.�:�-i_ Applicant is: Owner h Contractor �_�� ___�:,..-, • . _-- ��-� -.-._ .��----�,�•..'i Descriptlon of work: Q�� �llt'G�� �I/ I`I Gtl � �0 /h �f2c �h�l•cJ � v -3�=; ''�:1��rf." eC�GC�f� � W�vt - ..����v�' Constructioh Cost: �ulti-Famlly Building:(Yes /No =- =�"-�s�,. -- ��_;.,-��-. ==�i� _:-"-"�--.'"-�'..�'�' ' _ '� -'"'�::���� �.V'��� � ��V1 S✓�'1��'TQ- ���:�'�r __;T.--�.-�.--��x Company: ��(� �s .��1�lvVl�OZV Contact: � :�_� �,_.��::_ . . �Ts�,L;z: r �y--: =� _�`�-� Address: 1�75J C�c�e�s���Y �I �( ��t,,: 1-�d�c�rrs �_�� �:M:r_}. =��� ���Q��� � ��,�/ . s-.��:- '�„°"'=��-•, M Zip:��� Phone: - 7�����mail: Cfi�Iv��v1�+AIr2�. CJCl/t�'VQV�JNOS. 6vt, .��___-�.,. State: s_'-.-}—��_'�.''�- ' y.�,-;=��,r = _�' .�s=x==�. �=���. �=�'r:�; Ucense#: ' Lead Certiflcate#: ������5-� If the project is exempt from lead certlflcation, please explain why: (see Page 3 for addifional information) �0�,15�, �U.l �.� 1�1�1 /q��, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issuad a permlt for a slmllar plan based on a master plan? Yes _No If yes,date and address of master plan: � Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: ..._...__,.,, z:_ .. ........y:::.... _ �7.���.."_',.�'.-in-.��d.:r... _ .,.r�tnn... _ _ .,�'-= .-�aan:ys•ry.r _ - _ �it;+'i�- " - - -� — . .. .,._.... ._�.y, �.. � .- . . ......... p ,-..: � -.:./.:., ,... t,_.__ .._�: t::: ,���,;�:_�, .!?���:����.�'.!�►�.,j s= ��� ;�! ��.fn�-::�A:.��. __ ::�►,'�o�"�►�.�='�`: .�.p bl,� _ rstt� o. ����aq'� . �� �i�l� �- �."4.� �,-sfr�T*..:� "rY� �'.� F._�' �_i�.r srtX' s'��� �4. �' ' C.� :sz:. '$ _ r � " �1 �r.v _ , . . �i _ �nf.,r,.,. _:a�:�.a:., ������� � ��x��pu�'��,c.=1�;,.�s�� S _ _ a_�i f���: _ �rm��� �:� .��� � ..--- c�r: ,s,��.u��=-����{� ��.. ����, .'k:�c��tc�ale Zh�'t' f�'��:_��'s t�rd��� - - ��=a� ���'�--��=,::��,f �i.� �_,....r R , i�� <�. __.-K.: ,�=T.: CALL BEFORE YOU DIG. Call Gopher State One Call at(667)464•0002 for protettlon aga�nst underground utility damage. CaN 48 hours before you Intend to dlg to receive locates of underground utIllNes, www.gooherstateonecall.ora I hereby acknowledge that thls Ittformatlon Is complete and accurate; that the work wlll be In conformance wilh the ordinances and codes of the Clty of Eagan;that I undersfand thls ls not a permit, but onty an application for a permlt, and work is not to start without a permlt; that the wo�k will 6e in accordance wlth lhe approved plan in the case of work which requlres��evlew and approval of plans. Exterlorwork authorizad by a bullding parmlt Issued In accordance with the Mlnnesota Stata eullding Code must be completed wlthln 180 days of permit lestldnCe. � x ( Gl�v'U�`�h �W�S �p t/�' x Applicant's Printed Name Applicant's S' a ure Page 1 of 3 . � �( �Z �a�.eS �. DO NOT WRITE BELOW THIS LINE � �-� �Cp SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) �i Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/GazebolPergola) Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building'' Addition _ Move Building Reroof Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ��' Occupancy G-1 MCES System � Plan Review Code Edition �7 SAC Units -- (25%_100%� Zoning �_ City Water Census Code !y/ 3� Stories '~ Booster Pump —�� #of Units � Square Feet ""' PRV #of Buildings 1 Length -,. Fire Sprinklers —� Type of Construction �_ Width `" REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas �ine Air Test Roof:_Ice &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 Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEE Base Fee /p 3 a�... Surcharge Plan Review �y? �� MCES SAC City SAC Utility Connection Charge S8�W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157223 Date Issued:08/09/2019 Permit Category:ePermit Site Address: 2192 James St Lot:3 Block: 6 Addition: Oak Cliff PID:10-53550-06-030 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gary Underdahl 2192 James St Eagan MN 55122 (651) 235-8369 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159946 Date Issued:01/30/2020 Permit Category:ePermit Site Address: 2192 James St Lot:3 Block: 6 Addition: Oak Cliff PID:10-53550-06-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Gary Underdahl 2192 James St Eagan MN 55122 (612) 396-6841 Mayday Restoration 18062 Judicial Way N Lakeville MN 55044 (651) 253-4085 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162989 Date Issued:08/10/2020 Permit Category:ePermit Site Address: 2192 James St Lot:3 Block: 6 Addition: Oak Cliff PID:10-53550-06-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Gary Underdahl 2192 James St Eagan MN 55122 Mayday Restoration 2400 N 2nd St Minneapolis MN 55411 (651) 253-4085 Applicant/Permitee: Signature Issued By: Signature