1569 Johnny Cake AlcoveAddress c? V\ " Y\ W C&?- ?2 \"A1 C.O Vt- Zip 5512 2=
Lot aBlk -' 3ub 00-1-6-0 dC -C 5?
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ?
Final grade (6" fro siding)
Pennanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement 5nish
Deck
Please verify with the builder the removal of roottest caps from the plumbing system and the shutoff of water supply to
the oufside lawn faucet before freeze potential exists.
Contact engineertng division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
W6ite - City Copy Yeliow - Resident Copy Pink - Coniractor Copy
Site address: ?S?a ? JOhNNN ?/l/GOVC Lot ?L Block 3 Subd.
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
/ OR
v This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFA TURER MODEL BTU'S VENTING TYPE
Water Heater ? ow og-2'S
Fumace
v
e?uxjo-k-
t0o
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1
a..w.s.?,z_
.. E30 ?
Bathroom 2 a f? ?ty? ?c -?? Sd ?
Bathroom 3 ?a?{ ??? , ? ? p ?
Bathroom 4 `
f
Other Q?o?,/ _S-d ?(, ?
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S YENTING
UIttECf A7M05
R ? e?.?6l? 7000 ?
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
ure Date
CompanyName
" This form is the responsibility of the General Contractor.
y?- aa B I ci ck 3 ?? LI 9?? ? S ao a.? 5`
_ RESIDENTIAL
' ? ?b ',? BUILDING PERMIT ?A NPLICATI` ? H ol
3830 PILOT KNOB RD, EAGAN MN 55122 ??
651-881-4675 p ,? 4 q1 al 6- rs (-?
a
NewConstructionReauirements RemodellReoairReaulremenls ,
• 3 registered sHe surveys showirg sq. fl. of lo[, sq. N. of housa; and all roofed areas • 2 copies of plan q? J
(20% mazimum lol coverage allowed) . 1 set of Emrgy Calculaiions for heated additions?" j?t, '3
• 2 copies of plan showirg beam & windrnv saes; poured found design, etc.) • 1 sde survey for exterior additlons & decks
• 1 sel of Energy Calculalions . Indicale if home served by septic syslem for addkions
• 3 copies of Tree Preservation Plan if lot platted after 717193 _, o o
• Rim Joisl Detail Optioire seleclion sheel (bldgs vrith 3 or less units)
DATE
SITE ADDRESS
TYPE OP WOR
APPLICANT
MULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS CITY STATE_ZIP
TELEPHONE #
PROPERTY OWNER
FAX #
TELEPHONE #
-------------------------------------------------°--------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RiJLI;S 7670 CATEGORY 1 MINNL;SOTA R111,P;S 767`l
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contraetor: Phone #
Yluinbing systcm includes: _ Watcr Softener _ Iawn Sprinkler Fce: $90.00
Watcr Heatcr No. of R.I. Batlis
No. of Batlis
Mechanical Contractor: Phone #
Mcchanical systcm includes: _ Air Condiuoning rcc: $70.00
_ Heal Recovcry SysLem
Sewer/Water Contractor: Phone #
---------------------------------------------------------------------------------------------------------------------------
I hereby ackn this application, state that the information is correct, and agree to comply
with all applic rAtP 1f?1 ? tatutes and City of Eagan Ordinances.
'
? 3 a0z SignatureotApplicant
- -- B ------------------------°°-----------°---------------'------------ -- -------- ---
y OrFICE iJSF. ONLY ?
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required
Updated 4l02
VALUATION
CELL PHONE #
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
X 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex 1:1 09 07-plex ? 77 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
y 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)` 0 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation ?Q( 9a Occupancy dZ3 -4?t MGES System
Census Code 1 D/ Zoning City Water
?
SAC Units _121, Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ?b
Width T
REQUIRED INSPECTIONS
? Footings(new bldg) V
? FinaVC.O.
_ Footings (deck) FinaVNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
Drain Tile O[her
Roof Ice & Water Final Pool Ftgs AidGas Tests _ Final
Framing _ Siding Stucco Stone
Fireplace \/R.L ?AirTest -(Final
? Windows(new/replacement)
_ Insulation ? Retaining Wall
Approved By ? Z , Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
v??.-,.)/092? Sy
2.?c? I 3q0 X 6 L/
3 6,A24& 7 0-v x / 4,
/ ??3Yo
6`? 9 G Y
7Z,3?o
I r?2?y
M£iR-16-2060 10 !2B
b'1bTChaek COMPLrIANCE REPOsZT
minnesata Snergy Code
tRlcheck Softwars version 3.0
COUNTY: Dakota
BTAT&: Mi,ririeapta
LONE; 2
CONBTRUCTION TYBE: Si.ngle Family
DATE: 3-16-2000
DATE OF PLAN5: 3/16/00
TITLE: FALKIRK W/0 EL. 42
COMPLIANCE: EA9SE6
Requix'ed UA = 508
Your Home = 407
19.94 Hetter Than Code
P. 02ie2
Per t #
C ocke y/DACe
Arsa or Cavity Cont. Glazing/Door
Perimeter R-Value R-va:ue J-Value
--^------------------------------------------^ --------------------------
CEILINGS 1444 44.0 0.0
WAT,LSe Waod Frame, 161, O.C. 2327 14.0 2.0 z
WALLS: Wnod Frame, 15^ O.C. 283 10.0 'e.0
BSMT; CprtC. 9.0' ht/8.31 bg/9.01 iasul 402 11.0 0.0
GLAZING: Windowe or poora, Above drade 485 0.330 1
DOQRS 38 0.350
FI,OOR6: Qver Unconditioned space 352 38.0 0.0
HVAC EQVIPMENT: F'urnace, 92.0 AFCTE
-------------------------------------------------------------- `----"-------
COMPLIANCE 3TATEnENT: The propoeed building design desaribed hera ie
coneiatent with the building plana, epecificatians, and other calculationa
submittied with the permit applicacioa. The proposed building hae been
designed to me , e M?ota Eaergy Code.
Suilder/De
Date??
TOTfk- P.02
LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION i
PROPERTY LEGAL: aa 13 1 uc K 2 OGi KL-nol«
DATE OF SURVEY: 4f -l & -o a
m LATEST REVISION:
?
c
m
L
c?
DOCUMENTSTANDARDS
Y <
O Z o
¢
/
/o ? • Registered Land Surveyorsignature and company
21 ? • 8uilding Pertnit Applicant
/? ? • Legal description
?j ? ? • Address
d/0 ? • North arrow and scale
? ? • House type (rambler, walkout, splft w/o, split entry, lookout, etc.)
d/? 0 • Directional drainage arrows wfth slope/gradient %
? ? • Proposed/existing sewer and water services 8 invert elevation
? 0 • SVeet name
[d ?
? ?
? . Driveway
L
• ot Square Footage
?'/ ? ? • Lot Coverege
L9? ? ? • Benchmark
ELEVATIONS
? Existina
4'? ? ? • Sewer service (or Proposed)
/ ? ? • Property comers
C??? • Top of cur6 at the driveway and property Ilne extensions
[Y ??? • Elevations of any existing adjacent homes
? Cd/ ? • Adequate footing depth of sWctures due to adjacent utility Venches
? d ? • Waterways (pond, stream, etc.)
/ Proposed
tl/? ? • Garage floor
I5? ? ? • First Floor
e/? ? • Lowest exposed elevatlon (walkouUwindow)
? 0 • PropeRy comers
? 0 • Front and rear oF home at the foundation
PONDING AREA (N aoolicable)
? v/ ? • Easement line
? O' ? • NWL
? ?/? • HWL
? O' ? • Pond # desgnation
o ? • Emergency Overflow Elevation
/ DIMENSIONS
Q'/ EO ? • Lot Iines/Beartngs & dimensions
GY/ ? o • Rightof-way and street width (to back ot curb)
[9' ?? . Proposed home dimensions including any propoud decks, overhangs greater than 2', porches, etc.
/ (i.e. all slructures requiring pertnanent footings)
6?it1 ? • Show all easements ot record and any City utilities within those easements
0 • Setbacks of proposed structure and sideyard setback of adjacent existlng structures
[4? O? • Retaining wall requirements, itany
Reviewed: rl,_ ?-// '5--1- D
.
Surv e y o r's
Cert2ficate
SURVEY FOR : PULTE HOMES
DESCRIBED AS : Lac 22, Block 3, OAKBROOKE STH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
L O T SQ. FOO TA GE = 24,739
HSE SQ. F00TAGE = 11 795
L O T CO l/ERA GE = 77o
? Zq=
2
L_y
Erist. Hame
TOB = 930.2
--- 9`Z
i
i
?
S(?? ooe / ? i ? 5 ` •
/
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5'
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OC) CV
N II /? O
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w i I X qZ? ??
?- ?
?
4Z?/ 923`
? a23?
? I °2.Op 92?
o° ?0 ?
i q21
? I ?
'?
lIr
l71
1 ? Ezist. Home
o )O.Op lOp 93 .9
TOB = 935.1
N
C
y orQ9e 7Og
? rv ? o
i31,0 3 2.p0 N
v3 .0 431 ?6. 93211,
^?' • 5
? J
i 0091,
'S30 p0 9303
8.89 43o.'L
/5?9?
?/ 18052
PROPOSED ELEVATIONS
Top of Foundation = q32.5
Garage Floor - q32,?
BOSef1'leY1t FIOOf = q23.5
Aprox. Sewer Service =9zo,st
Proposed Elev. _ ?
Existing Elev. _
Droinage Directions =
Denotes Offset Stake = .
BENCHMARK, CP ?eRO12
EleJ= 931.'9
MIN. SETBACK REQUIREMENTS
SCALE: i inch = 30 feet
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTA710N
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
/1 - ? . _
DATE A/,J4/OZ
Front - House Side -
Rear - Garage Side -
D. LINDGREN, LAIQfY SVRVEYOR
iTA LICENSE NUMBER 14376
N0:
02R-058
Oakbrooke 5
HEDLUND
PLANNINC 6NGJNB6RINC SURVB'YINC
2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
! N z?°cos', - y
9, Stary o ? xq2S,9
PcW o ?
20.00 W/o
l h i?
?
?4?C?v?,
RESIDENTIAL BUILDING
I „?0¢?? Permit Application
l.C City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Al0 0" ..
C,d4 g(is1C6
New Construction Reauirements RemodeVReoair Reauriremenis Office Use Onlv
3 registered site surveys showiig sq. fL of l04 sq, ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20°h maximum bt coverage aliaxed) 1 set of Energy Calculatlons for heated additbns _ Tree Pres Plan Recd
2 copies of plan showing beam 8 windaw sizes; poured found desgn, etc, t site survey for add'Aioas 8 decks _ Tree Pres Not Reqd
lsetofEneryyCalculations Add'dron-indicateilmsifesepticsystem _Oo-siteSeptlcSystem
3 copies of Tree PreservaUan Plan'rf lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less uniLs
Date 3? / 12- / 2003 Construction Cost
SiteAddress 1569 J_-,An!y (4L A lCo?e UniUSte #
z
EQ Q^, /11,A/ .sr/ 22
Description of Work l/QCt
Multi-Family Bldg _ Y4N Fireplace(s) _ 0_ 1 _ 2
Property Owner 1,E75/k ...??f11 Telephone # ( 6SI
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Wwksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculation4ubmitted
Licensed Plumber
Mechanical Contractor n11f, t 3 2G03
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Su6mitted
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 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 ofplans.
Ins, k i , h
ApplicanYs Printed Name
A ' anYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex pibg_Y w_ N ? 25 Miscellaneous
Work Types
.. .
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
A 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additan ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ? Occupancy R MGES System
Census Code Zoning City Water
SAC Units - Stories Booster Pump -
Nbr. of Units - Sq. Ft. §j, PRV -
Nbr. of Bldgs - Length Fire Sprinklered `-
Type of Const Width 16_
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundauon HVAC
Drain Tile Other •
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final .
je Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review '
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?
Surv e y o r's
Certif2cate
SURVEY FOR :PULTE HOMES
DESCRIBED AS : Lac 22, Block 3, OAKBROOKE STH ADDITION, City of Eagan. Minnesota and reserving
easements of record.
L 0 T SQ. F00 TA GE = 24,739
HSE SQ. FOO TA GE = 1,795
LOT COVERAGE = 77o
Exist. Home
TOB = 930.2
--- 2r2
i
O ?
,g0?'? i? ?--
a? ? &
S6?
E-
e
I
/
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i ?
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i ?
I
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2f?
.
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23.
9n _
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i 3
9 ?S?o ytl
acµ w
/o
Caro4e
? qzs,9
/
ExisL Home
?l931RTOB - 935.1
/ o
?2r a• 89 ?Q30.2
lZ??ji
\
COV
156q??-..,? ?-
# 18052
PROPOSED ELEVATIONS
Top of Foundation = 932.5
Garage Floor - q3211
Basement FlOOf = q23.5
Aprox. Sewer Service =920.g«
Proposed Elev. - ?
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
HEDLUND
PL,lNNING 6NGJNBh'RING SURPEY/NC
2005 Pin Ook Orive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (657) 405-6606
BENCHMARK, CP #QO12
Elco: 9 31. ' 9
I5. b
MIN. SETBACK REQUIREMENTS
SCALE: 1 inch = 30 feet
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE A80VE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
DATE A/16/OZ ????"'?'?' ;5?tn
0. LINDGREN, LAtV SURVEYOR
?TA LICENSE NUMBER 14376
Front - House Side -
Rear - Garage Side -
JOB N0: .
02R-058
BOOK: PAGE:•
- CAD FILE:
Oakbrooke 5
Use BLUE or BLACK Ink
I For Office Use
t C p
City Ol oPermit#: it+J.lAl EALL lll I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
I:. -
Date: / Site Address: _~ti~t Unit M
F.
Name: IT h~! k ,I'o Phone: ~ ~ I Z
RESIDENT
OWNER Address/ City/Zip: Ja i7l n
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
Company: i7 t r~ Contact: /4?
CONTRACTOR J Address: City: C f y \
Stater>f Zip: Phone: 60-S 3 2 -2 License 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. I
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro
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 Printed Name App ' nt's Signatur
Page 1 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use
Permit t 1
,ilk nQ I 1
City of Ea Rd~ I a
I Permit Fee:
3830 Pilot Knob Road I l
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: D Z Site Address: IS 1 q ~c A w&_ Unit
Name: Z') St y Phone: ~S I ' Zg C~ L
Resident/ 1
Owner Address / City / Zip: ~S J-b/hnn~ ~ (c.e„,L L aT S$ 2 z
Applicant is: Owner V Contractor
Description of work: _ l cotes -014 s ' r a a ~ f e L,- G ~ z- 5 p(r5'i g
Type of Work
Construction Cost: O Multi-Family Building: (Yes / No
{ Company: ~y a, [ tom r o S Contact: b We y
Contractor Address: 171 D 0e~d~~~ lU City: (20144
State: Al Zip: SS y 2 Z Phone: ~SZ - o 10
License (/L r!o g~ [O 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
I
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
6
the information may be classified as non-public if you provide specific reasons that would permit the City to
i 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 p mit issuance.
X_ x
Ap licant's Pr rated Name Applicant' gnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177207
Date Issued:06/21/2022
Permit Category:ePermit
Site Address: 1569 Johnny Cake Alcove
Lot:22 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-220
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Insik Jin
19181 Saffron Dr
Morgan Hill CA 95037
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature