1822 Jourdan Ct(0 ? ?o0
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single famity dwellings & townhomes/condos when permits are required for each uni[
Date 6i /-
Site Address IInit #
Property Owner Lj ? ? I-) ? Telephone # ( (C s ? ) `?'? `Y ? S S53
Contractor 4s
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is /?. Owner _
i- Confractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
4C airconditioner >-G New _ Replacement
other
State Surcharge $ .50
Total ? oSD
I hereby apply for a Residenrial Mecbanical Pernvt and aclnowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pemut, and woxk is not to start without a pernut that the work will be in accordance with the
approved plan in the case oF work which requires a review and approval of plans.
?ki col c- L r -e b /
Applicant's Printed Name ?pplicant's Signa
Address: 1822 Jourdan Ct Zip: 55123
Lot: 8 Block:l
Subdivision: Forest View
?4.?/ '
iHE FOLLOWINf, ITEMS WERE/WERE NOT COMPLETF. AT FINAL INSPECTION ON
Yes No Comments
Final grade - 6" from sidin
Permanent ste s - garage
Permanent ste s- main entry
Permanent drivewa
Permanent gas
Sod/Seeded lawn
TxaiUcurb dama e
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn offwater supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
V BUILDING INSPECTOR u
CONTRACTOR:
Thorson Homes
4466 Wedgwood Drive
EaQan MN 55123
(oo 1-4 -7 I
t?'1 P C?nb -7 2-
P(' C0o 673
S W ?° (3 ?7 `/?
.511 j4 ai
?o. ?z? ` I
RESIDENTIAL BUILDING
1? ? SZ Permit Applicatiou ?
?y-W, ?l City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtlon Reaulrements RemadeVRe ir uire I enyts Office Use Onlv
3 registered site surveys showing sq. R of lot, sq. tl. of house; and all roofed areas 2 copies of plan ,LCert of Survey Recd
(200% maximum lot coverage allowed) 1 set of Energy Cakulations for heated addNons .&-7ree Pres Plan Recd
2 copies of plan showing 6eam & window sizes; poured (ound des'gn, eic. 1 site survey for addiGons 8 decks Tree Pres Not Reqd
1 set of Energy Calculal'wns Add'rtion - indicate Narsde sepiic sysfem _ On-site Seplk System
3 copies of Tree Preservatlon Plan it bt platted atter 711193
Rim Joist Defail Options seledion sheet (bldgs with 3 or less uniLS
Date _Z ! 14 / Q-3 Construction Cost
Si[e Address 1 822 Jouidan COUit Unit/Ste #
1
Description of Work New ConStruction
Multi-Famity Bfdg _ Y X N Fireplace(s) _ 0 X 1 _ 2
PropertyOwner 9!horson Homes, rnn_ Telephone#(651 ) 454-0644
Contractor Thorson Homes, Inc.
Address 4466 Wedqewood Drive City Eaqan
State Eagan Zip MN Telephone#(612) 810-3597
COMPLETE TNIS AREA ONLY IF
A NEW BUILDING
XX Minnesota Rules 7670 Cat? 1 Minnesota Rules 7672
Energy Code Category
(Jsubmissiontype) ?
• Residential Ventilation Ca0
,1.Worksheet-
??
l • New Energy Code Worksheet
I
`
(
1
Submitted
? I , :-
E
E
l
-
C
l
l
i
n
?
d
t I Submitted
'
1
_
?
•
nergy
nve
ope
a
cu
at
o ?
s ubm
e
t
J
Licensed Plumber Thom son Plumbin
- e #( 95;-933-771 7
el
8Y-
MechanicalCohtractor xlavP Haat;nq R A? C' Telephone#(95JO 941-421 1
Sewer/WaterContractor Allied Excavating Telephone#( 95?-894-8340
I hereby apply for a Residential Building Perrnit 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 pernut, 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.
8?),,, L ?h
Applicant's Printed Name
?? zdi??
Applicant's Signature
OFFICE USE ONLY
Sub Types
,
? 01 Foundation ? 07 OS-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code C7
SAC Units (7 f
Nbr. of Units ?
Nbr. of Bidgs ?
Type of Const
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundafion) ? 45 Fire Repair
Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bidg) - Give PCA handout to appliwnt
Occupancy MClES System
Zoning .?? City Water
Stories Booster Pump
Sq. Ft. .2I `T PRV
Length ?_ Fire Sprinklered
Width 00 U Ft
-??-
? Footings (new bldg)
_ Footings (deck)
Footings (addition)
Y Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace Y R.I. _jCAir Test K Final
Insulation
Y
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
0313?/1C I Toa 01'_ 2 ?/_S"av
o?? 1?-y , 103, y 1o
6A'Yt.nfr6E X l?= ?? ??
fab a
snocyp S6
/ y2, 8"7?
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
20N?: 2
CONSTRUCTION TYPE: Single Family
GATE: 3-5-2002
COMPLIANCE: PASSES
Required UA = 437
Your Home = 404
7.5? Better 2han Code
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
------ Perimeter R-Value R-Value
---
- U-Value
---------- UA
---?
---------------------------
CEILINGS ------------
1276 ---------
44.0 --
-
0.0 39
WALLS: Wood Frame, 16" O.C. 1912 19.0 2.0 107
BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 986 13.0 0.0 55
GLAZING: windows or D?ors, AUOV? Grade 377 0.490 166
DOORS 84 0.500 92
HVAC EQUIPMENT: Furnace, 93.0 AFUE
CpMPLIALVCE STRTEMENT: The p=appsed 1?uilding desiqn described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the xequlrements of the Minnesota Energy Code.
BuilderiDesigner??_ z/ L? Date 7? zY?d;
2422 Enterprise Drive
Mendota Heights, MN 55120
* PIONEEA 1 LqND SURVEYppS • qNL ENqNEERS (851) 881-1914 FAX:881-9488
* ang nearing UND PLANNERS. LANDSCME ANCM1EC15 625 Highwoy 10 N.E.
* ? ? * Blaine, MN 55434
(783) 783-1880 FAX:783-1883
Certificate ot Survey for: THORSON HOMES, ING_
I gZZ JOURDAN COURT EAGAN, MINNESOTA
14"16 :?"J L.1. QA;E/v,el?-T LOT AREA = 12,282 sq, ft.
HOUSE AREA = 1,900 sq. ft.
?( ALEL - O vT GARAGE AREA = 800 sq. ft.
DRIVEWAY AREA = 639 sq. ft.
COVERAGE = 45-&X Aa.;y,,
-/OURpqN ? cOU SERV. INV. ELEV.= g?? p
? S8?o?c3RT R 72925 ,4? l?'.?.
N BSl6 `- ---- 37?50'
GB, ?
0.7
e54.8 . /
BSS.! `-.857.I ?L.G (l = g? ?- Lo Q
as6,p ?,-4?.
856,,3, 856.3
J oesse
cr?70 BENCH MARK
857_2 TOP OF SPIKE
Z r? a a85
BENCH MARK Z g ELEV.=853.97
TOP OF SPIKE ol wW .'
ELEV.=856.49-_,, co d EU
$ '
nj DR?V OSED
W Y
? as 3?r----(y--p-- ?S?
A II ( b `O'! Q54.9 20.0 Q051.9 ? 954.0 ?. ?
BSL] iO .! ?
? ?/?0.??
?14 00 O? u ?
Fj ? ?? 0?°6.33° 10 17GARAGE ? a\\ ? (VACANT)
?n "? ? 11 00/
w= p i 4.50 asa.e
Z ?
asi.a PROPOSED n d' 78.1 I o HOUSE/ lp
-7 n a50.B N ? F,
&51.8 e51 J 852.5 .53 851.6 q,52.0 ? i.
- ?
? \ ]
?t3?Sess 54.00
r-
? esis. 1 2. Q 1. ML1 _1 15.0 642.2
O suH 33.28
aszz
,Pft,3 r ' ?( 9a2.2 7.6 •Qy? '.
B49X? J? 50.9 1 ef? B4}.9 \ v \..
(? (? ?
V) e50. 12 , 849.4 L? Bu.? B39.3?G1 ?ul
847.5 843.3 e37.9
s837.8
- \
849J
d ? ?840.3 ? \
BA ?- ~ 836.3
? 835.4
? ? ? ?_^ • ?
rri e
(,,4 7,
TR§E''INE CL GULLY 34.8 o ur
` .842er3 , .?N82'38'02"W 126.00 .31.8 S; I$- 847.6
--
-
' ?._..•.nr?'!rf'1 ••-,?r'^.?i?.l(rJ?;-`?:,r FeA?
PROP ED HOUSE E VATI N
NDTE; PftOPOSEO GRADES SHOWN PER GRADING PLAN BY: X%X
LOWEST FLOOR ELEVATION. gSD•
NOIE: BUILUING DIMENSIONS SHONN ARE FOR HORIZONTAL AND VER7ICAL LOCAiION 1, 0F STROCNRES ONLY. 5[E ARCHITECTUAL PLANS FGR BUiLDING ANU TOP GF BLOCK ELEVATION. ?S9- Z
FOUNDATION DIMENSIONS. c
GARAGE SLAB ELE?VATION: 85?0 ,
NOTE: NO SPECIFIC SOLLS INVESTIGA710N HAS BEEN COMPLETED ON 7HI5 LOT BY THE
SURVEYOR. THE SUITABIIITY OF SOIIS TO SUPPORT THE SPECIFIC I{p?SE
PROPOSED IS NOT THE RESPONSIBILITY OF 7HE SURVEYOR. TOB 0 LOOKOUT ELEVATION:
NOTE: TNIS CERfIfICATE DOES NOT PURPORi TO SHOW EASEMENTS OTHER THAN % 000.00 OENOTES EXISi1NG EIEVATION
TfOSE SHOWN ON iHE RECOROED PLAT. ( 000.00 ) OENOTES PROPOSED ELEVATION
NOTE: CONMACTOR 4U5T vERIFY ORIVEWAY OESIGN. --- OENOTES DRAINAGE AND U71UTY EASEAIENT
DENOTES ORAINAGE FIOW OIREC7IIXJ
NOIE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DANM -?- DENOTES SPIKE
B OENO7E5 OFFSEi HUB
WE fiEREBY CERTIFY TO THORSON HOMES INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF iHE BOUNDARIES OF:
LOT 8, BLOCK 1, FOREST VIEW ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SFIOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 30 DAY OF JUNE, 2003. „ ,
REVISED 7-10-03 STAKED HSE SIGNE?:GjI'IONEER ENGINE NG P.A.
SCALE : 1 INCH = 30 FEET REVISED 7-18-03 LOCATE TREES C?
BY: ?,? ?
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: tc f S B/c ok I U, a w NA F%.. ,
' DATEOFSURVEY: 7-iv--03
"0
LATEST REVISION: 7-0-0
m
oi
c
m
L
U
Q
, ?
0
2 Q DOCUMENT STANDARDS
?? ? • Registered Land Surveyor signature and company
? ? • Building Pertnit Applicant
? ? • Legal description
?/ ? ? . Address
6
'/?? 0 • North artow and scale
?
I?/ o
? ? • House type (rambler, walkout, split w/o, split entry, lookout, etcJ
? 0 • Directional drainage arrows with slope/gradient %
? ? . Proposed/existing sewer and water services & invert elevadon
? ? . Street name
L? ? ? • Driveway
? o • Lot Square Footage
1 ? ? • Lot Coverage
ELEVATIONS
/ Existin
Pl/ ? ? . Sewer service (or Propased)
6 ? ? • Property comers
F3? ?? . Top of curb at the driveway and property line extensions
?? • Elevatlons of any existing adjacent homes
?? • Adequata footing depth of structures due to adjacent utility trenches
0 W ? . Waterways (pond, stream, etc.)
Prooosed
? ? • Garage Floor
W ? ? • Basement eoor
? ? • Lowest exposed elevation (walkoWwindow)
0 ? • Property comers
?? . Front and rear of home at the foundation
PONDING AREA (if applicable)
0 Q/ ? • Easement line
? [9 ? . NWL
? ? ? . HWL
? ? • Pond # designation
? Q/ ? • Emergency Overflow Elevation
? d ? • PondlWetland buffer delineation
? ? • Lot lines/Bearings & dimensions
?? • Right-of-way and street width (to back of curb)
?? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. alI swctures requiring permanent footings)
?? n . Show all easements of record and any City utllities within those easements
?/? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? Gf 0 . Retaining wall requirements, if any
Reviewed: Da )?? c?= P -'"a3
Name Date
G:/FORMS/Building Permit Appliratlon
?-.-----
, TREE PRESERVATION PLA??V SUIIfIII?I,?, : ??.? ?? `???? , =
CITY OF EAGAN FORESTRY pMS(ON ;,a,? ? &?? .
-,651,675•5300 . ' ?
A
(SEE ATTACHMENTS)
Development 61?01/-1(Jlj
Lot Numher 0
Adaress 7?1L11Q)l Block Number ?
9'LJ GT.
Builder ?h/U1ZIUitJ f1'/>f'?'I ?1 7NG.
CoNTi!1'CT ? BiPi,c 9N Ti?/210N
r''lYo,vE - E r/ - yT y-D6 Y?
Tree Protection Reauirements:
?
Repiacement Trees:
:4--
Attachments:
-4--
Additional Notes:
Tree Fencing
Oak Tree Pruning (immediately.seal wounds during Apri11 to July 37)
Therepeutic Pruning
Retaining Wall
Other:
Not Required
As Follows:
Yes
No
EA(3AN ?ORESTRY DIIl6SI
REVAEWED
107
H:\ghoveM0n1e\treepres\Tree Preservation Plan Summary-2002
* **
* PIONEER
* engineer
****
SrM SUhUAARY
7'RflHS3AVED: 8 (66.7T%r_,)
TRHBS RffiHOVED: 4 (33.39<)
7'01'AL 1RE88: 12 (1007)
7REE PRO 710N N F
r sm rea rm.
? 7
LOT AREA - 1P.28] ey. It.
c? a?¢?" ?.eW w. ??.
pp?W AY MEII . oyy plt?
CO?ERAGE . 25.8i
12
I1NE
SII?'nNII1FdCAR1'II' MIES
PR?VAZHIN PRfIP?
NO TYPH PLAN 8G7tIB
6953 12" BO%ELOER
' SAVE SAVE
6954 6
BUR OAK
' SAVE REMOVE
6955 27
BOXEIDER SAVE SAVE
6956 8" BUR OAK
' SAVE SAVE
8957 20
REO OAK
' SAVE SAVE
8958 12
BOXELDER
' gqyE gqyE
6980 74
BOXELDER SAVE SAVE
6961 14 BO%ELDER SAVE SAVE
8962 t2" BO%EIDER
' SAVE gqyE
6963 11
BL4CN CHERRf SAVE REMOVE
6964 12' BOXELDER SAVE REAIOVE
6976 7' 8UR OAK (2) SAVE REMOVE
SCAIZ: ??- 4OF
V \ 1RHB PROTfl(.TION
\ 1+@iCII'TQ x
ei \
qi. ea.eev.. '_"'
0. p1LLY 0 0
N82?8'02'W 126.pp
SIGNIFlCANT TREES
10f/1MN6It69WiCIM113Ft 11
-/- Lor con.
vAmr n m.n . xau,nwc ? mwvx rn?wr unwm4
r amx?iEasen?'}? s mrw.1 or samcurt mm Tur NEo m ec ?ha
Af171GA110N NUMBERS ARE BASED ON 7HE LARGEST 4 TREES
REPLACEMENT REOUIREMENTS
l[Gp0.Y
aLMIM G1f0pRY G1FLO0.Y GC1RF.a
'1' T?SS M'4' 116FSa OP '
canms ir m s?• ?xx o 0 0 0
"sitavooesxe- xi+im a o 0 0
m'uuartx i t s 4
xum'?wos a'? awiu o u o 0
san?ams lr-zv aunm ? i
AWR70NALN(Y189: mnwoDS 2e a aumf o x •
o a o
ScaUnI 116ts
• mrE xuwBm 07e wAS NAwLr LoGico er ProrlEQt [i+axmulc o 0 o a
.
Y116?TOM 10TLL
•NO FlLL 41dRD Bf PIACED AGVNST TIE 1NM
IK. ON iHE ROOi CPOMI
{
3 1pTK ] fOTK { lpfK I
.
I CR MIfHN TIf OkIP-LINE MFA Of AHY 1pE[5 i1NT pAE i0 BE SWFD.
•GWE YVSf BE TNRII RI PXEVQI! L1WlGE M iME SOII CHEMISIR! OUE TO 'A' b' 'C
S CONCfE2 WASMIXR MD ?E OR SPRUGE OF T01YC WTERUL3 SI1CH
P
t
G
OOKY
A
/JN
S M FUEIS. MTAL ! IE
G1EOOpY CAlE00NY
?uCEwTS
•? OG 0.Vt TPE6 M15! MJT TNfE RACE Flidl MML IS RI NLY 1. 'L 4 8
M?R
•R M'WMCINC OF CM1M iHFFS OCCUP, A tqN-lpylt yJq?ND OqE59NC 1KISi B( ?V OY Y0111N11 M??I! 6 11m N ?01m M ?LY
p[ 6 T?Q Glmflf!
IPPIIm MMEDNIFLY. (IXGVAi0fl5 MUSf1l??E A NON-iOMIL iNEE Md11D
ORESSINGWIIX TN •t ?oae
EM ON ?E?ELOR1FHf 511E7, ?m?mimpwsmwsvam
anw? m?v?u?no.wr?mxwtlimYwsrt
•rsEf PnO?ECIMx FFNLE 5 TO BE pUCED WISOE 1HE OMPUNE OF 114E iPEE T *MiWilRimimxwe'AxenNOrv
a??n ?as?+msrwr??m??rrt
m
m m m e
m°?
i?
I hereby certity that this plpn wus prepared b
me or u
d
d a+
rc
e
wx
i¢riww?
y
n
er my
irect
supervlsfon and that I om an llrbon Foraster ond o Certified hrborist.
SIGNED: PIONEER ENGI ERING, P.A.
BY: / OATE:Z/?3/OJ?
en Arndt, Urbon Forester MN 4033-A-?-
ioaois.om
95&8)?? ?`? ' ?
(GARAGE yq??,pNT?
DATE:
SIGNATURE OF ONTIER
ng
u+o
2422 Enterprise Orive
Mendota Heights. MN 55120
(651) 681-1914 FAX:681-9488
625 Highwoy 10 N.E.
Bioina, MN 55434
(763) 783-1880 FAX:783-1883
MOOlECiS
ll REE CERTOlllVtilTTOltl
?cate for THORSON HOMES INC.
LOT 8, BLOCK 1, FOREST VIEW ADDITION
1002 JOURDAN COURT, EAGAN
DAKOTA COUNTY, MINNESOTA
PAGE ONE OF TWO
'?RD
_s ? ?RTn=ss?se'a?'
Rm72.26 ?
" 37.80? .
p ? d
(C ? J?
n
. I N
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106302
Date Issued: 08/20/2012
Permit Category: ePermit
Site Address: 1822 Jourdan Ct
Lot: 8 Block: 1 Addition: Forest View
PID: 10-27375-0 l -080
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Repair Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Con1111entS: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee SUn1111ary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 10,800.00 Total: $105.25
Contractor: -Applicant - Owner:
Snap Construction Ryan R Zeman 8200 Humboldt Ave S 1822 Jourdan Ct
Bloomington MN 55431 Eagan MN 55122
(612) 360-1033
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.
ApplicanvFermitee: signature issued By: signature
Use BLUE or BLACK Ink
r-----------------
I For Office Use I
of Ea aPermit#: Permit Fee: S I
City
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: A
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:)
f
1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z! Site Address: / ZZ Copy E0.4 c r Unit
Name: avi d- k, y 11A Phone: b SI " 30 d3" 3~ 3~
Resident/
10
Owner Address / City / Zip: (fo" J-
Applicant is: Owner contractor
Type of Work Description of work: -2c ~S e A yv+0-7- ) D 55 0.q v--Q-
Construction Cost: -3000 Multi-Family Building: (Yes / No An—
~/s}fs/S9
Company: o y v V, ~l'0 WZ°5 ,-L ~C Contact: K c -1 oy v Z
r ,
Contractor Address: '96/1 Pf r A-lol City: Ma 0 1,-m I1,1!)
State: my Zip: -Y-5 V3 ~ Phone: - 9 SZ -17>1/- Zz 7 ~
License g C C 3 g`Z 30 Lead Certificate
t
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
j 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:
I 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.oopherstateonecall.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. -7
x t J d v x / 4/2__._ -
Applicant's Printed ame Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161720
Date Issued:06/10/2020
Permit Category:ePermit
Site Address: 1822 Jourdan Ct
Lot:8 Block: 1 Addition: Forest View
PID:10-27375-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan R Zeman
1822 Jourdan Ct
Eagan MN 55122
(507) 219-2161
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature