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1116 Gabbert Cir • Use BLUE or BLACK Ink / ' l 7 7q City of 1I Permi77_qvc J vC) I 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 ! Rhone: (651) 675-5675 I Date Received: I I Fax: (651) 675-5694 ' Staff: 2010 MECHANICAL PERMIT APPLICATION Date: 10 Site Addresss: e-r+ Tenant for JqLj 4& Suite # -ffm RESIDENT/OWNER Name: phone:~`ii~I') Address / City / zip: r CONTRACTOR Name: a` .if~1'1 Y1 t~L X41 IAW ( -I'r^t.gJceps : ~ML1Q5LJ Lf I Address: ~PV Jl( loin State: o zip: Phone: Contact: Email: TYPE OF WORK New Replacemont Additional Alteration Demolition Description of work: PERMIT TYPE - RESIDENTIAL COMMERCIAL v Furnace _ New Construction Interior ImProvement Air Conditioner Install Piping _ Processed _ Air Exchanger - Gas Exterior HVAC Unit Heat Pump - Under / Above ground Tank install 1 _ Remove) -Other When Installingfremoving tank(s), call for inspection by Fire Marshal and Plumbing Ins for RESIDENTIAL FEES: $50.50 MinIMIM Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $-50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank Installation/removal OR Contract value $ X1% $50.50 irtltn m (includes State Surcharge) - It Permit E= is less than $1,000, surcharge is S.50. - Permit Fes - If Permit Fe is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1 .00 surcharge). $ TOTAL FEE CALL BEFORE YO U DIG. Call Gopher State One Gall at (651) 454-DO02 for protection against underground uffitty damage. Call 48 hours before you intend to dig to receive locates of underground utilities. Www aopherstateone& I$ I ora I hereby acknowledge that this Information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval orplans Applicant's Printed Name Appl ant's Signature JAW 0 .1N 5 .sie. n. it a n _W _ ..,4~ . ~yi~5 _ry' ~.Y _ 1y / .C•' y s~` 'iLCP~C .4 _FS ~r11z-d Eb6S-LEts-T!;9 jnOH 8u0 s,,aouu00,0 WU82t9 0102 91 08a JUL 17, 1991 DATE: RE: 1116,GABBERT CIR (PREFERRED BUILDERS) X Your Sewer & Waterpermit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFQRE DIGGING, CALL LOCAL UTILITIES -TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELpPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. :..,.,•, ?, r ? . . .g,.?..o•r,rR•R-s? 4 i;. ,,... w? r y ?..?. < <?!?; ? ? .. . - ? 1 5 FIKISH 01/31/ CITY OF EAGAN r ?13 Pilot Knob Road, P.O. Box 21-199,Eagan, MN 55121 y`• '? '`' ?r ? ?-? PHONE: 454-8100 i 'ERMIT ' Receipt # ?•.- SF DY(fJGAR _ Est. Value $74,000 Date -PUI- 1 S Site Address Lot 4, Parcel No. - W Name CKtlrEKKLD SUIi.DLi? ? (Actual)Corist $ . o 741 CENTRJIL A1/C Address -(?ulowabie) City BLAiNE Phone 786-6000 # oi 5tories ? s?? Name Length DePtn Address S.F. rotai City Phone S.F. Footprints _ On Site Sewage Q i W Name On 5ite wall ?Z Address MwCC System i? City Phone aywater PRV Required ereby acknowlege that I have read this application and state that the Booster Pump ormation?is conect and agree to comply w#h atf applicable State of i Sgnature of Permitee ? A Bwiding Permit is isved to: BR?D NJjLDM on the express condition that all work shall be done in accordance with all epplicable State ol Minnesota Slatutes and City of Eagan Ordinances. Building OffiCial APPROVALS Planner C.ounCil Bldg. Oil. Variance OFFICE USE ONLY Wilill-I FEES - ' v"'N Bidg. Permit 523.00 501 su«nar9e PtanR vi 3).00 340.00 47, e ew SAC City 100•06I . - , SAC, MCWCC 550'00 Water Conn 660*00 x water Meter 95.00 --?-- X Acct.Oeposit io . oo SIW Permit 30.00 - S/W Surcharge • 50 .. Treatment PI 2 76 `00 Road Unit `370.00 - Park Ded. _ Copies - TOTAL ..50 Permit No. Permit Hoider Date Telephone ? WKrER ? / /?J SEyVER PLUMBING H.v.ac. ELECTRIC Mspsction Dafe Insp. Comments FooGngs I 71-f14 Foundalion Framing Roofing Fiough Pibg. Rough Htg. Isul. ? ?/ j ?o?.Q Fireplace Final Htg. Orstat Test Final Pibg. [7 • 9 ? I Plbg. Inspeclor - Notify Plumber const. nneter 2/ 1-7 ee /P V EngrJPlan py? Bldg. Final [ F kj L1 Deck Flg- L V, Dedc Final 2 Well Pr. Disp. yD: :. .?..? ty IdL? . ai.? c'o .,?,.t,•n ,- _ . . . . .:'v i. . . ? - , , .. CITY OF EAGAN • 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice - Located at ? Il ?"_? 4 bb .,. ? I have this day inspected fhis structure and these premises and have found the following vio?atior?s of c,ity codes governing same: )r __ 1„ i, a.,? ?_ When corrections have been made, please call 454-8100 for inspection. Date ? 9/ L)?- . Inspector City of Eagan DO NOT REMOVE THIS TAG SEWER & IMATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 . . PERMIT REQUESTED X SEWER ? WATER _ T - COMM/IND X RE5IDEN' ? NEW - EKISTING . Lawn on CITY, STATE PHONE: CITY OF ADDRESS: CITY, STAI PHONE: - ?"`?. ?-,? ?'- •t „?. ??, .?' PERMIT DATE C 7/i7/?- PERMtT # 12 l 4(-' B.P. RECEIPT # - 14475 B.P. AECEIPT DATE 15 91 - PRV _ SIGNATURE WHEN METER ISSUED CALL 454-5220 FOR INSPECTIONS. FOR STORM :R & WATER PERMIT OFFlCE USE ONLY OF EAGAN METER # 4?Y /J T 7?9,U ? PERMIT DATE 07 / 17 / 91 Pilot Knob Rd. p 1, MN 55122-1897 CHIP # 0/ 40 O 77? PERMIT # 12149 METER SIZE eAJSli B.P. RECEIPT # C 14476 ISSUE DATE _'n1- B.P. RECEIPT DATE (17 115191 - PRV - BOpSTER PUMP ADDRESS i!T.'! C I R ?LOCK -' SEC/SUB CrjES ME•.R EAST 2Nn ZIP RESS: 929C ZACHARY LN ,STATE MAYL,E CR'.WF. ZIP 55?t,c? NE: 443-?_1+7 ; IER: PRErE{'RF'D bLiID..-I• K, RESS: 8741 CE,ITRAI. •'! :' i1. ',STATE BLAIHE riN -zip '-?5434 ..? '70i? Fnnn PERMIT REAUESTED X SEWER }' WATER - - COMM/IND -1-- RESIDE x NEW - EXISTING Lawn Sprinkler Meters are to be Ins Ahead of Domestic Meters on Water Credit WILL NQTbe given far Deduct M E TO COMPLY WITH CITY OF ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PEFIMITS} CONTACT ENGINEERING DEPT. APPLICANT: ADDRESS: CITY, STATE ZIp CITY OF EAGAN Remarks Addition r.hes Mar Fact 2nd Additi.on Lot 4 Rik 2 Parcel in ?7151 0dfl n? ? Owner street--Lllfi_Gabbert - Lircle State Eagan, MN 55123 Improvement Amount Annual Years Payment Receipt Date STREET SURF. 2239.76 447.95 5 ?Y796 STREET RESTOR. 1fl GRADING S?ff 126,97 25 39 , - __ SAN SEW TRUNK s'SC ? * SEWER LATERAL 407$ 76 $j5 75 , . WATERMAIN * WATER LATERAL QR1 WATER AREA - STORM 5EW TRK ,sY7 43$.40 7,68 - * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAC PARK CITY OF EAGAN NO 1 g423 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT , PHONE: 454-8100 Receipt # c t N ?G To be used for SF DWG/GAR Est. Valw 000 Sile Address 1116 GABBERT CIR Lot 4 Block Z Sec/Sub. CHES MAR EAST 2N Parcel No. w Name P?FERRED BUILDERS a Address 8741 CENTRAL AVE City BLAINE Phone 786-6000 A Name SAME g? Address City Phone ? W Name ?30 Address i W City Phone I hereby acknowlege that I have read this application and state that Ihe information is correct and agree to coff- A applicable State ol Minnesota Statules and City of n Ot Signalure ol Permitee euilding Permit is is ed to: P'' ERRED BUILDERS on the ezpress condi on Ihat all work shall be done in accordance with all applicable State of nnesota Statules and City ot Eagan Ortlinances. 8uilding OHicial OFFICE USE ONLY Occupancy R-3 M-1 Zoning R-i (ACtual) Const V-N Bldg. Permil (Allowable) V-N Sumharge 8 otslofles length Depth S.F. 7olal S.F. Foolprints On Site Sewage On Sile Well MWCC System City Water PRV Required Booster Pump APPROVALS FEES 523.00 37.00 340.00 300.00 6 50 _ n(1 501 Plan Review 47 ' sAC, cry SAC.MCWCC Water Conn 660.00 Water Meter 95.00 X X Aat. Deposit 30.00 _ S/W Permil 30.00 - SrYV Surcharge • 50 Trealmenl PI 276. 00 Road Unit 3 7o• oo Planner _ Council Bltlg. Ofl. - VarianCe - Park Ded. Copies TOTAL _ 1. $0 REQUEST_FOR ELECTRICAL lNSPECTION 0? See insimcLOns lor compleling ihis Porm on back of yellow copy. ? Q, ?(? -'? F; ;X';Below Work Covered by rhis Request EB-00001-OB ew Add Rep. Type of Building AppliancesWired EquipmeniWired ?,i Home Range Temporery Service Duplex Water Heater Eleciric Heating Apt Building Dryer - Oiher (Specify) - CommJlndustrial Fumace Farm Air Condi[ioner Otber?syecily? Gonireclors Remarks: F'I NISHJNG'gSMI", Compute 7nspection Fee Below: u Otner Fee # Service Entrance Size Fee ircuitslFeeders Fee Swimming Pool p to 200 Amps 0 Amps Transformers Above 20G _ Amps 100 _ Amps %Above Si9n 5 Inspecmr§ Use Only TOTAL IrrigationBOOms 3Q? Sv Special Inspection l Alarm/Communication THIS INSTALLATION MAV BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby Roiiyn-m oar certify Ihat Ihe above inspedion has been made. F;,,ai OFFICE USE ONLY Tpis request vaiC 18 monIDS from 136 Request Date , Flre No. Fou -in Inspec[ion Requiretl? ? Ready Now ?il R ?eclor h tl ? es C No ea y en I= ticensed conVador Kowner hereby request inspection of above electrical work at Joo AtlOress (StreeL Box or Route No.) cii ii l l f6 G Ciry E i ?r n SecdO" No. Tow shp Name or No. Range Na Gounty "`rL Occupam (PfiINTi Phone No. +,- rA l •? ?cwW ?{ 4 Pawer 3uppriBr a AddrB55 Elemncal Comractor (Company Name) Gonlractors License No. Mailinq Atldress IConbaclor OI Owner Making Insldllation? lll?Gabben- - c.trGte; S`s E??/'i? -l 2 3 A ee Sign ? 11-e tCOnV lor'Owner Making Installatioo) ' PM1One NumOer 12? ? _?- .6s8=6 MINN SE OTA STATE BOApp OF ELECTRICITY " THIS INSPEGTION REOUEST WILL NOT Grigge-Mitlwey BIAg. - Roam 5473 ? BE ACCEPTED BY THE STATE 80ARD 1821 University Ave.. SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(61Y) 6a3-0800 ENCIOSED . c?/?f,?c/ REDUEST FOR ELECTRICAL INSPECTION T? ?? See TSmotions lor complanog tnis brm on ?ack ol yel?ow oopy. n nQ ql?, 2 "X" Below Work Covered by This Request ? ee-oooai-oa >• i?, r?.r'? .3?oZ d Ve 11111, Adds! R p TypeofBUilding AppliancesWired EquipmemWired Home Range Temporary Service Ouplex Water Heater Electric Heating ? Apt. Building oryer Other (Speciy) Comm /Industrial FurnaCe Farm Air Conditioner Olner(syecily) ConUaolor'S Remarks: Compute Inspection Fee Below: # Other Fee k Service Entrance Size I Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above DO _ Amps Signs Inspectors Use Onry', TOTAL a G Irrigation Booms f?6??CJj ?r Special Inspection AlarmiCOmmunication THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT 1. the Electricai Inspector, hereby Rough-in l ? certify that the above inspection has been made. Rn81 ? oai OFFIGE USE ONLV Tnis request voitl 18 months hom ? ? sy?? ?o ??oz o p 9 9, 6 2 61,l aee ? =d Redues? Date L ? T Flre No. ouqh-in I pection uiretl? 85 r No ? Reatly Now WIII Notii?? InsOeclor Whpn Reatly4 I? licensed contractor p owner hereby request inspection of above electrical work at: Jo0 Atltlress (SVeet Bax r Route Na.I 1116 a66Qr?- e,'rc% Ciry 'av1 Sptlion NO. Township Name or No. Range No. Goun occuPai-i'/7l/L?-?Prre? 164; /c?e r-5 r Pho7?6 '? 00 0 Power Sup ? Atltlress q/ ??? - / ?3Y Eiecuical Go tr ?or ICompany Na e? ? ?fro 2 ? ???e7`i', ? GonUac?or5 License No. yd 7d Madmg A ess IContractor Owner Meking Inslxllation) o u?F'a /?0 1ydIV Ss3/.3 Auihonzea SiSnawre Vaclon ner Making Installatwr., ? Phone Num?er ??? MINNESOTA STAiE BOARD F ELECTRICITV X THIS INSPECTION REOUEST WILL NOT Gtlggs-MiOway Bltlg. - floom 5-193 U BE AGGEPTED Bv THE STATE BOARO 1821 University Ave., SL Paul. MN 55104 UNLESS PPOPER INSPECTIONFEE IS Phonc (612) 642-OB00 ENCLOSED. - Aiyjress : 1116 raMr CIR„r(,E Lot q Blk 2 Sec/Sub gES MA.R EAST 2ND These items were/w?tre not complete at the time of the final inspection. 10 9 91 ' Yes No ? Final grade (6" from siding) Permanent steps - garage l? Permanent steps - main entry ? Permanent driveway Permanent gas Sod/seeded grass ? Trail/curb damage Porch t/ Basement finish Deck Please varify with the builder the removal of roof test caps from tha plumbing system andthe shut-of£ of water supply to the outside lawn faucet before freeze potential exists. w PFMIfOMRP White - City copy Yellow - Resident copy Pink.- Contractor copy Vlli ur anaeuv rvn Y113 u?n virLa 3830 YIIAT RNOB ROAD EAGAN, !ID1 55122 PERMIT # PHONE (612) 454-8100 RECEIPT DATE: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAIiILY DWELLINGS 6 TOWNHOHES/CONDOS WfiEN PERMITS ARE REQIIIRED FOR EACH i1NIT. i70RK DESCRIYTION NEW CONST _ ADD ON REPAIR OWNER NAME: ?RAffZa_Q8 15`cIR-5 SITE ADDRESS: lo - R. LQ. n? LOT:__4l_/ BLACK .2 SUBD. INS'fALLER: ?l`i'MO"Abq ADDRESS:_ (?rc Y\I CITY: J'f?A Pls. ?2.e•.9y ZIP: PHONE ?Q?IMERGIAi;JiNDUSfiRIAL:; PLEASE COMPLETE THIS PORTION FOR ALL COPASERCIAL/ZNDUSTRIAL BUILDINGS AND MULTI-FAMILY BOILDINCS WHEN 5EPARATE YERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 ? WATER CTASET 3.00 ? ? BATH TUB 3.00 ,L IAVATORY 3.00 ? ? KITCHEN SINK 3.00 ? lAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? SJATER HEATER 3.00 ? ? FlAOR DRAIN 3.00 GAS PIPING OUT. ? (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 ^ U _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE .50 TOTAL: s FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRAQT PRICE x li STATE SURCHARGE CIT]': PNONE FC1R: CITY OF EAGAN ZIP: TOTAL: $ $ ( S IGNAT[JRE ) CITY OF EAGAN 3830 PIIAT RNOB ROAD EAGAN, MN 55122 PHONE (612) 454 8100 MMYOCA7IMM "MWxAL,;;i FOR CITY IISE ONLY PERMIT # RECEIPT # D ?/ DATE: S PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE I TOWNHOMES/CONDOS WEIEN YERMITS ARE REQUIRED FOR EACH UNIT. ? ----- ? WORK DESC IPTION NEW CONST ? ADD ON _ REPAIR OWNER NAME ? ?. . _ SITE ADDRESS: LOT: h? BI INSTALLER: ? ADDRESS:? CITY:? PHONE #: 5;Off -------------- FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMJLT 3 SUBTOTAL: STATE SURCNARGE: 'rnTet ; DWELLINGS & $15.00 4,0 6.00 3.00 $ l? .50 c. SIGN TURE OF PERMITTEE ?d3fMt C?CIAm??tT3l7STR?A?.?; PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ..:.... APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ______________________________' CONTRACT PRICE: OWNER NAME: SITE ADDRESS: Lvi: BLuCK _ SiiBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FDR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 PiINIPP,R. : £5. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) $ 2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION 9)f City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/wndos when p¢mits are required lor each unit Date SiteAddress LQ C3ajZL22?)? Unit# Property Owner Telephone # ( ) Contractor F O'Connor ? Plumbing, Headng 8[ Cooling ? I Street Addres 1904 Vermiliion S4. I City State Hastinga, MN 55033 I Telephone #( ) ?- J Bond #: Expires: The AppGcant is _ Owner lk Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? airconditioner _New Y- Replacement other State Surcharge $ 50 Total $ 50 '160 I hereby apply for a Residen[ial Mechanical Permit and acknowledge that the informalion is complete and accurate; [hat the work will be in conformance with the ordinances and codes of the City of Eagan and with tLe Mechanical Codes; ttiat I understand tlris is not a pertni; but only an application for a pemut, and work is not to start without a pennit; that the work will be in accordance wi[h the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed 14arhe Applican ' Sign re , vi 2005 ';; ?? RESIDENTIAL ? 3 a 4 i BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construc6on Reauiremenh RemodellReoair Reauiremenh // ? • 3 registered site surveys shaxirg sq. R. of lot, sq. %. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set ol Energy CalcWations far healed additions • 2 copies of plan showiig 6eam & wiMOw sizes; poured found desgn, etc.) . 1 sAe survey for extenor addiUons 8 decks • 1 set of Energy CalcWations . Indicate'rf home served by sepUc system for addiUons • 3 copies of Tree Preserva6on Plan if bt platted aRer 711193 r? . Rim Joist Detail Optlons selecGon sheet (bldgs wAh 3 or less units) 5' L? ?0 DATE ?- t A - VALUAT? I N?% LI? OU? 51TEADDRESS ?<<n? ('vAdObE?t Cv- TYPE OF WORK r` 2 Qoo-f APPLICANT _ Water Softcner _ Water Heater N0. of Baths t STREETADDRESS S"? 1,J CITYrJiS Lck2 STATE lv\ ZIP 530? TELEPHONE #-763-a?a-6S5aCELL PHONE # 61a'?$S- ?? I d FAX #_?763- 26a-6a y?) PROPERTYOWNER I iw?'?LGGrP? ?JPIr?tJS TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOT.1 RULFS 7670 CATEGORY 1 M[NNES ?. 2n?ln ?? (J submission type) • Residenlial VenGlation Category 1 Worksheet Submitted • New En ? - o h t tiL6 • Energy Envelope Calculations Submitted II ? ,?UL 1$ 2002 Plumbing Contractor: __ Plumbing system includes: Mechanical Confractor: Mcchanic<il system includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery SysCem Phone # ree: $70.00 -------------------°-°--------------------------°----------------°---------°----°--------------------------------°- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinces:?_ SignatureotApplicant OFFICE USE ONLY / ,5 MULTI-FAMILY BLDG _ Y _ N _ FIREPLACE(S) _Z0 _ 1 _ 2 V, 'f" (.vIn-I-la _ Phonc # Lawn Sprinkler No. of R.I. Baths Phone # 1'"J " 3'D / Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4/02 _. « SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS 1991 BUI A9P?IT APFLICATION CITY OF EAGAN MULTIPLE DWELLINGS COMMERCZAL ? % 2 SETS OF PL4NS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APYLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[JST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. JUL Q yRun To Be Used For: Valuation: /,q I oo0 Date: Site Address L /6 ( • Lot ? Block Parcel/Sub Owner Address City/Zip Code -? Phone Contractor Address 4,9 714 / / `,p, l7`? //7r? City/Zip Code rJ/q•,U_ Phone Arch. /Engr . 7(p ml! Address City/Zip Code Phone # OFFICE USE Occupancy K-3 M-1 Zoning R-1 Actual Const V, N Allowable V-N # of stories Length ? Depth '4 7' S.F. Total Footprint S.F. On site sewage_ On site well MWCC System 1.7 City water ? PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off Variance L)S " S9/ FEES Bldg. Permit 5 43, 00 Surcharge ?D Plan Review 3 ,DD SAC, City I00100 SaC, MwCC 6 50, 0i Water Conn. 60, 00 water Meter 61 ck? Acct. Deposit O,Op S/w Permit 30,00 S/W Surcharge ?$D Treatment Pl. 27(e.00 Road Unit 70, Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL ?S agrees that all work shall be done in accordance with (S,ignature ofilCnntractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. . , ? -? , V4L-uAT1oN . ? ------------- , A GARAVE ??x22 = 572 x f5= 8S'f30 7-4 x 3B;: 9 I2 ? x 6 `, !a o x I 4= 13, NLl v I sT fLoort $SMT, _ 9 L D ?xe ? g `?58 x 53 = s r,3 o N ?3324 om s .' . . , ? V John Brodley _ . - i kh, architecturoJ consulto?nts inc.? ? eoos s?it_a,c.. o;sw.yw essso «?. lsiil-+=s_ms---- _J - _ .. .. -----••---•--• Plan *`Zoo -20 Dote?Z?zo-=?? . . OwnerI Contractorl Sife A C 1)TOTAL EXPOSED WALL AREA sq. ft i?U°' ll ?IZ'J s4 ft. x'U" oZG? Z`' •c? 21170YAL EXPOSED ROOF/tEILING AREA WALL AREA CALCUlAT10NS: . SOTAL WINDOW AREA _ GLA2ED 7G , Al. DOOR AREA 70"iAL GLASS DOOR AREA _ GLAZED TOi"AL fIREPLACE WALL AREA TOiAL WALL FRAMING AREA NE'i INSULATED MYALL AREA 70TAL RIM JOIST AREA 70TAL FOUNDATION AREA(EXPOSEO) TOTAL FOUNOATION WINDOW AREA ?.7 sq.fLxnU u ' ?C? eq.fl.x?U° ' ? .._.2= ZG• :'. Zo g? Sq•ftx?Uu?o? c ?? G, a q.ft. a U?? aq:if.xlUel 3) TOTAL = . If ifem 3 is the son,a as, oi less thon 11em l, you have met the intent of 2 MCAR 1.16008 A ond O. , ROOF/CEILINQ CALCULA710NSt SOTAL SKYLIGHT AREA 70TAL ROOF/S'.EILING FRAMING AREA NET INSULATED ROOF CEILING AREA ?bl? Sq.fl.XU??.o2r 7 ? ?' . ?4) TOTAL . '? ...^• . ?- -- . 1/ !?em 4 Js the some os,a less tbon lfem 20 you Aave met the inlent Of ' 2 MCAR 1.16008 A ond 0. ALTERNATE 13UIL.DING ENVELOPE DESION . To utilire the tofal envelope system meihod, the sum of ltems I• and 2 aho!! I : be yreater fiyan the sum af ifems 3 and 4. . - ? - J) t2) _ ' ...37 +4J = 1 hereby certffy fhoi the bulldfnp hare described meers or excee the ote o . Enaryy ConservaNon Qcf. -7 4;:=p ej+g, CONSTRUCTtON TiA1dING SECTION Jnlerior o!r film 0.68 ? " SNa.4.ac- . _?. St incAes o/ soft wood 2f'I sc 4a??+sa+E L. o? exterior oir film 0.17 TOTAL R ?_ ?•?`? U = 1/R ' °01 ECYION (INSULATED) interior oir film ?1 sZ ?? ?.Le W-c L o c. exterior oir film 0,17 TOTAL R L3•1'I U = UR- =4 ST SECT4ON interior oir film 0.68 L3IY 6.J??.LFIFE 4LP ? ?c) . $ ? exferior oir film 1)_17 ToTaL R -7-+, Ce1 U .= I/R •040 fION SECTION inferlor o!r film 0.68 1?<?ITQ 1.??. ? txterior oir film - 0.17 TOTAL R U = 1/Ra It CONSTRUCTION .Y ' CEILING .SECTION (INSULATED) (I linterior air film 0.61 . ? 2 ?? c..?FFT?2..v K r 5(c . ( 3 ? 0... , I •.? 44- (4 exterior oir film (still) 0.61 TOTAL R , 45."28a U = I/R DZ2 , CEILING FRAMING SECTION • %nterior afr film _ 0.61 (q interior air film 0.61 (5 S? inches of soff wood 4.=15. TOTAL R 39- 13 U = I/R DZLO CEILING SECTION (INSULATED) ( 1 interior air film 0.61 (2 (3 (q exterior air film (sfill) 0.61 TOTAL R U = I/R VENTED CEILING FRAMING SECTION - ( I,inferior air film 0.61 ie 04 (4 interior air film 0.61 (5 inehes of soft wood .TOTAL R U = I/R EXPOSED BEAM CEILING SECTION (.1 i„ra.;nr r,ir film 0.61 (2 I3 (a (5 exierior air film 0•17 TOTAL R L = I/R 1992 BUILDING PERMIT APPLICATION CITY OF EAGAN REQUIREMENTS: clqqu) SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTYAPPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE DB LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To 8e Used For: F?n?51„nq bu-4,y„*w Valuation: Ske Address [ ! ( (p Lot ? Block Parcel/SubC?m Owner T; m NPr Addressi- Cfty/ZP -L Pnone G Contractor. Address_ Cfty/Zip- Gf`lY Phone License Arch./Engr. Address Ciry/Zip Code Phone # Date: ?2 7 Zq Z Occupancy Bldg Permit Zoning Surcharge Actual Const Plan Review Allowable License Fee # of stories SAC, City Length SAC, MWCC Depth Water Conn. S.F. Total Water Meter Footprint S.F. Acct. Deposit S/W Permit On-site sewage S/W Surcharge On-site well Treatment PI. MWCC System Road Unit City water Park Ded. PRV Trail Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. /- s o-4 z ps Variance FEES i.oo i Sewer/Water Licensed Corrtr. . Processing time for sewer/water permits is two ays once area as een approve . J?t??GCd agrees that all work shall be done in accordance with ?ignature Permittee all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. h RKjI" # CITY OF EAGAN REACTIYATE Y 1992 BUILDING PERMIT APPLICATION 681-4675 y SIN6LE & MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 6> / I `" _/ q'Z Valuation of work Site Address:_I1 l6 Gabberi C;r dg_ STREET SU17E # Tenant Name: (commercial only) IAT _? BIAGR 2- SUSD.Ohe6 M aP- P I D N Cusr 2 M iv, . . . Descri tion of work: The applicant is: ? Owner PI Contractor ? Other (oe8«ine) Name &rliu s 7":vr,.t?t„ Phone Property _ LAST FIRST Owner Address 1( l b (?al l,Prr C -?? , , Vg_ STREET STE i! city Qp:?h . State ' ll.1 2ip 123 Company GPneru( Co-hrrctLtm SPrvfc,?5? S., c Phone COMr8Ct0r Address q003 UtAn6r. ?60 _ g? ? StrtL+ License M 00K30 Exp: ?_° - City Btoine State I`IA/ Zip 551}y I Company Phone Archltect/ Engtneer Name Registration # Address City State Zip Sewer b Nater licensed plumber Processing time for sewer d water permits is two days once area has een approved. 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. ? AA Signature of Applicant: ,??%UlUq/y PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA095194 Date Issued: 08/02/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1116 Gabbert Cir Lot: 4 Block: 2 Addition: Ches Mar East 2nd PID:10-17151-040-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BE - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Lindus Construction Timothy A Nerhus 879 Hwy 63 1116 Gabbert Cir Baldwin WI 54002 Eagan MN 55123 (710 684-4647 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118267 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 1116 Gabbert Cir Lot:4 Block: 2 Addition: Ches Mar East 2nd PID:10-17151-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Elizabeth Hess Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy A Nerhus 1116 Gabbert Cir Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147419 Date Issued:01/05/2018 Permit Category:ePermit Site Address: 1116 Gabbert Cir Lot:4 Block: 2 Addition: Ches Mar East 2nd PID:10-17151-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Timothy A Nerhus 1116 Gabbert Cir Eagan MN 55123 (651) 485-6220 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature