1750 Galaxie Ct
C?mflftcate nf cccupanc?
??? ? ???
?? ? ??? 300"dox
This Certificate issreed pursuant to the requinstents of the Uniform Building Code
certifying that at tlre tirne ojissuance this srructmrr was iri compleance wrth the various
onfinances of tlre City regulating bueTding cosstruclion or use. For the folfowing:
use amsdkafim- SF DWG eia6: Pm?it r+o. 26715
oocvPricy lype R3AJ I _ Taina Dimia R 1 rype cotm. V[J
owneroreuiwuug UNIBILT INC Ae,ress 9516 i]At= RnAn, HIMM
aviww Aadmn 1750 GAZ.AXIE UOORT Lacai;tyi4, B 1, .arwxTE 7. OAK.S
_i
oue: ?? /?!Cd
B.Ufin off,?7
P06T IN A OONSPICLIOUS PLACE
t •
CIT7*OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
GN1.Ax ll 11) l I HA#'PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
TYPE OF WORK:
?tl/ci 040 NI
4 Nt+t+ F
Cstt I I rI I NE;
INSPECTION .A . D•
? I'?J , I I I Jl I 1 fl (1 1 i. i I 3 ri ? I
'til',il I' i, !
I "1{k?.t i'FtV '; ,L E7 !'! 1tt: 1•1t S 1 1?NKA P EF-tH
F
L
Permit No. Pertnit Holder Date Telephone k
ELECTRiC 5
. f ?
PLUMBING
HvAC ? / ?- 9lv L??U
InapecUon ' Date Insp. Comments
FOOTINGS
FOUND
FRAMING ac
ROOFING
ROUGH
PLUM8ING
PLB(3
AIR TEST
ROUGH
HEATING
? AJ C t/L?? l ?' e?r
C
GAS SVC
TES7
- / ?
INSUL
C3YP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PL.BG
FINAL HTG
?K
ORSAT
TEST
BLDC FINAL
BSMT R.I.
BSMT FlNAL
DECK FfG
DECK FINAL
2 3 7 5 3 5 ?
'- OFFI / US ONLY This rcqoal void 18 monAs fmm valldanon doM pnnkd in tha box.
i?9S ?O?'?O7'
/y/y 00
PLEASE PRINT OR TYPE
Requesf D.I. Roegh-in inzpenion reqoire N. Yes ? No Inspeclion Olher Thon Roogh-in: 0 Reody Now ?(Will Call
??
'? . ? poo mur mll iha Inspenor..ha dy? Oele Ready:
I, licensed contractor ? owner hereby reques} inspection of fhe above elecirical work at:
Job Pddress (Strcel, Box, or Rauk No.) I Cip ZiP Gade
I o...r, 55 ? ?a
Section No. Township Nama oi Na. Range Na. Fire No. Caunfy
Om am PFane Na.
3-4?
PowsrSuvPlier Addrezs .
u.
E?acl' al Canvacror (Compony Name)
? ConVacror Li e No. MasMr lic. Na. (Plant Elect Only)
e
rAT-io
Maili Pddrees (Cantm or O»ner Performirg Insla ' n? •
onzedSignamre(ConHqcmrorOwnerPedofmiiglmmllallon) Pha No.
EB-OOOOIA-IO 6195 STATd BOARDCOPY-SEEINSTRUCTIONSONBACKOFVELLOWCOPV
Address
Zip 5512_Z
I.ot 4 Blk I Sub caaaae tmL oAxs
THESE ITBMS WERE / WERE NOT COMPLETE AT THE TIME OF THE F[NAL INSPECI'ION.
Date: &0'111?' Yes No Inspector:
Final gade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry) f
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcutb damage
Porch
Basement finish Jroom
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shuFOff of water supply to
the outside lawn faucet before freeze pocential exists.
Contact engineering division at 681-4645 before working in righ[-of-way or installing underground sprinkler system.
White - City Copy Yellow - Residenl Copy Pink - Conlractor Copy ?
PERMIT
- CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1750 GALAXIE GT
LOT: 4 BLOCK: 1
GALAXIE HILL OAKS
P.I.N.: 10-28720-040-01
PERMIT TYPE:
Permit Number:
Date Issued:
CUOlqI
BUILDING
026715
11/29/95
DESCRIPTION:
B"ilding4;,ermit Type SF DWG
eUiltking W?*k Type NEW
,=QBG Occupan.cy?" - R-3 U- 1
Conatruation Tytp?e V-N
2aning R-1
BuiLding Length 64
Built
fng WidtFr 43
tl
Bv.lilt#ittg ?;?Ay i es`
?y s S.' F t.b
? ntw '
54??'h?,^
2 ,121
,r
t
?
'ib v ry,
?
-9,- 1?a
6
??8
??t6$ P'? {??Sd?w"? 5&A ?S
y
fkYA? y? ..y? Si ? h5N ':rrd
am -vE `Yw.j?w ?'Wk!6}s R-I?36 b{ A&
V
REMARKS:
PRV S& W PlBR - WESTONKA PLBG
FEE SUMMARY:
VALUATION
6ase Fee
Plan Review
Surcherge
SAC
5AC %
SAC Units
Lic. 5earch Fee
Subtotal
$1,007.25
$352.54
$62.00
$850.00
100
1
$5.00
$2,276.79
$124,000
MI3CELLRNEOUS $1,892.50
COPIES $1.50
Totel Fee $4.170.79
CONTRACTOR: - ,qpplicant - ST. I.IC. OWNER:
UNI6IL7 INC 18352453 0001163 UNIBILT INC
9516 DAKp7A RD 9516 DAKO7A RD
BI.OOMINGTON MN 55438 BLOOMINGTON MN 55438
(612) 835-2459 (612)835-2453
I hereby aolinnwleds?e Chat?T'.have r8ad th,is applicatiatt and s_tate thot th,e
infarmation is' corrsat an,e? agree tp eAmpky wi'Ch a11 appl1e4b1a `5ta:t!e of Mn'.,=
? Statutes arrcf. CJty: of-'faqartOrdinances`.
APPLICANT/PERMITEE SIGNATURE
-1614 ?Ji?l I ?
issuED ev: §ic?r rURE"
? ?CITY OF EACAN
2MIK1995 3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Conshuction Reouirements RemodeUReoair Reouirementa
? 3 registered site surveys ? 2 copies ot pfan
? 2 copies of plens (inGude beam & window crses; poured fid. design; etc.) ? 2 aita surveys (exterior a0ditioro & dedcs)
? 1 energy calculations ? 1 energy celculetions for heated edditions
? 3 copka of tree preaervation plan N IW pleHetl after 711193
required: _ Yes No y.,o
DATE: 1&4-? r ? I9-7S CONSTRUCTIONCOST:1 ???0,0d ?
DESCRIPTION OF WORK: ??`) S! iJ C+L,? t-?¢Gu A?GF
STREET ADDRESS: Z3?va,L'¢'Y-'12E?
LOT BLOCK ? SUBD./P.I.D. #: 64L A-?'t L C+t iL? Oi4Llc, S
?
7°2- 3
PROPERTY Name: Phone #:
OWNER `""
Street Address-
City: State: Zip:
CONTRACTOR Company: b-N? BlL'7- Phone #:
Street Address: License #-
City: 0 e-k State: ? Zip:
ARCHITECTI Company: Phone #. 7Z 3-`f
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber:??S?m?'?? Penalty applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree ta compty with all
applipble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Suroey Received Yes _ No i?{OV fl 8 j?la?j
Tree Preservation Plan Received J Yes No
OFFICE USE ONLY
.,. ,. ? ,....?,..a
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
Af'02 SF Dwelling o 07 4-plex ? 12 MuRi RepaidRem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-piex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? TO = ptex ? 15 Deck
WORK TYPE
-.d-'31 New o 33 Akerations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL iNFORMATION
Const. (Actual) Basement sq. ft. Z 50?%" MClWS System I
(Allowable) eV7-N Main level sq. ft. /.GaB City Water
UBC Occupancy /4- u-I sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories / a r. sq. ft. Booster Pump
Length 631W sq. ft. Census Code.
Depth .?a Footprint sq. ft. Z1 /z/ SAC Code ?
e
? Census Bidg /
C
U
it
yS
5 ensus
n
APPROVALS ?
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Cify $AC
Water Conn.
Water Meter
Acct. Deposit
S/4N P6fRllt
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Building
--.-+°'--rr
_ Engineering Variance
Valuation: $
2 x
z?i?3F ?.sZ °zS
ls.rr s% ° PSF
7x/ _ 7
/,7J
7,
zr iz6? = 3S
.
lxi/•s iz
_
Total:
% SAC
SAC Units
7-
?-
/v . Sx SY = S S%
Z,r / 7!0 7 r l''
/?/ sr a y = Tvrz
3?3qs s
?a -
ZLJ LL _ S7L
-37r5.c?
T1F 9.f : 3
'
<7 ?1) q
" .
S?/?`I
?
CbrtiEicate of House L4cation For:
, John-$ymington 178/56
.'Jnibilt Inc. . ,
9516 Dakota Road
eloomington, MN 55438 , -
Address: 1750 Galaxie Court
Proposed yara9e floor elev. ???•/
Proposed top of block elev_
Proposed lowest level elev.
SURVEYOA'S CERTIFICATE
Description:
I.ot 4, Block 2, GN.TXIE HILL OAKS, according
to the recorded plat thereo£, Dakota County,
Minnesota_
N
Scale: 1 inch = 30 feet
O = Iron pipe mommient
p = Set wood hub .
XQ&0 = Existing spot elevation
?D = Proposed elevation
BM = 2'op nut of hydrant at the
east end o£ private dtive.
= 467.66
staked thereon. j
? ? ??;? 8 9°-?Z "5.??? E
REV jE;\?<";,, _ P.rc,nsnIL il5.ao
. __. ....?
A1so,showing the lacation of a proposed hvuse
DELMAR H. SCHWANZ
UND SUPVEVORS. INC. i
ReqilibraC UnCer laMS ol Tne Sble of Minnesota
14750 SOUTH R08ERT TNAIL ROSEMOUNT, MINNESOTA 55068 612/423-1769
?•' ??.., ???
1` -,20,00?`.oDrainage s Uti?o ?:
.,,._ .._ 9
95to 9lG.22? b w.A.,s.,-xf?a
?Vo sAa ?a J
? ??-?qsa.o• ? ',
J ? ?..
2pz? ?
\
\
?
.IL
?
Essm_ i
?
/
9L2,3R
??
?63.4 I? ;o?? 99
wi
?
41
>
Q
949.7
U.)
I
x ..
Q
-J
¢
V
I
- 1 - ?/?? ? , ' • ,M1 . i ? ?
D ?
3 c?? 9
0 ,
s=? ? ,o• 1
O,P9.'-t!Q6E
W
x :
H ?
¢ o
CL
?
4
i0
oi
n±0
' 930,0
P0 F V F ._ . ?
o c 4 c.
$O _ _---- h
? 'W / A ?
I,
r 96; t nEol"T : I , .
,h
?Cii ! C'Na•yI?_ - ,? "^?
v
J 35. 3? `?=
N 89°-¢,2 :.a2 "?N
?
? a
5 ,
961• 7
,?
.. ?
?. ?
7' LLY i.
? Fp,r1?N ENGu
i hereby certiy mat tnis survey. plan, or report way,: ?
preperod by me or under my Cirett sapervision en n
J0
Ihet I em a Au1y Registered Lend 3urveyor undeF U? !b?A'
the laws ot iha Slate ol Minneeota. I(. I-?v°r ;i4.c
Delmar H. Schwenz
De?ee 11-02-95 ?,+,"'•. •dt^??
Minnesota Registration No. 8625
, , , ' ?;?'y^: .• ..r_=. ,
?p .?•..? :. s ;a ??9'r,?„?'
6 .
? LOT SURVEY CHECKLJST FOR RESIDENTIAL
.
? o BUILD PERMiT APPU ATI
m
W' ^ Y
' N
W PROPERTY LEGAL:
?
? a W
a a m OATE OF SURVEY: 7 Q ?f
W ?..r
U r. y LATEST REVISION:
i .
DOCUMENT STAN?'+eRD
? ? • Registered Land Surveyor sipnatura and company
? • Building PertnitApplicant
D a
M-' • Legal descdptlon
P D • Address
? • North arrow and scale
13
o
0 a • House type (rambler, welkout, spltt w/o, spltt entry, lookaut, eto.)
' • Dfrectlonal drainape arrows vdpi slppe/oBdfent %
P-?
O C • Proposed/axostlng sewer and water services S invert elevatlon
0 • . Street name
? ? • ' Driveway
fy?? 13 0
? 13
• ELEVATIONS
Existlna .
Sewerservice
C
?(3 D • Property comers
01&k?--?0 • Top of curb at the driveway
• Elevatlons of any abst(ng adJacent homes
Pronosed
D • Garaga floor
D 0
? 0 • Frstiloor
Cl
Sr?- a • Lowest exposed elevatlon (walkouNwindow)
?
?0 . Property wmers
13 • Front and rear of home at the toundatlon
PONDING ARFO fif anoltcablel
? 0 • Easement Itne
0' ?
( e
. NWL
HWL
O 0
1 • Pond # desipnatlon
• Emergenq Overtlow ElevaBon
pIMENSIONS
? 0 13 • Lot IinesiBeadngs 8 dlmensfons
gr 0 0
cr? l:3 c3 • Right-0f-way and street widN (to back of curb)
• praposed home dimansions Includlnp any pro
? decks, overhanps praater than 7
?/ ? o ,
porchas, etc. O.G. all structures re uirin
q q pertnanent footlngs)
Q-? O
O . Show all easements ot record and any City utllitlas within those easements
_ `
0 S? u •
• Satbacks of proposed structure and sideyard setback of adJacent eristlng sWctures
Retaining wall re utrem , if any
Reviewed:
- Nama / ate
Juy 1995
.
. . . .
. a=q?
C4Pmatruct 6' 90° eend ' i
s"wAieat
B"SEWER ?
? .. . ,. . I L.2.2g . .67 w0•
i
-' , EXTERIOR ENVELOPE AVERAGE "U" COHPUTATION
. • ? , , ? .
fy.-
i
siTE ADDRE55: ??`Z(J G,'? L ?1 X 1 C C'v U?' T
COtlTRACTOR: t T 1 NC: , OATE: 11 S PHONE:
nETERHINE 6IORY.ING SQUARE F007AGE OF EACH:
]. TOTAL EXPDSED UALL AREA,,,,,,,, 5q ft x"U"
7. TOTAL ROOF/CFILitt.r, hREA........ ---???C?!- ---- sq ft x"U" , OZ?? A y. S7
3. TOTIIL EXPOSFf1 i/nt.i. nr•.Fn CAIf.UL11710115 ! "
Total expns?!I t;iil
arca ahnvn flnor........ O? sq ft
7t)
a) Total ti+all viindow area:
LOC cLbl. glazed...... ?79 sq ft x??U"
gtazed,,,,,, sq ft x "U" °
b) Total (loor area ......... sq ft x"U., 1---
c) Total slidtnq glass door area:
0) bl, 91 azed... . ..
s q f t x "U" , .5-/ _ • /8
glazed......
d) Total firepiace tiaail area
5q ft x "U"
sq ft x "U"
e) Total wall frariing area
eAver,oe 10'>........... sq f= r „U"
f) To[al net wall area above
floor (Insulated)....... sq ft x."U" 04Y' = Jre, 9/
q) 7otal 1'im Joist area......` Sq ft x"U" . ULI
Total foundation
area (Exposrd).......... sq ft
h) Total foundation
Window area............
sq f[ x "U"
i} Total net foundation /a O sq ft x"U" . O 7(Q °_.L•,
area above grade........ ?
t
TOTAI. a) thru i) = asa.8o
If ltem R3 Ts the same as, or less than ftem R1, you have met the intent of
2 MCAR 1.16008 A and 0.
Page 1
1j?t??
N. TOrl1l ER?OE60 RAOF/CBII.IMQ? CAlCU1.A
??lal ?xP+??d
?a?Et??'ce???ii`? ?ii'??;?;111?; 1
J) Totn) skylla.ht area ..... . e4 ft x ??U" .. -----" --
?.
k) Total roof/ccillnq freming
arca {Averana ft x liull
1) Total net Insulated , 3 9 Sq ft x"U" ^ U?? ".'°Z 737
roof/ceTlinq oraa........ --
?i TU7AL J) thru 1)
If total of #11 is the same as, or less than 92, you have met the I,ntent of
2 P1CAlt 1.16008 .A ar,d 0.
AITERttATE OUIIDIHC EMVELOPE DE51(;N
To utlllze the total envelape system method, the values estnbllshrd 6y the sum
of Items 93 and N4 shall not he 9reater than the sum of Items NI and 02.
1. 3. +
C E R T I F I C A T 1-0 11
I hereby certify tliat I have calculateJ the "U" factors end "R"
values hereln and tiiat the bulldin(i here.described meuts or exceeds the State
of Nlnhesota Enerwy f,onservatlon Act. c
% ;Iqnawra ?
-` P w,o owAA5 Q LC?/,
' I
?
1P 6alaKU ockS ? Lo?
? 2-S' ']'V14? !i
-6 32- - 5A e,G, za•<
? 6,0- SAtlE • GGGlsTtz o F
/7a?o ? 5?"4?.f.',c,C.r.?.r (?oo]?.•a,,?6s E([-?sr.
?j 7 O a 5 iGnfi F? ert-„?r- L.>am ?d?,NA :, f??xa eJ F.1?
'?/yo 0 ? ?kLLO 4?,4aLt.. ??/?'COUfYL 26
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EAGAN
BV
DAYF
i r? i \?"?^•n,.?, ^,P
r!O AiV ?PR 2a,`?o 1 ? (? n
?.?- -
SITE
?fi'JIEVdED FOR
PRES'ER'VA'PION
COMPLIA6VCE C
?- ?
/ r
?
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,
~ C 4f 32 ? SNn?.a 43;.&1nJ4_ ,. ?. ?. -
RESIDENTIAL PLUMBING
Permit Application
City Of Eagan
3830 Pilot Knoh Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts are required for each unit
Date /0/ V
Site Address ?? V ? ? ? Unit #
Property Owner Telephone #6151
Contractor H P
PM€Va/A
,
rncS
3670 DODD ROAD
City
Address
E/lCiA1d
MN
a5
,
?
#z8
(651) 365 1340
State
Zip Teiep6one #( )
The Applicant is _ Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations to exisHng dwelling $ 50.00
_ Add fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system II
_ Water tumaround (+ 5/8" meter'rf needed -$121.00)
Other:
?
_ RPZ _ new _repair _rebuild ?Uec
0? ^
S $ 30.00
?
?
n
_ Lawn irrigation system ?9y
Water soft ner Water heater
/T $ 15.00
replacement _ additional
State Surcharge $ .50
/
Total $ 4
I hereby apply for a Residential Plumbing Pernvt and acknowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumhing Codes; that I understand tlils is not a
permit, but only an applicarion for a perxnit, and work is not to start without a permit; that the work will be in accordance with the
ap ean in e case of work wluch requires a review and approval of plans.
'
qm
Applicant's Printed Name Applicant's Signature
L BL CITY USE ONLY
SUBD.
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY aF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT
DATE:
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x
Water Closet 3.00 x
Bath Tub 3.00 x _L = .3
Lavatory 3.00 x ---
Kitchen Sink 3.00 x / = 3
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x ? = 3
Floor Drain 3.00 x
Gas Piping Outlet * minimum - 1 3.00 x
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cry. license 20.00
U.G. Spfinkler " home under const. 3.00 =
ARerations * m existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
faTAL
5?. So
51TE ADDRESS: J)750 dge&:A--c?, 2&o-t
e%WIBR NAME:
INSTALLER NAME:?? ?fi? •
STREET ADDRESS:82?-Q ?*1??-???`1 F-?- •
CITY: -Pk;L 7Q? STATE: YW ZIP: 6-5373'
PHONE #: ( ((?(01) ??O a?Z?°?
c.w?
CITY USE ONLY
L 147-1 BL RECEIPT #:
SUBD. ? DATE:
7995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
z ? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: / ?l' S
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU " .
? Gas Outlets (minimum of 1 required @$3.00 each) LPO
? State Surcharge 50
TOTAL ?D
SITE ADDRESS:?
OWNER NAME:
INSTALLER NAME:_'
STREET ADDRESS:_
ciTV:r to-N rr?
lVS?Z_
I
STA
PHONE #: (615- ) qAe -/ 3 / 40
PHONE #: 3S Z?fS?
ziP: ? S '?z?
! BL ?
CITY USE ONLY
?
SUBO. Gcllaxie,?i(i 0 akS
RECEIPT #:
13v( oa g
RECEIPT DATE: S-)3- O D
PERMIT# NI DI/l
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, AffI 55122
651-681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for underground sprinklersystem
FIXTlIRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 7 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • raquires MPC flt. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler if dwelling is under construction 3.00 x = $
Undergroundsprinkler ifexistingdweniny 30.00 x = $ ?
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if exlsting dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> --> --> $ .50
Total --> --? ---? ----> $ MS
Reminder. Call for inspections of aiterations, i.e. water heaters, water softeners, etc.
- --------- ----------- --------------- --------------------------- • ------------------- --------- ----------------- ----- ------ • ------------------
I hereby acknowledge that I have read thi-s appliqtion, state that the iniortnation is correct, and agree to compry wdh all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages pused by the City during its
normal operetional and maintenance activities to the facilities construded under this permit within City property/right-of-way/easement.
SITE ADDRESS: ? L U` V-ttl l" `
OWNER NAME: : TELEPHONE #: CoSI ?I S0' 0Sd 0
(AREA CODE)
INSTALLERNAME: 14CCV124 ?$ LUO?lh-4 TELEPHONE#: 6/2- CB
STREET ADDR SS: 'Z ab, - lh'lt (AREr+cooe)
c
CITY: 5IATE4 ? ZIP:
SIGNATURE OF PERMITTEE
??f3Z30
New COnahucrion ReaWre? S reglateretl sIfe wrve
and y?l roofetl Beas 420
n s cooies a alara (slww
? 1 set of energy cdcul
? 9 coples o/ hee preaerva
DATE: 10 - I i -C, ?
DESCRIPTION OF WORK: opF
CONSiRUCTION COST:
C
A ??
SiREET ADDI?SS: 17 Sv Git( r
LOT: 4 BLOCK: I SUBD./P.I.D.#: ?AXlP1Nff ?IQkS
PROPERTY
OWNER
CONTRACTOR
ARCHfiECT/
ENGINEER
Name: 2.?- n) Phone u:
wat flnt
Sheet Address: i ? S v G.i4 ? ry.„r CT
City
2000 BUILDlNG PERMIT APPL{CAT{ON tRESIDENT{AL1 ? 12?j z5
cirv aF Eacaw
3830 PIL07 KNOB RD - 55122
A51-881-4875
?p Remodel/Reoalr Re a?dremaMs
y$ a?owing sq.1f. o11W. aq. fl. of house 2 Coples d plan
'!6 rtw?dmum lot coveraae allowedl 1 aet of energy CalCUlaflons ?w hea?ed atlWtlons
beam & wintlow sizea; poured Intl. design; etc.) 1 alte wrvey br exfedor ad?tlons & decks
atbna
lla? pWn il lot plaMed after 7/1/99
S3?G
zFA Gr4 N
Zlp:
Company: Vvc'57 u 2,.. ?e-nn ft s-. i Phone #: -76 3 5`i (- c:' 3 oy
(area code)
ShA6i AddfoS' 'J 7 vv j ; fn /9 vc Av l1Cer?86 N2or rSS 66 Exp,
qty State: /".? Zip; f S 4 ?/ /
Company: Name:
Telephane #: ( )
Sheet
CNY
Sewerlwater licensed plumber
I herebY acknowledge ttwt I have read Ihb apPtlcaHon, stofe Ma11he
of Minneaota STalutes and CNy of Eagan Ordinancea.
Signaiure of
OFFICE USE ONLY
State: /`` N
Regishafion N: _
State: Zlp:
/ P1?ne #: ( _
cgr¢e to comply wiTh ap apPIcable SfafE
Certificates of Survey Received _ Yes _ No '
Tree Preservation Pian Received _ Yes _ No _ Not Required
7I1? UUEST FOR ELECTRICAL INSPECTION
RE
I?'I III I?I • I IIIIIII Minnesota State eoard W Electriciry ??
1821 University Ave., Rm. S-126, t. Paul, MN 55704 ?
* 0 3 7 5 3 5 0* Phone (612) 642-0800I / Jr "??
Duplex Apf. Bldg. Ofher: New Addn
Indusirial Farm Remod Re air
B
H Hfg. Equip. Wuter Htr. Lood Mgmt Other:
r Ran e Elec. Heat Tem . Service
e
"X' above ffie work covered 6y fhis requesf. Enfer remarks in this space und on the 6ack of ffie whife copy only.
Calculote Inspection Fee - This Inspecfion Request will not be a<cepled withouf fhe correct lee:
OFher Fee # Service Enhance Size Fee # Circuih/Feeders Fee
Mobile Home Park Stoll 0 to 200 Amps 0 to 100 Amps
Sireef Lig./Traffic $ig. Above 200 Amps Abave 100 Amps
Tronsfortner/Generotor INSPECTON'SIISEONLV TOTAL
Sign/Outline Lig. X{mr. ^ ?/ ?
? r
Alarm/Remote Cantrol
(
?
Swimming Pool
I here6 cerf lfwf I Ins etled the elecmml i 9an desc' ed Anuwn Ihe dona slakd
Irrigafion Boom pou9ry.In Do ??
$peciol Ins
edion
p
Investigative Fee
I
Fin.[
U'/ / p
-(O°L
THIS INSTALUITION MAY BE ORDEHED DISCONNECTED NOT COMPLETED WITHIN 18 MONTHS.
Use BLUE or BLACK Ink
i Far Office Use ; I
j Permit I
cc-
City of Eap I - - ~
1 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675.5675 i
Fax: (651) 675-5694 1 staff` i I
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1750 G a 1 a x i e Court Unit
Name: Mary Savage Phone:612-790-6497
Resident/ p
Owner Address ICity /Zip: 1750 Balaxie Court Eagan, MN 55122-2646
Applicant is: _ Owner X Contractor
Description of work: Storm / Hail Damage - Re-Roof
Type of Work
Construction Cost: Multi-Family Building: (Yes ! NoX X
Company: J Zac Inc . Contact: Jerry Zachman
Address: 5249 Ogren Avenue NE City: Saint Michael
Contractor
state: MN _Zip: 55-376-3064 Phone: 763-49 7-4444
License BC 593 845 ----Lead Lead Certificate -NAT- 10619 6 -1
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: e_ Phone:
NOTE. Plans and supporting documents that you submit are considere d to be public information. Portions of
the information may be classified as non-public if you provide speclf(c reasons that would permit the City to
conclude that the are trade secrets
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 4540002 for protection against underground utility damage. Calf 48 hours
before you intend to dig to receive locates of underground utilities. v r~u.aoa erstateare~all.cra
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 Minneso tale Building Code must be completed within 180
days of permit issuance.
x x
Applicant's Printed Name A P IC nt's Si
Page i of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162636
Date Issued:07/22/2020
Permit Category:ePermit
Site Address: 1750 Galaxie Ct
Lot:4 Block: 1 Addition: Galaxie Hill Oaks
PID:10-28720-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Mary C Savage
1750 Galaxie Ct
Eagan MN 55122
(612) 790-6497
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177310
Date Issued:06/24/2022
Permit Category:ePermit
Site Address: 1750 Galaxie Ct
Lot:4 Block: 1 Addition: Galaxie Hill Oaks
PID:10-28720-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Mary C Savage
1750 Galaxie Ct
Eagan MN 55122--264
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature