1689 Galway Laney
L
?CL'tt?tCQtC of cCC1tpQ1tO
Witv of cfagan
?ailbiag ?a?peetion "
ZeVartmeut of
This Certificate issued pursuant to the requiremenn of the Urtiform Building Code
ce,tifying that at the trme of issuartce this st,ucture was in compliance wirh the various
ordinances of the Ciry regulating building cons+ruction or use. Foc tff"e following:
u.c?crcu. Sir iJWG sma. ?.a No. 33072 ,
ou-?r TYx R3/I1 I ' i m,,;,,8 u;,o;n R I T,p? co.v. VN
o. oreuiaina S1EDUATID ffi.DRS IM nama. 2•J30?50 PII].SY AVE, I.AIXVIISE .
BuiWing AdN? 1? ?Y 1? l.ao?iry 1., B2, KMNr'AR4
r ?
y
D?: ? Yl r...?.?. c ,. , -, -) , I Y, `
`, ) Building Otficial j
P0.ST IN A CONSPICUWS PIACE .
f
. _ '. - . . ... . . .[ . . . .. .. -
i
. _ • '.? _ , F -.a.- - _ . • ' L R? `ll.. '
r gtrdfiCQte of CCCIipQIiC?
? ?"°. .r. .
?itig a? ?agan
'??e?rart?aeut oi ?uitbing ?n??rection
This Certificate issued pursuant to the nequireinents of the Uniform Building Code
certifying that at t!u time of issuance this structure was in compliance with the various
ordinances of the City rrgulating bsilding construction or use. For the fotlowing:
Use Bidg. Permit No. 33072
oa„Pa,Ky ryx PJ/I71 0 s za,i,g 1L.1i. R 1 rype con5t. VN .
OwneroFBuildin6 S'?M MRS Dr- Ad&e'ss 23050 PILtSBURY AVE, IAKEV=
B+tilding Address ??c) CAIRM Im Lor.,ry ?, 132, MUMff r'AM
,. Due:
V POST IN A CONSPICUOUS PLHCE . _ ?
. .. ? ,
/ INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. 10 T
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
t <<! 0
SITE ADDRESS: APPLICANT:
i:1AY I Ah1!
:;fikt- 1lY f AhN! ( h 1:' 1 Hy4--A451k1 . .?;
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . D.
. ?, , ??. ,... ? { ?•, ,
I ,?i ,( 9
PIAM REwlftl(lp (tY WAYNF MlliI k_
iJ 1'•- H1 `.•,1RN PI IlMdt) Nt; Yt-.fl 1 R?>r,t
3 3 0l a-
Permit Holder Date Telephone #
PLUMBING j s 9
HVAC 1? VA2
y-yq 9
? ? 0005
InspeCtion Date Insp. Comments
FOOTINGS "j8`l??
s a
FOUND ?1?lvf a
FRAMING ? A??11.
??
ROOFING
ROUGH
PLUM6ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST ^AC
- /
INSUL
U
GYP BOARD
FIREPLACE A-
FIREPLACE
AIR TE5T
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 168e r.arwnv r.anE Zip 5512_1
Lot 3 Blk 9 Sub mmrHv Fauni
THESE ITEMS WERE / WERE NOT COMPLEfE AT TfE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) vl?
Pecmanent steps (main entry) vl?
Permanent driveway
Pecmanent gas
?
Sod/Seeded grass r/
Trail/curb damage ?
Porch
Basement finish V/-
Deck VI"
Please verify with the 6uilder the removal of roof test caps from the plumbing system and the shutoff of water supply to
[he outside lawn faucet before freeze potential exists.
Contad engineeting division at 681-4645 before working iu righbof-way or iostalling underground sprinkler system. ?
Whiu - City Copy Yellow - Resident Copy Pink - Convaaor Copy
-7°H s
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
.? 67?7,2.5,
New Consimdion Reauiremenls RemodeVReoair Reauiremenis +7€fice 4Jse Onlv
3 registered site surveys shawirg sq. fl. oF lot, sq. it. of house; and all roofed areas 2 copies of plan ?ert oF Suweg Recd ? Y,;,_ Kl
(20h maximum lol coverage ailowed) 1 set of Energy Calculations for healed additions FEA& PY94 Plan ROCtl %Y _N!
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Raynretf -Y - N
lsefofEnergyCalculations Addition - indicateitonaitesepficsystem Dn.s?te3eptieSysiem `Y,._.N'
3 copies of Tree Preservation Plan if lot platted afler 7/1193
Rim Joist Detail Options selection sheel (buildirgs with 3 or less units)
Date Construction Coat ! b?oc?,c-,
Site Address Unit/Ste #
Description of Work 2 P P l, ?CCa
Multi-Family Bldg _
N
Y'?,V
Fireplace(s) _ 0 ?.1 _ 2
Property Owner Sc `1 fv,d l r RCe y e'1+'n0 ?11 Telephone #( )
Contractor ?2 1•??-+/ y`?'?c? ?t'? iv?
Address
State '-?3 o CrPS1?w '.-? ?1J cl Cityurtle
Zip ? 533? Telephone # ( `j -a-) ? o? • /d S'1; ? OfF: ce
5 C-,e?0= `3es+C.r,- l019-3?b?osrsP-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) SubmiKed Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has The Ciiy of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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 of plans. ?
Applicant's Printed Name Applicant's Signature
%
?XZ??XX?X?XC???3K ?YF1k???+?*?FXC?<?i ?7K?7K?'.?K*
c??' %k l zr o• rAr.,aN
(.'.hl.`:iH:[FR: i TFfiMINAL N0: 93(l
PATEc 03/02/38 7IMH: 13.i.8:06
ID:
NF1ME: ST'FTNk1ANCi BI_URS. 7 INC„
2256 9001 1687 GFlI_.PIFlY L.N 57007.7i.
r
TOtd]. FiE?CPlpt ARit]!.1I5'F.7 5±007.71
CFCJ9C>t349
U.SEF SD: NANCY
FERMIT ?
A CITY OF EAGAN
3830 Pilot Knob Road
Eagan,.Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.a 10-49500-030-02
DESCRIPTION:
s
B
Ei ..
2
?
S
¢C S
., °-
C
SF DWG
NEW
R-3,U-1
VN
R--1
64
52
2
2,388
101 1 - FAM. DETACH
R
miR
_,
YI? hyi
? e F
$IHiN EI
BUILDING
033072
09/02f98
51Yf
3vsud* I g 3l'S1?"dftts.ax? ?S
REMARKS:
PLAN REVIEWED BY WAYNE MILLER.
5& W I5 HESSIAN PLUMBING #681-8262.
FEE SUMMARY:
VflLUATIQN
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtntel
PERMIT TYPE:
Permit Number:
Date Issued:
1689 GAI.WAY LANE
LOT: 3 BLOCK: 2
MUF2PMY FARM
ermit Type
qq-k Type
?g l.engCh ?'
i? 43idth -`
$1,402.25
$511.46
$101.50
$1,000,00
109
1
$3,415.21
$203,000
MISC. FEES ?$1 592.50
Total Fee $5,007.71
COWTRACTOR: - flpplicant - sT. Lzc. pWNER:
S7EINWAPJD BLpRS INC 19855111 0001055 STEZNWAND BUTL,DERS, INC.
230?0 PTLISBURY AVE 23050 PILLSBURY AVE
LAKEVILLE MN 55044 LAKEVILLE MN 55044
(612) 894-0498 (612)985-5111
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PII.OT KNOB RD - 55122
e81-4e75 ? 5C) U-I
,
New Construction Reauirements
? 3 registered sde surveys
? 2 copies oi plans (inGude beam 8 windowsizes; poured ind. tlesign; etc.)
? 1 energy ealeulations
? 3 copies M vee preservadon plan 'rf bt plattetl after 7H l93
required: _ Yes _ No
RemodeUReoair Reauirertronts
? 2 copies of plan
? 2 sile surveys (axterior addRions S decks)
? 7 energy wleulations for heatM additions
DATE: AuQUSt 20. 1998 CONSTRUCTION COST; 290 , 000. 00
DESCRIPTIO F WORK: Tdew Home Construction - Single Far.mily Dwelling
STREET RESS: 16$9 Galwav Lane -
LOT: 3 BLOCK: 2 SUBD./P.I.D.#: ??PINEX - 10-49500-030-02 Murphy Farm
Name: Arnold Samuel & Tracy Phone#: 612/377-5673
PROPERTY 1-%st First
OWNER
SveetAddress: 928 Lincoln Avenue
Ciry Minneapolis _ State: I'M Zip; 55403
Company: Steinwand Builders, Inc. Phone#: 612/985-5111
CONTRACTOR
SveecAddress: 23050 Pillsbury Avenue License# 1055
Cicy Lakeville gtate: MN z;p: 55044
ARCHITECT/
ENGINEER Company;Feehan P.esidential Architecture Phone#: 612/494-3224
Name: Tom Feehan Registration #:
Stree[Address: 20415 Countv Road 50
Ciry Corcoran Stace: m Zip: 55340
Sewer & water licensed plumber (new construction only): He s s i an Plumb ing Serv.. penalty appiies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applica6on and state that the infortnation is cortectiand agree to com y with a11 appliG3bl
State of Minnesota Statutes and City of Eagan Ordinances.
St ' d 'lders, nc
Signature of Applicant: b: Pres.
OFFICE U7es =B3Y-
Cerdficates of Survey Received _ No
Tree Preservation Plan Received _ Yes _ No Not Required
OFFICE USE ONLY -
BUILDING PERMIT TYPE
0, 01 Foundation ? 06 Duplex
34 02 SF Dweliing ? 07 4-plex
O 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = piex
WORK TYPE
jll? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
5urcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment P1.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
-AyW Engineering Variance
Valuation: $ 2n 000
V N l9asement sq. ft. /N 110 MC/WS System
y?Main levei sq. ft. lN yD City Water
3/ a+''DFL sq. ft. j ti u3 Fire SprinWered
R _ ./fIR sq. ft. "'RV
2_ POiIPGy sq. ft. 22 Booster Pump
.gg_3,.j- sq. ft. Census Code.
ra;k.. Footprint sq. ft. 23 9-415' SAC Code
Census Bldg
Census Unit
Building
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi RepaiNRem. ? 17 .Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
elE_
&SC-- A4 c l7-t /qyO ' 16-
/ Hyo x 5 Li
2N? r=?oc,i; i 5 `13 x g-a?
p?,:e ?:',_, r; .' /i1-,i.7
36XlC - ', .
C' X? ?-,
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xl,.lc=
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e- t- cortu rJ Ft
JVAo rt 1'^dtA1 l'/NO
- 166 X IcJ6 _ 2>_'{,75
3c98
2cJ
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u
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ll j?- 8y
67 ;,C7
/Jo`V00
3 5<qsoau P,
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* °nB n°er-1
* * 7?. *
Certificate of Survey for:
2422 Enterpriat prire
FAandoto Heighte. MN 55120
(612) 881-1914 fAX: es1-o449
AHCNIlECTS 625 Highway 10 N.E.
Bicine, MN 55434
1(612) 783-1880 FAX:783-1883
STEINWAND BUILDERE
1689 GALWAY LANE
EAGWOV
a
BY
DATE 21" ?r?
BIIiLDING IiVSPECTiQ?PEPT.
7,'
w
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2 (0cq
906.2 z
910, 9
Zw
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w=
s,,.,
BENCH MARK /'?^
TOP OF PIPE n;
ELEV.=909.81--" N
1
908J
O
908.7
8
?
S$9'36'14"W 108.31
0
o ? ^-
r----?,tc- -------.._T._- 7
51 903.9 ~?-EASEMENT PERnPLAT-<- 1
+ X
I ? x 903.7 ?
+ 3 / l?
q?0?- __?-- 903.9 eft41 ) 403.9 /
i
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i 1909.1
I F?,no?
I I I gI?„o DRIVEWq?
4-ft 1
900.5
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. 26.00 r: ,
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903.5
p OPOSE
`HOUSE
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ag 945.4 n 4
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?15. 0 4 012,7); ? ?ry 904.6
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?.___------
909.0 -1.'78
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INV.=895.0r
_ ,- SERVICE
0
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BENCH MARK
TOP 0F PiP
V
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909
o 907
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9 .=
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. :.AN?1: 11?hi 1?- lli4',cr yq R1'0,k7, 1
•`
D GRADFS SHOwN PER GRADING PLAN BY! BRW
R
P PROPOSED HQ4JSE FVATION
O
OSE
uOTE: p
TILAI LOCATION 20 4
(
NOTE: BUIIDINC DIMENSIONS SMOM ARE FOR HORIIpNTAL ANO VEB '
0
LOWEST FLOOR ELEYATION:
OF $TRUCTURES ONLY. SEE RRCHITECTUAL PLAHS FOIt BU4AING ANO 9r3 4
voureoAriaa muc++sioNS. TOP OF BLOCK ELEVATION: 1
HO7E: NO SPECiFlC SOilS iuvESnCAtiOU H?5 BEEU CONPLETED ON THIS LOT BY THE
E
'
EVATION: ?Z _3
GARnGE SLAB EI
IC HOUS
SUqVEYOR, THE SUITABILIiY pF 501L5 TO SVPPORT THE SAEGi .
PROpOSEP IS NOT THE R[SP(}N51BLI7Y 0r THE SUpVEYX+• .
NOTE; MIS CERTk'ICA'E DOES NQT FtlRPORT TO SHOW [A$EMENTS OTMER TNAN % OOO.DD DENOTE5 E)OSTING ELEVADON
TXOSE SNOWN ON THE RECORpEO PLAT, { 000.00 ) OENOTfS PROPOSEO EI.EVATIOP1
DEN07E5 GRAiNdOE AND VI1L17Y EASENENT
NOTE: CW+TRACiOR MUSY VERIFr DRIVEWAY OE51CN. -? pENOTE9 DRNNAGE rLOW bIR£CTON
NO7E: BEARINOS SHOYM ARE BA9EU ON AN A99UME0 OAT/M -?--^ DENOTES MONVMENT
?- pENQTES OiFSET MUB
WE HERE9V CERTIfr TO STEiNwAND BUIlDERS THAT THiS IS A 7RUE AND CORRECT REPRESENTATIOk OF A
5URVEY Or THE BOUNDARIES OF:
LOT 3, BLOCK 2o MURPHY FARM
OAKOTA COUNTY, MINNESDTA
IT DOES NOT PURPOR7 70 SHOW IMPROVEMENTS OR ENCHROACNMENTS. EkCEPT AS SHOWN. AS SURVEYED 6Y ME OR
UNDER MY DIREC7 SUPERViSiON TtiiS 22N0 OAv Or JULY, 1998.
S NED: PIONEER ENG ER! , P.A.
SCALE : 1 INCH = 30 FEET ? `_?.
B.
?el e7Ae1 ne cuxr John C. Larson, LS. RCg. No. 19828 '
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPIICATION
PROPER7Y IEGAL:
DATE OF SURVEY:
LATEST REVISION:
Q
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directional drainage arcows with stopelgradient %
• Proposedleristing sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
E '?stina
• Sewer service (or Praposed)
• PropeAy corners
• Top of curb at the driveway
• Elevations of any ebsting adjacent homes
r osed
0-'0 ?
G1?-o ?
g/a ?
0-'o ?
p"o O
? ??
? ?O
? L3"/?
?
? ? ?
?a ?
er'a o
lzi-?0 ?
ET-'o ?
0--? 9
p [? ?
• Garage floor
• Flrst floor ,
• Lowest exposed etevation (walkout/window)
• Properly corners
• Front and rear of home at the foundation
PONDING AREA Cf apolicable)
• Easement line
• NWL
• HWL
• Pond # designadon
• Emergency Overtiow Elevation
DiMENSIONS
• Lat IinesBearings & dimensions
• Right-of-way and sUeet width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
• Show all easements of record and any City utilifies within those easemenfs
• Setbacks of proposed structure and sideyard se ack af adjacent existing structures
• Retaining wall requirements,'
Reviewed: ? ! Date
January 7998
CRMplypypLpppRWT FM
V - C[TY USE ONLY
LOT ol t3L RECEIPT#: lOa-q&
SUB? RECEIPT DATE: a/?`"/F9
1999 MEGHANICAL PEiMIT (ftESIDEPTIAL) r/
CITY OF Sr4fiAN I?j?1
S$SO PILOT KNOB RD
F.AsAv buv 5512E
9 (651) 691-4675
Date: _
Complete this section oial if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.0
ADDTTIONAL 50 M BTU 6.0
• Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: .50
• TOTAL: .?? ??Iro
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
_ New _ Replacement
Fumace
Air exchanger, i.e. `v anee system, etc.
Reminder: Ca11681-4675forinspections.
Repair _ Other
Air conditioning
Other
$ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS:
OWNER NAME: PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #: YNAKJ?
_ STATE: ZIP: h a?g
- ? .
S NATURE OFPERMITTEE
15/PORMS BLO/MFCH PflRMIT (RES) - 1999
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
1999 MEcHAvicAL PEftMrr (coruKEtciAL)
cITY oF £ASbk1v
S$SO PILOT KNOS RD
EAflRN, MN 55122
(651)6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR INLPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
STATE:
PHONE #:
($.50 per $1,000 of?ermit fee due on all permits.)
ZIP:
SIGNATURE OF PERMITTEE
/ L j gL ? CITY USE ONLY
7 D
RECEIPT #: D
? d „
SUB . ?(._1 RECEIPT DATE:
1999 PLU14I$INfi PERMIT (RESIDENTLAIa
Cli'Y OF EAfii4N
S$SO PILOT KNOB iiD
EkflAN. IdN 551 EE
(651) 6$1-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
D backFlow preventer for underground sprinkler system
------- --------------------------- -----------_'----------- -
FIXTURES EACH --------------------??
# ?,??------------
OTAL
Shower 3.00 x 3
Water Closet 3.00 x i = 4)
Bath Tu6 3.00 x 3L = G
Lavatory 3.00 x 4 D
Kitchen Sink 3.00 _
x 3
Laundry Tray 3,00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x L_ = 3
Floor Drain 3.00 x 3
Gas Piping Outlet ' minimum- 1 3.00 x 3
Rough Openings 1.50 x 3 = 15 u
Water Softener ' for dwellings under construGion 5.00 x =
Water Softener ' for ezisting dwelling 30.00 x =
U.G. Sprinkler " for dwelling under wnst 3.00 =
U.G. Sprinklef ' for existing dwelling 30.00 =
Alterations ' to existfng residence 30.00 =
Water Tum Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Ahandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE 50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alteretlons, etc. 00
TOTAL
?
50
---°--•-°--•-------------------- --•°---•--•------- - - - ---------------------------------------------------------------------
I heieby adcrrowledge tl?at I have read this application, state that the infamation is ?rrect, and agree to comply with all applipble Ciry of Eagan adinances.
It is the applipnPS responsi6ility to notiTy the properly owner Ciat the City ot Eagan assumes no liability for any damages pused by ihe City during its nortnai
operedonal and maintenance activities to the fadlifies oonstructed under this permit within City property/right-of-wayleasement.
S(TE ADDRESS: ?u L h
OWNERNAME: S'v-e ?^ ? °^ '- 16 ? 11 1
INSTALLER NAME: S S t c TELEPHONE #: 67SI' g I`UJrd-
STREET ADDRESS: Q1
CITY: t-4 - STATE: Zip. S Sd 7`1
?L
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
L BL CITY USE ONLY RECEIPT #: J 1 ?'r i1 'l ?
!(_
SUBD. RECEIPT OATE: _Jl I X? -? ?
PERMIT #
1999 PLUMBINH PERbi1T (REsIDEP17i4L)
crrYaF Ewsm
8830 PL.OT KNOB SD
_ f.AflAR, buY 55122
(sbi ) 681-4675
Please complete for. ? single tamily dwellings
? tpwnhomes and condos when pemiits are reqWred for each unit
? 6ackflow preventer for underground sprinkler system
FIXi'URES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Fioor drain - 3.00 x - $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
KitcMen sink 3.00 x = $
Laund Va 3.00 x - $
Lavato 3.00 x = $
Minimum fee alterations to szistin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' reuires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h enin 1.50 x = $
Shower 3.00 x = $
Under round.s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dweilin 30.00 x =
6
;30.
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dweilin under conswceon 5.00 x = $
Water softener if existin dwellin 30.00 x - $
Water tumaround 30.00 x $
State Surchar e .50 -> --> -? $ .50
Total -> $ Gi 50
Reminder. Call for inspections of aherations, I.e. water heaters, water softeners, etc.
1 h?eby sclnwvdedge thaCl have read this zpplicatiori, state tliat 9ie infortnation is ooneC, arid ?ree to cort?ply witfi all eppiicalile City of Eagan adinances.
lt is Me applicaM's responsibility to notlfy the property ownw that the City of Eagan assumes no liability far eny damages caused by tlie City during fts
nomial ope2tional and maintenance acfivities to the facilities mnsWCted under fhis pertnft w1Udn City property/rightof-way/easement.
SITE ADDRESS:
OWNER NAME: :
INS7ALLER NAME:
STREET A}?,DRESS:
Cm?: '' ?1CY/i
Ac o- O
/I .C.I??
G? ?. y L
TELEPHONE #: 1-1sa F ?? 7
(AREA CODE) ,
TELEPHONE #:
(AREA CODE) ,
STATE: ZIp;
SIGNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109229
Date Issued:02/21/2013
Permit Category:ePermit
Site Address: 1689 Galway Lane
Lot:3 Block: 2 Addition: Murphy Farm
PID:10-49500-02-030
Use:
Description:
Sub Type:Residential
Work Type:New
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Samuel J Arnold
1689 Galway Lane
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112591
Date Issued:08/20/2013
Permit Category:ePermit
Site Address: 1689 Galway Lane
Lot:3 Block: 2 Addition: Murphy Farm
PID:10-49500-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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 .
Laura Gillespie
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 -
Samuel J Arnold
1689 Galway Lane
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120971
Date Issued:03/07/2014
Permit Category:ePermit
Site Address: 1689 Galway Lane
Lot:3 Block: 2 Addition: Murphy Farm
PID:10-49500-02-030
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.
Josh Mcguire
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Samuel J Arnold
1689 Galway Lane
Eagan MN 55122
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121504
Date Issued:04/04/2014
Permit Category:ePermit
Site Address: 1689 Galway Lane
Lot:3 Block: 2 Addition: Murphy Farm
PID:10-49500-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 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 -
Samuel J Arnold
1689 Galway Lane
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131013
Date Issued:05/27/2015
Permit Category:ePermit
Site Address: 1689 Galway Lane
Lot:3 Block: 2 Addition: Murphy Farm
PID:10-49500-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Samuel J Arnold
1689 Galway Lane
Eagan MN 55122
(612) 399-9644
Blue Ox Heating & Air Llc
1428 3rd St N
Minneapolis MN 55411
(651) 288-0099
Applicant/Permitee: Signature Issued By: Signature
Cpr Pa/
Use BLUE or BLACK Ink 'J�(oil
. _ . r For Office Use
Of E.,q ! / 7
g 0 Permit#:
1 , ' h - (/.-ice /fn
=v s Permit Fee: 2
� ' ! J.t1
Date Received:
Staff:
3830 Pilot Knob Road I Eagan MN 55122
Phone:(651)675-5675 I Fax:(651)675-5694
buildinginspections(a citvofeacian.com
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
1 //S u 1 '7 Site Address: 1 U 3 6 1 ,.'`'.``/ I.,,..,„ ..`i Unit#:
„, ,,„
l 1
I Name: ( Phone:C l2 ° Z -q
Kea—
Resident/
Owner I /'Address/City/Zip: /6 8 5 �-%`ct.i`^rte 1 1,,,1 {
I
j l Applicant is: Owner Contractor
Type of Work Description of work: a
Zeuc Pr ..
I 2 6 v c> Multi Family Building: (Yes /No )
Construction Cost: _.. .... ...... .. ..._
1 Company: Dee (A0a J r Contact: ) ""C'
' ( ( 8 z ,�Q V� ifi:A) C City: Cft��C
Contractor Address: r-- ��
State:,V Zip: 5�ts q`{ Phone: 72 36(-Yt�1 Email: s.,,,,,,,tidmi.-2,_
License#: q 6 G U�Z Lead Certificate#:
If the project is ex mpt from lead certification, please explain why: �`
i �l r
I
i 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: 1
ISewer&Water Contractor: Phone:
j Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are,considered to be public information. Portions of the information may be
F classified as non-ablic if ou rovide specific reasons that would •ermit the Ci to conclude that the are trade secrets.
__.......
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appy:,a o • -ns.
x
0s 1-- 1 r(,-"5” x
Applicant's Printed Name App cant' . ignature
Page 1 of 3
2017-Sep-13 02:17 PM Greenguard Construction 507-208-4336 6/13
/ -7'6. �7 e
/.‘g3- 7 67A'
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3•Season) — Exterior Alteration(Single Family)
_ Single Family Garage ^ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of—Plex * Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ interior improvement _ Siding _ Demolish Building*
_ Addition -_ Move Building _ Reroof — Demolish interior
* Alteration _ Fire Repair _ Windows _ Demolish Foundation
— Replace _ Repair ^ Egress Window _ Water Damage
— Retaining Wall *Demolition of entire building–give PCA handout to applicant
DESCRIPTION
Valuation 0(0,0Occupancy 11.4, MCES System
Plan Review Code Edition AA , ( SAC Units
(25%_100%4)) Zoning 1 City Water
Census Code Stories Booster Pump
#of Unite Square Feet PRV
#of Buildings Length Fire Suppression Required
i ype or t:onstruction Vb vviain
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final 1 C.O.Required
—
Footings(Addition) ___*, Final/No C.O. Required
—
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water ^Final Pool:_Footings Air/Gas Tests _Final
Ni..—
Framing 4 30 Minutes 1 Hour Drain The
—
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
_ , insulation Windows
Sheathing Retaining Wall:.Footings_Backfill_Final
—
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
—
Reviewed By: �� ,Building inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
((9 (90 ?c' ,70 L, 2 O / L o
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
,.-
Use BLUE or BLACK Ink
of E ' • For Office Use i
t %a : '' 'F"` Permit#: � �
s ti
, Permit Fee: ` i
o I
tj
',41seto Date Received:
I
3830 Rlot Knob Road I Eagan MN 55122 Staff: I
i
Phone:(651)675-5675 I buildinginspections�c cityofeagan.com
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: i i'20-1 7 Site Address: /6 7 / q 7,..1 p 2-_i L NAIL
Tenant: Suite#:
Name: Phone:
Address/City/Zip:
Name:
as .. j�_; ;— License#: P C. (� Lig.�j
Addrs : 2' .. e2 City: Z75
,e
State: 1 Zip: 5.57 7 Z Phone: % 5-2 ` ( z
7 / ()
Contact I s Email: A _ • , ■ __ Lar`r e */ 1.2u ,:✓l
\-/New Replacement —Repair —Rebuild —Modify Space _Work in R.O.W.
Description of work �r!.��l1 0_,1.1.--L„ v ( 6/
RESIDENTIAL
Water Heater
Lawn Irrigation(—RPZ/ PVB) ; Water Softener
Permit Type. 1 Add Plumbing Fixtures(_Main/ "Lower Level)
Septic System
s New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aopherstateonecali.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeauan.com/subscribe.
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 :.�'jv it; that the work will be in
accordance with the approved plan in the case/ of work which requires a review and approval of plans. 016 X4LHfedPL) Ke (e r` x IA ant's PrinNaPAp• icant's S"_ re
J OR OFFf E USS A Review t tr )at‘S
Enal
Requfred Jrfspeotiio ns t r z'auf .f RQ tr ftp tr Test /
tlg �
MiNINENNESMORRINEMINSMISNINEEM
0 f f Meter Size R
y � . . end ri0:04PSERSIOr„
rpl(Ed
q
I-
For Office Use 4 '
• Permit#:
E AG N
Permit Fee: 1 / 7- -
/
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 I FAX: (651) ECE17 Staff:
buildinginspections@cityofeagan.com MAR A 5 Wt
2019 RESIDENTIAL BUI .ING PERM APPLICATION
Date: Site Address: Unit#:
Name: n ter( PCS Phone 6/L .2 a L 9 d I
Resident/
Owner Address/City/Zip: ) 6 8 ck I y La n e
Applicant is: . Owner )(Contractor ' / (ir (A ice
1
Type of Work Description of work: 01(LSttr 6,-t& 41Ce 4'1 of
Construction Cost: d S O)0 Multi-Family Building: (Yes /No )
Company: Depz,►J4t.fe iS N;I&rs Contact: •..\0-S I
Contractor Address: 17 7 8 Z J ccv t City: Lkey
State: l/ti Zip:SS-0H 4. Phone: 6/2-30‘ '/I9fEmail: J61SLesee-.,r444.. ,/t�rr:,cc•N.
License#:Li 6 dos Z Lead Certificate#: I
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression 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-•ublic if ou •rovide s•ecific reasons that would •ermit the Cit to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and a•- • - • • - s.
03 et,
Applicant's Printed Name Appli - s Signa 're
DO NOT WRITE BELOW THIS LINE /.6g -) Ofq t(-04-el-e Ln /___:6_7c*: E_c"
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation SUGU ' Occupancy :7:44 -/ MCES System
Plan Review / Code Edition ,,.o' SAC Units --
(25%_ 100% i✓ ) Zoning n % City Water
Census Code lY 5%' Stories — Booster Pump
#of Units / Square Feet PRV
#of Buildings I Length ---- Fire Suppression Required
Type of Construction .il Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) - Final I No C.O. Required
Foundation Foundation Before Backfill t HVAC_Service Test Gas Line Air Test_ Hood
Roof:_Ice & ater _Final Pool: Footings _Air/Gas Tests _Final
Framing ✓ 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
A4' Insulation A Windows
Sheathing Retaining Wall: Footings_ Backfill_ Final
Sheetrock Radon Control
' Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
,e- Shower Pan Other:
Reviewed By: tieli fir i'o , Building Inspector
RESIDENTIAL FEES /3 7 4 7)&l4 C n�- X D -2.yd
Base Fee ii $- '
Surcharge V//"MW / -701__________-.:-
Plan
-701 •`-Plan Review -26
7U
MCES SAC Aid
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies __Q A,T,
TOTAL
Page 2 of 3
+ r-For Office Use /////
'i' Permit#: /�`7`7`f
EAGAN
Permit Fee:
.�_ Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(&cityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: �t 9 �1 114)2-i ` '
Tenant: Suite#:
Resident/OwnerName:.r 2_ v' Phone:
Address/City/Zip: /,
Name:
t�In c cr S r License#: K 6 y $3
Contractor Address' S1 Z I12,c 2 r ( City: 7/7-a5
State: )71/11 ZipS )Z-Z Phone: I�Z L//Z 7 3 0
Contact: Al2-1-c— Email: AA4e.0 �fc �e file a- PIS. ,t 5 . c
Type o1 Work —New —Replacement (�—Re air —Rebuild -"Modify Space —Work in R.O.W.
Description of work: %rv1 r�+A Z�kr� Z+(� • C �p t"w� S P"'"`"-c--
Water
''"-".c-Water Heater
Lawn Irrigation ( RPZ/—PVB)
Water Softener
Add Plumbing Fixtures ( Main/ Lower Level)
Description Septic System
Description:
New
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 st.' without a permit; th. he work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X j/Psb (P.- SC lK v X / t '
Applicant's Printed Name Applicant's Signature
Page 1 of 2
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough-In ` Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspections@citvofeagan.com
Page 2 of 2