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1495 Federal Ct PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA091273 Eagan, MN 55122 . Date Issued: 09/23/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1495 Federal Ct Lot: 2 Block: 1 Addition: Stoney Point PID 10-72600-020-01 Use Description: Sub Type: e- Siding & Windows/Doors Construction Type: Work Type: Siding & Windows/doors Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Windows/Doors: If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, Fee Summary: BL - Base Fee $6K $132.75 0801.4085 Surcharge - Based on Valuation $6K $3.00 9001.2195 Valuation: 6,000.00 Total: $135.75 Contractor: -Applicant - Owner: Lindus Construction Michael J Fletty 879 Hwy 63 1495 Federal Ct Baldwin WI 54002 Eagan MN 55122 (715) 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 City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature , tl - •r.?+. _ . - i BUILDING PERMIT To be used for St L-"Gf (;AI? Est. Value #bZg,000 73? Receipt * Date D, ^c i ,1 g ' '{ Site Address 1495 P7TVL'11L C'I Lot ? Block 1 Sec/Sub. Parcel No. e Name COLLRGZ CiTY )970 1511,15T :S'!' = Address f' 0 City XPPLE YALL?E tPhone 411-1211 ¢ Name ` A-M- ?O ? Address ? City Phone City 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. Signature of Permittee :.i1LL:'(.=E A Building Permit is issued to:__ __ CiTY _- on the express condition that all work shal I be done in accordance with al I applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHON E: 454-8100 OFFICE USE ONLY On Site 5ewage Occupancy MWCCSystem f Zoning R"Z On 5ite Wel1 (Actual) Conat V-N City Water x (Allowable) ti -N PRV Required x # of Stories Booster Pump Length Depth s+2, ? S.F. Total Footprint S.F. APPROVALS FEES ` 422'W ? Engr./Assess. _ Permit 31•00; Planner _ Surcharge 211.00 ' Council Plan Review Bldg. Off. SAC, City 100•00 ; 00 550 Variance _ SAC, MwCC Water Conn. • < 550.00 Water Meter 67.00 • Road Unit 325.00 i 204•? Treatment P1 Parks ,. TOTAL 50 i Permit No. Permit Holder Dets Telephone if Plumbing ?A7 s H.V.AC. 1136 Electric Softener Inspectlon Oate Insp. Comments Footings I ? Footings II Foundation Framing Roofing N Rough Plbg. ? Rough Htg. Isul. Fireplace Final Htg. - ?? Final Plbg. Bldg. Final Cert Occ. 719 v Temp. LP Deck Ftg. Deck Final weii Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ; ! . : i {?t kf?l ? 1 I ?IUNEY VUIMi hy? • ?•: ? y ? , APPUCANT: ft.1Z1 4 13 -7ln1t t Hvtrt PERIVIIT SUBTYPE: TYPE OF INORK: ?frrnr rntt INSPECTION .• . DA tN V Ii{+: frj rtii ? ? Permlt No. Permk Holder Dsta Telephona N ELECTRIC G Jr' 3 r ?°O PLUMBING 5 9 !? ?. HVAC Inspecdon Dab Insp. Commeats FOOTINGS FOUND FRAMING -94 ?, IZ ? ROOFING ROUGH PLUMBING ? PIBG AIR TEST ROUGH HEATING OAS SVC TEST INSUL GYP BOARD FIREPLACE i FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. 85MT FINAL DECK Fi0 DECK FINAL CITY QF EAGAN PERMIT TYPE: i' Ir+r% 3830 Pilot Knob Road Permit Number: '''? •' /++ j Eagan, Minnesota 55122-1897 Date Issued: w. ? (612) 681-4675 ? ? ? r ? .; ;.??„ ,.•?. ? SITE ADDRESS: APPLICANT: I+t kFl l t 1 t tO i ???faf 1' i'111lJ 1 ( t. 1.' 1 ??'a•l 1.ql; . ?' PERMIT SUBTYPE: , : i . . TYPE OF WORK: M f l•1 INSPECTION D• • D• ? IO WA Permit No. Permit Holder Dsb Telephono A ELECTRIC PLUMBING HVAC Inapsctlon Data Insp. Commertb FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARO FIREPLACE FIREPLACE AIR TEST ? qiG6 FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAI BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL •r•ij C!V ?/ V ? t SEWER & WATER PERMIT CITY OF EAGAN • 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 ? OFFICE USE ONLY PERMIT DATE - WATER PERMiT # SEWER PERMIT METER # ? B.P. RECEIPT # C?%?p# D O U I B.P. RECEIPT DATE :?`' METER SIZE S/A t?6 c /C ISSUE DATE .2 - 9 - 2 9 K PRV ???`PVK?? I ADDRESS 1495 FEDERAL COUttT ? BLOCK 1 SEC/SUB STOATEY P01fVT O1.LEG8 C1TY CONST RESS: 6970 LSIST ST , STATE A-°P12 VA.LLEY ZIp 55124 NE: 431-1211 VBEFi: STAk PI..Fcr RESS: 1018 MOUNUS SPRING T1:1' , STATE gLOOMlI'G7'O1: ZIP 55420 ::OLLEGE CI'tY CONST STATE PERMIT REQUESTED x SEWER Y- WATER - TAPS COMM/IND NEW ? RESIDENTIAL EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: ZIP SIGNATURE HEN METER ISSUED 'LEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT eNGINEERING DEPT. /,/ p [,: f ?' ; .7 ?? . w•v! ?,c..?/ ? ? llj?/?l ?i / . v CITY OF EAGAN . • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 ?T l?? 15931 BUILDING PERMIT PHONE:454-8100 Receipt# ?9(0`Ilj To be used for SF DWG/GAR Est. Value $62,000 Date DEC 2 ,19 88 Site Address 1495 FEDERAL CT Lot 2 Block 1 Sec/Sub. STONEY POINT Parcel No. w Name COLLEGE CITY w ; Address 6970 1515T ST a CityAPPLE VALLEYphone 431-1211 a Name_ 0 ?a Address ? City_ °W Name_ wW ? s z., Address 5 w CitY- I here6y acknowled9e that I have read this applica[ion and state that the inlormation is corr¢ct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrdinanCes. Signature ot Permittee N.?L A Building Permit is issued io:_. CQLLEGE CITY _ on the ezpress condition that al I work shal I be done i n accordance wit h a II applicable State ol Minnesota Statutes and City of Eagan Ordinances. Building Official nalit, OFFICE USE ONLY On3iteSewage - Occupancy MWCC System -X Zoning On Site Well _ (ACtuap Const City Water x (Allowable) PRV Required # ot Stories Booster Pump _ Length Depth S.F. Total Footprint S.F, APPROVALS Engr./ASSess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review snc, City SAC, MWCC WaterConn. Water Meter Aoad Urtit Treatment P1 Parks TOTAL R-3 M-1 R-] V-N V-N 49' hZ1 422.00 31.00 211.00 100.00 550.00 _5SQ._M ---6_Z._QO --3Z 5 _ f1l1 204.00 2,460.00 ? OFFlCEUSEONLYihrsrequesl frmvoliclation printedin47mrs.......I T I IIII II111 N III II III II I I I II II III II III I II I'I ^?/ ?/ i??? G " / * 0 4 6 6 8 4 3 0* PL ASE PRINT OR TYPE Requezt Du?e Roughin Lizpection required2 Ves O Na Inspecfian qtrer Tfwn RougMn: ? Ready Now ill Call _ _? f1'au must mll the inspecbr whe r dyj Date Ready: I, ' nsed conhacfor 0 owner hereby request inspection of the above electrical work ot Jab Addrass ?Srveer, w R.O. No.) 1-L Bo , ? ?.???c9.a.?-o- ? C-1 Cly ?? Lp Code 5 Saciion No. Township Noma o, No. Ronge No. Fira Na. Covny p???l^ J . l. Occ?pa?nl \ ' • ^ - Phone< N'o. ?'y r? 'l J PowerSupplier Address EIMnc Conhocror (Compoiry Name) Connoclw licensa No. LA Lo9 S Mosiei Lic. No. I%ant Elx. Onm hb? ing Addrass (Contm o, Owner Ferforming Insbllmion . I??tv ._e?,v?-? Au ' ed Sig?wmre ?Conrcocror or Ownr Performinq Insmlla?m? PMne No. EBOOOOIA-i l 8/96 STA7E BOAflD cAPY - SEE INSTRUCTIONS ON BACK OF YELLOW CAPY 0 064 071 Request D2ta Fire No_ - 1 ouglrln Ins , on Required (Vau must c' epector when ready) Inspection Olher Then Rough-In ? Ready Now ? WIII Natify Inspector ?.;i / ?'Pes ? No Date Ready IAlicensed contractor ? owner here6y request inspection of above electrical work at: Job Adtlress (SVeeL Box or Poute No-j L Cily Z r, 2L - Sactlon No- TownsMp Name or No. Ranga No- Counry//?? 4.//?AI 0/f? - Occupanl(PRINT) //-' Phone N?/ o. ? 4.?v // /.d4.? 1 Z Powar uppller C " Atltlress ' f LLTC'.T?/G ? ? K/JT/ X /hirK IO/7rV ElecYdr Oontrector (Caanpany NameJ Co nV ator's License No. a 1112SG JLGC7'T?2/C ?NC_ / n 7 L./7 Z Malling Atldress fG/o tr2qor or Owner Making Installallon) - ?. /d0n 2'Y 0 116 / ?P?LG ?ZLc"Y 7.512 A Slgnamre (CamramodO wner Meking Installatlon) Phone Num?er Z p ., I? ,C-7'LG /' ??-&/) 4'Z/? ? MINNESOTA STATE 60ARD OF ELECTqICITY THIS INSPEGTION REQUEST WILL NOT Griggs-Mitlway Bltlg. - qoom 5428 BE ACCEPTED BY THE STATE 90APD 1921 Unlvarsliy Ave, St Paul, MN 551Dq ?? UNLE55 PFOPER INSPECTIDN FEE IS Phenn 1fit21 fiG&1IP00 ^ Fnin nCFn ??. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-as 9/9/ 10- Sea insVUCtions for completinA iM1is rorm on back oi yellow copy. ?/Z&(p 07 0 0 64 -"X" Belaw Work Covered by This Request "<,??•?' 071 Ne Add Rep. Type of Building App!iances Wired Equipment Wired Home Range y Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Indusirial Fumace Other Specify) Farm 54 Air Conditioner omar (snaoav) comreciyrs aama,xs. ? Compute Inspection Fee Below: 7i Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A6ove 190 Amps Si ns inspecror's use Orry. , OTAL ? Irrigation Booms C Special Inspection Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elec[rical Inspector, hereby tif th t th i b i Rougn-;,, Date cer y a e a nspect ove on has 6een made. Jl.? oat e ??i i- OFFICE USE ONLY Thls requesl vaitl 18 months irnm REQUEST FOR ELECTRICAL INSPECTION 7?4 4 6 O?? ? Minnesota State 8oard ot Electricity 1821 University Ave., Rm. S-128, St. Paui, MN 55104 - S?3 a? Phone (612) 642-0800 • Home Duplex Apt. Bldg. Other: ew Addn ommercial Indushial Farm mod Ra air Air Cond. HI . E uip. Woter Hh. Load Mgmt Ot6er. Dryer Range Elec. Heof Temp. $ervice "X" obove the /work covered by fhis requesl. Enfer remarks in this space and on fhe back of Ihe whiM copy only. Cakulote Inspection Fee - This Inspedion Requesf will not b occepled without Fhe mrrect fee: Other Fee # Service Entrance $ize Fee N Circuih/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 to 700 Amps Sheet Ltg./Tmffic $ig. Above 200-Am s _Above_7.40-Am s TransFormer/Genemtor INSPECTOH'S USE ONLY 07AL G Sign/Ouiline 17g. Xfmr. CQ? , V Alarm/Remote Confrol Swimming Pool " I here cenl ihm I In ted nsi Imim dexribed herein on Iha dores s ied Irrigation Boom Roughln ?o n Speciol Inspetlion ? Investigafive Fee Fimal THIS WSTA1 L ATInN MAV RF f 1RBFRFII OISCf1NNFCTFfI 1 N(lT Cf1NiP1 FTFII WITHIN A ON7H _ RESIDENTIAL BUILDING PERMIT APPLICATION GTY OP EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construcfion Reauiremenb • 9 registered site surveys showing sq. ft. of lol sq. 6, of hause; and all rooled areas (20% macimum lot coverage allowed) • 2 copies of plan slwwing 6eam & window s¢es; poured faund design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservatlon Plan if lot platted after 71153 • Rim Joist Oelail OpUons selection sheet (bldgs with 3 or less uniLS) DATE ?I/ (D -0 z as Mb ? RemodeVRewir Reouirementa • 2 capies of plan • 1 set of Energy Calalations tor heated additions • 7 site survey lor extenor additinns S decks • Indicate'rf home served by Septic syslem for additions ,/ VALUATION 9'1 D S , SITE ADDRESS ?Ly9S ?f C???r??'Q 1 (?bue_ T MULTI-FAMILY BLDG _Y _ N TYPE Of WORK YZQ_I1C?P_ c?- CP:pIac.i2_ q c`'?-c5?"v ? FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFING & REMODELING APPLICANT 4100 EXCELSIOR BLVD Da_?o otz-6-r STREET ADDRESS ST. LOUIS PARK, MN 55416 CITY STATE ZIP IE) ,.,,,,,,. .,5.. TELEPHONE # 4A?2-513-Sd?6 CELI PHONE # FAX # PROPERTY OWNER TELEPHONE# ySZ- ?d 70 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNE501:A 12ULES 7670 CATGGORY 1 (ti submission type) • Residential VentilaUon Category 1 Worksheet Submitted . Energy Envelope Calculatlons Submitted Plumbing Conhactor: Plumbuig system includes: Mechanical Contractor: Mechvnir<il system includes: Sewer/Water Contraetor. Air Conditioning Heat Recovcry System Phone # Phone # I'ee: $90.001 r« $70A0 1 hereby acknowledge ihat 1 have read this application, state that the information is corr ct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignWure of Applicant • "'----- ---_.__----- ___------- ------- ».- _---- --°--°-----------'-------- -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Watcr Softener _ _ WaLer Heatcr _ No. of Baths _ PIlOl1C # Iarm Sprinklcr No. of R.I. Baths MINNESO"CA RULES 7672 ? . ?I nergyCodeWOrksheeNSubmitted I ? ? Iv /?J2 i1? I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: B U I L D I N G Permit Number: 0 2 9 9 0 4 Date Issued: 0 5 j 0 5 J 9 7 1495 FEDERAL C7 L07: 2 6LQCK: 1 STONEY POINT . P.I.N.; 10-72600-020-01 DESCRIPTION: REMARKS: FEE SUMMARY: ' cen su.s cade ' J? .? . ?g ?S :tlti 1 (" 1 ?\ v 1 ? t lM1 H: 11`1 (BATHROOM) Bui,ldkn<}..yPermit Type ,JBuilding 4fbrk 7ype 6ase fee $50.00 Surcharge $.50 Total Fee $50.60 BFlSEMENT FINISH ALTERATION 434 ALT. RESIDEN7IAL '. L' CONTRACTOR: - qpplicant - sT. Lzc.OWNER: U J'S HANDYMAN SERVICE 14237168 2000015 PLETTY MICHAEL 13836 CURRANT CIR 1495 FEDERAL CT RpSEMOUNT MN 55068 EAGAN MN (612) 423-7168 (612)452-B040 I hereby aeknAwledge that E have #^ead this information zs carrecC and agr:ee ta eompay Statutes and City of Eagan Ordinances. r- ?"?--- APPLICANTlPER EESIGNATURE a{apiication and state that the u3tH all app13t-abke State of Mn. l I(}Z1.0 A Olfl j Il l.?l TSSUED 8: 5 ATU E ? 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 . . , 681-4675 , . New Construdion Reauirement+ gQmodeVRenafr ReauiromeMs ? 3 registered ake surveys ? 2 copiea of plan ? 2 copies of ptans (indude beam 6 window aizes; poured fid. design; atc.) ? 2 sMe surveys (exterior etldfions & dedca) ? 1 energy calculations ? 7 eneigy celculeUons tor heatetl additions ? 3 copiea of tree proservation plen if lot piattetl eRer 7/7/93 DATE: O CONSTRUCTION COST. -- ?33 D? DESCRIPTION OF WORK: STREETADDRESS: LOT J- BLOCK requined: _Yes _ No i? TAs`f?Cf ".. r vt Cowe;, SUBD./P.I.D. #: PROPERTY Nen'1@: Phone OWNER Street Address:1 yI ??^ ???-?-U'«t C U City: F" ct- A/ State: /'-I X/ Zip: CONTRACTOR -? Company: v v Phone #: Street Address: f?i83 6 CkVOxci( C4,de License #:Ma 20060lS/ City: aoSe u"ok``t State: M? Zip: 5-5?:'6`5 ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction ony): and lot change are requested once permit is issued. Penalty applies when address change I hereby aeknowledge that I have read this applicatlon and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. lc? 19 OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Appficant: _ Yes _ No _ Yes _ No BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation o 06 Duplex o 11 0 02 SF Dwelling o 07 4-plex ? 12 0 03 SF Addition ? 08 8-plex o 13 n 04 SF Porch ? 09 12-plex ? 14 o OS SF Misc. 0 10 _ plex o 15 WORK TYPE Apt./Lodging ? Multi Repair/Rem. ? Garage/Accessory ? Fireptace ? Deck prf 0 31 New *, 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. sq.ft. sq.ft. Footprint sq. ft. Building 4:?M Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Suroharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ _; 3EaU. Fb 16 17 20 ?2? Basement Finish Swim Pool Public Facility Miscellaneous ? A F3k'r??W>^ MC/WS System City Water Fire 5prinklered PRV Booster Pump Census Code. SAC Code nl Census Bldg _J_ Census Unit t)_ % SAC SAC Units PERMIT ???i ? . CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 2 7 8 (612) 681-4675 Date Issued: 0 8/ 2 q/ 9 5 SITE ADDRESS: 1495 FEDERAI CT LOT: 2 BLOCK: 1 STONEY POINT P.I.N.: 10-72600-020-01 DESCRIPTION: (Gas) Building=.Permit Type FZREPLACE Building Wo.rk Type NEW ? , r,"= ? ' r , .. r ?, . . REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - A p p 1 i c a n t- T07AL AIR INC 18947472 1923 W BURNSVILLE PKWY BURNSVILLE MN 55337 (612) 894-7472 ? I hereby acknowledge thet I information is correct and Statutes and Czty of Eagan OWNER: FLETTY MIKE 1495 FEDERAL CT EAGAN MN 55122 (612)452-8040 have read this application and stats that the agree to comply with a11 appLiaable State ofi Mn. Ordinances. APPLICANT/PERMITEE SIGNATURE J oi I n b.c:r,(.1 ? ISSU SIG ATURE-r I , CITY OF EAGAN ? ? 3830 PILOT KNOB RD - 55122 IsO ? 1995 FIREPIACE PERMIT APPLICATION 681-4675 DATE: ? 5 DESCRIPTION OF WORK: _ INSTALL bF.10( FIREPLACE: _ WOOD BURNING _ GAS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE ? OTHER: AREA TO BE INSTALLED IN: LO W?.rL STREcT NDDriEaS: I y' 9S T-,?Z?e.'(\ LOT _t BLOCK I_ SUBD./P.I.D. #: APPLICANT: (arGe one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wkh all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. PROPERTY Name: A Phone #: OWNER' ?' Signature: Street Address- 9 ? ??-??rGI ?O ll?f? City: G state: A'= z;p: 55l Z? Fi?PWCe Company: OTa f. ?n?- Phone #: ?q ?-7i-}'?Z. INSTALLER Signature: v t ,? wy Stree Address: ?cense f?- City: ? State: nc? Zip? ??31 GAS UNE Company: Phone #- INSTALLER Name: Signature: Street Address- City: State: Zip• 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN , SINGLE FAMILY DWELLINGS I .? q I INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS . NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO[•A'1ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ? ? ? To Be Used For: r.? Valuation: C?"_?"vz0 Date: Site Address c0 vY-i Lot .1- Block ? ? Parcel/Sub S 7d n e o? r1 ? r Owner c vi Y1 • S v1' q Address )o?, 6 ) )? ' re. ? a ; n? ? C3ty/Zip Coder q q,.? ?"r? y j??1•1T Phone Contractortn// r? f(, Address G 97 ?ISI f? .S?City/Zip Code ? l/, pn. 9 Phone Arch./Engr. -54 »'1 c G?S ?o l? ? Address City/Zip Code I 1- I ? -?'8 Ok'N'iCE OSE ONLY On site sewage_ Occupaney MWCC aystem V Zoning ? On site well Aetual Const ? City water ? Allowable PRV required ? lF of stories Booster Pump _ Length ?{2• Depth LIZ' S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit 'fZ7-'00 Planner Surcharge J3I4 O? Council Bldg. Off. ?iz. Plan Review SAC, City Z f 1iUO 00.00 Variance SAC, MWCC 550k DO Water Conn ,ArJ Water Meter 67, 00 Road Unit 2 ,C? Treatment Pl pQ.0 0 Parks Copies TOTAL -?-?, Phone Il VA L l/l A"C I 0Ni GAkAG E zv x Z o;? oo i a : .14 k y? s?av BSActT 3?f X I 2- yoB 7XG=?f? ! o X 1 G%z= I65 « 6,sx Hous6 3yXzz_ I'z X I 1 = 3x iy = Nx q = 7-?zz? 74 ? f? y2 14 1Sy 57`I X 49= yr??Z(. ?? ** *'pion * ?t ?I- 2422 Enlerprise brive Mendota I leights, MN 55120 aer?ng.. (612) 681-1914 Certificate ot Survey for: COILMF+ Cll T CoNST RuGTIo tJ ? NdarN ,V B9 °o7b4'pV 3 0 ' /?.----- --- % 15 i ? oti E / / I e y? U i + aA? ?j ? ? I ? ? °?? ' `., F . J ' 1 ? a6 L, `S J SS ' ? , a I-ee S . .. ?..?. Y \ N j ? l. RO 's r . ,y 'T v \ 1e.o ? Qi •. 2s' a .r ( O p 0 / ? ?? O \ 4. LIOa1 i o ?- - - a - ? ?P? ??.b rSr b4??M N s927.40 . S c'? ? aa?i ?j /''?nn [? Pa Rm?o tl LL ?Sl`?' ?U UED .900.0 Urnoles exisiin flevafiun Padaos?v Nous£ £cEVArtonrs • 900.o Uenoles pnopd E?/evvlion lowesf ?/ovr ?leval?o? . a ----'-Denofrs Urnr'n4?t t Ufi?l?? Eastmeni -?-?!- -=? Uenoles drzlina e Flow l lrrows rop o; 8/ock tlevatiati = --aLl_ o Denoles monu?henf Gardgd 5/ab f/BVofion = 16,575 _ 8 e4rinP shvwnorQ assurn ed L oT 2, BLOcK ipo. tNr DAKvrA rooNrY, MlNNEsorA SU Ect 1t1 EASIMENt3 oFltErvqd - 1 hereby Mrtlly Ihsf IhU lurrey, plan or rcport rvee Ornpered by m! r umlet my dirci lupeNaion And i6ee i am fiufy Reolsieied LenJ 9urvevor I under tha lawf ei the StetA bl Mlnneiots. be1Ad thb-ll- dey ol A.D. 19glf. Qto: 11-0'ES l/r,s E/• 5cale : 1 ?qmh= 40 4reel 4t-:? - P3eEn?e_srKicwt.s_aEa.??at 2n ` E%TEIIIUIt :.NVELUPE AVLIIAGE "U" C0I41lUTATI(i«- U6lNEfl ' S1(E AUUIIESS q DAT E {'I IUNE ' L01411tAC'1'UR -, / - )°2 )-1--- petermfne working squere footage of cach. , 1. ToCal cxposad wall area ......_ 7 OC ?, ? sy, ft. x__? • Z`7. y"i ? .2. 7nta1 rnoP/ceil ing area ...... /1 `?fl _ aq. ft. x,026 • FT9 =-,, Total exposed wall area ebove floor ¦ ?? ??? ? a• Totel Wdll WIIIdoW dPod..eso.oses .... so-ea...6--s• 1&0, ?. b. 7nta1 door area ................................. ,,, 40 ? C. Tutal sllding gless door aYM,tl .................1. • d. lotal flr-eplaco wall area ........................ • e. Tote) wnll framing area (everoya lU%)...:........ _,_,??,? _• t. Total net Wall area abOVQ floor ................. /y SY p. Total, rim joist area ............................ r?? ' . Totel ekposed foundatiun area ¦ ?Q. ? ......... h. Total foundution wlndow-area ............ 1. 7oa1 nat fuundation area ebova grede ..?.....:... r7 Detennina "U" value of each wall seyment. ? . % 6u° . b? yQ X pUn +..i'r,?_. ? C: yss 'X ulln •3`f? d. X "U" • ' @• ??n Z A NUp . 07rr w /L • / " ? ? f• I7J-/ xMUN x"U" , 04l. - S 1 . n. x pul 1• ?6 X "U" ?' ?• 3Z , 3 .....................................Tota1 '. ? 5 11 ltem 03 1s the same at, or less than ltem #16 yuu have met the lntent of SEfC 6006(c)2. , ..,. -,.?.. ' ? ' . . . ,. .?• , .• , ' • , Tatal..exposed roof/ceiling area ? 1J y Q 0 ' J. Total skylight area...` k. 7ota1 roof/ceiling framing area (averaye 10%)... 1. Tntal net insulated roof/ceiling area..:........_ 11 0.0 • Oetermine "U" value for each roof/ceiling segment. , ' .. ' ?. `7 0 x MU" 0, 05C Z w ' zt? ' .. k . x 'Null , ? • ? ? . 1:_ 17 00 x aUll --. 0 ZZ '¦ 2, t? 4 ..................................Tota1 if total of 64 ts the same ass or less than i2, you have met the lntent of , SBC,6006(c)1. • ' Alternate Bu11d1ng Envelope Design To utllize the total envelope system method, the values established by the ' sum of items 13 and i4 shal.l not be 9reater tlian the sum of items O1 and B2. l. • . + 2. s . . -r--- 3. +4. e.• .. I- ? •------._.._.-.. ..---._.._..---•-• ' ? . WI NDOW AREA : TrPji or lnl)Naow : 6/g" IHSvt? G'j- A53 7pe \,VINDOMJ vuirs HAVt BtiJ 7ijri0 FeP, "R'=VAL-µ*, tNlY nKC Aa LiNtO ABoJC 4yo IA14y 61 .rIsiyVto .A OraiyN [»•9Ll VAS.µ.&. oF ?R s 2•89 IuC?ND?y?i A?R f1LM5.?- I . 001AtiL 4-FO*T4G4 FouNpAr,0"w,Npow ARZA : TyPc of ln.',.jooa? : 7NL vvpNOOW UN#rs M4oPE BLa+J TtSTtD FoR'R= yAL"t, TNtY aRI^a I.I•ILp AdvoL wmila moY Ar asIIyNCU A Vnu.e oe •q•r ?uc??vlNq A14 RILM! . ----y l.af' I/4j? • ?? ??---1 FoerAGl ? Foor^yIL ? . 5LIDIAI?y (:?LA55 wOR Ak'S.p: 1 YPt oP6 pooR t S?g I,,i S Uc. ? G?-• SL?OrrJ<j 4q 1.?159 lJOORS NI.VC OL06-1 ttiYtO FoR"R=YAL-Kry YN<YAi[ ?.s L•#llrsv ABdVt AJO MAy B{ A3ii[oNtip A V11I4/4GfA0kt) VALMG of?R.???' •Z.Op ?uo?y,p?.M{ . AeC iams . ,- •;i Ug? • ?J'ha = '? Fv.ri.4 `- DodR ARA A : 7Ypc aF DOort: TNE2MA -T2V QOaCZ UNI'Y3 HAYG OLCN TLSr[O AND KOUyO Yo NAVL q+J _ 'R'-VA uu? of 77.81 $,Ny Ass roi-MS, C. . / Z 8 ?b ua, : I/Ra, _ - FooTnr4 c Xz, ?l0 5Pec/AL$ ; rypL : r- (bRM E-f !°/IL74? ? nytrc' SK+NT . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) l I ? lv J CITY OF EAGAN . • ?p ? ??p?l? 3830 PILOT KNOB RD • 55122 ' (in 1 op 651-681-4875 .? ? New CanshucHan Reaulremenh • 5,? _ RenwCel/Reoalr Reauiremenb ?- > J refllstered sIte wrveYs ahowlnp sq. IL ol bl, sq. H. o( house 2 copies of plan and gl rooled areas (20% maximum lot coveraae aibwe? i sel ol eneryy CaleulaHOns tor heafed atldlHOm D 2 coplef of plana (ahow 6eam 8 window slrsa; poured tntl. design; eic.) 1 sife wrvey lor extedw addiMOns 3 decks > 1 sef of energy caicuianona ? 3 coples ol hee preservatlon plan H lot ploMed aRer 711/93 DAiE: 5 /.1 V'10 DESCRIPTION OF WORK: S'F (-G G S STREET ADDRESS: LOT: 4'- BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER CONSTRUCTION COST: r_;?2L??llz Name: F I e++ ? M I kL- Phone #: qJ(3' 0 0ln last FIn1 Sfreef Address: 1195 l.Ou(4 c„y ?'.ca cAo n stafe: mr?. Zip:S51 aa #: ios? ??93WO (area code) Sheet Address:.J`J?(? ?OI?Y?7 ??'. ? • _ License # l_? ?JO Fxp• 3 ? cmy State:m I? Zip: 550 3 I Comppiy; Name: Telephone t: ( Sheet Addreas: Registmtlon #. ay State: Sewer/water licensed plumber qf installina sewerlwater): Phone #: Zfp: 1 hereby acknowledpe Ihat I have read Mb applicaNon, sfate Mat Ihe infomnalion is cortect, and agree to eomply wHh 00 apPQcable State of Minnesofa Statutea and City of Eagan Ordinances. ° \?Signahire of Applicanr? ? r OFFICE USE ONLY CeRificates of Survey Received Yes _ No ? U Tree Preservation Plan Reoeived _ Yes _ No Not Required {/ T? ?CJ OFFICE USE ONLY BUILDING PERMIT SUBNPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex O 09 07-plex ? 78 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 OS-piex ? 19 Lower Level O 24 Stortn Damage ? OS 03-plex O 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory BId9• WORK TYPE a' 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" O 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair 0 42 Demolish (Foundation) [3 46 WindowslDoors • Give PCA handout to applicant for demolition permit O 31 Ext Ait - Multi O 33 Ext. AR - SF ? 36 MuRi GENERAL INFORMATION SAC Code 01 # of Stories S4 ff• No. of Units o Length I Sr sq. ft. No. of Buildings Width I ?1 Footprint sq. ft. Const. (Actuat) _ Basement sq. ft. Census Code 32 8' (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. R. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building 661 Engineering Variance Permit Fee g3 a? ValuaGon: $?DOQ • Surcharge ? Plan Revtew License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies zs Total: . v U SAC Units % SAC - V? • - - ? C,? ' . •ate ot SurveY , ?,?.L? r•? o J ' ? . ? s? I ? D?`??1 ?? ?p?{ ? 3C • ?9 I ?, ,?y.? '7 ? V•? , , ? . ?? r? 's.y ?5 ? ? ? ?' `.!? • - y •` ' ? 5? •9 ? ? a?y?° ?. ?.-?'=pz???.,?. f1U8. ? • s, o ?' .:. < _;? i.N ? ? ''• ` 11 ?, ? ?S? ? ° ; ss' 3 ,?? ? ? S`? •?? •v .-?c ? ?- _ i ? ?•? ? , O 40 ° 91 y R t' ti Ss?s ?.b? ??•? • KrvosF-O ??. ?oW t5 ? Fla es existin l1evo}I?n U?no{ d EIEVatio ?astmen+ I .0? U??O?eS r?? lydltlQ?! ? UfII? 2rrows d ? + oI To (SardiZ ? / ????' '?•i?-- . ciTV use oNLr Q L ? BL RECEIPT #: SUBD. \ DATE: V9I? 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ?Adu-vi Sii GVIi41li3niny Swd-{,+;?w!t$;?h?r??? ?c 1lancagVetgrlZ Q+c. t 1 W'?' ?LA1 Date: 8 - 23 -G.5 ? Minimum Fee: Add-on/Remodel (existing residence only) ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? 5tate Surcharge TOTAL SITE ADDRESS:-J! " OWNER INSTALLER STREET ADDRESS:_ ClTY? PHONE #: ( (ol 1 I Klp? A- 1Z-7 G1?) \'y3e-S? FEES $ 20.00 24.00 6.00 .50 ')O•So PHONE #: 45 1' gN C? k 1\? , STATE: ziP: 553 Zl n ? L BL CITY USE ONLY L / RECEIPT#: .y /&a?? SUBD. ?a. RECEIPTDATE; -5-`5 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN ' .. 3830 PILOT KNOB RD EAGAN, MN 55122 - (812) 681 -4675 Please complete for: . single family dwellings . townhomes and condos when pertnits are required for each unft ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Fioor Drain Gas Piping Outlet ' minimum - i Rough Openings Water Softener ' for dwellings under construdion Water Softener ' for existing dwelling "- U.G.Sprinkler 'fordwellingunderconst. U.G. Sp('Inkler " for existing Uwelling Alterations ' to existing residence Water Turn Around Private Disposal System ' oak Cry iic. (new and refurbished syatems) Private Disposal Systems " nbanaonmem gAo NQ. T L 3.00 x' _ 3.00 x 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 X 3.00 _ - - ' - 20.00 - 20.00 20.00 = 65.00 = 20.00 STATE SURCHkRGE TOTAL .50 2n210 I hereby adcnowletlge thet I have read this application, stffie that the infametion is eortect, and agree to eompty with all appiiceble Eity of Eegan ordinances. It is the applicanYS responsibility to notHy the property owner Nat the. City of Eagan assumes no liability for any. dameges pused by the City during ils nortnal operotional and melMenance eGivilies to the fadlifies consWded under thispermflwithin - City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: GENZ-RYAN PLUMBING TELEPHONE #: 423-1144 STREET ADDRESS: 14745 So Robert Trl CITY: Rosemowlt STATE: MN ZIp; 55068 GNAT E OF'PERMITfEE OFFICE USE ONLY MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complcte foc commerciaUindusMal buildings ` multi-family buildings when scparate pecmits are not required°for each dwelling unit 3v.Z? Date `y / v s ? , Site Addressi? ,? ??C ?? • Unit # Tenant 1Vame (if applicable) Yrevious Tenant Name ? Property Owner k(, Telephone #((QsI ) y 52 -&41v C Contractor ?.?Ll.?C?/ -?1C/{? • ? ?/?/ y,,,,??, 5treetAddress f /?/ r0l?i'? Tgl. City ?J? /C.('/w,?Iou/tf State Zip ? Telephone # The Applicant is _ Owner ? Contracror _ Other Work Type New construction Underground Tank Install Remove ? Interior Improvement Call for inspection during installation/removal of tank Processed Piping / Nature of Work: l, ??t a? (?l&& 7 LO Permit Fee $5050 Minimxm Fee (includes Siate Surcharge) ContractValue $ ??? x . Ol% &U PernutFee • If permit Fee is $1,000 or Iess, add $.50 =:> $ ? State Surcharge .. If peimit fee is over $1,000, add $.50 per $1,000 Permit Fee $ ?otal Fee. i nereoy appiy tor a Commercial Mechanical Pemut and aclmowledge that the information is complete and accurate; [hat the wor will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanicai C&s=thah.Izm3erstand- ¢ot a pennit, but only an applicarion for a permit, and work is not to start witYtout a pemuh, that the work will be in accordance with the a proved plan in the case of work which requires a review and approval of plans. m6sh liuIS -Applicant's Printed Name ApplicanPs Signahue . H13" Ft,or4,f4- c-T Jeffrey Wheeler From: Rick Lindus [rick@midwestleafguard.com] Sent: Tuesday, December 22, 2009 2:15 PM To: Jeffrey Wheeler Subject: Emailing: 05lntFlangeWindowBEFORE Attachments: 051ntFlangeWindowBEFORE.pdf Attached is the installation method used on the Fletty project. Although Lindus Construction did not put the window in, this is how we flashed it. Flexwrap over the flange, under the Tyvek, to the sheathing. Let me know if you have any questions, or need anything else! Thanks, Rick Lindus 1-651-238-6477 rick(a.midwestleafguard.com ,1 STEP 4 - FOR ROUNDTOP WINDOWS NOTE: Follow rectangular window instructions (Steps 1 through 3B) for proper installation of sill and jamb flashing prior to head flashing installation. A. Cut head flashing at least 12" longer than the arc length (H) of roundtop window. B. Remove both release papers and install to conform around top of window, covering entire mounting flange and adhering to exposed sheathing or framing members. Head flashing should overlap jamb flashings at least 6". C. Secure outer edges of head flashing using mechanical fasteners DuPont Recommended Fasteners every 6" to 12" along outer perimeter. °4Y' fH1' •F C 6": Minimum STEP 5 A. Tool sealant around the window opening at the interior, using DuPont"Weatherization Sealant or DuPont Recommended Low Expansion Foam (and backer rod as necessary). Sealant and backer rod will also serve as a back dam. Interior interior Copyright 02008 E. I. du Pont deNemours and Company. All Rights Reserved. 6. v_2. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA110020 Date Issued:04/18/2013 Permit Category:ePermit Site Address: 1495 Federal Ct Lot:2 Block: 1 Addition: Stoney Point PID:10-72600-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Crystal Cochran 7588 Washington Ave S 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 - Michael J Fletty 1495 Federal Ct Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114401 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 1495 Federal Ct Lot:2 Block: 1 Addition: Stoney Point PID:10-72600-01-020 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 . Amy Jilk 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 - Michael J Fletty 1495 Federal Ct Eagan MN 55122 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA133485 Date Issued:10/16/2015 Permit Category:ePermit Site Address: 1495 Federal Ct Lot:2 Block: 1 Addition: Stoney Point PID:10-72600-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Jennifer Revocable T L Fletty 1495 Federal Ct Eagan MN 55122 (651) 452-8040 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature 11,111. City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: 3r75-6 Permit Fee: Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION / '7I Date: Site Address: ( —red- ( C Tenant: Suite #: Name: Phone: Address / City / Zip: / `7` Name: /4 (W Address: 00 S o`t� ( r� City: 5 6, License #: YAC C Q� State: Zip: Phone: Contact: Email: _ New Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: IDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround 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.gopherstateonecall.orq 1 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. 1,-6/` ((. Applicant s Printed Name