Loading...
1571 Four Oaks Rd73''? 2006 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements 3 registered site surveys showing sq tt of l06 sq. ft. of house; and ali roofed areas (20% maximum lot coverege allowed) 2 oopies of plan showing beam 8 windax sizes; poured found design, efc. 1 set of Enefgy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechaniplvenlila[ionfortn RemodeUReoair Reauirements 2 copies of plan stwwing fooUngs, beams, jomts 1 sel of Energy Calculabons for heated additions 1 site survey for addilions & decks AddRion - ind'icafe'rfar-site septic system ?as OHice Use OnN CeRofSurveyRecd - " =_- _Y _N TreePresPlanRecd " _Y-_N. TreaP2sRequired - -- _Y =N OnslteSepticSystem ' _Y_N Date Construction Cost 10 C--) 5iteAaaress 3/S--3 31 j573 /s-7/ /'a.,_ 67c%r :? .....-f Unit/Ste }i Description of Work GCoc4., - l?•?.- vLf C? f ?""??e'-- ??' ?o ci e Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2?-`'? Property Owner Telephone # ( ) Contractor ` ?='? ? /?ao i? : ? ?5 <- • Address / 3 J` ??-?c - 5 ?. ?!v? "?/ CitY ` State Zip `$" o Telephone #( 7t3) 7??-OO ? C? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculalions Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, dafe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Teiephone #( 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 ofplans. ? ApplicanYs Printed Name ApplicanYs Signature CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: —_ Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: _ • 2)-. 'Z Insp.: CITY OF°EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagdn, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: — — 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Surcharge: Y Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111546 Date Issued:06/28/2013 Permit Category:ePermit Site Address: 1571 Four Oaks Rd Lot:3 Block: 03 Addition: Coachman Land Co 1st PID:10-18150-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ed Pelto 1099 Pelto Path 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 - Holly M Carlson 801 Western Ave Holmen WI 54636 (651) 503-5475 Ed's Heating And Air 1099 Pelto Path Woodbury MN 55129 (651) 775-7490 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA124444 Date Issued:07/02/2014 Permit Category:ePermit Site Address: 1571 Four Oaks Rd Lot:3 Block: 03 Addition: Coachman Land Co 1st PID:10-18150-03-030 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. Diane Moyer Home Energy Center Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Holly M Carlson 801 Western Ave Holmen WI 54636 (651) 587-4203 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature Use BLUE ar BLACK Ink �------------------ ` For Office Use � ' j Permit#�: ��v �� I ���� ������� j P . F : �v I � ennd ee � �$��f 1�4t K110�ROatt I ( Eagan MN 55122 ► Date Received: � Phone: (651) 675-5675 � staff: � Fax: (651)675-5694 `_________________� 20�4 RESIDENTIAL PLUMBING PERnniT APP�icaTioN Date: `� . � " Site Address:__.___/-r�✓ �fd�.!' G�a �� /`� � Tenant: Suite#: � `'��',�t� � ��' Name: / `' k� �� Phone: ��S I ,�� �� ���'� , � �� ' � � ' � < Address i City t�p: ,.�� � 6' a�^� �'��f �f,� �C � �-s'� ti � � Name: f �!` � �/� � � �-���• License#: �C �/��s� � 4 � /� � ` ������' fi Address: /��`-r � �� ✓�`"'` -`� City: ��•h.�.,. J � . � � ` State� !�'l l� Zip� �� �'/�'"� Phone: 7 �� � 7 � .���l p^ � m . T � c q l £1 t t �� � Contact: �'–L�� Email: , � ��,�� _New �Replacement _Repair _Rebuild ^Modify Space _Work in R.O,W. �� — i` ,,,t I ,c Descriptian of work: � � �G � j � * �% f`/'�: �'I��/ '�� � ` � ; RESIDENTIAL � , �� � ' � �` �Vater Heater x ' � �� s � Lawn Irri ation Water Softener �����,�,� F g �RPZ/_PVB) � �� 5eptic System Add Plumbing Fixtures(_Main(_Lower Level) �� � � � New Water Turnaround =, : � ���: — �, ` s�� � Abandonment RESIDENTIAL FEES: $60.00 Water Heater ater Softener, or Water Heater and Softener(includes$5.0o State Surcharge) �. , . awn (rrigation (includes$5.00 minimum State Surcharge� $60.00 Add Plumbing Fi�ctures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge) *1Nater Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Caii 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 oniy 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{�ans. ,,� ��—�. X '� �° � � ��F A r� x � � � Applicant's Printed Name Ap an Signature � �����������,.���- �? t .r x�.r ���� � _ � � '� �� � �" � � � ., t�Z� `' - r � �,. '� � '^ � � � � � e ; ��, � 2 : q-. �t g :� �'.Y a ,. . s`�� x �� r .e � �t� � �, b f w. _�s, , ' d'�RS�Y�iW51�. ytl '. - . :x . -. ' r � �' , �,, � �,{ �. i �F'���,�n���������������� ' ^�+�������,`�.���� '� #' '�" 3 I � � �. ,�, � i f�� ` � �����£`�r�..�, �� `� �����'� d ,;.,4 S ': .. � ,� d". `2 � ���� �M4�F3� ��. �'u� k y� �m� F � �.,, � ; a ex ,� a Y ���� r �����',i . 2� s u.'� � } °� .�5 ut.r ,»«.r+„� ��. � � +� „s, Date: QtnfE 3530 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fac (651) 675-5694 Tenant RECEIVED JAN 1 1 2016 Use BLUE or BLACK Ink For Offte use Pentilk 13 LI p Penn Fee:( . () C Ewe t d:1-1t.—tU) Staff 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION (/ 1 r 1 l Le site Address: 15-i 1 Solut Oak, kof Stale 8: Adcrs I c Izip: ► 571 t34.4 -q-. Oaf, ice( f vti M N 5 slat Name: v r w- C\L CJLL�- f-40license #- (4 q c1 '7 uW C- 3L4oy I.QSt - 58'7 - o3 V1) Zip 5LQ41, 115. 3C'rs- 2'Lb77 Phone: Contact ) ICU SCA -10 i`3.0' Emit CXR -O t rilk 0, a R ►7 EA - New f RESIDENTIAL FEES: 560.00 Water Heater, Water Softener, or Water Heater and Softener (indudes State Surcharge) 560.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Pluming Fixtures. Septic System Abandonment, Water Turnaround* (includes State Surcharge) 'Water Turnaround (add 5210.00 ft a 518' meter is required) 5115.00 Septic System New (includes County fee and State Surcharge) New x Replacement _._ Repair Rebuild T Modify Space S- c W P)Pe Water Heater Lawn Irrigation ( RPZ I PVB) Septic System New Abandonment )(Water Softener Softener /add Plinnbing Fixtures ( Main ILower Level) Water Turnaround TOTAL FEES $ CALL BEFORE YOU 016. C4 Gopher St One Celt at (651) 454-0002 for protectiorn against undue utlty Call 48 hours before you intend tD dig to receive locales of unde www.QopherstateonecaO.orq I hereby acknowledge that flan ktormatixt is conatete and accurate; that the work wit be in conformance will the ores and codes of the Cky of Eagan; that i understand this is not a parent, but only an application for a penal, and work is not to shut 'Abort a accordance with the approved plan kr the case of auk With rte a review and & � P ththat the wank *IN beaukkt T( SCk40 130- 2 Applicants Printed Name x Appticanrs Etha PERMIT City of Eagan Permit Type:Building Permit Number:EA142228 Date Issued:04/20/2017 Permit Category:ePermit Site Address: 1571 Four Oaks Rd Lot:3 Block: 03 Addition: Coachman Land Co 1st PID:10-18150-03-030 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 - Paul F Geng 1571 Four Oaks Rd Eagan MN 55121 (651) 587-4203 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143977 Date Issued:07/06/2017 Permit Category:ePermit Site Address: 1571 Four Oaks Rd Lot:3 Block: 03 Addition: Coachman Land Co 1st PID:10-18150-03-030 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Paul F Geng 1571 Four Oaks Rd Eagan MN 55121 (651) 587-4203 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature