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1806 Karis WayCITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 i 649ic! :' + SITE ADDRESS: APPLICANT: i{ 11.1 li t 1. l C I ii tF?v !Wi .3 0049 ? ? ? ? ? PERMIT SUBTYPE: TYPE OF WORK: . . .. ;; PAIR 1.0. & f2ERFlctF I Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING C ro G.?'V ROUGH PLUMBING PLBG AIR TEST ROUGH HEA7lNG GAS SVC 7EST INSUL GYP BOAflD FIREPLAGE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL OOMESTIC METER IRRIGATION METER FLUSH MAtNS corvoucTivirv TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG OECK FINAL CITY OF EAGAN Addition Ridgecliff FirstAddn Lot 29 sik 2 Parcel#),(1 63880 290 02 Owner Street 1806 Karis Way state Eagan; MN 55122 ImprovemenY Date Amount Annual Years Payment Receipt Qate STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1980 $ 12.30 15 147.62 C007669 2-18-82 SEWER LATERAL 1982 1305.42 WATERMAIN WRTEA LATERAL 1982 1260.79 WATER AREA 14T.62 coo 66 2-18-82 STORM SEW TRK 19$2 638.24 5 b STORM SEW LAT 1982 955.45 5 955.45 C007616 12-23-81 Services 1982 637.75 5 CURB & GUTTER SIDEWALK STREET LIGHT 250.00 40199 12-1-83 WATER CONN. 450.00 N tf BUILDING PER. 9692 SAC n n PARK BUILDING PERMIT T. e. ....a 6? S?' B'-JG/GA_' CITY OF EAGAN 3795 Pilot Knob Read Ea9an, MN 55132 PHONE: I54-8100 Receipt # 61,000 r,,,,e 121 -1 ,o A Sire Add?ess 1""" [-?QL 1a i.ny Lor 29 BI«k 2 5ec/5ub. P.idgecliffe lst Parcel # 10 63930 290 02 a Name O1'!P$on Lakes Div. ? Addrcss 1712 Hopkins Crassroad ci Tiopkins ?? 544-7333 Na? Same 0 ul /lddress H riw, oL,.__ I hereby ockrawledge that 1 hove read this application and stote thot fhe intormotion is correct ond ogree to comply with oll opplicable State of Minnesoto Stotutes and City of Eogon Ordinances. Sipnoturo of Permittee A Bullding Permit Is is3u all work sholl be donw {r Building Official L1J Ercct 6 Alter ? Repoir ? Enla?ps ? Move ? Demolish ? ASSessment _ Woter $ Sew. Police Fire Enp. Planner Councll ? Bldp. Off. _ /1PC Occupancy :•J Zoning R1-PD Fire Zone i7A V Type of Const. # Storie G0 Length Depth 26 Sq. Ft. Permii `•' • "" Surchorpe 30.50 Plan check158.flC SAC 523. 00 Water Conn.450. 00 Woter Meter Road Unir '= -'' • ? ?`? Totol ' ' 5?' on ths expresa condition tFxii of Minnesota Stotutes ond City of Eayan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbiny ? )y ? ? H.V.A.C. YVrll Water Disp. Sswer Ekctric Irropction Date Insp. Other Footinpt Foundation Fnminy Rough Plbg. Rouph HVA Inwlation /o Final Pibq. .?Z_a d-dGlr Final HVAC W C? Final Watsr DKaibe Locatioo: Ylhll Sewer Pr. Di?p. 'sJ Pilot Knob Raad 0. Box 21199 Aan, MN 55121 Address: ayno to oosvh? whh Hw Clfp of l."w of Insp.: PERMIT NO.: DATE: No. of Units: Cor+nectlon C3+arge: Account Deposlt: _ Partnit FN: Surcharge: Misc. Chorpes: - Total: CITY OF EAGAN WATER SERVICE PERMIT 3836.Pilot Kwob Road P. O. Box 27199 PERMIT NO.: 9919 Eagan, MN 55121 " DATE: 12-6-83 R 1 Z i of Units: Na I on ny: . pwmr; Thmmpaon T.akPG D j + Address: SiAddress: 1R(16 k r'c Wav i 99 R9 Ridg ('?iff a lct 1 MPrh ?ye?; W an? / ? q? Me r No.: '/ S;E Connedion Charge: 4 S0. 00 pd_ '+/Z " ?.?L - Si AcwuM Deposit: ze: . Reader No.: /,2 14...?D '7%3 Permit Fee: 10.00 pd _ I agns to oomyly wi14 Iha Cify of Eagaa Surtharge: - 50 Fd ' es: 6 CMr Miu 0.00 pd meter Ordiaanew y . Totol: v`? gy Date Paid: Dote of Insp.: ' .> - Insp.: SEDGWICK HEATING & AIR CONDITIONING CO. HEaTING JoeNO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 897-9000 TEST RECORD ADDRESS I ? `% ? ? ??j-k OCCUPANT 1 SOLD BV MAKE SERIALNO. S IO??? I?? THERM057AT R -?5000 VALVE LIMIT ? LIMIT SETTING FAN SETTING L?S PILOTTVPE ? Q ? { IGNITION MODEL PILOTTIMING &L I PRESSURE PERCENT Wz INPUTCFH? PERCENT Di n STACKTEMP. } Z ? PERCENTCO 0 an Ga y G'"'v OWNER INSTALLED BY MODEL U t4 INPUT? i VENT SIZE I TVPE OF LINEji LINER SIZE ?? `. FILTERS: $IZE NUMBER WIRING " i ` TES7 TAG LIGHTING INST. DATE TESTED `" 10 GOMPANYTESTING NAME OF TESTER ?? FORM235(PEV11/89) FORMDISTRI9UTIIXJ:WHITECOPY-JOBFILE VELLOWCOPV-GITY CI'I'Y OF EaG'IN Include 2 setsM00141e/ ?.sz 1 site plar?? w/el,evations & Plan:,'??c,.? ?F BUILDINCi PEP14IT APPL7CATICN 1 set of erergy calculations. ?b F3e Used For?- valuatio natP Il-tb-83 Site Address: 806 Vo- OFFICE USE ONLY Lot 2-1 siock ? Sec./Sub. \S Erect r/ o???n?y ? Pazcel l0 - fa' T?? - 2Q 0- c?2 Alter Zoning ' f- O.+ner: Pddress: City/Zip Code: Phone @ _ . - Repair Fire Zone Enlarge Zype of Const. Nbve # Stories Desrolish Front (p0 ft. Grade Depth --o?'?o----ft. APPFd7VAI,S ' FEES contractor:. THQMPSON LAKES DIVISION Atldress: ? 8 1712 ?Pf?(IId?SCROSSR0/1D _ ' City/Zip Cocle: ? Phane 'n: . S+A -73 37. Arch. /Eng_ : Pddress: City/Zip Code: Phone #: Assessmnts Permit ,3/61 ? Water/Se.,,er Surcharge Police Plan Check Fire SAC SaS ffi gnq. Water Conn. yS0 °?- - Planner Water.MeLer tp O cow,cil Roaa onit a so ? Bldg_ Off. ? -' - APC -?' . TOTAL ?_ I° CITY OF EAGAN N ? 8682 3793 Pllot Kno! Road Eogan, MN 55122 PHON6t 434-9100 BUILDING PERMIT ReceiPt # Te 6s wed hr SF DWG/GAR Est. Value 61,000 Dote 12-1 _ 1983 Site Address 1806 Kaxis Way E t N O R3 rec ( ccupancy Lot 29 BI«k 2 SecJSub. RidQecliffe lst Alter ? Zonin9 Rl-PD Parcel # 10 63980 290 02 Repair ? Flre Zone NA E t T V n orge p ype of Const. W Nome ThOmpSOn La1Les DiV. Move ? # Stories ; Addreu 1712 HOpIc1ttS Crossroad Demolish ? Length 60 b C; Hopkins pho„e 544-7333 Gmde ? Depth 26 Sq. Ft.- ? 0 Name Same Approvels Faes ??? Address ? ri.., Nome _ Addrea I hereby ackmwledge that I hare read fhis aOPlication ond state ttwf fhe intormction is correcf ond ogree to wmply with oll npplicuble State of Minnesato Stotutes and City of Engan Ordinances. Sienature of Permittea A Building Dermit is ' ed fo? ull work sholl be do n cor e ifh oll Building Officiol Assessment Permit 316.00 Water & Sew. 5urchorge 30.50 Police Plon check158.00 Fire SAC 525.00 Eng. Water Conn.450"00 Plunner WaterMeter 60.00 Council Rood Unit 910-00 Bldg. Off. 11-22-8 APC Totol $1789.50 on the expras4 tonditlon thni of Minneaotu $tatutes ond City of Eogon Ordinnrxes. i CITY OF EAGAN 3830 Pilot Knob Road Eagan. Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B U I L D I N G Permit Number: 0 3 3 2 7 0 Date Issued: 0 9/ 16 / 9 8 SITE ADDRESS: P.I.N.: 10-63980-290-02 DESCRIPTION: REMARKS: FEE SUMMARY: STORM DAMAGE REPAIR 434 RLT. RESTOENTIAL ? C f L?'rt i ? f9 Building*Permit Type Building 'WzQrk Type t'Census Code\ £: . `r ?;. i? FERMIT 1806 KARIS WAY LOT: 29 BLOCK: 2 RIDGECLIFFE-*WM:- ISf- T.O. & REROOF CONTRACTOR: - Applicant - sT. Lzc. pyyNER: RIGHT WAY ROOFZNG 18530049 00039999 CARL50N MARK 1200 E. 797H 5T 1806 KARIS WAY BLOOMING70N MN 55425 EAGAN MN 55123 (612) 853-0049 (651)454-7205 ' I hereby acknowledge that T have read this applicatinn and' state 'Chat the information is correct and agree to comply with all applicable SCate of Mn. Statutes and' City of Eagan Ordinances. l?- A7PLICANT/PERMITEE SIGNA7URE IS?6UED 8V: SIGNAT RE A i 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KI?f)B RD - 65122 681-4675 ? ? ? New Construction Requirements ? 3 registered site surveys ? 2 copies ot plans (inGude beam & window s¢es; poured fid. design; etc.) ? 7 eneigy calculations ? 3 copies of tree preservation plan B lot platted after 717f93 reqUired: _ Yes _ No DATE: `1-'ISRg DESCRIP N OF WORK: ??K. Si?nrm YJc? ST EETADDRESS: ROO ICCI(l.l9C),1,1 RemodeUReoair Reauirements ? 2 copiee of plan ? 2 ske surveys (exterior adCdions S tlecks) ? 1 energy ealculations for heated add'Aions CONSTRUCTION COST; Liqn50 LOT: ?9 BLOCK: ? SUBD./PJ 1D. #: Name: Phone #: PROPERTY °Las? F'ust OWNER Sheet Address: City Ea (l? Stare: rn {7 Zip: CONTRACTOR Street Address: R IGHT- W$e 1200 E.79th Stree City [ {6 12}E53-0049 ARCHITECT/ ---- ENGINEER Company: Name: Street City Phone #: License# ow:;-,p4'q State: Zip: Phone #: Registration #: _ Zip: Sewer 8 water licensed plumber (new construction only); . Penalty applies when address chang and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply wRh all appiicabi State of Minnesota Statutes and City of Eagan OMinances. ? Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not ?q BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 5F Misc. ? 10 _-plex WORK TYPE fl 31 New ? 33 Alterations Cl 32 Addition ? 34 Repair GENERAL INFORMATION APPROVALS Const. (Actual) (Allowable) UBC Occupancy 2oning # of Stories Length Depth Ptanning OFFeCE USE ONLY ? 11 Apt./Lodging ? ? 12 Mufti RepairlRem. 0 ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Building . . ;, 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misceilaneous MCM1S System City Water Fire Sprinklered. PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acd. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ ? 1806 C. R. WINDEN & ASSOCIATES, INC. /wND SURVEVM5 Tal i46•3644 FOR: 1361 EUSiIS ST., fT. PAUt, MINN, $5100 U. S. HOME CORPORATION C ? ? ? b ? I 4,. v ? a .? . 9o N-7o 35 0? .aJ O? ,or W ? \ ti 0 0 C ? ' to ? n `o I 60 ? M c? Proposcd ? N House I 20 ?qd6•48?,? I 03. 32 vxErO??S?6 d= 13'44 ' R-43I.07 KARf S w,qy 939 ? I •S? ? V Scale: 1" = 30' O Denotes Iran Z UW ? N - N ` ? I 5 19b?. ?.J 29l 0 x Tar °{ C?r6 EL 947• 7 Lot 29, Block 2, Ridgecliffe First Addition, Dakota County, Minnesota. Note: Proposed garage floor E1.= 450.a3 / (960U) Denotes proposed finished ground E1. -f- Denotes direction of surface drainage Vertical Datum - N.G.V.D. 1929 WE MERE6Y CERTIfY TNAT TNtS IS A TRUE AND CORRECT RfPRESENTAiION OF A SURVEY OF TME SOUNDARIES Oi TME IAND AlOVE DFSCR10E0 AND OF T11f IOCATfON Of All 6UILDINGS, If ANY, TMEREON, AND Atl VISIltE ENCROACMMENTS. If ANY, FROM OR ON SAID LAND. Dmed rAu IG' dey o{ 140vember A.D. 1983 C. R. WINDEN 6 ASSOUATES, INC. ?, ?.?..??? ?.?.?...?..? Sur•eyor, Minnowro Rayisrrolien N0.772G City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1806 Karis Way Lot: 29 Block: 2 Addition: Ridgecliffe 1st PID:10- 63980 - 290 -02 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding electrical permit 952- 445 -2840 Crystal Gemuenden 8910 Wentworth Ave S ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Kevin Margetts 1806 Karis Way Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA080717 10/25/2007 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature . t n Use BLUE or BLACK InCj For Office Use -'7 7 I `*1' Permit#: �`// ? / / L 6 �� City of EapaIl Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: Phone:(651)675-5675 Fax:(651)675-5694 JUN 6 6 2017 Staff: � J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Brent & Angie Casavant Phone: 651-468-7357 Resident/ 1806 Karis Way owner Address/City/Zip: Applicant is: Owner X Contractor Type of Work ; Description of work: C cti-et 9 L t+Jo/, 71:V". f I ra n fi p. n.e Construction Cost: O. C 00, GO Multi-Family Building:(Yes /No X ) Company: Stonehearth Custom Homes Contact: Shawn Forster Contractor Address: 2618 Coon Rapids Blvd NW city: Coon Rapids State: MN Zip: 55433 Phone: 763-427-7330 Email: sforster@stonehearthremodeling.com License#: BC 190614 Lead Certificate#: NAT-57145-2 If the project is exempt from lead certification, please explain why: 7 ( / - "I 1/1/1 24' 2-2 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 s upportg documents documenbe#mtyou submit arevorrs' ry d to be public h�lolatlou. Portions of the information maybe cla fsnon pub, if » + ick af?Xreesonsfh4would permit the City to conch" trades :"4,14;,,S4 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.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 only an application for a permit, and work is not to start without a permit; that the work will be in ifitt dgeeeutfi the ANSitticetti fif11'$i$case of work which requires a review and approval of pland7 i"41NlbiAlr'I thll1lilllllI I i1 Tye "l?'��I O SII 10/111 I! IIS �I I II 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. Shawn Forster x ; Applicant's Printed Name Applicant's Signatu Page 1 of 3 . . ) SOC. Km2; s O OT WRITE BELOW THIS LINE 1`7 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* 4 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 & L/ c O OccupancyPI-1AMCES System Plan Review Code Edition iim0Q1 SAC Units (25% 100%)( ) Zoning 41 11-- City Water Census Code / Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of ConstructionWidth REQUIRED INSPECTIONS JJ,,!! Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required 1( Footings(Addition) )( Final/No C.O. Required Foundation )C. Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings _Air/Gas Tests Final XFraming S.30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick_EFIS 74 Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final 7c Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1 , Building Inspector RESIDENTIAL FEES Base Fee rirlw. A Surcharge a Wr 9., cPlan Review /C1 MCES SAC City SAC r�� � J " / Utility Connection Charge l,J VI' S&W Permit&Surcharge / y o! lJ ✓ 7- Zo Treatment Plant ` / s Copies 1 l L,IN D TOTAL Page 2 of 3 •le !• ar • • 99 • • FOR: 1351 EUSTIS ST., ST. PAUL, MILAN. 85108 U. S. HOME CORPORATION / Oz <S. /q- ---/ • sea,' o 1,00-61, , 17O . rsj i_ *6 ._ „--"v-'� �5 O .4 oit .,,,,,,, (00,000 . --14 IT F611i ,011/1( Scale : 1" = 30' � i r b / to O Denotes Iron O ,� d� I kJ I VI I y, ti0 ,, , , r 1ti 6 / L-�_/ ! C_�j G I i"-- ;All11 M w HS <iProposed I ni / /V7kA N House I �►i /'" a� 5 / IP it Rs P I V . 1 SII f 41v(1( 4k t O L ,,,,,' 8� \'5 X 29) c ç °-- /)14L.AL b I t/ 0 O _ 9 �gQ6.981 Vx I O3. 3 a 4, __crO EA. A. l % .4'4 1:?431.0707i/(?lar of Curb Et 94/. 7 KA I S WAY vL P �ILAt 29, Block 2 , Ridgecliffe First yl44dition, Dakota County, Minnesota. Note: 't v Proposed garage floor E1. = 95O.33 (90O,0 ) Denotes proposed finished ground El. ----1-- Denotes direction of surface drainage Vertical Datum - N.G.V.D. 1929 WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. put" this IG4 (lay el NoyemiDCr A.D. 4983 C. R. WINDEN S ASSOCIATES, INC. ' d.oL, . Aj a(7 . `r Surveyor, Minnssoto logistrotion No. ? 22� N75t9 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150730 Date Issued:07/20/2018 Permit Category:ePermit Site Address: 1806 Karis Way Lot:29 Block: 2 Addition: Ridgecliffe 1st PID:10-63980-02-290 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)$59.00 0801.4088 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 - Angie Casavant 1806 Karis Way Eagan MN 55122 (651) 468-7357 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature R�C.EI Y ED EAGANAUG 292019 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-85351 FAX: (651) 675-5694 buildinainspections& citvofeaaan.com For Office Use I5173_< �J, Permit #: / 1 7 J Permit Fee: 0,7• 3 Date Received: Staff: 9-5-/y 2019 RESIDENTIAL BUILDING PERMIT APPLICATION 7' Date: Site Address: Unit #: Name: Ble4/4- ez&s t we/✓(, 1- Phone: 6C/ a '7357 Address/City/Zip: / 80( )4(r; s Gt)4ti eerier '^'/ MN 5S/z Owner Contractor Applicant is: Description of work: gee -7 -broom,- Adr � be /4) /tsin eiv`%-,`,a//`"i Construction Coss : ,,,1� DOO,OdKEW-Family Building: (Yes / No )4) yeA Company: Acce; bt e- Contact: Jo& - Wei rl, Address: 85 / 2 275 S( /U City: Ger /tee- G ?fil o State: 1✓Zip: 570'ZPhone: �1- ys0's�oEmail: jOIA • h gccCSsy ale hon a �/c. I ! License #: C eo Z 6 �8 5- Lead Certificate #: ti4'r-i y 92 9- Z If the project i om lead certification, please explain why: amu1/7- /981/ 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: foreman* d sippaillowdoctenents that you submit are conetdot d to be public krbnaatkrn. Panion. of 1 o information rybe ciasslikid as nonpithRe. If you p *swift mothat woulldpetmlt tits Cty to conclude thst day are bad masts, 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.citvofeaaan.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. CaII 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.aooherstateonecall.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 the work will be in accordance with the approved plan in the case of work which requires a review and approval • ans. n x ••••-•-)0 & � S Applicant's Printed Name DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace p Single Family_ Garage _ Multi _ Deck 01 of _ Plea _ Lower Level WORK TYPES New Addition r Alteration _ Replace Retaining Wall DESCRIPTION Valuation Pian Review (25%_ 100%O ) Census Code # of Units # of Buildings Type of Construction V,64-;5 Ila _ Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement _ Move Building _ Fire Repair _ Repair $ 3 yofl.-- Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final 74 Framing 30 Minutes 1 Hour Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls 10 Shower Pan _ Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant /)7/7 2n /,- R MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required !p Final / No C.O. Required )0 HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Final Siding: _Stucco Lath Stone Lath _Brick EFIS Windows Retaining Wall: _ Footings — Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: -l0 in /t /; k / yn- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL /?vso, #t 6fDc' ?D•0o $9'f/ Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 buildinainspectionsacityofeagan.com r For Office Use Permit #: 1G f0 c; Permit Fee: Date Received: q 2LP Staff: MV) 2019 RESIDENTIAL PLUMBING PERMIT//,,APPLICATION Date: 9- � ^l l Site Address: / L O 6, /4--, r S Aic y Suite #: Resident/Owner Name: 7q5 4-1/A/7--. - j/N7--. Phone: Address / City / Zip: O G k br1S a/47 Contractor Name: AP �/ cj416 ,`i 7.--/116- License #: "6 0 VVS`// 1.7 j 7q 9 > N City: ( 41ek-N2atkJ - *-`0 ill State: /v Zip: s .T7 Phone: 76 a —& g W Contact: T Ny Email: 7704 fFe`6 049 -1, cCkvi Type Of Work New Replacement Repair Rebuild Modify Space — Work in R.O.W. — — — Description of work: �O Cie/ V‘/. alp/ mci:/,,)f�oo - G�C.iol, Description p / Tankless Water Heater Lawn Irrigation ( RPZ / — PVB) Standard Water Heater Add Plumbing Fixtures (A Main / Lower Level) — Water Softener � Description: 4^' �5� 40� l�/�lrc4/767 Septic System Connection to City Water from Well New Abandonment RESIDENTIAL FEES $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 New fixtures, $60.00 Septic System $100.00 New Residential $115.00 New Septic $60.00 Connecting to *Sewer & Water Water Softener, or Water Heater and Softener (includes State Surcharge) (includes State Surcharge) adding or removing piping (includes State Surcharge) Abandonment (fee collected with Building Permit) System (includes County fee and State Surcharge) City Water from Well* + $290 for Meter and $190 for Radio Read = $540 Permit also required for connection charges TOTAL FEES $ (O CALL BEFORE YOU DIG. Call Gopher State One Cali 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 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 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. x ? o /� /06.F' Applicant's Printed Name Page 1 of 2