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2073 Marble LanePERMIT # PLUMBING PERMiT RECEIPT qTY OF EAGAN 3830 PILBT KNOB ROAD, EAGAN, MN 55121 DATE: --i Site Address _ Lot ? rvame ? 0o Address .. - c City ? Name c Address p City Phone _ FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMIJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN 5 BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Ctoset - $3.00 $ Bath Tubs - $3.00 Lar+atory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Weter Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE ? STATE S/C: GRAND TOTAL: CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedax Grove #2 Lot 32 aik 7 Parcel 10 16701 320 07 Ownerf,ti; ;Y 1 ?"?.cv street 2073 ?arb?e Lane 5tate Eagan.,XV 55122 improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 885 1 1266.95 84.46 1 STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1 2 1304.00 2.1 Z P3'Ld WATERMAIN #- WATER I.ATERAL 1972 WATER AREA STORM SEW TRK S70RM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER, SAC PARK C4 1\ Owne: Address Bullder Addreas ?,. ? N4 3634 3795 Pilo! Snob Aoad Eagaa MinaesoYa 55122 454-810D Dala P-6/ _ To Be Uaed For Fsoa2 Deplh Haigh! Eel. Coo! Pezm ea Aema=lu 7 1 S ? 4 /e. 3 ' o LOCATION ? %J - / ? 3lreel, Aoad or other Descripflon oi Loearion I Lo! loek Addilion or Trac! ?- TIlIB p@TIDil d006 aof auSho:ise fhe.use of afraels, roads, alleys oz sidewalks nor doee it give the ownas os his egen! the righ!!o creale any situalion which is a nuisanae or which presanis a hasard fo the heallh, salelp, canvaaleace aad general walfare lo anyone in the eommunity. r- THIS PERMIT MUST BE P[7?J? THE PREMISE WHILE THE WORK IS IN PAOGRESS. - . .. .:?J.... . .. .. ! ...................... ........ 6as permission !o eraet d ,ri._...----.._..-?b.? . .. ......... _npoa . . This is !o cerlity. lhet the above desaribed e ise subjeci She pxovisions of all appl'yoati el O ances for? /f Ci'?gan. ....__..** .....'-" "".. ........................... ..... Per -- .. ............'._../1? ^' " . .. ....... .........."'......."'............._..... M 'or Buildieg Impeclor CITY of EAGAN BUILDING PERMIT EAGAN TOWN S I-I I P BUILDING PERMIT Ownex ._.......?(.K. ..?n..?a?.Sr.Lt. -....`----'-"---?-°- Address (Presenl) ..... A.d.7,.3..._._ ./..[.?i?lSc1..f....... A- ..e.....__.' Buildex .... .'44? ...---c?.:-----................_.............--- Address .... DESCRIPTION N° 1600 Eagan Township Town Hall ..?`^:-`."..°.?:??.?_.`?,.?7..... DaYe<J Stories To Be Used For Fron! Depih Heighl -- Esi. Cosf Permi! Fee Remarks e'l ]- eZ ? ? po-0, 7, ry dr /.Q? LOCATION SSzee3, Road or oiher Descripfion of Locafion I Loi I Eloek i Addition or Traef I??- ? 7 1 E"92 -`-- .2. TNis permii does noi auihoriae the use of streets, roads, alleys or sidewalks nor does it give the owner or his agenS the righiio create any sifualion which is a nuisance or which presenis a hazard 20 the heallh, safeYy, tonvenience and general welfare !o anpone ia ifie communiip. THIS PERMIT MUST BE KE T ON THE P)IEMI3E WHILE THE WORK IS IN PROGRESS. This is !o cerlif p Yha! -"-- - -- - J °--- ? ...__".. aCie% .............. . has permission !o ereat a......"" '? ' '__•c ?_?_......... . . . " ' ....'.'...nPOa - - --'--'... ..?/? the above dFSCSibed premise subjeel !o the provisions of the Suilding Ordinance for E n Tovffiship adopled Apxil 11, 1955. ? ....................... .........._- - ?.-.-.... C irman oE nwn Board Q 6 Per .- -.?. ? ?.?........... ....?...... -.. Building Iaspecfor EAGAN TOWNSHIP UILDING PEa2MIT Address Buildes Addreas DESCAIPTION N° 530 Eagan Township Town Hall DaYe- -`----- ---------t-?---°°---------- Siories To Se Used For FronS Dep1h Heighf Est. Cosi Permi! Fee Remarks ? -- axreex, noaa or oxner uescripnon ai Locaxion I Lot IBlock I Addifion or Tzac! %7 This yGpfnit does nof auihorize the use of sireefs, roads, alleys or sidewalks nor does it give the owaer or his ageni the ri i!o creafe anp siiuafion which is a nuisaaee or which presenfs a hazard !o the healih, safeip, convenience and general welfare !o anpone in the communify. THIS PEAMIT MUST PT TH E E WHILE THE WORK I5 IN PROGA . Tbis is io cerlify, lha1? .. _...F..Ym---?sL,?.../va,b T...(zhas permissiox !o erect a...... .... . ------------- -- ........... .................. upon the above dESCribed premise suLjeei io the pxovisions of the Building Ordi r Ea ?dopled Apsil 11. '__...._._...._ ._._."__..._._...".""..............._...."_.....___...... Per . __ .... ----- ". __. .. 1955. ?.--._- ----------'-"-------- Chairman of Town 8oard ' Buildinq for J I J EAGAN TOWNSHIP No 519 _ BLJILDING PERMIT . : .FL3:?..1f.?: ?"... ... .? '? Ea9an Township Address (P=eseni?'.?..?! .? . _,(!r _ G2.•.Q / ?1?^u-? r - -. Town Hall Builder ............... ...."---""-........ / ........... ............................... Daie . .. f 1?' ..... ...... ?.....---...... Address --------------'-"---°......---------°-------------------- - 5tories To Be Used For Fson! Depth Heigh! Esf. Cosf Permi! Fee Remarks ? LOCATION 4elo y? 7 I ? or This permif does noiI aulFf?aze ll?e use of sireefs, roads, alleys oz sidewalks/nor does it give the owner or his agenf the righi !o cxeale any siluafion whieh is a nuisance os which presenfs a hazard !o the healih, safeip, conveniance and general welfare fo anpone in the communify. THIS PERMIT MUST B PT p T ..p ;!?,/?.? R MISE WHILE THE WORK IS IN PRPM?k Thia is 2o ce ??___has permission !o eree! .__ _ _ _ _ , ,________upon !he above deseribed semise subci !"!he g p 7 provisions of !he Buildin fadopted April 11, 1955. ??'? f??? r 1 - ---- ' .__.......' - ._'_._._-_- - -- ..._...._...__ Per /.. .... -l._?/ff??- . ? ---'-°'----------'--- Chairman of Town Board ( ding Inspecioz PLUMBING (RESIDENTIAL) U( 1 o? Permit Application City Of Eagan 3830 Pilot Knob Road; Eagan Mn 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date 14-?2 / S' l e3 Z 4 Unit # Si[e Address ?? Z:?? Property Owner Telephone #(C?/) 6 ?4 ; Q91f9 Contractor { Address Q ?_ p! City S[ate Zip,?C?;2-1? Telephone # The AppGcant is _ Owner ? Contractnr _ Other Septic System New _ Refur6ished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. AtlditionalconsulWntfeesmayapply. Alterafions To Existing Dwelling Unit, Including $ 50.00 _ Adding flxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter ff needed -$121.00) Other. _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irriga6an system IV Water softener _ Water heater $ 15.00 JC replacement _ additional ?? $ .50 State Surcharge - Total $ 7 I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; that I understand this is not a permit, but only an application for a permiy and work is not to start without a pernrit; that the work will be in accordance with the approved plan in the caW of work which requires a review and approval of plans.,,.) A "YoP e/y 4?yi2?F2 pphcant's 15rinted ame pp icanYs S}? tTre v 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN L5 3830 PILOT KNOB RD - 55122 651-681-4675 New Constniction Reaviremenls RemodeUReoair Reauirements ? 3 registered site surveys showing sq. k otlof, sq. ft o/house ? 2 copies of plan and all roofed areas L°,L maximum lot coveraae allowedl ? 1 set of energy plwlatians for heated addi6ons • 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 site wrvey Tor exteriw additions S dedcs ? 1 set of energy calalations ? 3 copies af tree preservation plan if lot platted aRer 711193 ? o DATE: J- I S? 99 CONSTRUCTION COST: DESCRIPTION OF WORK: A- STREETADDRESS: LOT: 3?- BLOCK: ? SUBD./P.I.D. #: ? G(0 U U• Name:? dtj bp CC_.(_?,V Phone #: 3 C l Z ?? PROPERTY F"u OWNER Street Address: `3 ?..?. ? U L.1? 6 P? State: ??. _?P: ?..- City --- Company: Phone CONTRACI'OR Street Address:______ _ License # _ Exp• City ----- --- State: _ - ZiP' --------- ARCHITECT/ ENGINEER Comp:uny:----------- -------- ? Pltone N: ------------ N:une:------------ -------- Regisha[ion ti: Street ----- City ---------------- S[a[e: -- ---- ZIP' ---- Sewer & water licensed plumber reauired for new eonstruction onlv): Penalty applies when address change and lot change is requested once permit is issu I hereby acknowledge that I have read this application, state that the informatio is co ect, andaqjee t omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - - , i Signature of Applicant: ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 03 1 of _ plex 0 OS 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/5offits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demoiish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total SAC Units Valuation: $ % SAC LBL CITY U5E ONLY RECEIPT.#: JDa?s'J SUBD. 1 ?oC.. RECEIPT DATE: !?5 9? 1999 P1-uMSUVH PEfiMiT (RESIDENTIAL) CfCY OF EAfiAN 3830 PuoT KNoa Rn E,e?sAN, Mx 551 EE (851) 661-4675 Please complete for: ? single famlly dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system - - -°^------- -------- -------- ------------^-- FIXTURES ------- ---------- ^---- - EACH _- - ..r- ---------------- ------- - #_ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = laundry Tray 3.00 x = Hot TublSpa 3.00 x Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum • 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under constructlon 5.00 X = Water Softener ' for exisung dwelling 30.00 x = U.G.Sprinklef ` fordwellinpunderconst. 3.00 = U.G. Sprinkler ' for existlnp dwelling 30.00 = Alte?atlons ' to exlatinp resldence 30.00 = Water Turn Around 30.00 = Private Disposal System " MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder; Call 881-4675 for inspectlons ot water heaters, water softeners, alteretlons, etc. ?O ?? , TOTAL -------•••--•---•---•••• .................•--•---.........--• • •••••--•--------- ........................................ . ........--•-•-°---... Is cortect, and agree to compty with all applicable Clty of Eagan ordinances. It is the applipnfs respor pETERSON, LARRY n assumes no Ilabllity for any damages raused by the Ciry during ils normal operatlonal and mainlena 2073 MARBLE LANE rmil wlthln City property/rlpht-of-wayfeasement. SITE ADDRESS: EAGAN, MN 55122 - (651) 6860986 O W NER NAM E: INSTALLER NAME: P?1?fG TELEPHONE #: '? ?7 - STREETADDRESS: cITM: STATE: ?N ziP: 5 a8 CDlPERMIT FORMSlRPLBG PERMIT (RES) - 1999 PG, / 6 °-rJ LOj, • NAME „ SIZE 11r?714 c)i? .+%O-S-E-LL ?2 x 2"L BLOCN ADDRE55 VALUE 7 _Z Si7s A./f-l LiC? ?-4-'_ . ?.?),4 F /,:c ADD'N. AREA TYPE ,! •-? C-,fl(iVE ? ?--?.I-.?1 VE. n! T 1t T 't t- n-r''. t t' w.:- Es <. F ?. =+ 1 ? T[ nJ U N!l?L.K y.irJ ;!a??..?. l.?-. C- a. / r? rJ ? J F: ,..-• z c F., ! in,r ?J d_ x I _ Y I nl ('_.,. .?.. r C` E. tn/ ':t t+< ? ?c ZstE- ?? ? T 4 y t {<t?7 r' --------- -°----- ? n/t L-'. fd ? tv t (L(]N C,T ? + }? f_ `7 ? L? r e'. C? rl I ?v A7 ?. , -7.- tJ-r vC.wny, -- X-?zc • r.i r --- (, 1 {i MELROY CONSTRUCTION, INC. Contracting • Home Bui7ding • Remodeling Ror ZevertIno RouT6 I Pafiscon, Wix. 64021 1 - <na, 2e2.5755 MeL Copoea 7376 CANILL AvENY! INVCR GROVfi NEIOXTB. MINN. 58070 (E123 401-2107 ? ? ? MASTER CARD LOCATION OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Con}ractor Owner BUILDING PLUMBING OF CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING . it. SEPTIC FOUNDATION CESSPOOL FRAMING TILE fIELD FT. FINAL ELEC7RICAL HE.471NG DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM81 NG WELL SANITARY SEWER Violations Nofed on Back COMMENTS: L -11`I`k2- 2Q05 RESIDENTIAL BUILDING PERNII'C APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registe2d site Surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas (200k maximum bt coverage allowed) 2 copies of plan showing beam & window s¢es; poured found design, etc. 4 set of Eneyy Calala4ons 3 copies of Tree Preservation Plan'rf bt platted after 711/93 Rim Joist Detad Options seledion sheef (buildings wilh 3 or less units) RemodelfReoair Reaui2ments 2 copies of plan i set al Energy Calculations for heated addition=. 1 s'de survey far addiGom & decks Additian - Indkate li on-stte seAfic system *t ? -Zz? Offirz Use Onlv CeRofSurveyReed _Y _N TreePresPlanRecd? . _Y _N_ Tree P2s Required' `_: r _ Y_ N On-de Septia Syslem _ Y_ N Cas 1kci ' 210 5 - QAr?_ Date Construction Cost 3- Site Address QY' e, L oop- Uoit/Ste # Description of Work?e ar e0l4 c e sh22fel"DcK ('JVjcnl< IL)ajrS - tftQl nG d- CIUSP r1J6G9rl Multi-FamilyBldg _ Y ? N Fireplace(s) C2rl?n? . -T?'5t1 z Oew inSc?Wici'r7 oh a e t' :1 r Ns vl PropertyOwner I1 elM1'Y ) R' Jer & 4f LIC Telephone #( &S 1) '/90' -V710 Contractor LQ(te? )c(?Je1S?eWiO trv? dP AddC¢SS q°°i ? pm?M i Nrf ? o a/'?i?? ??yy City i,'797?U h _ State rn? Zip Telephone #(9-SA 'W88 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheef (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculalions Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. 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 wiil be in conformance with the ordinance5 and codes of the City of Eagan and the State of MN Statutes; I understand tlus is not a permit, but oxily?anappkcation for a permit, and work is not to start without a permit; that the work will be in accordance`with the'approvAd plan in the case of work which requires a review and approval of plans. )_O_Ro? Applicant' Printed Name ?; ?i ? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg *_ 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Aft - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 70 OS-plex ? 18 Deck ? 23 Porch (screenJgazebo) ? 36 Multi Misc. ? 05 03-ptex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work T,ypes • ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation *1-1- 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to appiicant Valuation U Occupancy \l,h T? MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ R.I. _ Air Test _ Final ZC Insulation REQUIRED INSPECTIONS FinaVC.O. ? Final/No C.O. _ Plumhing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final ? Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall ? Approved By: , Building Inspector --- - -------- ----- - --- Base Fee Surcharge Plan Review MC/ES SAC city sac Utility Connection Charge S&W Permit & Surcharge i'reatmertt Plant License Searoh Copies Other Total ? (!L) Y4 t2?yem /0,sw For Office use a Permit I ~ C y of Eapn I I I Permit Fee: l I 3830 Pilot Knob Road 7 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I ~ I I Staff: (t'( I I Fax: (651) 675-5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: &90-C / Site Address: oQ67 3 IV,-jr1_26 l ~av~L Tenant: Suite RESIDENT /OWNER Name: 2eh't Phone: ,-6. 51710 Address/ City/ Zip: 9,673 1)-7446 Applicant is: Owner Contractor TYPE OF WORK Description of work: %ell y a ~ I" ;-eye, Construction Cost: ~/,G~CX) • 06 Multi-Family Building: (Yes / No ,5 CONTRACTOR Name:r 5~'G1~}lCp~{i/Cl~r S ~t2C. License o'Z6,3/7q7,5_ Address: 1 L14 i-\ Y\ City: a 1c Y ( mil tk 1 State: M 13 Zip: Phone: _ 9 6-d - M5-- "74160 Contact Person: :1P iey2A I . 1)bYlt U COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 1 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 c~i°\ ~)~"~cN\ x ~J C-2- Applicant's Printed Name Applic is Signature Page 1 of 3 From:First Choice Builders Inc. 952 808 7408 09/21/2011 13:13 #148 P.001/003 Use BLUE or BLACK ink I For Office use ! City Of Ealan I Permit >k: / Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Rece' d: Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 1 I - 2011 RESIDENTIAL BUILDING PERMIT APPLICA N Date: C1 ZD i\ Site Address: - 1QQo_ ' Unit Name: j fm Phone: RESIDENT OWNER Address / City / Zip: Dl " L Z . Applicant is: Owner _!k Contractor TYPE OF WORK Description of work: _C_lillf~ Li t✓ ~-lC ~l ~t~~-'"~ 46- LA7 ~~St~~~S Construction Cost,kD I Multi-Family Building: (Yes No ) Company: krSt Llnoi v;S(~~uSr Aw-contact: Address: cint AL' bCONTRACTOR 1 uu S O ~ity: ~ 15 1~ t b State: _ zip: 5 31 Phone: License ZC~ X31 q rj Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Low 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: AS end supporlfny ocumerr{s at you stib # 6e u c'i!r~forrnatfon. Por#fOns:of 1►tatybn may be xlassffted as n p lfy assorts il~,►01 rtlt a'aiy #o r e,:d~ii fh ~~,r x- 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. 4M .aooherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. App icant's P .n ed Name Applicant's Sig ure Page 1 of 3 41111 City of Eaali Date: 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 #: Permit Fee: l (1 ✓ Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Ov»ner Name: tl 1 11 lil -.1.A. ➢' T. J , Phone: Address /City / Zip: CRO -- 3 0) Ai f , . 1 ----An .QAC' / Applicant is: Owner Contractor Type of 1Nork DD ,^,, .rte Description of work: RE-_-RJO r Construction Cost: 1 Multi -Family Building: (Yes / No) ten, Contractor ) . Contact: (Dr. /0/3 Company: `I 1 11 Ot- r"Ggl Ji m Address: 1S/) )—.�')�N Alia �City: H As -b Al1 j , i G j State: NI (1.) Zip: ,6-0,--3__. Phone: ) .--(ah� " O /-5 License #: am LH (D) i -7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans end supporting documents that you,submit are, considered to be public';intormation. Porfions of { the information maybe classifie as non public if you provide specific reasons tha would perm►t'"the City to { concludes"that theyare trade secrets,,.::.. ; ,.. .. 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 approval of plans. 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. x J7E130)(5 K1F~FE14. Applicant's Printed Name x, Applicant's Signature Page 1 of 3 City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 06211U r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 1wz3 3zro Date Received: Staff: 2014/RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 " / v / .Site Address: ° 7.3 ��" ' Unit #: Resident! Owner Type of Work Name: 0 , 9 4rI & se A--) Phone: 2'43 7Z 7)/ q �Cp Address / City / Zip: c- f 7 /�i �'_' /, 4"1ZA)L.�— Applicant is: ?wner Contractor 00 Description of work: '•-•..---- r•- AX7 , h i".4& it t- / 1,1/, Construction Cost/a-1/ Multi -Family Building: (Yes / No /k ) Contractor Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) K—.t ( 161(0' In the last 12 months, _Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: - .. • ...thatu-subrmit-a - .. •: • ••- .e^ e:.1 e -e - e e• ens-of the information may be classified as non-public if you provide specificreasons` that would permit the City to conclude that they are trade secrets. 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 approval of plans. 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. Applicant's Printed Name licant's Signature dth/v' @ JeM''''°oak .e tiin Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration to Replace etaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair avfg- (25% • 100% Census Code %13y # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers ANalwer Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /.� Sa/S6(2 Ao"/yb' /o a Page 2 of 3 073 711444% he THE 2007 MINNESOTA STATE BUILDING CODE 1F(.3C AL. -Tent -1.4 E. iNcrkshet E- 1 7::fif'1.1C: ventedco. information. Fumace/Boiler: Draft Hood kcan Assisted Dire. Vent Input:69 0•04)31 r _ _ (Not fan assisted) & Power Vent Heater: Hood 'Fart Assisted Direct Vent Input: I/9 aCkflutrir _ _ (Not fan assisted) & Power Vent Calculate the volume of the Combustion Appliance Space (CAS) =Veining combustion appliances. The CAS includes all spaces connected to one another by code cornpiant operengs. CAS volurne: k;,..:,eff.:e;•=l- Determine Air Changes per Hour (ACH)1 6w7t Default ACH values have been incorporated into Table E-1 for use with Method 4b (KAIR Method). If the year of construction or ACH is not known, use method 4a (Standard Method). .$ Determine Required Volume for C,oribustion Air, 4a. Standard Method Total Mew input of at combustion aoplians (DO NOT COUNT DRECT VENT APPLIANCES)Imput/C-Vieteuihr 'l Use Standard Method column in Table E-1 to find Total Required curve ',TRV) TRI./%1 If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If CAS Volume (from Step 2) is less than TRV then go to STEP 5. 4b. Known Air Infiltration Rate (KAIR) Method Total Bluthr input of all fan -assisted and poorer vent appliances (DO NOT COUNT DIRECT VENT APPLIANCES) input: Bluth( Use Fan -Assisted Appliances column in Table E-1 to find Required Volume Fan Assisted (RVFA) RVFA: ft3 Total But/hr input of all non -tan -assisted apolances Input: Btiehr Use Non -Fan -Assisted Appliances column in Table E-1 to find Required Volume Non -Fan -Assisted (RVNFA) RVNFA; ft' Total Required Volume (TRV) = RVFA + RVNFA TRV = = ft3 If CAS Volume (from Step 2) is greater than TRV then no outdoor openings are needed. If GAS Volume (from Step 2) is less than TRV then go : Cs, STEP S. • Calculate the ratio of available interior volume to Inc total required volume Ratio = CAS Volume (from Step 2) divided by TRV (from Step 4a or Step 4b) Ratio = 1 = •,,,., ?;.L. Calculate Reduction Factor (RF). RF I= 1 minus Ratio RF = 1 - ...,.• ,',A.si, Calculate single outdoor opening as if NI combustion air is front outsice Total Btu/hr input of all Combustion Appliances in tie same CAS (EXCEPT DIRECT VENT) Input: Combustion Air Opening Area (CAOA): Total BtLehr divided by 3000 Btu,* per in CAOA =-- i 3000 Btuthr per in2 = kn2 Calculate Minimum CAOA. Minimum CAOA = CAOA multiplied by RF Minimum CAOA = x = inz •-. Calculate Combustion Air Opening Diameter (CACD) CAOD: t13 multiplied by the square root of Minimum CAOA CAOD = 1.13 xi Mininum CAOA = In If desired, loan be determined using ASHRAE calculation or blower d 382 . Foe pr dues in Section 304. TETE 2007 ML"4NESOTA STATE &ULD1''G CODE 383 s IFGC Appendix E. Tab! 5,004 250 375 €88 525 263 10,000 540 750 375 1,050 525 15000 750 1,125 563 1,575 788 2000 1,000 1 754 2,100 1,1 12513 175 938 2,825 1,313 30,000 1, 1,125 3,150 1.575 35.1304 1,73 2 1,313 3,675 1.838 44.000 2,00 3 1. 4.200 2,100 45,01 3 2 0 3315 1, 4.725 2,363 50,004 2 3750 1.875 5,2.50 2,625 55,E 2,1 3 4,125 2063 5,775 2,888 613.000 3,000 4 2.250 6,300 3,154 65,000 3250 4,875 2,438 6,825 3,413 70,000 3.5017 5250 2625 7,354 3,675 750 3,7 5.5 2 813 7,875 3,938 813.400 4, 6 0 3 3,000 8.4130 4,2134 85,000 4 6,315 3,188 8,825 4,463 ,0 4,500 6754 3.375 9,454 4,725 95,000 4,750 7,125 3,563 8,975 4,988 1130,004 t►►'i 7,500 3,7 1 10500 5,250 105,000 254 7,875 3,338 11,025 5513 110,1870 5,500 8 3 4,125 11,550 5,775 115,00 5,750 8, 4,313 12,075 6,438 120.000 6,0183 8, 4.500 12.6 X1 6,304 125,000 6,254 8375 4,688 13,125 6,563 134, 6, 8,750 4,875 13.650 6.825 135,01 6,750 10,125 5,i 14,175 7,488 14x,004 7,41#3 10,500 5.250 14,700 7,350 145,E 7,2513 14,875 5,438 15,225 7,613 150,400 7,500 11,2 5,625 15.750 7,875 155,000 7,7513 11625 5813 16,275 6.138 180,01M 8,013 12,1 6Y 16, 8,400 165 8 2` 12,375 6,188 17,325 8.66:3 170,07 8.504 12,750 8,375 17,8513 8,925 175.0 3 8,750 13.125 6563 18,375 9,1;.. 1.0G0 9, 13,540 6,750 18,900 9,450 185,000 9250 13,875 6.338 19,425 9,713 190,00 9�7 14,250 7,125 19, 1 9,975 1 013 8.750 14:625 7,313 20,475 14 200,01 10 15, 7,500 21,0013 10,50 245,004 10,2511 15,375 7.688 21,525 14,763 210000 1051 3 15754 7,875 22,054 11,425 215,000 10,754 16.125 8:1363 22,575 11,288 X3,003 11,1 16,500 8,250 23.113 11,550 225,000 11254 16.875 8,436 23,625 11,813 230,004 11.500 17 0 6,625 24,150 12,475 383 *' City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use ' 1 q Permit #: );;l Q` -t Permit Fee: ti ^ W Date Received: 3/Q I / i y Staff: —ill S 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (3"d-` — / 51 Site Address: 73 /2L/"(—---_ Tenant: tt h////,, /Suite #: Name: �1 � 4) ( tc Phone: 6/02- Y63 7b 71 Address / City / Zip: , ,7e,/(Q- Name: License #: Address: City: State: Zip: Phone: Contact: Email: New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System Ad Water Soften - r New Abandonment ures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System 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. 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 app • al of y, ns. Applicant's Printed Name Aricant's Signature FOR OFFICE U