The URL can be used to link to this page

1484 McCarthy RdCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE 19 RECEI V ED FROM AMOVNT $ I & DOLLARB 1 oo ? CASH FICHECK NUMERICAL FILE COPY ? CITY OF EAGAN . 3795 Pibt Knob Rond Eagan, MN 55122 N2 4611 PHONE: 454-8100 f} : ) BUILDIN9 PERMIT Receipt # n . 6 ;r; To be usad fer Date 19 Site Address Erect ? Occupancy Lot Biock Sec/Sub. T, Alter ? Zoning Parcel # - Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories 3 Address- Demolish ? Front _ ft. 0 City Phone Grade ? Depth ft. ? N Approvals Pees 0 uQ ame Addr ss Assessment - -- Permit _ ? ~ e " Water & Sew. Surchorge Cit Phone Police Plan check F FW Name Fire SAC ' ?? Addreu Eng. Water Conn. - <W Ci Phone Plonner Water Meter Council I hereby acknowledge that I have read this opplication and stote that gldg. Off. the information is correct and agree to comply with a!I applicable APC Total Stote of Minnesota Stotutes and City of Eagon Ordinonces. Signcture of Permittee A Building Permit is issued to: _.-- all work shall be done in accordance with all opp Building Official L]SC7UCLlpI: on the express condition That Stote of Minrwscta Statutes and City of Easan Ordinancas. PormM # Defa IauN P-wMM Plumbing Mechanicol ?'T a J INSPECTIONS DATE INSP. Rough-In Fral Footings Date Insp. , Date Irup. Foundation Plumbing ? Frame / i ns. 3?/4f Mechunita I Final ;? /t • n Remarks: ? CITY CF EAGAN 3795 Pilot Knob Rood Eogan, MimreaoM 55124 Paona: 454-8700 ? PLUMBING PERMIT No 105] Date: MdTC71 Z.ri ,, 1978 • Receipt No.: Single I „ Site Address: Residential ? Lot BI«k Sub/Sec.° lujlc; MuIH Res., Comm./Ind. I Name New/Alter. /Repair . ; Address Cost of Installation City Phone: Permit Fee c; Name i:1ChiJ :?1. t• ' .t,:.:i,7.'1 ; ?'O. Surcharge ' - . g Address °`15 W. 77? St. e 0 Vc1ty . ._. r i F_. t r7 55u2? '- Phone: Totol This Permit is issued on the express condition that all work shall be done in accordance with all appliwble State of Minnesota Statutes and City of Eagan Ordinonces. Building Officiol / INSPECTI ? CITY OF EAGAN ON RECORD PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: j;i,; : ri NIHY ni1 i e-i ; PERMIT SUBTYPE: TYPE OF WORK: ? ? Ai tt NA I tnro l N`'OAi i oA'. f 1415CRl ? Permit Holder Date Telephone SEWER/ WATER PLUMBING HVAC Inapeetlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE AIR TESTCE FINAL PLBO FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks Addition?J Oslund Ti.mberline Lot 2 B1k 4 Parcei .?' Owner V1-/' ?i??a?y Street 1484 MrCarthy Rnad State Eagan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, STREET RESTOR. PaViII 1971 886.00 88.60 10 177.20 A006598 -5-78 GRADING sAN sew rRUrvK 40 1968 $100.00 $3.33 30 63.37 A006598 -5-78 SEWERLATERAL 1970 2005.00 100.25 20 1102.75 A006598 9-5-78 * WATERMAIN 1970 ZO WATER LATERAL WATER AREA 111 138.68 A006598 9-5-78 * STORM SEW TRK 1970 ZO STORM SEW LAT CURB & GUTTEF SIDEWALK STREET LIGHT I WATER CONN. . 12-20-77 BUILDING PER. ¢61j sAC 475.00 850 - - PAR CITY OF EA6AN 3795 Pilot Knob Road Eagan, l.4.:7 55122 Zonir3: Owne r: e a.a_.,_.. WATER SERVICE PERMIT PERMIT NO.: -- DATE: _ No. of Units: Site Addreu: Plumber. Meter No.: Ci'o• Reoder No.: 1 ugree ro comply wit6 fhe Citr of Eagan Ordinances. gy, , Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: Dote of Insp.: Insp.: GTY OF EAGAN 3795 Pilot Knob Road Ecgan, MN 55122 Zonii;y: Owner: --------i. Address: Site Addresr. Plumber. I agree fo comply wifh fhe City of Eagan Ordinanees. SEVIlER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: A_ T.2 R4 Timberline Connection Charge Account Deposit: _ Permit Fee: - Surcharge: Misc. Charges: - Total: 100.00 pcl 7-rR nn „a CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N? 4611 PHONE: 454-8100 BUILDING PERMIT APPLICATION $65 000 Receipt # $500 t . To be used for Sing. Fam Dwlg, d Garg. Dare Dec. 20, , ig 77 Site Address 1484 MCCai th yRd. Erect Q¢ Occupancy -i:r-_ Lot -_2_ Block 1? Sec/Sub. Ti-m} 3pFI fnp Alter ? Zoning Parcel # _ Repair ? Fire Zone 3 _ Enlarge ? Type of Const. V ? Name CHTL $Cl'IWBy Move ? # Stories 1 i o Address Woodlark Ln Demolish ? Front 82 ft. r.? agan pF^?Q 454-2513 Grade ? Depth 28 ft. ? Name ----'-.. ..........?.........,.. 1514 z° c art y d. Address - t- r:... EelL8t1. oL.._.. 454-3336 Name _ Address I hereby acknowledge that I have read this application ond 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 - A Building Permit is issued to: all work shall be done in acc Building Official -_? Fees Assessment _ Water & Sew Police Fire Eng. Plonner - Council - Bidg. Off. - APC Permit 162,00 _ Surcharge 32_00 Plan check SAC 475.00 Water Conn. 230_00 Water Meter Toral 899. 00 Oslund Construction on the express condition that all plic ble State of/vlinnesota Statutes and City of Eagon Ordinances. minnesoxa atate tsoara ot tiectncfty 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 -I""t REQUEST FOR ELECTRICAL INSPECT1O{V- L't1ECK BELOW WOItK COVERED BY THIS REOUEST P 66678 -- Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporazy Wiring ? # Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. Commercial Bldg. ? ? ? ? ? ? Dry r- ? Fu l. . Electric Heating Silo Unloader ? ? lndustrial Bldg. ? 0 ? Air " iti ?-. ? Bulk Milk Tank ? Fazm ? ? ? Lis List Other ? ? ? Hes - ) Qehers# H COMPUTE-INSPECTION FEE BELOW Service Entrance Size: # Fee Fceders&Subfeeders: # Fee Circuits: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am etes Above 200 Amps. Above I00 Amps. Above lOQ Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Ins ection Minimum fee $5.00 Rema:ks ?R X TOTAL FEE p, O? I, the Electrical Inspector, hereby certif the v ins¢ection has been PN?i_77J' ,?'D (Rough-in) ? (Final) Date This request void 18 months from , iThis request void 18 months from 3 - 0!? - :?7 J) P 66678 Date of t is Request I, as icensed Electricai Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Range v County Which is occupied by Is a roughin inspection required on this job? No ? Yestl/ Ready Now ? Will Call ? Power Supplier 124AOT?' Address Electrical Contractor ?14? ozP ? Contractor's LicensebNo. ? (Company Name) / Mailing Address (Electrical Cjntra E or Owner Making This Installatlon) ? Authorized 5ignature `/E --1-1 Phone No. o&-439.3 1 (E trical Contractor or Owner Making This Installation) (????? ???? This inspection request will not be accepted by the ? ??;? ? State Board unless proper inspection fee is enclosed. ,jia i ?... y, ?..,?. J ? a.?e b W.o na:o. ?.Y.. ?%?`????rf:?5k:'{:7Yf ?}Pr(+.:7?C7?hl?X+.(,?(,?{iia7p.yCh,Y:S?i>Y,n??.7,.•;:q?.?KY,{K;??`:'N?..?. i..ITT OF EAGY1N CEiSHIL.i".n S T1:.RM.ir11^1L NOx 77f_3 I?;.".?TF;: HiLClf',a:`:? T':[itE„ 'I.4;:5004 ID,. P`(':PiEc AL.I...:I:f:i:D C'.T.(I:li:fi;7:?1E :(?!?.:: 320 9001 03i t.:!_.Ci i',1`.lN Df? f:i(:)„IJL; ?:i.':i`] 9Cli_)1. :I.539. T.'1f't, i-l,,:':i?:? 3210 9001 1484 M!:(.:AR'i 1-!'v' .`rf.)„f)(.} 205 9001 1484 MICCAR1HV 0.50 OF T{7'!::::.I. Rti_'rri`'1pt Amriunt" :'.ii:! viZO rqr:.in^?i? , _rt.....C:.f...l USj::.R ID,; Nl`-`iNCi' ?•?1 W.li.l 1:.?. ! 1..?:.? I ?.?.: WJ.. ? ?,:?Y.tY?;;tY!:r:?:k?Fy;1?:?C?c:,,,nrd?;. ?.1?:'.7?S.?M1:M1.Y•'?+)hm?X?:)k,,,:,s?'F,v„?,cri?:l?7FM PERMIT .?Q Z13'Y' OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: N ? Eagan, Minnesota 55122-1897 Permit Number: 033990 (651) 681-4675 Date Issued: 11 / 10 / 9 S SITE ADDRESS: 1484 MCCARTHY R[7 LOT: 2 BLOCK: 4 05LUND 'i"IhIBERLTNE P.I.N.: 10-55300-020-04 DESCRIPTION: IN57ALL GAS INSERT Buildinq'R.ermit 7ype FIi2EPLACk Buildiny Wo'rk,7ype ALTEftA7I0iV ,'Census Cade 434 ALT. RESIpENTIAL ?. r r 1•.\ ? F : ., \. `_ ?_/ ?.; 4 . ?1.?! i f -` i ._.. ef f REMARKS: CHIMNEY/FLU[ MUS7 BE TNSPECTED BEFOftE CQNCEALING. ('1WO FIREPL.ACE5) FEE SUMMARY CONTRACTOR: - A p p 1 i c a n t- ST. LI c. OWNER: FIRESTDE CORNER TNC 16331042 20090911 SIEGEL LRURA 2700 N FAIRVTE6J AVE 1484 MCCARTHY RD ROSEVILLE MN 55113 EAGflN MN 55111 ?(612) 633-1042 (551)686-7917 1?t b ? Base Fee $5@.?0 Surcharge Total Fee $50.50 I hereby acknowledqe that I have read this applacation and state that the infiormation is corrert and agree to r,qmply With all applicable State qf Mn. 5tatutes and Ci.ty aF Eaqan Ordinances> APPLICANUPERMITEE SIGNATURE L'v ED BY: SIGNATU E ? i . w. . ?- t /l // /l/J/... fJ 1 I 1- IU CITY OF EAGAN 3830 PIIAT KNOB RD - 55122 1998 FIItEPLACE PERNIIT APPLICATION 681-4675 DATE: ?l0.V-; v T?\ DESCRIPTION OF WORK: Construct new fireplace _ Install gas insert onlv _ Other JOB ADDRESS: l`l Y) `1 ry i L Q Y`I-Al r1 IN& • ??-,:? 0 PERNIIT FEE: $50.50 Alterations to existing Install eas 6ne onlv LOT: ? BLOCK: --? SUBDIVISION/P.I.D. #: VS` la APPLICANT (circle one only): OWNER ONTRACTOR ------------ 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. Name: S P e(P?? )-`G.Lt 1^G( Phone #: PROPERTY Las First OWNER street Address: I`1 T) `I UL L° C (7K ? Ciry 6 State: FIREPLACE INSTALLER Zip: ,?,ar oC >ne #: Street Address: 3SIS C?? UI , CA ) ? License # City (1 ( 12 _ State: Zip: Company: Phone #: GAS LINE (/?/? INSTALLER Simature: n 1/ W' 1 Street I? - ??i ,? •? , OFFICE USE QNLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE O 31 New O 33 Alterations O 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. 434 5AC Code O1 REMARKS Chimney/flue must be inspected before concealing. DATE ? Z - / ? - -7 -7 BUXLDING Pk:RMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. 2b be used far e -r° Site Addresr,: /i' o L? Lot B2ock Sec. Sub, Owner _A Address valuatfon 5-, a o a ? o--? l Parcel Number Telephone e-i 5`( - e-s i 3 Contractor ?%5 Address , S! :.?/%'•sie-,??'.`f.?, r Arch./Enq. Address Erect Alter Repair En2tirge Nove Demolish Gzade Telephone L/ s LI - 3 37 Z Telephone OFFICE U5E Occupancy Zoning ?- Fire Zone ? Tyge o£ Const. ? # of Stories ? Front Depth .'1... OFFICE USE 1]ate of Approval & Initiai , llssessment ?/7> Plater/Sewer Police Fire Eng. Planner Oouncil Bldg. Off. A.P.C. £EES e0 Permit Surcharge Plan Check sAc y7S- r° PTater Conn. d 4n . ?rO Water Meter TOTAIl Bib Oslund J Or.10772 " p ??(? 179-43A F. C. JACKSON LAND BURVEYOR R661STERFD UND=R LAWi OF ATAT6 OF MINN[BpTA LIGtN`Ep BY ORDINANC! OF WTY OF MIHN[A?OLti 727-3484 981 EAST 5571i STREET 55417 ftrbepot'g CerMAtc , S4.y/e: 30 V` ( Nn, i4Ba ? .= ?-o rl , VI l ? ? . -- 87. .? 3 ? o } ?J ( o •.? ) O? v ?- ? -? _ /G9,o7' -- ?, I- ---._---- - ---._ .__.___-_-•--- --•, ,..._.._? ___?? ' ' 7,2 1 FiCREEY C6R FY TNAT TNL AlOVg ? A TRU[ AMD ODNRtGT PLAT W A SURV[Y Oi' ? . ? = Lot 2,Slock 4,091und Timberline Addition, Dakota County,Minnesota. AS Sl1RVEYfiC BY ME. TH16 2°d' DAY OF --? C • .,.o. 197 S16N6D /. e F. C. JIyCK80N, M It?OT,." tRTMT10N. MD. 9600 r / r RESIDENTI[ILd: BUi?LDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 J? / `7' 7-5- New Construction Reauirements RemodeURepair Requirements Office Use Onlv 3 registered site surveys showing sq. R. of lot, sq. k. of house; and all roofed areas 2 copies of plan CeA of Survey Recd (20% mayjmum bt coverage allowed) 1 set oT Energy Calcula6ons (or heated addi6ons Tree Pres Plan Recd 2 copies ot plan showing beam & window sizes; poured tound design, etc. t site survey for additions 8 dedcs Tree Pres Not Reqd 1 set of Energy Calculations AddiHon - indicate if on-site septic system _ On-site Septic Syslem 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joisl Delail Optians selection sheet (bldgs with 3 or less units Date ?/ Construction Cost aG? tHwC6 00 Site Address UniUSte # Description of Work ??4 rQAp Q_ csn-A U31 ( V1 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ?n?' `°'/1??• V Pro ert Owner VLSJ? ? ? ? `? # ?J ? ) IUOCP '" ? ??? T l h p y ?{ e ep one Contractar PELLA WINDOWS & llnORS 15300-25TH AVE. N. STE. #100 . Address PLYMOUTH, MN 55447 City State 763-745-1400 - LICENSE #20165884 Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?I submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor _ - _ ??n M IC l l Telephone # ( 1 II 1 Telephone # ( ` Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application far a permit, and work is not to start without a permit; that the work will be in accardance with the approved plan in the case of work which requires a review and appr val ofplans. a App icant's Printed Name pplicant's Signature O F-FICE USE ONLY J Sub Types ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) .? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement , • *Demolition (Entire Btdg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Capies Other Total Building Inspector ? - ? Wd9E?l PeJ1a Windows & Doors - Twin Cities, Ina " June 8, 2001 City of Bagan 3836 Pilot Kuob Road Eagan, MN 55122 g - uop aw il p a A i a o ad 15300 25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 763I745-1400 WATS 1-804-462-5359 FAX 763/745-14Q1 Dear Jan: Llder 7ones Corporation is authorized to pull building permits for Pella Windows & Doors -'iwin Cities, Ina Please aliow their representative to provide that service for us in Eagan. This authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeciitiously, so as to not de3ay the processing of our building permits any further. Please call me if there are any questions, I can be contacted at 763-745-1432. Yow- irsunediate attention Yo #his matter is appreciated. Icerely ?-.. ?RNEITE W. SAM= Bryan . May Mh*82ft Replacement Saies Manager ry,CMWNiNEN*U,Wo.I%2= cc: Kaza - Eldcr Jones Denna Krafty - Replacement Sales Process Coordinator ? Windows, Doors, & 3kyligfits ?,nnFfi C+4TTT?1 ATTUT-1I11.7 b/7.T Cir1 7T0 V[7.7 !T'CT TY.7 Tnion/on RESIDENTIAL MECHANICAL (.(J ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Singlc Family Dwellings & Townhomes and Condos when pernuts aze required for each unit Date jL, l =?c' 5ite Address Unit # Property Owner Telephone # ` Contractor Street Address ? ? Ci h' State Zip ' / Telephone # ?1?7' , Bond #: Expires: The Applicant is Owner ? Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 X furnace replacement ?O? _ air exchanger _ air conditioner _ New _ Replacement other - / - / ?.. State Surcharge $ .50 Total $ I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the work wil] be in confarmance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that thework will be insaccordance with the approved plan in the case of work which requires a review and approval of plans. f % /i'7?%"?'-5 % ? ????'s?? , ; -/-?;, ? / l - ?Applicant's Printed Name Applieant'?s Si,`gnature ? COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commercial/indush-ial buildings multi-family buildings when separate pemuts aze not required for each dwelling unit Date , Site Streef Address Unit Tenant Name (if applicable) Previous Tenant Name Prop? er••. nY,rcr •relePhans # p ContracCor 'i Street Address City State Zip Telephone # ( ) Bond #: Expires: u The Applicant is Owner Contractor _ Other Work Type ` _ New Construction _ Underground Tank _ Install _ Remove **see be/ow Interior Improvement _ Install Piping _ - Processed _Gas Nature of Work: *"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector I Permit Fer,s: $70.54 Undcrb ur,d tank ins;allapon/removal ll $50.50 Mirrrmum (includes State Surcharge) . II or Contract Value $ x 1% _ - $ Pemut Fee • If nernut fee is $1,000 or less, add $.50 ? $ Statei;Surcharge If pennit fee is over $1,000, add $.50 for " every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Pernut and acknowledge that the information is complete and accura'te; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a percnit, 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. ApplicanYs Printed Name Applicant's Signature Approved By: ,Inspector 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN (?,4b.5 T? 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease complete for modifications to existing residential dwellings. Date46 V_I?/ d // Site Street Address e Unit # Property Owner ? Telephone # Contractor ?z _ ?0 Telephone # (?5/ ) 3?a? -1350 r Address ,j??b 1 rt-?1. ?c? City State? Zip-5, The Applicant is: _ Owner P'6ontractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener V-Water Heater $ 15.00 l t - rep acemen I? _ additional _ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. }?.E? ?l S?'e,U e n5 ApplicanYs Printed Name ApplicanYs Signature lpl? T 9 R d T ? APR 2 7 2004 D ----------- ? For Office'tJse ? I Permlt#: I I ? I ? Permit Fee: o'?? I j Date Received: I Staff: L----------------? 2008 RESIDENTIAL PLUMBING PERMlT APPLICATION Date: b6 SiteAddress: \\\?? Termnt: ?X- C' Suite RESIDENT ! OWNER Name: \po? K1t CL, Phone: Ue5 `- Q1Q `yI -11 1 "A A Address ! City ! Zp: N WA L ? CONTRACTOR Name: W(uVlk .v ? ' ? m Address: \4\t W? V?,IA • ) , City: State:2ip: 1 ?? 1 Phone: \-? r-A Contact Person: % ?.. ? ? TYPE OF WORK _ New &Replacemerrt _ Repair _ Rebuild AAodify Space _Work in R.p.W. Qescri'on of work: V(.-P '4"e C"'' PERMIT TYPE RES?DENTIAL Water Heater Waier Softener x Lavm Irrigation _ Add Piumbirg Fixtures L- RPZ /J_ PVB) (_ Main _ Lower Level) Septic System Water Tumaround New Abandonment RESIDENTIAI FEES: $50.50 Minimum Water Heater, Water Sokener, or Water Heater artd Softerter (inctudes $.50 State Surcharge) $30.59 awn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (indudes $.50 State Surcharge) "Water Tumaround (add $136.00 i# a 518' meter is required) $100.50 Septic System New ($10.00 per as built) (indudes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductworic, etc.) (indudes $.50 Siate Surcharge) \ TOTA! FEES $ •? U i nereoy aacraaneage mat ttxs inrormaDon m cornpiete aratl xuraFe; maz me wratc vmi be m contarmarroe vwm me archnances arw waes ot me crty of Eagan; that I urxierstand this is not a permit, twt ordy an application tw a permft, ard work is rwt to start without a permit that the work will be in accoraance e approve?d plan i tle case ot work which requires a review and ap{xovai of planu. x ??2'Z x 'Y Q? A ?1 d Name Appiica 's Signature APpl l? FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rough-In -Air Test _Gas Test _Final r For Office Use ° ° p ' 42.4. . #/,,, # /R��'1� 1r ::: : U - OCT 17 2019 Date Received: I t\) I 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeacian.com --J 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: )10 ., v 1 � Site Address: " 44 51/4. i CI Tenant: W No .e. Name: l�►.L_ _%i[L. Phone • tint& ill r2 Reside'nt/Owner, — a;� ,.:r Address/City/Zip: -144 ,o'ALA ion— Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 GotltraCto'I. Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: gloria.abas@culligan4water.com Type`of Work New Replacement Repair _Rebuild Modify Space Work in R.O.W. . Description of work: Water Heater — —Lawn Irrigation( RPZ/T PVB) x Water Softener Description Add Plumbing Fixtures( Main/_Lower Level) p Septic System Description: _New _Connection to City Water from Well __.....___...._.. _._. _. �____ Abandonment ----- RESIDENTIAL FEES $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) ` $60.00 Lawn Irrigation(includes State Surcharge) $§0.00 New fixtures, adding or removing piping(includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read = $540 i *Sewer&Water Permit also required for connection charges j 0 -„� M�TOTAL FEES 60'0 i CALL BEFORE YOU DIG. Call Gophor State Ono 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.gopherstateonecali.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 wobsite at www.cityofoagan.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 1 Eagan: that I understand this Is nota permit, but only an application for a permit, and work is not to start without a permit; that the work will be in I ac1cordannce1wwit/h the approved(plan in ftherc/a�se of w k which requires a review and approval of plans. x / - /v_e6------ : , Applicant's Printed Name Applicant's Signature - Page 1 of 2 , PERMIT City of Eagan Permit Type:Building Permit Number:EA160892 Date Issued:04/22/2020 Permit Category:ePermit Site Address: 1484 Mccarthy Rd Lot:2 Block: 4 Addition: Oslund Timberline PID:10-55300-04-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Scott A Siegel 1484 Mccarthy Rd Eagan MN 55121 Garlock French Roofing 2301 E 25th St Minneapolis MN 55406 (612) 722-7129 Applicant/Permitee: Signature Issued By: Signature