1514 McCarthy RdCities Digital Quality Control
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CONTRACT PRICE:
i 5ite Address ?
I Lot - Block _
PERMIT #
MECHANICAL PERMIT RECEIPT # `
CfTY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
11,_ T•1 . ,
? Name
A Address
c Ciry Phone
? Name
3 Address
p City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M B7U
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other ?
FEE:
S/C:
TOTAL:
1 ; . X1
BLDCa. TYPE
keS
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - 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)
? SIGNATURE OF PERMITTEE
i
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks-
Addition Oslund Timberline Owner &2.t'- d /.?.r.s/8treet 151
4 Parcel ?55,300 _0' '-
c---- agan, 53TT?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, -
STREET RESTOR. PgViII 1971 $886. 00 $88.60 10 265.80 A004567 8-25-77
GRAOING
SAN SEW TRUNK 1970 100.00 3.33 30 66.70 A004567 8-25-77
? SEWERLATERAL 19]O 20 $. 0 $102.25 20 1227.00 A004567 8-2$-77
* WATEFMAIN 1970
WATER LATERAL
WATER AREA 312, 1977 160.00 10.66 15 149.34 A004567 8-25-77
* STORM SEW TRK 1970
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. e'-C` ?• ? - J `
SUILDING PER, y$ / r? J. -
SAC [K?
PARK
; .-P-?-t
_-_____----__ .?_.. .??a,...,.... __ ... .. . ._ _ . .. A .. ---_
YILLA(iE OF E6GnM WATER SERVICE PERMIT
3795 Pi:.rt Knob Road PERMIT NO.: 2036
Eagan, MN SS 124 DATE: 9/ B/ 7 6
Zoning: RI No. of Units: 1
Owner: Aalnnd (`nnat Cn.
Address:
Site Address: _1,ru4 McC r*h p gd r ine
Plumber: Richfield lumbin Co.
Meter No.:?"?'_?-? Connection Charge: 220.00 Pd
Size: _L Account Deposir.
Reader No.: " ---t5 Permit Fee: ?Q • c' ? •?S?D
/I agree to tlco ply with the Villags of Eayan Surcharge:
WrdinanceK?j7 lr Misc. Chazges: 60.00 p
v /?
? Tota1:
?
ByCQy v,, Date Paid:
Date of Inep.: ' Insp.:
VILLAOE OF EAGAM SEWER SERVICE PERMIT
3795 Wlot Knob Road PERMIT NO.: 2 7 8 7
Eogon. MN 55122 DATE: - 9/8/ 7 6
Zoning: RI No. of Units: 1
Owner: 051und On ro
Address: --
Site Address: 15L4 McC3rthv Rc3 L7 E14 Timberline
Plumber: Richfield Plumhing Co.
7/23/76 #3531 100.00 pd
1 apras to comply wirh Hie Villa gs of Eagon Connec[ion Chazge350.00 pd
Ordinoneea. Account De
posit:
Permit Fee: I?'.oc• ,?,,?
Surchazge: , .se.?
$y` Misa Chargee:
Date of Insp.; Total:
Inep.: Date Paid:
? Eagan Township
Dakota County, Minneso2a
Application Eor Building Peemit
Tppe of building or work coalemplaled. Circle cor:ecf deseripiions.
Resade.? Commercial Industrial Ofhes..... ....................................... _-_.-----.-
Euild Enlarge Alter Repair Install Move Wreck Oiher...... ......
Dimensions................................................ Cost..................................
Details or remarks--.................... .................... °-............ .--_. ---°-
Loca3ion
PERMIT NO. .Y??.L
Dafe •.7-?•y-2----Z••'•----°--
Nuanber I SYreet I Be3meen what cross slreeis I Size I Est. Valuation
If
Owner .....
..-----?5..li.,?.:a•-- y.----?-°?---
?c( .? a.?...?•• ----=•-- -----°-. Address ... ?G L;??4 -? - -------•-----
/.
Coniraclor ...................°°--------°°-----••------------------------------------------ Address - -------°--.._.__----°------------°--------........------------°---°----°-°-°--
The undersigned herebp makes application for a permii to
$ do work as herein specif=ed, agreeing !o do all work in s3ricY
Tofal fee collected. accordance with 3he building ordinaace adopted April 11, 1955
by !he Eagan To?wnsh'? ?Soard of Supervisors.
Permit fees are no!
refuadable. /?? - ? ?
-----------.....•••-}---- •°-- -- ---- --.... ---? -- -- -•-
Signed
?
CITY of EAGAN
BUILDING PERMIT
Owne: ... ....... .......l. r...... ` ?l.. . .........................
? JJ
Addsess (present) .../?'.:??...J..?..l?.Lr..??....??:-Z?:-•
Builder ............? ....................... ....................................
Addrese .........-•••• ................................................................................
DESCRIPTION
., :,
N4 4021
3795 Pilo3 Knob Road
Eagan, Minnesota 55122
454-8100
Dals ..:..(..-!.'?.?.`.?.4C: .............
Slories To Be Used For Fron! DepYh Height Esl. Cos! ermil
Fsa Aemarln
l ?`??s,??v ,
a? • ? ?
LOCATION
l:eet. Road ar olher Deseripsion of Localion I Lo! Block Additioa or Tsae!
? e (IQ--J.J.
This permit does not aulhor e!he use of sireets, roads, allays or sidewalks aor does it give !he owner or hfs agen!
the right to create anp situatioa which is a nuisanee or which presents a hasasd !o the health, safety, conveaience and
general welfare fo aayone in the communitp.
THIS PERMIT MUST B?E K"E?PT ON nE- PR-EM/ISE WHILE THE WORK IS IN PROGAES,S?. This is !o certify, ihaY.(?.rAw-?c?l,s.a,.e ?.H4? :.:..................has permission to erect a.,.t?..?.f..........
_upoa
the above described premise subjecY !o the provisions of all applicable Ordinances for the City of Eagan
. .... ..
0-_.???. ?-r ...--°°•-•° .................:................. Per ....??--...<. z.............?
v Mayor Suilding Inspect
ahusd Tim b?e1' J ?i¢
1 70 03 ?
czTY oF rAr:??N
37:5 Pi'_ot ?'nob Road
Ea=,;?.?9 1?'Lr,n-, io-ta 55 122
F";R^,1I i Pd0 .;_' 7 2 8_._--
Tne City of Eaoan hereby €;raxits to xichfield _Plumbina
6i' 805 W. 77&t St.
a PLUMBIidG _ Pertnit for: (Oumer) Rohert OsZund Const_
a-t 1514 t•icCartfiv Rd. , pursuant to application dated 213547F _
Fee Paida $20.00 dated this 20 day of Seotembe*- ,1976 .50 s/c -
Building Inspcetvi•
Mechanical Per¢iits:
Bid Totalc
.
WATER SERViCE PERMIT
ILLAGEOF EACAN
Y _
6
3
2
0
3795 Pilot Knob Road PERMIT NO.: q/$
/
7
6
Eagae. MN 55122 DATE:
RI No, of Units: ?
Zoning:
Owner:
Address:
ul M Ca?'t1X
Site Address: -15-?-5--
T,?4 m:mberline
?'I
Richfield lumbin Co.
Plumber:
%S 4-6
° Connectiun Charge: 220.00 Pd
Meter No.:
?
?
Account Deposit:
Sixe:
_ c? p •?P
Permit Fee:
Reader No.:
1 agree to comply with the Viiloge of Eagon Surcharge: 60.00 p
? d
-Ordinancesl ?/7 ?' Misc. Charges:
`
? ..
Total:
Date Paid:
By
Date of Insp.: Insp.:
CONTRACT PRICE:
Site Address I ' "'
Lot Bloc
?, Name ?
?o Address
c City
Name
' 3 Address
; O Ci1y
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Venk
Gas Piping OuNets #
Other
PERMIT #
MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN
- ' -?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
? r,, Sec/Sub BLDG. TYPE WORK DESCRIPTION
-'`Res.' New
Mult Add-on
Comm. Repair
Phone Other
Phone
M BTU
M BTU
M BTU
M BTU'
CFM
`l
FEE:
' S/C:
TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE ; 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SUflCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
? SIGNATURE Of PERMITTEE
FOR: CITY OF EAGAN
Cities Di2ital Qualitv Control
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CITY UF EAGAN Remarks -_
addicion Oslund Timberline ? j 4 Parcel 10 55300 070 04
-- .L.,_
._ „ ?'•? . ?
? , ; ,agan,
?' a.r.r.iiv xn.
Owner ?Street - l?J?P'? 5tate
Improvement Date Amount ? Anr?ual
? "ears Payment Receipt Date
STREET SUR F.
STREETRESTOR. PgViri 1971 8886.00 $88.60 10 265.80 A004567 8-25-77
GRADING
? SAN SEW TRUNK 1970 $100.00 $3.33 30 66.70 A004567 5-25-77
* SEWERLATERAL 1970 2045.00 , 102.25 20 1227.00 A004567 8-25-77
? WATERMAIN 1970 ZO
WATER LATERAL
WATER AREA 3?.^ 1 7 160.00 10 66 15 149.34 A004567 8-25-77
* STORM SEW TRK 1970 ZO -
STORM SEW LAT
CURB & GUTTER -
SIDEWALK
STREET LIGHT -
WATER CONN.
BUILDING PER.
SAC
7• -4? `-p
PARK
t?
CIT1P Of EAGA[V
BUILDINC PERMIT
r
:
.......................
?7.. ..
Owne: ...6 --°--- :?'`?z1-.-..'--.... -
Addrass (Presen!) -°I..i?.-'.??).. -?L,`-•L,?-?f??J--°{??.-- =-..
Builder ---.----........................................................ -•- ---
Address .........---° ................................°----°----.......................--°-----•--
DESCRIPTION
- ?
N° 4021
3795 Pilof Knob Road
Eagan. Minaesoia 55122
454-8100
Dala ••••.<........... ...' ............
Siories To He Used For Fron2 Depih Heigh! Est. Cosl ermi! Fee Ramarke
•CX r,
? •J U , ' Sr2
i?? ?-{? ? ..`, . C
: ,
LOCATION "r I rx
Streei, Road or other Deseripiion of Location I Lo! I Bloclk I Addiiioa or Trac!
This permiL does noi authorite the use of streets, roads, alleys or sidewalks aor does ii give the owner or his agant
the righl Yo ezeete anp siluaYion which is a nuisance or which preseats a hazard !o the health, safely, eonvanieace aad
general welfare to aayone in 3he communiiy.
THIS PERMIT MUST BE KEPT QN HE PREMISE WHILE THE WORK IS IN P80GRESS.
This is to eezlifp, :.:..................has permission to eree3 :5........... _upon
the above described premise subjeci to the provisions of all applicable Ozdinances for the Ci3y of Eagan.
?,.?2°----------------•---------°---°-°-...---..... Per ._._.............. ?........_...
Mayor Building Inspocioy?l
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS VVHEN PERMITS ARE REQUIRED FOR EACH UNTf.
NO. FTXTURES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
-
BATH 'i'UB 3.00
?
LAVATORY 3.00
KTTCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA ' 3.00
? WATER HEATER 3.00
c FLOOR DRAIN 3.00
GAS PIPING OUTLET • mwmum - i 3.00 ?
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRNATE DISP. • nsiLcxy. iie- 15.00
U.G. SPRINKL.ER • eome uoaa ?ffic. 3.00
ALTERATIONS • to eatisting 15.00
WATER TURN AROUND 15.00
STATE SURCHt1RGE .50
TOTAL: 'j0
SITE ADDRFSS:_ MRHER JAMEfi T
1514 MGCRR?H1' ROAD
OWNER NAME: Er?0An , MN 55121
"_
INSTALLER: 'ICE2 P`UMBIR9G
ADDRESS: MI1dNEAPOLIS, AAIPINESOTA 55z',1
U6/`"Udd ° AL/qw f !
CTTY: STATE: ZII' CODE:
PHONE #: ( )
cr? 82fz
SSIGNATURE OF PERMITTEE
2,? ys
?
rLUmisuvcT rhxmrt- (xhbuDr:r ruu.) •
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COM1vIERCIA14INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIIZED FOR EACH
DvVELLING UNTT.
NEW CONSTRUCfION
ATiB OIv
iiEPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCIiARGE: $.50 FOR EACH $1,000 OF :..,,?"??", FEE
MINIMUM FEE: $ 25.00 ?.. , .
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE:
PHONE #:
ZIP CODE•
FOR:
CITY OF EAGAN APPLICANT
PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
,%-" *
.. I
Lot_-7-
Parcel a,'zd s
S li'1'uofi
Owz1er
qozl:7- o?z- 26/-
DeveZcpl:!;. Acd.rass
-----v---?•--l--
Zcne-Orc3Rnance #52
Lot S?ze
.>
..
Tota]. area
Platted {0 Unp].atted
Btli1.[.:;.2:g Size X ^lo'ua1 as'ea
OrGLpa:Cli:y
•
Type of ccnstr».c uion
Setbaeksa Str-,,3t sides
,-
Sides
Rear
P•axr,ar..g: Total_ araa
Pa:ckivg area sct,backa:
Stre--t side Itear
Landscapn apprcval
Special Asse:,s-meats:
To?al spaces
S
sAc ohargz l
Water areae
Assessed
2f asses?.eds Cor:noctinn ch?..??a
If unasse--secZ: Ccrne:,tion cha.:go
Lot di,ri.sicne
Auditional assessments needed
IJO't :16Ed0d
Later.alsa
Assessed Not assessed
TnTaiver, of hearing:
Ncezeci Not naeded
Bund required
?n
ro .?
@ $450. 00
- - r-4-`^`cr? --
?
Ur.as s es s ed
Assessmer,t clk Water & SeUrer Dept l3uilding Dept
Police Dept Fire Dept (Co;im & Ind anly)
BUTLD.?i„C.r FEUi:?'T F,ll':-'LIC:A720T1 C'.iECK
Bic;,lz Ad?ti.c:i1???`1 Q _
MASTER CARD
LOCATION
OWNER 0jj.4j0&6,0j G..woC?
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
?.? c?
,)v_7? I
+ •' ?/?i,?
?
V'JELL
ELECTRICAL
HEATING
GAS INSTALLING
? ???--
AA?
651,
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Dare
Remarks
DisTance From Well
FOOTING
FOUNDATION 7-3a? SEPTIC
CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
? DEPTH
OF WELL
GAS IRISTALLATION
SEPTIC TANK
CESSPOOL
DRAWFlELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION R,EPORTS
TO BE USED ONIY IN EYENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDl710NS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
08SERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REIHSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR
COMMENTS:
DATE
23
Cities Di ig ta1 Quality Control
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available image from the original page.
Every effort was made to capture the content
from the original page.
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:A.A?'ild
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A? _ _ - - -
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F. C. JACKSON
LAND SURVEYOR
R6GIST[RHp UNDeR LAW6 OF STATE OF MINNHBOTA
LICQN66D 9V ORDINANCE OF CI7Y OF MINNBA?OLIB
T ? 7 3434
9816 EAST 59sH STREET5j4L7 "R°t, 4-46a4-
burbepor'g Cettificatc
? -S _ v / c , • '_ -? o
i _
" '- -
? ?? G.? ?
4
?
P?
- -- -- ? -- - !-`_?. ? ' _
1 NEREBY CERTIPY tMAT TXH ABOVE IB A TRUt AND OORR6CT PLAT OP A SURYHY OP
Lot 7,Alack 4oOsijn.3 Tfrol+erline Aeditian,
Dakata Coue ty,:ifnnesotz.
,9402/
1.1'7-i•?
i '•
%
/
. '
r
;
?
, T •Y
t'?..
_ -.-DAY OF- J4,ne .. -A.p. I97
AS SURVEYED BY ME THIS- 29
SIGN
F
3600
10
ABATEMENTS-- March 15, 1978
Real Estate: Apnroved
Beure' Co. fee - Luther 5talland After a review of this property was made it was
#10-01800-021-57 found that the State Highway Dept purchased 11.66
Eagan, City acres of this parcel in May of 1977 as shown in
./Robert Oslund
#10-55300-070-04
Eagan, City
1514 McCarthy Road ,
I
Minnesota Hi:ghway Plat #19-3. Therefore the
assessed value must be reduced from 6407 to 3612
for taxes payable in 1978,
After a review of this property was made it was
determined to be incorrectly assessed. The stage
of completion was done incorrectly. Therefore the
assessed value must be reduced from 23064 to 20900
for taxes payable in 1978.
? ??
2006 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN
CITY OF EAGAN
PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
Site Street Address Unit #
Property Owner ?m? ?rm(&Zj)n Telephone# ( (d?.:) M g' 1I
Contractor 0(k5 Telephone #(,-J I n
)?. -l?
Address • City State?_ Zip
The Applicant is: _ Owner " Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. !f you are installing oRIV a water softener and/or watei
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
?
Water Softener Water Heater
_ new _.!/replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Totai $ I's-5o
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.
K6 S f)i en (I
ApplicanYs Printed Name Applica ' Signa ure FEg 0 5 2007
"f, 0
IL
City of EaPR
F'AX TRANSMITTAL
TO: ATTENTION: ClrLclH `S ??'?s??
FAX NO.: [a l? ? a°j -?? a 9
COMPANY:
FROM:
COMNENTS:
These are being transmitted as checked below:
DATE:
3830 PILOT KNOS ROAD
EAGAN, MN 55122
FAX NO. (651) 675-5694
a-7
TIME: ,/ D % c;lb
/
N0. OF PAGES TO FOLLOW: ?
SUB7ECT: For Approval High Priority Originals Forwarded By Mail
For Publication For Your Information Originals Not Forwazded
As Requested For Review and Comment
Note to Facsimile Ogerator:
Please deliver this fax transmission to the above addressee. If you did not receive all the pages in good
condition, please contact us at 651-675-5646 - Engineering; 651-675-5675 - Building Inspections;
651-675-5685 - Comanunity Development.
THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equai Opportunity/Affirmative Action Empioyer
G:FORMS/FaxForm - Genera!
2006 RESIDENTIAL PLUMBING PeRnnir APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweflings.
Date
Site Street Address Unit #
Telephone # (b)-)
Property Owner
? Telephone #
O (u
.
Contrector
StateAA? Zip l ?
iE
U
l
• City
Address
The Applicant is: _ Owner VContractor _Other
Refurbished Submit 2 sets of plans and MPC ficense
New
Septic System Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
' heater at the same time. /f you are installing on! a water softener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
Water Heater
Water Softener $ 15.00
?
replacement
new
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
5tate Surcharge $ .50
$
Totai
.?_ _r_...Y..a:.... t ..lo 4c onrl orriiratP• fhat thE
I hereby apply for a Residential Plumbing Permit ana acKnowieage mat u,C I???UIIIIaLIVJIJQ?Ulllr,?
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 eviewed and approved.
o
ApplicanYs Printed Name Applica ' Signa ure FEg 0 5 2007
.tN
Cities Dijzital
ity Control
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available image from the original page.
Every effort was made to capture the content
from the original page.
.
? Eagan Township
Dakota County, MinnesoSa
? Applicataon for Building Persnit
?
?s work coniemplaied. Circle correcY descripiions.
Commercial Indusfrial Other ........ ..............................
........:.....
B Enlargs Alier Repair Ins3a11 Movts Wreck Ofher.
Dimensions ......................... ....................... Cos3..................................
De3ails or remarks................................................
.-------........--°------...--------°..------............-----
Location
PsaMir rro. .??e?.?.../...
Dale ........
41uninar ,yzreez I rie!iween wnat cros5 siree2s ? Sizo I Est. ValuaYion
Lo! Block Addi}ion Rearrangemenf or Trac!
.--7 -4 I -71i hr h,r r 4` , -l l1 W /
Owner ....•-•.?5..?u x.... af_./.-.?.a.-rr.•-.z•- ............ Address ..4f -1-?-..7----/••?? G?.fl .---,---------
/? .? ..
Contraclor ...................... -.......... .............°----°-.•.------......_.........-°. Addeess -------•------.---°-°°--.........-------°---°-----°---°_........-°---?-----------
The undessigned hereby makes apalicafion for a permi3 !o
$ do work as hereia spacif?ed, agreeing to do all worlc in s3zief
Total fee collecied. accordanae wifh fhe building ardinance adopfed April 11, 1955
by 3he Eagan Townsh'o Board of Supexvisors.
Permit fees are not -???? /- -
refundable.
..°-----°-°------..?.. .-- ° --- -......?... ..??° ° ••-
5igned ???
PLEASiE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIRTURES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
BAit-i I"JB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LALINDRY TRAY 3.00
HOT TUB/5PA ' 3.00
? WATER HEATER 3.00
: FLOOR DRAIN 3.00
GAS PIPING OLJTLET • mwmum - i 3.00 ?
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRNATE DISP. • Dak.Cty. lia 15.00
U.G. SPRINKLER • nome unaer const. 3.00
ALTERATIONS • ?o ?tmg 15.00
WATER TURN AROUND
.-- 15.00
STATE SURCHARGE .50
TOTAL: ` rjO
STTE ADDRESS:_ MRHEn JAHES T
1514 HGCRRTH`r' RQAD
OWNER NAME: EauAn , Mr3 us 121
-' H 4 i-U 184 U
INsTALLER: 1 DEKER PLUIvID1NG
2903 CARF!EtD Averl _v. l
ADDRFSS: S-11IN9dEAP0LlS, dVa@NNdSOTA 55<.' :
?s??x:?v a ?ss?as a
CTT'Z': STATE: ZIP CODE:
PHONE #: ( )
SIGNATURE OF PERMIT TEE
2,/- ?s
lelf
rLU1v11siPllz Yr.2(1V111 (Kr.J1lJr.Pl l1AL) CITY OF EAGAN
3830 PII.OT KNOB RD ,
EAGAN MN 55122
(612) 6814675
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX (651) 675-56
bui ldin qi nspectionsOcitvofeaaan. com
2020 RESIDENTIAL B
For Office Use
Permit #: e 2
� 0I Permit Fee: 7/• I
Date Received: 6 �c v —f
ECEIVE
JUN 2 9 2020
DING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name: S ean Me hGl q Phone: 4'12- -Z3vw
c/
Address / City / Zip: I r
Applicant is: Owner t/ Contractor (XS/ it 1 j %1,1 te i /mac
Type of Work
Description of work L Saoi s o N pore.
Construction Cost: _45 2-2 h Multi -Family Building:il(Yes / No ✓)
Contractor
Company: kS C $ I ridcf -i ov Contact Tel
Address: goo K47114011^ LA City: gusrhS V. lie
State: /Y Zip: Cp1/ Phone: -2 57C$ail: Je7&ao.. AOsstrq/_f Obi i MC.CMM
License* ig C, C3 137 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
/r/v derv, oafs(ie of Aousc
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor:
Sewer & Water Contractor
Fire Suppression Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE Plans and supporting documents that you submit are considered to be public infonation. Portions of the Information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Cliffs
website at vuww.citVofeagan.comisubscribe.
Exterior work authorized bya building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.aopherstateonecall.ora
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 glare.
X T phew Aos
Applicant's Printed Name
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100°0
Census Code [[
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
� 5 y Mc�2,1h y
X' Porch (3-Season)
Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
_ Fire Repair
_ Repair
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
r •. Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Final
rz
_ Siding
Reroof
Windows
Egress Window
0
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
_ Demolish Foundation
_ Water Damage
*Demolltlon of entire building - give PCA handout to applicant
MCES System
0 SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
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
Radio Meter Read
Copies
TOTAL
3b/)sart)
ppn[,/f
4)- ZIO= //,570)-0
Page 2 of 3
eme[hq
F. C. JACKSON
LAND SURVEYOR
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
3616 EAST 5514 STREET57417
ikurbepor'Z Certificate
7 7 3434
iaA., 4 46a1-
I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF
Lot 7,*lock 4,Oslund Timberline A>'ditirn,
Dakata Cout ty, Minnet;uta.
•
4/0 2/
.
As SURVEYED BY ME THIS _.. 7.9t'. -Rine
OF- p.p,_197"r
,'
SIGNED ! �T/
�
F. C. JACKSON, MINNESC3 EGIBTRATION, No. 3600
ECEIVE
im� �®lam, �---------------------,
C T 2 1 (022- 1 For Office Use
j Building Permit #: 1
BY•
'rr I i1 I I
�s 1 S&W Permit#:EAGAN I ,
w.,•• ••ems E � 1
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD P EAGAN, MN 55122-1810 1 ,
(651) 675-56751 FAX: (651) 675-5694 I Date Issued:
buildinginspectionsacityofeagan.com I— — — — — — — — — — — — — — — — — — — — — —I
RESIDENTIAL BUILDING PERMIT APPLICATION
Date• SiteAddress: C Unit #•
1
Applicant is: ❑ Owner 1D Contractor
Q
Name: _ se 0-n d k r
Homeowner Address: i >V City: �,p�awl
F
A
State: Zip: j,z Phone: L Email Smch
Description of work: Qua twr•�}-J� ct l'�nrnr�,:r �� n1t'd
Type of n M T
Work Construction Cost: 5.TT 7 O' " lt� 1 0�1 1Vn I i� r600,
Type of building: El Single Family ❑p Townhome, of units ❑ Twin Home
Company: ( _ R 'A cA C', it (,� � s� r .; C � � c Contact: j 1 Ct.(WV GtfjrZn
Building Address: �() i i� L v n u r L n, City: COL'o CLin.
Contractor
State: Zip: Phone: Email: ji'r�e � �,s v' la l L a Cza,td;&4'o,-N • Cvn,-
License # l�iC �385 ('t Expiration Date a0
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License #: Exiairation Date:
129 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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 they
are trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.(Iopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
Applicant's 13011ited Name icant's Signatur
Required Information for Site Address: 1� 1 `�_ Y�c�a,��'G,., 2oQ �C-_
Lower -Level Finish Permits
Y 1. Show size of area to be finished and all dimensions on plan.
[[ 2. Show locations of all new and existing walls on plan.
3. Show use of rooms on plan (i.e., family room, bedroom, etc.)
[� 4. Window locations, and information:
Window Glass size of Type (casement, slider,
location operable sash double hung, etc.)
Window A 6RG c
Window B
Window C
Window 0
Q 5. Exterior wall construction
a) Size of studs/stripping: a 4 sI7F
b) Spacing of studs: I
c) Type and thickness of insulation: _ 13 }f-
d) Vapor barrier (i.e., 4 or 6 mil polyethylene): htl
e) Wall covering (i.e.,'/z inch sheetrock):
[] 6. Interior wall construction
a) Size of studs: u -1 s P F
b) Spacing of studs:
c) Wall covering (i.e., 'h inch sheetrock): ilx"
[� 7. Ceiling covering (i.e., Y2 inch or 5/8-inch sheetrock):
& Smoke detector location (also show on plan): 1, ,„., 14, 4
9. Plumbing to be installed (check applicable):
a. None
b. '/ bath, existing rough -in
c. 3/ or full bath, existing rough -in
d. t/2 bath, new rough -in
✓ e. 3/ or full bath, new rough -in
f. Solid -based shower
✓ g. Tiled shower
h. Other (please specify):
10. Type of water heater: I' Natural ❑ Power -vented
[� 11. Heating to be installed (check applicable):
a. Extended supply and returns back to trunk line
Y_ b. Use existing with no changes
c. Other (please specify):
[� 12. Type and number of fireplaces being added:
❑ 13. Total square footage of finished basement area: 9y:.I" x 10'- a d(;I , S 0
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122
(651) 675 %751 FAX. (651) 675,%94 t tdingir-mec3ionsftii�fe�agan.com
If you have a hearing or speech disabft, contact us through your preferred telecommunications relay service.
FOR OFFICE USE ONLY
SUB TYPES
_ Single Family
01 of _ Plex
Deck
WORK TYPES
_ New
_ Addition
Alteration
Replace
Site Address: V 51q' McCoir n-/ rm _ Permit #: -j1Q VA
_ Fireplace
_ Foundation
Garage
— Repair
_ Fire Repair
_ Water Damage
Egress Window
DESCRIPTION
Calculated Valuation $5,240
Plan Review D25% 100%
Census Code
# of Units
# of Buildings
Type of Construction VB
Lower Level
Porch
Pool
_ Siding
Reroof
_ Windows
— Solar
Retaining Wall
Move Building
Demolish Building*
*Demolition of entire building -give PCA
handout to applicant
Occupancy I RC 1 MCES System
Code Edition 2020 MNRC SAC Units
Zoning R-1 City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stormwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Backfill Poured Wail
Framing: 1 Hour Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wail Panel(s)
Siding: _Stucco Lath ,_Stone Lath `Brick
Roof: Ice & Water _Final
Erosion Control
Pool: _Footings _,Air/Gas Tests _Final
Retaining Wall: ,Footings _Backfill —Final
Fire Suppression: _Rough In —Final
Firewails Windows
REVIEWED FOR
Insulation CODE COMPLIANCE Other:
Fireplace: Rough 1n _Air Test _Final
HVAC: Rough In Z Final EAGAN Final/No C.O. Required
Radon Control DerekQu.11. Final/C.O. Required
10/28"" 9"'"AM
BUILDING INSPECTIONS
Reviewed By: , Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply & Storage
S&W Permit & Surcharge
Meter
Radio Read
Other:
TOTAL $ 0.00
Lower Level - Reinstalling lower 2 ft of
sheetrock in office, remodeling bathroom,
and framing exterior wall in mechanical
room.
Area of remodel: 262 sf x $20 = $5,240