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1532 McCarthy RdApr 22 14 09:22a AA Garage Door 411° City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 651-702-0838 p.1 Use BLUE or BLACK Ink L For Office Use Permit #: Permit Fee: Date Received: Staff: 14 ]]�� 2014 RESIDENTIAL BUILDING/;fPERMIT APPLICATION Date: (`"-1 LI Site Address: 15.30" I-16 C r- 7% 12J Unit #: i p ) C� f I Name: L („ f% S& k Resident/ J I Phone: Owner i Address / City / Zip: /53c f —1 C CCl'i1h kcal J 1 Applicant is: _ Owner -` Contractor i Type of Work i Description of work: 1 Nato 'it3k f ya-d d re- v� da (---- Multi-Family Building: (Yes / No ) S/- i.--- 797- ,'v l �Company: ,16)/ C"'G'Y L�+,(%, DOi Contact: �(.p h NCjdJti"�C�-� Address: L U / j i '`j' -e. ,J Contractor City: �� 7�'1`� �� }�� Zip: 597/ 7/ I State: 541\-) Phone: ('S ! �. d %- 7/0 21 License #: Lead Certificate #: i 7 e( -72--- IIf the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i 1 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: 4 Licensed Plumber: Phone: Mechanical Contractor: Phone: I jSewer & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of ' the information may be classed as non-public if you provide specific reasons 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. xrvvv.000nerstateonecall.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 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. 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 vl(i'? alis=C,� ck Applicant's Printed Nam., Applicant's Signature L2'J/z-'/ Page 1of3 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 _ RECEIVED ? FROM AMOUNT $ I & DOLLARS 1 oo ? CASH ? CHECK FOR FUNO CODE pMOUNT ^ Thank You z By White-Payers CopY Yellow-Posting Copy Pink-File Copy r ? BUILDING PERMIT Ts 6a uua In. .:\K. CITY OF EAGAN 3795 Pilef Kwob Road Eogan, MN S5123 PHONEs 454-6100 Receipt # S6P, n,..e ,o SiM Addrcss - ><::?_ ( I S 3 d?? Erect 11 Lot k IOBlak Sec/Sub. Alter p parcel # /00 O _ Repoir ? Enlarye 0 W Name Move p ; Address Demolish ? U ri.,, a....._ Gwde n o I Name ? ?? I?ddreu f bw Name Fw Ffro _ ?? Address Eng• - iW City Phone Planner I hereby ackrwwled9e thot I have read this applicotion ond state that Bldg. O the intormotion is correct ond cgree to comply with oll opplicoble A? _ Stote of Minnewta Statutes and City of Engan Ordinonces. Occuponq Zoning Fire Zone Type of Const. # Stories Length Depth Sq. Ft.- Water Conn.. Water Meter. Total ,Signature of Pertnittee, I A Building Permif is issued toc on the express conditlon thni ali work sholl be done in accordarxe with all applicobla State of Minnesota Statutes and City of Eo9on Ordinances. 8uildinq Off{cial Permit No. Permit Holdsr Misc. Permit No. Holder Plumbing 1 3 ? ? Z P, 4-4 -zQ H.V.A.C. 3?j 3 1 ? rl !c Wdl Watar Disp. Sswer EkMrie (,?Z?3gt? /_? /2-?-' Inspsetion DaM Insp. Other Footings Foundation Framiny ? Rouph Plhp. Rough HVAC Inmlation .jr Final Plbp. 4?J 7? , 2 }lf Final HVAC Final ? 4" .' I Weter Dnaibe Loeation: VNsll ? r Sawer , Pr. Disp. ? ? Raceipt MECHANICAL PERMIT Permit No. I CITY OF EAGAN , Fee ? Fill in numbered spaces S/C • Type or Print legibly Tot. 1. Date 2, Installation Cost 3. Job Address .3? Lot?Blk. k'Tract a 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential b 9. Work Description: New,6 1 10. Describe 1 11. No, Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai Mfg. _ r Handling: Boilers - Mfg . - Mech. Exhaust Unit Heater _ Mfg. Other Air Cond. Mf9• . Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed Inspections: Date for Rough Final _ Insp. Date _ Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN Commercial ? Institutional ? Add ? Alter ? Repair ? Fuel Type 454-8100 Receipt PLUMBING PERMIT Permit No. ' , CITY OF EAGAN , Fee Pill in numbered spaces S/C Type or Print /eglb/y Tot, 1. Date 2. Installation Cost ? 3. Job Address 3a- Lott 81k. ? Tract 10 , ' 4. Owner 5. Contractor Phone 6. Address I 7. City State Zip I 8. 8uilding Type: Residential C7 9. Work Description: New ? I 10. Describe I 11• Commercial ? Add ? Alter O Institutional ? Repair ? No. I Fixtures Water Closet No. Fixtures Cess ool/Drainfield / Bath tubs p Septic Tank , Lavatory Softner Shower Well _ ? Kitchen Sink _ Urinal/Bidet Laundry Tray Other Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed Rough Inspections: Date Insp. for Final Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: a-19 Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: IS3a- PERMIT SUBTYPE: nr : Iat tcJ. ilcK r APPLICANT: TYPE OF WORK: INSPECTION .. . .A Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OqSAT TEST BLDG FINAL DOMESTIC MEfER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Additi ,4n _ Oslund Timberline Loc 10 eik 4 Parcel Owner Street 1532 MrCarth3r Rd _ { State Eagan, MN 55121 ` Improvement Date ""-Amount Annual Vears Payment Receipt Date STREETSUFF. STREETRESTOR.P $$6.00 88.60 lO GRADING SAN SEW TRUNK 00 • 30 43.39 A013219 12-1-83 • SEWER LATERAL Z 20 371.25 WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK * STORMSEW LAT 1970 ZO CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 240.00 33072 11-18-82 WATER CONN. 420.00 it it BUILDING PER. 7646 SAC n ¦ PARK OP EAGAN Pilot Knob Rosd , MN 55122 WATER SERVICE PERMIT PERMIT NO.: DATE: ? No. of Units: Address: „ . iber. r No.: Connedion Chorge: agroe ta coaiPir wNh Hw Ciryr of Eagen Account Deposit: Permit Fee: Surcharge: Misc. CFwrges: - Totul: Date Poid: I nsp.: Insp.: CITY oF EAGAN SEVNER SERVICE PERMIT 8795 711ar Knob Raad PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Ownee Address: ' Site Address: - ' - - . Plumber. " 19t?' . . , 1 agree M eomylr wMh Ms Gry of Eagan Connection Charge: . Ordinanem. Account Deposit: Pertnit Fee: By _ Date Insp. af Insp.: Surcharga: Misc. Charges Total: Dote PaW: qu 1b Be Used For Site Address Lot 3? JdBlock Parcel # : /?? ' pF EAGAN Inclucle 2 sets of plans, ? aa 1 site plan w/elevations & BUILDII? ERMIT APPLICATION 1 set of energy calculations. f?'? al on i` Date '? .? OFFICE USE ONLY Sec ? pwnp.r;U` or (/ d ' ? •?v?. Aaaress:? City/Zip Cocle: Phone #: Contractc Address: City/zip Code: Phore #: Arch./Eng.• - Address : City/Zip Code: Phone # : Fxect Occupancy Alter Zoning - Repair F'ire Zone Ehlarge 7.ype of Const. NYove # Stories Dennlish Front ft. Grade Depth ? ?-ft. APPROV7IIS FEES Assessmerits Permit [9ater/Sewer Surcharge _ 4POlice Plan Check Fire SAC glq, Watex Conn. Planner Water Meter Council Road Unit _ Bldg. Off. - ? APC ?O ------:- =AL ? ? -7 ' 5-0 ,..:,?.. _ BUILDING PERMIT Te ba uub for SF DWG/GAR Slte Lor I? BI«k 4 Sec/Sub.Oslund Timberline pamel # 10 55300 -D90`?4 /oo o ne Name Norman Voselpohl Z Address 2616 40th Ave. So. p I Name ?eY F ?u Address Name _ Addreu 1 hereby acknowledge thot I have read this opplitotion ond state that the in(ormotion is correct d ogree to comply with all applicobl Stute ot Minnewto Stot?grd Citr of Eagan Qfdinances,? Signofure of CITY OF EAGAN _ 9795 Ppof Knob Raad Eagan, MN $3122 NU 764G PHONE: 454-8100 Receipt # 230 -?4- - $60,000 18 Erect ? Octupancy R-3 Alter ? Zoning R-1 Repair ? Fire Zone NA Enlarge ? Type of Const. Vn Move ? # Stories Demolish ? Length 64 Grade ? Depth 24 Sq. Ft.- ADVrovals Fees Assessment _ Woter 8 Sew. Police Fire Eng. Planner _ Council _ Bldg. Off. - APC Permit Jl3.uV Surchorge 30.00 Plan check 156.50 SAC 525.00 Water Conn.420.00 WaterMeter 6o.nn Rood Unit 740_ 0(1 Totol $1744.50 A Building Permit Is issued to: NOri n v0 Ohl on the exprea condition thni all work shall be done in accordonte with all op i e of M' esoto Statutes ond City of Eogen Ordinances. Building Offtclol ? Cn? ???'p ? REQUEST FOR ELECTRICAL INSPECTION O ' See instruccions tor comaleting this form on back of ysllow copy ""X'i-8elow Work Covered by This Request 0 ?? EB-00001-03 W:, 733q 20 New Add -Nep. Type of Building Appliances Wired' Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Elqctric.Haat.in .. Commercial Bldg. Fucnace- .-- --- -' " ' Silo Unloader - Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Onher pecifY . 01her(Specify) t er Specify Ot ar Oihcr Compute lnspectlon Fee Below H FteeAqp Service Entrance S:ze # Fee Feeders/Subfeeders k Fee Circuits 0to100Am s 0to30Am s to30Am s 101 to 200 Amps 31 to 100 Amps , to 100 Am s Above 200 Am s Above 100-Am s Above 100_Amps Transformers Remote Control Circ. a Partia % ee Signs Special Inspection OK S OT J Remarks , ; g ??E Rough-in Dat N ical s ? 10 spec[or, hereby that th c rtit b Final P /JN 0 ie? ? ?i v e e a ove inspection has been made. This reQUest void 18 months from This request void ?`4 ( ?/o? ? ?l YKI?L' (? `(???-? 3 32; (4 Z_?' d 18 months.kam l/i??2 13 8 6 3-7 ? SO Raquest Date Fire No. Rouph-in Inspection F uired? ?Ready Now? Will Notify, InsPec- 12 6/8 2 ? Yes ? No tor When Ready [)9Licensed Electnwl Contractor I hereby revuest inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City ,],a-?'P?McCarthy Road Eagan ection o. Township Name or No. Range No. County I Dakota Occupant IPRWTI- - Phone No. Vogelpohl Construction Power Suppiier . Address Dakota.Co. E1 ric rmin to N Electrical Contractor (Company Name) Contractor's License No. MailinB Address (Contracror or Owner MakinO InstailatioN 5 5 Au[horized Signamre 1 ontractor wner aking ns a ati n) , - hone Number 1 890-3555 MINNESOTA STqTE BOARD OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT GriB9s-Midway Bldg. - Room N-187 BE ACCEPTED BY THE STATE BOABD 1821 Univergity Ava.,St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (8121 297-2111 1 ENCLOSED. CU,rr#zf iratr uf Orrupttnry Citp of (Eagan 3Brpartmrnt af Buiiding 3nspprtimt Thir Cati ficate is.cued purcuant so the requircmentr of Section 306 of the Uni form Building Code catifring thut at the time a f isauanct thit ttrutturr wat in com pliunce with the variaut ordrnanccs o f the City rcgulating building connruaion or urt. For the f ollouring: SF DWG/GAR 7646 Ux Clam6utim 8ldg Parmit No. aawKyrra R3 1Ywc?m„ Vn F;nzo? NA zmrleulxuncc Rl O,,,aadftild.BNorman Vogelpohl Aaara. 2616 40th Ave. So., Mpls. H,wdj.IAu. 1532 McCarthy Road L .. ,;,ilot lO,Block 4,Oslund ??k k Q BY Timberline B,,;a;,gani" gr„` p,,,: November 16, 1983 4? ;i? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 N, fu&h&Aa,4?. New Construction RequiremenLs RemodellRepair Requirements Oifice 11se OnIY 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced oi Survey Recd Y_ N (20°k maximum lot coverage allowed) 1 set of Energy Calculations tor heated additions Tree Pres Plan Recd Y_ N 2 copies o( plan showing beam & window sizes; poured found design, elc. t site survey for additions 8 decks T[ee Pres Required _ Y_ N 1 set of Energy Calculations Addifion - indicate if on-sife sepfic system On-siie S2ptic System _ Y T N' 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joisl Detail Options selection sheel (buildings with 3 or less units) Date I / 2 b Site Address ?? /-Zcio 32 MGCRQiH Construction Cost o0 a RI) EAr. qN Unit/Ste # Description of Work IJ?k A0?171Gw Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner J EAL6Y Telephone # ( ) Contractor -TJ-IE IDECk 9- DOW2 Cphhl" Address State N1 ? AkltUV A? vu Zip ?Jr?'7 7 City IMVp' (;&-'E ?-?E?:tl]T Telephone # q52 ) 432 -2341 E7C1' 43 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 (q submissioniype) Submiited Submilted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor $? 70-,:` Telephone # ( 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 Ciry of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. - --, M 1 k? ?Uw Appiicant's Printed Name ? .4 ? ? Applicant's Signature 2005 OFFICE USE ONLY Sub Types ? 01 Foundation ? ? 02 5F Dwelling ? ? 03 01 of _ plex ? ? 04' 02-piex ? 0 05 03-plex ? ? 06 04-plex ? Work Types 07 05-plex 08 06-plex 09 07-plex 10 OB-plex 11 10-plex 12 12-plex P 31 New ? 35 ? 32-Addition ? 36 ? 33 Alteration ? 37 ? 34. Repiacem ent Valuation ? i ao °. o 8 Census Code ?3 l SAC Units # of Units # of Bldgs Type of Const X 1? ? 13 16-plex ? 20 Pool El 16 Fireplace ? 21 Porch (3-sea.) ? 17 Garage ? 22 PorchlAddn. (4-sea.) p 18 Deck ? 23 Porch (screen/gazebo) ? 19 Lower Level ? 24 Storm Damage PI6g_Y or _ N ? 25 Miscellaneous e x lY k // ' % ., Int Improvement ? 38 Demolish Interior ? 44 Move Building ? 42 Demolish Foundation ? 45 Demolish Building' ? 43 Reroof ? 46 "Demolition (Entire Bldg) • Give PCA handout to applicant Occupancy MCES System _ Zoning (<-? CityWater _ Stories Booster Pump _ Sq. Ft. PRV _ Length v? Fire Sprinklered _ Width ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS Final/C.O. ? Final/No C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Footings (new bldg) . 'c, Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test Final _ Insulation I , Approved By: Building Inspector ---------------------------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other T.otal PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eefgai',fAinnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P. T. N . : 10-55300--100-04 DESCRIPTION: 15 '3, 2 mrcHRrriv RE) Lor: ae F,LUCKe 4 CISI_.UNU l"TMBEl3LINE & REROOF T.O. .? ?3u?' di_nq`,Permit TYPe sLi?a,idxnc? Ok Type ,C'?e n s u s G c, d e ? , L i ,.._' s PERMITTYPE: BuILar.NG Permit Number: 034219 Date Issued: 12 / 1 q/ 9 8 S'roRM DnMAGE REPAZR 434 ALT. RESSDENTIAL 3 ?s t- ? !)..? iJ REMARKS: FEE SUMMARY: CONTRACTOR: - App-l i r. a nt - S T. LI C_ OWNER: TUT'TLE RUUFZNG 16870133 201.45699 SEHLEY LYiUN 2238 MICHTGAN RVE / Sl`E C 1532 MCCARTHY RD ARLINGTON TX 76013 ERGAN MN 55121 (612) 687-0133 (651)452-8540 I nerabu acknowledqe that I have read Chis applicatian and state that the informatian is eorrect artd aQree ta ccsmpLy with a11 app.t.3.cable State of Mn. StaLutPs and Gity ofi Eaqaxi Orda:nances. L_ _ APPLICANT/PERMITEE SIGNATURE IS ED BY: SIGNATURE - I 1998 BUILDING New Construetion Reouirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT HINOB RD - 55122 q 681-4675 RemodeVReeair Reauirements ? 3 ragisterod aite surveys ? 2 oopies of plans (inGude beam 6 window s¢es; poured fid. design; etc.) ? 1 energy caleulations • 3 copies of tree preservetion plan iF bt platted after 711193 required: _ Yes _ No , DATE: DESCRIPTION OF WORK: STREET ADDRESS: 1? ? e?)- ? 2 copies oi plan ? 2 sile surveys (exterior additions 8 decks) ? 1 energy calalaGons tor heated addRions CONSTRUCTION COST; ? ? wt a4- \/\-? Q . / n LOT: ? b BLOCK: 'A SUBDJP.I.D. #: Name: ?-X (-2 %d - '? ?.? (l-?hi +-?? Phone #: PROPERTY Last Firsc OWNER StreMAddress:/5 > M c? /'/? / City State: _Mr? Zip: Company: Phone #: CONTRACTOR • j StreetAddress: r'G4ltidn 1?1,e .5k ? License# Ciry Xf ?n State: l? Zip: %?JJ? ARCHII'ECT/ ENGINEER Company: Phone t!: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applica6on and state that the information is correct and agree to compy with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanl OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY . , d BUILDING PERMIT TYPE O 01 Foundation 0 06 Duplex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex ? 11 Apt./Lodging ? ? 12 Mufti Repair/Rem. ? ? 13 Garage/Accessory O ? 14 Fireplace ? ? 15 Deck 16 Basement Finish 17 .Swim Pool 20 Public Facility 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. R. City Water UBC Occupancy sq. ft. Fire Sprinktered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/V1/ Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units CITY USE ONLY L ?? BL RECEIPT #: ? SUBD. QAllU .?AJqALR./ DATE: /zeb 1996 PLUMBiNG PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 ? 77j ? (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH N.Q, 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 TubLSE? 3.00 x = ater Heater ' 3.00 x = Eloor Drain - 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ` Dakota Cry. license 50.00 (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 7-l7. 150 SITE ADDRESS: - OWNER NAME: /, p ?E?9 L-E? INSTALLI STREET CITY: PHONE #: ( STATE: ZIP: G OFFICE USE ONLY L SUBD. BL RECEIPT #: DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buiidings. ? muiti-family buildings when separate permits are II4S required for each dwelling unit. DATE: ifrviiK i frE: ivEv1 CuiVSTRUCTiGN DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SfTE ADDkESS: TENANT NAME: ? OWNER NAME: INSTALLER: _ . ,,.AiAkAu 1" Atn mfiOM ADDRESS: AM0 t1a .aVA J AS GM CITY: qtl,'ca i1M ,8IJ0%A3NN1ItTATE: ZIP: PHONE #: SIGNATURE: APPLICANT OFFICE USE ONLY STE. # CONTRACT PRICE: i+Du viv iiEPAiri METER SIZE: " DATE: INSPECTOR: -----? ?._?_- -- -- -- ------- - ---- - - - --- - - -- -- -- --- - ---- - --- ---- --- ------ --; ---- ; --- ----- -- - - ? -- - - - --- --- - - - -- -- - -- --- --- - ---- - f b- ---- ; - -- - - - - ,??? --? - --- - ---_- - - - -- - --- - - -- - -- - - -- ??-? - - 10 - -- , T "`$ ' - - - - - - ---. _ _ ?------ ---- -- --- - -- - _ s! ? - ? l_ ?1 - -- .0 - - - - - -- _ _ _ - ? -- - ? --- - - - ---- - -- - - -- - ---- - ? --- - - - ???? - ` ? - --?-? t - --- -- - -- - - - - - - -- - -- `. . -- -- ? - - - - - -- - - - - _x ? -- - -? ? -- ---- - - - - ---- ?' a- - --_ _ - W -- - - - - o' - --- . /UV L? CITY USE ONLY PERMIT #: RECEIPT DATE: J rI /?O I RESIDEN`I'IAL MECih"IC?? ?? IT APPi ICATION CITY OF EAfii4N S$SO PILOT KPOS RD EA6AN &Ift 55128 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 1 J I ?- d t SITE ADDRESS: I 5J2- ? aWNER NAME: TELEPHONE #: ?? &5J (AREA CODE) INSTALLER NAME: 1? 1??? I f1:I?S tJlf19?.7 ! /Si?? ?' TELEPHONE #: ^{7 (AREA CODE) STREETADDRESS: VU'. I*0 ?J7-'? ???71 IDY/ CITY: fivati., #e L/ STATE: IVPLAL_ ZIP: C55 IP-! Place a check mark next to the nermit work tvoe New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existinq dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surcharge $ 50 I TOtal ? $ Sj).50 Reminder: Call for inspections. ?&j r- JA l",Q Sli7jgATLME OF PE ITTEE Updated 1/Ol CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR COMMEftCIAi. MECH"CAL PEIMTf APPL1CATiON CITY oF F.A6m 3$30 PILUT KAOB RD EAsM, Mv 55 122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIl': WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Spcc;fyNahueoi :Jork When installing/removing undergraund tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iirespector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is geater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATLJRE OF PERMITTEE Updated 1/O1 : -.-. . .z?.-, ?- _..',_„ : ?:. -, . .•".r. r?..,?. ,..dv°?.?s°'_F ...:_,-?-i . .,.--,..? -• " -...??`'}r"k .V„ ? ' 'Fj ?vl?' v'??-'ae `?x'?z.. ??:q. ?ry _ ?,•s;S? ?_ ,r " ?. ? ?.,? " . . " ?..?,..'?,?"s . -- . , .. . ?.d„ ? '... . . . . . . . ._ e : -?! tcC-y n"5? i• a, ,."`? ' n? ?_v.,?.-,r.._ .,?i.:"_?. . -.. . ?, ? ? ?. ? Y} ` _ " ` •,f??:.'. ? : ' ky, : .+i t? ? '? 1 ?+ ? 4a F . ?S ? ???.cTrR ?x 'r.• .... ?. ..• T ? ' . . rH ?d. , v ? ??9 yl-? Y a . y RKS w. . .. .:;? . . . . , . , _ . - .. ` ?, ,., -,.M, ?..: • ._ ?,Q ,r:1 ., n?- s?.. ?,a `'? ??P?? ?? - "`-?,"?' -.,c??s'r? r?? + ? s xS- . ?? ,- ?" , ':? ??p`?; , '?C -: ?'s•. ?? ' h4. _. "k "'? ,,..,?q? c s?c°"? "?v.t r ?,? r = ?:-.?n,.,.z... ? _ ? . S . . ,. „e! ' ? +n'+f , ? }! _a_ < x?-•. h.'. " c r-.. \ I ?', i ,? ta r ? ' -?? i-_• ..?y 9 ? ?WlO? i '4 ' 'k +{G..n ; . 'f t ? ?t?aYa ' . ?` . . , y `f• 1. ?? 1.lbt- ?t? ,I? ? _ . . or.z ? . , ` , ;A??. Y?t' . " NOTp EA$EMEN '?5 IO!?IDf RAINAGE OfALL SIQE fn,R Qtlm4? ?8?1 ? r, M Sd1E Ly,? ?i ? , - _ -- ? ?} b? BL?i ?( - ' - ? ' ? b s ?errs_ - ? 1V?I ? ??;,:•sUTIL1T ASE S k b' c; SCALE, Y -? ? ' "? t _ : ?•?,,?? ]?. . ?" '.. ,.. .. .. . ? . `r7+ $UMED AS v .'.....r:. ' 1 y T L. F. n l .? _ A ,.?.."?..?....n ,. i 1 ? , . / dpqb ? ., .. _ . AFR } ! _ -- ? , _ y / aI 138 .. „ , , ?- '. • _ .. \ ., s• S _ - ;' ?:n? ? T? ,?. Qoo ?°° ? ? b ?• :, 71 . , , „ : _. ? „ •? ? ,? . , . ,, ? , ?? oo ? ,d°• . ' ? .. , . ? \%C/ . ; ' ? ? . . /? . ? ? ^.,._ ? : , ... -' ' ` ?.:: - ? ? ?' ?""? j ro1•6'? ? ? ? ? - ?,s? .__ ., a? ., ? ot , ' ? .. _. ?, `' ? • ? ? , , • ?, e , ?_„ ,e 1 y?' ' ? ;,?",? ?4 \2 o q".°q' :: , o / ? ?I;", ._. ?._ _. ,L ?p,0 . % •o ? * `oo? ?p "?` ,$ ??8 . ,?? ??`? . . . '. .. ,; ?-?? ??.? ..... .. . .•?' .,, .. p i.-. ,- , rr , `? ? ? /E, \\ b ? 0 100 o Y, 30 _.R +lb • At : . / . 3 . ? ? f M1g? • e ' , t. ? .00 ... :€ - ? .. : gs ? f ? 1?? .a• ? a '. g 10 • . ? ; ri - o .t ? ?? ?' ? . ? ?? ,,, a.i. . E? `?? w,t'?' . MO. ? / p ?As4 A, 0 ue• I y ..' _ > . ??.o L ?ad+? $ ? ; ? : • ? r _.,, .? ?, , ? ? = 99014_ ? •? E5 - - , *.,.. ' ' ' . -? ? " :, • _ . , ? '» s •, ? :. ?....., ?,,.,. , . ! . . . ' . ? o o ? ? . .« Z o a 28 87 a 10 - , , . -. .. .. ? ., _.: .. '7 . . . a . . ? o ?? ? .. . w :,: i . ( . ,. L n?n. • ? . ,F ,;.. ? . . .... ? ? ' - 100 . looo ° ?c'a OAR" ?W.?' - A 11 ~Y 0, W_ _U_se _BLUE or BLACK Ink :For Office Use I ` 4 far I Permit City of EI ' I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 _ 1 Date Received: ' Phone: 5 75 Fax: (651) 675-5694 I 1 Staff: 2012 MECHANICAL PERMIT APPLIlCTION Date: 1 Site ddress: -32- CCaftk~ Tenant: l / ~ Suite Name: Phone: RESIDENT /OWNER -7- 0.0 S I Address / City / Zip: Name: i en e 874 Vff CONTRACTOR =Address: City: g State: Zip: Pho>~e Contact: Email: Q 04 1 1 dM t New eplacement Additional Alteration Demolition TYPE OF WORK Description of work: 4 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. I RESIDENTIAL COMMERCIAL +Auir mace New Construction Interior Improvement PERMIT TYPE Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned outappfiances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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 th ork will be in accordance with the a proved plan in the case of w r which requires a review and approval of plans. ? x '77G' Sow' x Applicant's Print Name Appiicanfs Si ture F OFFICE` USE ired Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA107704 Date Issued:10/23/2012 Permit Category:ePermit Site Address: 1532 Mccarthy Rd Lot:10 Block: 4 Addition: Oslund Timberline PID:10-55300-04-100 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lynn E Sealey 1532 McCarthy Rd Eagan MN 55121 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121680 Date Issued:04/11/2014 Permit Category:ePermit Site Address: 1532 Mccarthy Rd Lot:10 Block: 4 Addition: Oslund Timberline PID:10-55300-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lynn E Sealey 1532 Mccarthy Rd Eagan MN 55121 (651) 797-2645 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121773 Date Issued:04/14/2014 Permit Category:ePermit Site Address: 1532 Mccarthy Rd Lot:10 Block: 4 Addition: Oslund Timberline PID:10-55300-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lynn E Sealey 1532 Mccarthy Rd Eagan MN 55121 (651) 797-2645 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139404 Date Issued:10/21/2016 Permit Category:ePermit Site Address: 1532 Mccarthy Rd Lot:10 Block: 4 Addition: Oslund Timberline PID:10-55300-04-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lynn E Sealey 1532 Mccarthy Rd Eagan MN 55121 (651) 797-2645 Heartland Roofing Siding And Windows Llc 1192 McAndrews Rd E Bumrsville MN 55337 (800) 681-4169 Applicant/Permitee: Signature Issued By: Signature