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1820 Merlot Curve?s INSPECTION RECORD CITY OF EAGAN ' 383 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: PERMIT TYPE: 1 1" "6 Permit Number: Date Issued: '!! t! 4 st APPLICANT: TYPE OF WORK: INSPECTION .. . .. ;, .. , .. . f F•t'MAt2i(Si tRlf.l.Ul) E`-. 1ti?Q 1 8:l , I-, & ta p i "N f,t Hl-•,RYAN Pt i ? L 14f KI 0 1 ? Ilf{Vi' {>1..RN 0f'V1f'UFhrl fiY .i()(' Vl)F'{..`•.? . .W ? 06 Pernsft No. Permit Holder Date Telephone Y ELECTRIC PLUMBING ,?/5 9 y43 ??1? HVAC Inspectlon D Inap. Comments FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST FOUGH HEATING GAS SVC TEST INSUL GYP BOARD ' FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT F1NAL DECK FTG DECK FlNAL ? . .i r W¢rtifica#e af Cccuvancv MO of Wagan Zepart?-cnr of zxilbmg 3ciVectiua This Certificate issued pursuant ta [he requirer?rents of the Uniform Buitding Code certifyirtg that at the time of issuance thu structure was in carnpliance with the various ordinances of the City ?egulating bui[dirtg construction or use. For the following: Use Cla.ssifiption: 4~PLEX Btdg. Pertnit No. 31889 OccvFa-Y TYPe R 1AJ, Zoning Distria R3 Type Caisc. iLVN Owrcrof 8uildiug aNM Eow pddm 12400 WfflMAIER DR.?. Building Addnss 18.?1 L? ?M OME ?oca??ry ?? ?? ? ?TCN 2ND %/d_ pyr AT,9p nCLUDES :??; AAID 1826 MM ?illZVE POST !N A CONSPICWUS PLACE SITE ADDRESS Unit # Permit # INSPECTION INSPECTOR DATE COMMENTS 6Cd 7- -9 •-f- . rc 1! H 7 SITE ADDRESS mAlm l.I89L Unit # Sect./Sub. Permit # - INSPECTION INSPECTOR COMMENTS rd? •. A ?- rc ? ' tf '7'Q i • l4 ?J^- SITE ADDRESS L I/ A1}!, Unit # Pertnit # ? L B INSPECTION INSPECTOR DATE CONIMEMTS I k / • ..L ' b fI 7. / 7 - ,p ? r 'd 7' 0 SITE ADDRESS mAY( lALIC- Unit # Permit # Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS ialn - 7-%- fr r r f? • 11 ! al? a ?a - 21- ' --?G . ? a C? ? L3, ? 3-'? 0-,? 0? ? [9' ? G]/,? O?/? C3' O ? > q ? ? ? ? ? ? ? ? ? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: DOCUMENTSTANDARDS . . s . ?? o • ? ? • ? ? ? • ? • Registered Land Surveyor slgnature and company Building PermR Applicant Legal description Address North arrow and scale House type (rambler, walkout, split w/o, split entry, lookout, etc.) Directional drainage arrows with slope/gradient % Proposed/ebsting sewer and water services 8 invert elevation Street name Driveway ELEVATIONS Eidstlna Sewer service (or Proposed) Properly corners Top of curb at the driveway Elevations of any ebsting adjacent homes Prooosed cr'? ? • Garege floor a- ? ? • First floor 0' ? ? • Lowest exposed elevation (walkouUwindow) 0-? ? ? • Property corners m-, ? ? • Front and rear of home at the foundation PONDING AREA Cf aoolicablel ? ?/ ? • Easement line ? r3 ? • NWL ? al ? • HWl ? 13? ? • Pond # designation ? 0?O • Emergency Overtlow Elevation DIMENSIONS l? ? ? • Lot IinesBearings & dimensions ? Er' ? • Right-of-way and street width (to back of curb) 0_?O ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all sVuctures requiring permanent footings) a' ? ? • Show all easements oi record and any City utilides within those easements g' ? ? • Setbacks of proposed structure and sideyard setback of adjacent exasting structures ? ??? • Retaining wall require nts, if any ZJ? Reviewed: ate Name January 1998 CRAICI BBBIBIOG PRMf. FM LATEST REVISION: cTTv or- F.Flt;ilti Jr.?.. ..cq.. .. , .?;:? . ?? r..'?r?.. T 1.-1 f..,fi_h,.(-... v .C.'1?.. ? -,r..1r..,_,il.l.._,.. ,c,.. ,. .... Drarr..-;, o., ?:,, H%9s, TI7Fii" i0i'0c'? ILi: 2256 300'!. :I.s;ca ME;,:i_nT l:l.•ii 14,220,.96 'ro'1:7l 9t3(:)F'3 ijk, Ft:TUI'r'it.. f`.r'f1Wci`: Ilci:R Tr' ? JAN ? -CiTY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B u I Lo I N G Eagan, Minnesota 55122-1897 Permit Number: 031889 (612) 681-4675 Date Issued: 0 5/ 11 / 9 6 SITE ADDRESS: DESCRIPTION: 1820 MERLOT CURVE LOT: 2 BLOCK: 2 CENTEX VERMTLION 2ND Bui.1d#ng,Permit Type ,'46uilding Wcax,'? Type UBC Occupancy'? E:onstruction ty?p;e Tcsn3ng Building stories- CensuS.Code ? 4-PLEX NEW R-1 U-1 V-N R-3 1 104 3 & 4 - FAMILY Pa:'eT,? t. C d?1? L..? REMARKS: INCLUDES 1822 1$24 1826 MERLOT CURVE PLAN REVIEWED BY JOE VOELS 5& W PLBR - 6ENZ-RYAN PL66 FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $2,717.25 $1,766.21 $233.00 $4,006.00 100 4 $8,716.46 $466,000 CITY SAC WAC S & W PERMIT S & W SURCHAR6E TREATMENT PLANT Total Fee $400.00 $3,228.00 $100.00 $.50 $1.776.00 $14,220.96 CQNTRACTOR: - Applicant - sT. LIC OWNER: LENTEX CORP 19367$33 2007673 CENTEX HOMES 12400 WHITEWATER OR 120 12400 WHITEWATER OR 120 MINNETONKA MN 55343 MINNETONKA MN 55343 (612) 936-7833 (612)686-5024 I . I hereby acknowledga that I have read this application and stat? ttlat t6e irifurliritatio°rr is c'arrect and°'agree"Ito e?piy_ti43:th a`??: a?iO?.'icab`?,e Sti+e afa?n. , L Statutes and City of Eagan Ordinances.? APPLIGANT/PERMITEE SIGNATURE 4lma RiiA i m,d 'ISSUE Y: S GNA RE ' 998 ' ? New ConsWetion Reouirements BUILDING PERMIT APPLICATION (RESIDENTIAL) -? 14, z2OAI. CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 C.tit1,?{ 681-4675 RemodeVReoair Reauiromenfs ? 3 registered site aurveys ? 2 copies of plen • 2 copies of ptans (include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 decka) ? 7 energy celculations ? 7 errergy calwlations for heated addkions • 3 copies of tree preservation plen if bi pletted aRer 7/1/93 requirod: _ Yes _ No DATE: A/Z Z I ? ?3 DESCRIPTION OF WORK: STREET ADDRESS: / t? LOT: Z BLOCK: CONSTRUCTION COST; 7oWAI /$ZZ-, 1$Z4, IS 2 SUBD./P.I.D. #: /O - PROPERTY OWNER Name: Phone#: I.est First ? Street City State: ?446-1 zip: SS.3 ¢3 Company: Phone #: CON7'RACTOR Street City State: ARCHIT'ECT/ ENGINEER Company: c / ? Name: ?Q,J i LQ _ W!^-eu? l2, Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): l?eYI Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applicadon and state that the infomiation is correct and agree M compy with all applipbl State of Minnesota Statutes and Cily of Eagan Ordinances. hECEI E SignatureofApplicant: F E USE ONLY iftffi Yes No License # Zip: Phone #: Registradon #: d/ Preservation Plan Received - Yes - No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 02 SF Dwellingc0407 4-plex ? 03 SF Addition 0 08 8-plex 13 04 SF Porch 0 09 12-plex ? 05 SF Misc. ? 10 = plex ? 11 Apt./Lodging O ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous WORK TYPE 40"31 New O 33 Alterations ? 32 Addition O 34 Repair GENERAL INFORMATION ? 36 Move ? 37 Demolition Const. (Actual) 0-'4 Basement sq. ft. MC/WS System (Allowable) !:Z- N Main level sq. ft. s q/0 City Water ?c UBC Occupancy ,Ze,/ sq. ft. Fire Sprinklered Zoning DP 3 /,aG • sq. ft. 11619 PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. /oy Depth Footprint sq. ft. 5AC Code 10-7 Census Bldg ! APPROVALS Census Unft 401, Planning Building Engineering Variance Permit Fee Valuation: $ 7(0?i Surcharge Plan Review S? ?? ZQ s[? Z ? License ' 7 \ _.------ MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit siw Pem,it SIVN Surcharge " Treatment PI. Park Ded. Trails Ded. ?S ,S.S?Z U Other Z{?- rG K Y ?? Copies ? rotal: ? Q % SAC -?? SAC Units ?6i• ___ ? ??p ?r (03( r ?? : Z?? . . ? . CEN7[TFX HOMES P"igneJ (nr ImIaV. Ruill (ar 1(anomnv. 1/2z Mr. Joe Voels City of Eagan Plan Review Department Dear Mr. Voels, This letter is to inform you that Centex fiomes of Minnesota, will be usmg the exact same unit plans for buildings 1-3, 5-10, 13, 14, 16-19, (excluding buildings 4,11,12,15). None ofthe structural building components, HVAC, plumbing or electrical will change from previous buildings l, 5, 11 and their eiigineered drawings dating 8/16/96. The only change is Centex will be using step conditions on some buildings. If you need anything else, please call John at 686- 5024. Regards, ?... F ? John Lovelette Field Manager Centex Homes, Minnesota Division 12400 WhitewaferDrive, Suite 120, Minnetonku, Minnesota 55343 Builders License #1333 (612) 936-7833 Fax (611) 936-7839 ?7 5 - u N c'Z' B u- c L D?aJ ? . No ---I-Intcs 46-t ? 4lo sq:?? ? 3 µ,h i i^ IV?8 Sqtr4• 182G G"e, 399 sy.-FF. aa•?R- ..? .G?e.. 4?3 4?2 L%Ntr 1'F85 sq.?^?• -4 ( I,IN 1T 1z.ez sq,-F+. 1822 MERLOT 1 CURVE LOOK , OUT ; xb,&( t"NLT' ! l07 e Sq.-P4. 1826 ?.? ?? ? " ciTr use oNLr ? L BL 4, n? SUBD. RECEIPT #: 94p-;- t) RECEIPTDATE: 51c?-a/ 9 a 1998 MECHANICAL PERMIT (COhMERCIAL) CITY OF EAGAN 3830 PILOT ERN08 RD EAGAN, MN 55122 (612) 681-4675 Please complete for all commerciaUindustrial buildings mutti-family buildings when separate permits are not required tor each dwelling unit DATE: 6- CONTRACT PRICE: 9400• Q v WORK TYPE: / NEW CONSTRUCTION ItdTERIOR IMFROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTR.ACT PRICE x 1% W D D PROCESSED PIPING PERMIT FEE . STATE 3URCHARGE f ? TOTAL qLl' JV SITE ADDRESS: ($.50 per $1,000 of nemit fee due on all permits.) OWNER NAME: ?? 77U/Y?S PHONE #: TENANT NAME (uvTROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE#: CITY: 1 oTY}')DL?n?- STATE: -at/, ZIP: y?E a J-a & A &' _?" l? A OF PERMITfEE CITY INSPECTOR CITY USE ONLY LOT BL SUBD. RECEIPT #: RECEIPT DATE: 1998 MECHANICAI. PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PZIAT P@708 RD EAGAN 2M7 55122 (612) 681-4675 Date: Complete this section Qnlv if you are installing HVAC in single family, townhomes or condos under construcdon and not owner /occupied + HL'AC: 0-I "vd y1 B T U a 24.00 ADDITIONAL SQ M BTU 6.00 • Gas outlets ( minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanica] permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: _ Install furnace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: PHONE #: PHONE #: STATE: SIGNANRE OF PERMIT"fEE 751FORMS BLD/MECH PERMIT (RES) - 1999 CITY USE ONLY L BL dL SUBD.??A? RECEIPT #: ! ? / 7S RECEIPT DATE: PI,Z7MBING PERMIT (CO2MERCIAL) CITY OE EAGAN 3830 PILOT RNOB RD EAGAN, hai 55122 (612) 681-4675 Please complete for: all commerciaUindustrial buildings multi-fatnily buildings when separate building permits are not required for each dwelling unit backflow preventer to be installed in commercial areas or residential boulevards Date: s/16 & 0 Work Type: JX-New Bldg. _ Add-on Is Water Meter Required? Yes No Water Flow To inquire if Pressure Reducing Valve is required on new service, ca11681-4646. FEES 1% of contract price or $25.00 minimum Repair _ U.G. Sprinkler GPM Contract Price: $! x 1% _ $ ,/I) t COMPLETE THIS AREA IF INSTALLING UNDERGROUND Service: Existing (if coming ofFdomestic line) OR _ New Backflower Preventer Permit Fee Water Meter 1" @ $185.00 or 2" Turbo @$846.00 $ 25.00 If "new service"add Water Permit $ 50.00 = ? WAC $ 780.00 = ? Water Treatment $ 420.00 = $ Ciry Installed Tap $ 300.00 = $ Permit Fee $ OV State surcharge is $.50 per $ 1,000 of en rmit fee or minimum of $.50 per permi[ State Surcharge $ ?=50 Totsl Fee $ I l ?? 60 I hereby aeknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Fagan assumes no liabiliry for any damages caused by the City during its normal opentional and maintenance activities to the facilities constructed under this peanit within City property/right-of-way/easement. n SIT'E ADDRESS: l 7l TENANT NAME: INSTALLER NAME: ? STREET ADDRESS: J CI7'Y: ?4/ Y( f! l/l. TELEPHONE #: `"(23/Llkj:? ZIP: .!?J?C/ TURE OF CITY USE ONLY COMMERCIAL PLUMBING PERMIT -1998 METER SIZE PRV Yes No Domestic Irrigation UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLY) REVIEWED BY: Building Inspector Date To determine meter size ' See if it is indicated on back of Building Inspections cazd • Enter address in PIMS Screen 301 to obtain S&W permit # * Check PIMS Screens 110 (Remazks) • If gallons per minute aze less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not know GPMs. Before selline meter Check PIMS Screen 320 for aoproval of inspection results. No meter will be sold before all sewer and water inspections are complete on a oew service. If new service lines are not requ'ved, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward capy to Utiliry Billing Clerk. * Enter merer size, type, receipt !f, date & amount paid on PIMS Screen I] 0. Copy of receipt should be given to Uriliry Billing Clerk. Miscellaneous Information • The installer is to contact Building Inspections at 681-4675 for inspec6on of the inside water line and backflow preventer. The Central Maintenance Division may be teached at 681-4300 for water turn-on. • If ineter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there. dS/Forma.bid/plbg permit (comm) 1997 CITY USE ONLY Q g3 g' ? RECEIPT #: ! SUBD.`?+"`^"i RECEIPT DATE: 1998 PLLIMBING PERMIT (RESIDENTIAL) CSTY OF EAGAN 3830 PILOT KNOB RD EAGAN, hN 55122 (612) 681-4675 Please camplete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet " minimum - i Rough Openings Water Softener `for dwellings under construcNan ?a8ener?zistiny dwelliou? U.G. Sprinklw ' for dwelling under const. U.G.Sprinkler "forexistingdwelling Afterations " to existing residence Water Tum Around Private Disposal System ' MPC iic. (new and returbished sysMms) Private Disposal Systems'a,eandonment RPZ (new installation only) EACH # 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 ' x 3.00 = 20.00 ° 20.00 = 20.00 = 75.00 = 20.00 = 20.00 = TOTAL STATESURCHARGE TOTAL .50 Z U_ ------- ----•---°--------------- ----•----•--- -----•---•-------- - -- --- - -- ---------• -- •---------------------- • --------------------------- 1 hereby acknowled9e that I have read this application, state that the infortnation is cortect, and - agree to compiy with all applicable City of Eagan ordm - - ances. It is the applipnYs responsibiiity to natity the property owner that the Ciry of Eagan assumes no liability Mr any damages caused by the City during its normal operadonal and maintenance activities to the facilities construc[ed under this permit within City property/right-of-wayleasement. SITE ADDRESS: OWNER NAME: D I C INSTALLERNAME: ?IO?L?1A? I tiG TELEPHONE#:,??Z 7vJ?3 STREETADDRESS: 6'0'r'FIEL-C7 CITY: M11 ?IJC}?POLI S STATE: NIJI?. ZIP: SS?o 8 CDJPERMIT.FORMSlRPLBG PERMIT (RES) - 1998 CITY USE ONLY RECEIPT #: 9 o"at/ L D I BL / RECEIPTDATE: SUBD. `?=±Lk4 1998 PIdJNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, hIN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? tawnhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet ' minimum -1 Rough Openings Water Softener "for dwallings under conatrudion Water Softener * for existing dwelling U.G. Sprinkler ' for dwelling under const. U.G.Sprinkler "forexistingawetling Alterations ' to existing residence Water Tum Around Private Disposal System " MPC iic. (new and returbished systems) Private Disposal Systems' nbandonment RPZ (new installation only) EACH # TOTAL 3.00 x ° 3.00 x - 3.00 x - 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x - 3.00 x - 3.00 x - 1.50 x = 5.00 X 20.00 ' T = z? x 3.00 - 20.00 - 20.00 ° 20.00 = 75.00 ° 20.00 = 20.00 = STATE SURCHARGE .50 TOTAL Zo, SO -?-••------ ------------------- ----------------•----------°---°-••-- -- ---- - -••--•••---•---------°--°"""""'-"" ? ?iscorrect,andagreetocomplywithallapplicableCity otEaganortlinances. It is the applicant's respc LEVY, HARRIET Eagan assumes no liability for any damages caused hy the City during ils normal operational and m 1826 MERLOT CURVE er this permit within City propeM1y/right-of-way/easement. EAGAN, MN 55122 SITE ADDRESS: _ (651) 454-6829 OWNER NAME: ' INSTALLER NAME: TELEPHONE#: STREETADDRESS: Z / O 6.0,0-PIEL? iTVE ? - CITY: ??:1?\1.jCf?POLIS STATE: Nlll3- ZIP: OF PERMITTEE CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1998 CG? )-32- 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date tn Z/ 1 zoo s SiteStreetAddress 1826 yyw,b+ C?.--v2 Unit# Property Owner -,3w.t<.. Laz eur / Stwrc, 1s? Telephone #(c.sl -A731, Contractor Address GY7av-L City Telephone # State Zip The Applicant is: -g- Owner _ Contractor _Other Alterations to existing dwelling ? Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appiiances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener Water Heater _ new _ replacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ G" ?? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete 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 wili be in accordance with the approved plan in the event a plan is required to be reviewed and approved. SV+wz:, L&zwks - ApplicanYs Printed Name App ican s i nature 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimdion Reauirements RemodeVReoair Reauirements 3 registered site surveys showing sq. fl. of lol, sq, fl. of house; and all roofed areas 2 copies of plan (20%maximum tot coverage atlowed) 1 set of Energy Calculations for heeted additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks t set ot Energy Calculations Addifion - indicafe if on-sife sepficsystem 3 copies of Tree Presemation Plan if lot platled after 7M193 Rim Joist Detail Options selection sheet (6uildings with 3 or less units) Oatehda"ck / ZL/ SiteAddress l?.?D 04Lrl0+ ji?ST-122- ConstructionCost 010{O6-0 UniUSte # ? Description of Work lil.? „ i gk bwS e ? trx-liz Multi-Family Bldg ? Y _ N Fireplace(s) X 0 _ 1 _ 2 Property Owner ?wa.; c2 Lc.za n?s ? S 6 i LG7-4rwS Telephone #(LS( -7 3?o Contractor 5e Address ( j3ZU /'Yl Ci (a4- State .Iitp/ Zip 5?j' ( 27- City 144 w^ d Telephone # (4e ;L7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venfilation Category 1 Worksheet ? New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope CalcuVatlons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone #( Mechanical Contractor Telephone # ( N If so, 25% plan review Sewer/WaterContractor Telephone #( '.) p ??I?. IY?H? LL I hereby apply for a Residential Building Permit and acknowledge that the informa on is comple e andacc rate; that the work will be in conformance with the ordinances and codes of the City o?lagttn-xn?4 the ?tate 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. 5l%arnvi 14zG;rc,s Applicant's Printed Name pp ?cant s nature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex , ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex >C 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ,, ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ;C 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg) -Give PCA handoutto applicant Valuation L%¢' 0 Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Foolings (new bldg) _ Fooungs (deck)' _ Footings (addition) _ Foundation Drain Tile • Roof Ice & Water Final Framing? Fireplace _ R.I. _ Air Tes[ _ Final _X Insulation REQUIRED INSPECTIONS FinaUC.O. FinaVNo C.O. Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaininp Wall 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 Total !sb/ I/ J, 6??? ? / -?? 0 M 401? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone:(651)fi75-5675 Fax: (651) 675-5694 ?----------------- ? Fa??Qifi? Use ? ? I ? ? Pertnit #: ? C ? Pertnit Fee: l/c ? ? Date Received: j I ? I Slafl: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ? 00t1H hkr I p f C U r v ? ?'N? n,., ih lv Tenant: Suite #: RESIDENT/OWNER Name: Uf e?r t,KS Gw) ) Phone: WI ySa y0iq Address/ City /Zip: Mt"rlo+ 6-VvVv 1,,,w ScS1;)L? Applicant is _K Owner _ Contracror TYPE OF WORK Description of w pi? i Constructio Cost at ? Multi-Family Building: (Yes No ?C ) CONTRACTOR Name: v l Y+tJ' Q,I?r License#: 2-054ZI D3 P ?? Address: r {20-etj?t City: Mnl('") 13 State: 1h1V Zip; S?u 40`7 -to-I d3 Phone: ?I A???l Contact Person: ?? ?•K ?? ? K QY COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Venulation Category 1 Worksheet • New Energy Code Worksheet Category sunminea submined 1? ?G? ?U ?-a E l ti d l C l S b itl • E nQ nve ons e V nergy ope a cu a u m ('? SubmiSSiOn typC) In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No It yes, date and address of master plan: Licensed Plumber: Phane: Mechanicel Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supportfng documents that you submit are consldered to be publlc Informatlon. Portions o/ the informaflon may be classlfied as non-public H you provide speclflc reasons that would permlt the City to conclude that the are irade secrets. I hereby acknowledge ihat Ihis infortnatlon is complete and xcurate; that the work will be in coMormance with the ordinances and codes of the Ciry of Eagan; tha[ I understand this is not a perrnit, but only an application for a pertnit, and work is not to start without a pertnit that the work will be in accordance with the approvetl plan in the case of work which requires a review and approval x y ApplicanYs Printed Name Applicant's Signature etof3 I 53 ? ?%1r,_51?odIRD ocr 16 2008 4 t DO NOT WRITE BELOW THIS LINE ? SUB 7YPES ? Foundation ? OSplex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (&season) O Ext. Alf. - Mutti ? 07-plex ? Garage O Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screeNgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex Lawer Level ? Storm Damage ? 04-Plex ? 72-plex ? Miscellaneous WORK TYPES ? New ? Interfor Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior DRE Aiteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entlre buildirig) - give PCA handout to applicant DESCflIPTION• a, ValuaTion _!;PW ? Occupancy MCESSystem ? Plan Review Code Edition A0,2 SAC Units - (25%_ 100% Zoning /z -3_ City Water ? Census Code y 3 N Stories '-' Booster Pump ? # of Units ? Square Feet PRV l # of Buildings -??- Length - Fire Sprinklers ' Type of Const. ?Gg Width ? flEQU1RED INSPECTIONS Faotings (new bidg) Footings (deck) Footings (addition) Foundation Drein Tile Roof: Ice & Water Final ? Framing Fireplace:_R.1. _Air Test _Final ? Insulation Reviewed By: _ Sheetrock Final/C.O. 4 Final/No C.O. ? HVAC Other: Pool:_Footings Air/GasTests Final Siding: _Stucco Lath _Stone Lath _Brick Windows _ Retaining Wall Building Inspector Basa Fee Surcharge Plan Review MClES SAC City SAC Utflity Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total ? Page 2 of 3 i -?a?---=--' -- -------? ?y I ? Pertnit#: 77 ?D I ? I Permit Fee: 5Z). LD I i ? ? Date Received I C ? ? Staff: ? L ----------------- 2008 RESIDENTIAL PLUMBING Date: "' 1 Vt Site Address: 'zo Tenant: APPLICATION Suite #: RESIDENT 1 OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: /J C1 ?-?iIF/Vl S?cense L & yll ?J. , / Address: ?J?V l ??? /V City: S ta te: /V Zip:??7 ? r ? / Phone: CO/2 9 D(Q (??Q ContactPerson: /L?- I ?A TYPE OF WORK , New _ Rep(acement _ Repair _ Rebuild Modify $pace _ Work in R.O,W. Description of work: y ? PERMIT TYPE RESlDENTIAL W ater Heater W ater Softener _Lawn Irrigation y-Add Plumbin Fixtures RPZ PVB) (_ Main ?Lower Level) Septic System _ Water Turnaround New Abandonment RESIDEN7lAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) "Water Turnaround (add $147.00'rf a 5!8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 pertnit, and work is not to staR" ithout a pertnit; ihat ihe work wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans i X 2.,? ,.1o?11A X Applicanfs nnted Name Appli nYs Signature 0,9ilxif' ,FOR OFFICE USE . . ,. s . ', Reqwred Inspectwns: Under Grqund ? a Rcwgh?in ???x1r T?e?t ?Gas T"e? naN?T „? ..P.«?"...._?.."?'Air?. ?*(?k?5.?': ?kh?,$tj??i? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651)675-569A --, ? F9rO0qe,USa ---/-?- ? j Permit#' ? Permit Fee: I ? I I ? Date Received: I ? I ? Staff: ? -----------------? 2009 MECHANICAL PERMIT APPLICATION Date: y-JJ 0 7 Site Address: jl&ot/ m'P../? /o-/ Tenant: ?I YLLUM ?Ll zC?l.C?C/J-.J Suite#: RESIDENT/OWNER Name:?(?? ( jOPhone Address / City / Zip: /VU ML'fl(? 1' (-)?/V - CONTRACTOR Name: gl-IRNg%1I61-€ H€l1TINC & A/£, I,-.G. License #:?-I I?SL3&L pi??_ ndaress: 3451 W. Burnsville Parkway we City: Rnmsvilla, MN 55437 State: Zip: Phone??-?`4 (? '?5 Contact Person: vi Y-?'Q- TYPE OF WORK - New /<Replacement _ Additional _ Alteration _ Demolition Descriptlon of work: 'NOTE BotfiYoof m'v`unied and g r4und tnount?d;jmec ` Ica(?egulpmenf ls?requir?,to ? r tie Screened by City Code "Pledse ibntacl the INecflIBnloallnspect4r o? o/ie of tl4e - { . _v.;4BAlf?fOT.1l7fOl'[I(B??OR.OIi..IRIjftWY4CIBBRId RESIDENTIAL COMMERCIAL PERMIT TYPE ? Purnace _ New Construction _ In[erior Improvement .?, Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ EMerior HVAC Unit Heat Pump - Under / Above groUnd Tank L_ Inshall I_ Remove) "' _ / When installing/removing Mank(s), call for inspecli0n by Fire Other .7 Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fif2 I'epair (replace burned out aopliances, ductwork, etc.) (includes $.50 State Surcharge) ?T $ So. .J0 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) - $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increasas by $.50 for each -$ State Surchafge $7,000 Permit Fee (i.e. a$1,001-$2,000 Permi[ Fee requires a$1.00 surcharge). $ TOTALFEE ? neieoy ar.mIumeuye mat mis imormanon is compieie ano accurate; mat me worK unn oe m contormance Hntn tne oramances ana coaes oi me cny ol eagan; mai I understand this is not a permit, but only an application for a permit, and work is not to stad without a permit; that the vrork will be in accordance with the approved plan /ir?Vthe case of wo?rk which requires a review and approval oi plans. / X v`?j?l"1fL. I A?S17(YN1C.L?1 X ?A pplicanYs Printed Name Applic?an s FOROFFIGEUSE :?.`' Revlevired By Date:: j Requlred Irispactlons; Under Ground y_ Rought In "'_ Air Tesf;` C,as,Service Test ;' la flooCHeat " Final . . = _ ExteTior:HVACSCreenin ,1ns ? 9 peclion-_ rop of Irons @ Box Corners O 10' Offset 873.15 OB 10' Offset 874.57 O _ 10' Offset 870.88 OD 10' Offset 870.13 Ex. CER TIFICA TE OF SUR VEY 6=060170 58" ? R=309. 00 ! L=33.97 - MERL Q T ? ........... ; . ................ : .........CAs 97J (871.5) : i 871.1 / R BY -. LEGAL DESCR/PT/ON: ?Q?Q? Lot 2, Block 2, CENTEX UERMILION 2ND ADOITION, occording to the plat fhereof, r??EID okota County, Minnesota. Z3•9g (RfOl INSPE ?-Aogil R= FL=25 81 / "..._.._.,_...._. G??? ? ?-'--? ° 873.4 m // C7--....._ . oa ' - -? _ 15 }; )gp 1600) I ? f isi I Ex. 8uilding 1 ____ I I O : . I pi I °^? I ? o ?.._._.......__ e?'v I 2 I ? ? 5 (873, qp a ---04.00 _?_. 34.00 I X(87340) o0 10.00? I v 2 I- _O S84 76'"0 O 3E' 756.00 -'(9--34.pp o? ? I V '---t?}--- ---- ? LOT 2 -T-----__ c__i_? N a? ? Droinage & ? Utility EosementJ ? ? w N 1 N89035'42"E 187.49 1 1 1 a=14°22'10" , R=366.00 L=91, 7g N89035'42"E ? ? 25.00 ? 1 fx. Curb ond Gutter 34.?0 ' ZIA, NB9 5 W _ fd 156.00 ? - ? a e?a.co la7s.so) ? 4.00 34, I ? 7.50 ?+ 19.51 g 19.54 z' 6j N (876.60) J. ? S3 I 0a T? i n I 1?.W B98'60 1 hI ' i m ? ,. ? f ? ------i-----'- '----- \ 1 --- 9 --------- I---- $1y. '?Jb s _r ? 31e ?? y 3 a ? o a67 L 3 I N l 1820p I 1822 a I 12. ? ^ .41 1824 ?1826 I ? L CUR l/E OOK 3 OUT ? 0 OO ? I?0Io x(873.40)00 /36.op Q 0 (872.8) 873.9 N:.3. ..i.J E ,I^-;:.r^??r?U?? ??: vr J?'?Jtv?N?i3 k 'lIt??,? t ..( {i (864.4) 865.3 REqUE57ED BY.• Flaished Floor = 878.90 Lowest FJoor = 868.90 Garage Floor = 876.60 865.0 denotes exisfing elev. (865.0) denotes proposed elev. denotes surface drainage 826.6 denotes son. sewer serv. inv. Scale: 1 "= 30 ieet • Denotes iron monumenf found O Oenotes iran monument set 8eorings based on assumed datum. NOTE. Building dimensions reflect foundation p(an. 1 CENTEX 'r ?......./.-'. w Westwood Professional Services, Inc 14180 West 7runk Hwy 5 Eden Prairie, MN 55344 (612) 937-5150 Revised: 4122198 Add existing e/evations 4123198 Drop building elevation 0.10" to accommodote grade 77 Orawn by CwM Date: 4120198 Job No: 95593 Lot 2, B/ock 2, Building 7 P2B2101.OWG l hereby certify thot thrs survey wos prepored by me or under my direct supervisian ond fhat 1 om o du!y L', nsed Lond Surveyor under the laws ql,({?'e ate oylMinr/esA. Mortin ? We r, R.L.S. Dote License No. 2043 17'? fr'?\ nn .r- n , o?-?.. IFor Office Use CltJ of EaQaft Permit Permit Fee: 3830 Pilot Knob Road R1 7 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 ~ Staff: - - - - -J 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: 1 i /o Tenant: gharum Lam Suite RESIDENT / OWNER Name: Phone:~GLS f 70 Address / City / Zip: /8)& YJ'1r°.,,ll() d CONTRACTOR Name: BURNSVILL€ H€ATING_& N G, ING. License #:L I _S Address: 3451 W. Burnsville Parkway Suite 120 City: Rur ville, MN 55337 State: Zip: Phone9S~!-91q-(')0C Contact Person: yt r-ro- TYPE TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: NOTE': Both roof mounted and ground mounted mech Teal equipment is required to be screened by City.Code. Please contaet the Mechaalcal Iris* for drone of the Planners for informatlonon ermined scre,elii hods. - PERMIT TYPE RESIDENTIAL COMMERCIAL -X Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (-Install / _ Remove) When installing/removing tank(s), call for inspection by Fire (AC Other .J Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge). $__i TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 i the case of work which requires a review and approval of plans. X ~ IrYCL., E.x fsonajym x (-vi"ri A Applicant's Printed Name Applic n s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In Air Test -Gas Service Test In-floor Heat Nnaf Exterior HVAC Screening Inspection I From: Parsons Exteriors Inc Fax: (888) 426-9712 To: Fax: +1 (651) 675-5694 Page 13of 26912612013 8:24 Use BLUE or-BLACK ink 1-'-_7 _ - - ;For ii7f[Ice Use City Pernik of Tap I Pe"It Fe v. 3834 Pilot Knob Road 1 Gl ~ ~ ( 2 Eagan IVIN 55'122 I Date Rt iv~i: Phone: (651) 675 5673 i. 1 Fax: (651) 675+5694 l staffi; ~ L--- 013 RESIDENTIAL BUILDINGPERMITAPPLICATION. T +r datty Site Address: Lin It 1 Resident' r Owner Address .1 City l7 Ip Z_ Applicant'rs Owner cont^actor T)rpe Of Work : piescriptlori ofuumr3c° .s ConstruclJort Cost GA S Multi-Fr9iFtltly.Bu lding: (Yes 1 Iq0 company. i cc's 11V contact: A:e i a V iy llddress:' -city Contractor License t: Lead ertificate ST3-t if the project is eX 9Pt frGm lead certification. please explain why. (see page :S for additional information) !COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEs!lls' BUILDING In the last 12 months, has the City at Eagan issued a permit fora similar plan based:on a master plan? yes _N lfyes, date and address of master plat Ucavised Plumber: Pdton. Mechanical Contractor;. Phone: Sewer S Water Contractor: Phone NOTE: Playas and supporting documents that you subunit are considered to be public information. Portions of the 1ofarrrtatror t may be ~eJassiJlei~ as non-public if you provide sl~ecilic masons that would permit the City to . a ~rnclud'~e that they are ode secrets. ~ _v,. .e.._.o.. _ . _.r CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0402 for protection against underground utility damage. Call 48 fours 6 esare ~ you intend to dig to receive locates of Underground u15itties. ~A r no~~,ie~ t rnFz_ult.~ 1 hereby adviow+,iledge that this informalron is cofnplefe and accurate; thatthewonk Ml lac in tonforrnance with the ordiriarces:and cXjdes of the tatty of l=agar; that 1 uraders6and this is of a p spit, but only an application for =a perm[; and m>rk is not to start without a ineernil; that the work vnll be in ~ =dance r it 4 the approved plan in the case of worP,'v ich requires a review and-approvi$ of playas. exter3ar work aulhorizeri by a building permit Issued. in accordance with the t'44trutestata Stale Building corle must be com laced within'laO days. of permit issuance, r X Applicants Printed Narrme Applicant's ftnature Page 1. of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA122411 Date Issued:05/07/2014 Permit Category:ePermit Site Address: 1820 Merlot Curve Lot:704 Block: 06 Addition: Centex Vermilion 2nd PID:10-16936-06-704 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 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Janice A Lazarus 1820 Merlot Curve Eagan MN 55122 (651) 343-7060 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use City Permit#:Olf Eaaau +., Permit Fee: ! a 3830 Pilot Knob Road i Eagan MN 55122 APR 13 2017 Date Received: ', -f 3'i 7 Phone:(651)675-5675 Fax:(651)675.5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date:4/SY1 Site Address: 1 i I$'21, ►t29 tty Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work; 6 Construction Cost: 1 (5"QU Multi-Family Building:(Yes Pc!No ) Company:90150%--) (-vv Scl-A JKV Contact: 3,.iS1,;in S Contractor Address: 1(01.6 lvr IZtj City: LQ 1 l G�1� State:r'1'Iv- Zip:Sfo'Z-- Phone: (oft-/91, g9ti) Email: 30cs}-cr,5 e Qc✓'Scc,S1, ca,•� License#: 1 k3151 K Lead Certificate#: /v fft If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supportingdocuments that you submit ere 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. 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.copherstateonecall.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 permiit issuance. 1 x vv)rlh Applicant's Printed Name Page 1 of 3