1828 Merlot Curve1 INSPECTION RECORD
•` GII-Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
4st7+
.. , :
PERMIT SUBTYPE:
?APPLICANT:
TYPE OF WORK:
vl r" r.,/co tS
INSPECTION .. . ..
I t•?"MARY.?
I
L ?
tNrlt.ti'?t s 1830 14URtO1 t'1lFt11F f) l AN RFVIF"Nt:(? F3Y 3111 V(?F'!?
1 ?
? _ ?
PermH No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING L1`'?-
HVaC
Inspection D Ins . Commente
FOOTINGS ?/ ?
FOUND
? GGf?
FRAMING • _? ?? ?
ROOFING
PLOUMBING
PLBG
AIR TEST
tv
ROUH
HEATCING
GAS
EST vC
^? I
Vv
?? ?
(>
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST ?-
FINALPLBG
r d
FINAL HTG
0
ORSAT
TEST
BLDG FfNAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
?
i
WerafiCQt¢ 0f ccClivQtiC?
Mm of Cfagan
ze0artmettt of $nilbiug 380echon
This Certificate essued pursuant to the requirements of the Uniform Building Code
certifying thnt at the time of issuaRCe this structure was in campliaRCe wrth the various
ordinances of the City regulating 6uildieg construction or use. For the following:
gF DWG 311L'A
ux classircr;om : BWS. Pertnit Na
O«upancy Type 7ming Distriu R-3 Type Conu. VN
Owncr o( Buildirts ORM HCWs pdNesy 124M +?f M
a?i1i.8 nae. 1828 MRLM MZVE Local;,yL 1, B2 r',?F1?M VEEHIIM 2NID
?
?: ?.
e,?;w? «r? °" ?
POST IN A CONSPICUOUS PLACE
•f'?'??
. . . .
SITE ADDRESS U Unit # Permit # ?
L I B Sect./Sub.
Cf m v10
INSPECTION INSPECTOR DATE COMMENTS
?
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F y
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LOT SURVEY CHECKLIST FOR RESIDENTIAI
BUILDING PERMIT APPLICATIAN
PROPERTY LEGAL:
LATEST REVISION:
• Registered Land Surveyor signature and company
• Buiiding PermR Applicant
• Legaidescription
• Address
• North arrow and scale
• House type (rambler, walkout, splitw/o, spift entry, lookout, etc.)
• Direcfional drainage arrows with slope/gradient %
• Proposed/exdsting sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Eristina
• Sewer service (or Proposed)
• Properly comers
• Top of curb at the driveway
• Elevations of any exassting adjacent homes
Prooosed
0,? ?
'21? ?
Z? ? ?
Er' ? ?
oio ?
? q? ?
? 2? ?
? [;? ?
? C7-? O
? E? ?
a'? ?
? a-'o
z'-o ?
12-'o ?
[?-'O ?
O 0'?
• Garage floor
• First floor
• Lowest exposed elevation (walkouUwindow)
• Property corners
• Front and rear of home at the foundation
PONDING AREA (if aoolicable)
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overtlow Elevation
DIMENSIONS
• Lot Iines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
• Show all easements of record and any City utilifies within those easements
• Setbacks of proposed sVucture and sideyard setback of adjacent ebsting structures
• Retaining wall requiremeq>, if any
Reviewed:
Janvary 1996
LR4V'i1988/BLDGPRMT. FM
DOCUMENTSTANDARDS
43 v%':* x?s??r
s'?_?'Y Cd=' !ii:hGraN
I:.iia Mf; Tf:.;:il1T1.14:`il... 't•;i), r:,
(1';..
UtvT?Ei.y: I-?!7tj!:i:`:; P41d Y:!?.i:V:f`.i;.i?.{:;i•.i ,.:,-..,r?
X,**** ,.4<w* * *wS'*?Xk?Y?>K#ak?k•x??:?k??
11, Ew f::
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..r.r•M'r.r i i , 0 .. i _:
i.i..? ?:,. ... : f.-?
r.f.?.
P7f;i`I`.i.,". CI!i.h!1?1:-X. h1C1r:N.'r5 %??v TJI'J7.S1.I)??
?c;
?_c ...... .. .. . . .. e1;:4 i?S :. .LS . r _. _. rc i'- h 6 y ? . ?f? .,: . ,...f.
..,
;"!.';c, 1.gi?£3 MI:-RLti'Y (iJfi. 381-4•6
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[;I.•I.)%i? . . . ...
,,.Y?:t:3? N.AlN:`?Y[y.W?.:.4r.k..?lf'Kae4:'.n,,:):
PERMIT
G1tTY OF EAGAN
3830 Pilot KnCb Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota55122-1897 PermitNumber: 031199
(612) 681-4675 Date Issued: 0 3/z 5/9 s
SITE ADDRESS:
1828 MERLO7 CURVE
LOT: 1 BLOCK: 2
CENTEX VERMILION 2ND
DESCRIPTION:
9 u.ij,di, n6.;PermiC Type DUpLEX
Mg V7'wr, Type NEW
R--1 U-1
6 e V-N
?att?A9 R-3
?uf1d?ng
?
103 2- FAMILY '
t .;.
?t??"???? ,k , . i
. ?
REMARKS:
INCLUDES 1830 MERLOT CURVE PLAN REVIEWED BY JOE VOEIS
FEE S ARY:
VALUHTION
Base Fee
Plan Review
Swrcharge
SAC
SAC t
SAC Units
Subtotal
$1,372.25
$891.96
$98.50
$2,000.00
100
z
$4,362.71
$197,000
CITY SAC
WAC
S & W PERMIT
S & W SURCHARGE
TREATMENT PLANT
Tntal Fee
o"
$200.00 (°D
$1,614.00
$100.00
$.50
$888.00
$7s165.21
COjVTRACTOR: _ ,qpplicant - ST. LIC.OWNER:
CENTEX CORP 19367833 2007673 CENTEX HOMES
12400 WHZTEWA7ER DR 120 12400 WHITEWATER DR 120
MINNETONKA MN 55343 MINNE70NKA MN 55343
(612) 936-7833 (612)686-5024
k. '.
?
?I
APPLIC?T/P SIGNATURE ?? D?: ONATIRE
? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? 7 I GJ?. 2?
CITY OF EAGAN
3830 PILOT KNOB RD -55122
687-4675 6J
New Construdion ReaWremeMa RemodeVReoair Reauiremenfs ..'I.?,.
? 3 registered sita aurveys ? 2 copies of Plan C„ d li "?,?1
? 2 copies of plans (Indude beem & window saes; pourod fid. design; etc.) ? 2 sile wrveys (axderlor additlona 8 0eeks) ?t??.!
? 1 energy calwlations ? 1 energy pkuladona tor heated additlona
? 3 copiee of tree preaervetlon plan N tot platted after 7/7/93
required: _ Yea _ No ?
DATE: CONSTRUCTION COST:
DESCRIPTION OF VY9RK: ? LkVFL G???z1CO?.?-T T ?'''? ?? CiGDG ,
STREET ADDRESS: I? C7U?l CZZW?-
LOT I BLOCK z- SUBD./P.I.D. #:
ktarx 0 1'.?14t .t'? O,v rWr f.wr Gs Af J f:a
PROPERTY Name: ----?2??{diid Phone #: _68'ln So2I
OWNER ?,,.. ,... • ?h-.17
Street Address: 12 ~ WA14ea4J?? b-41- SiLQ- /ZQ
Ciry: State: I"/J Zip: 5-5-3 43 ^
CONTRACTOR Company: ??- Phone #:
Street Address:
Ciry:.
5tate:
ARCHITECT/ Company:
ENGINEER
Name:
License #:
Zip:
Phone #:
Registration #: Q/Z&59'9
Street Address: `
City:
State:
Zip:
Sewer & water licensed plumber (new construction only): d9PNL7 lq4Ll-/9 . Penalty appiies when address change
and lot change are requested once pertnit is issued. -u-
I hereby acknowledge that I have read this application and state that the informadon is correct and agree to compiy wRh all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of AppiicanC
OFFICE OSE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes - No _ Not Required
/g Z 1+/;v OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ev?-06 Duplex ? 11 Apt./Lodging ?
0 02 SF Dwellingozr-?ex o 12 Multi RepaiNRem. o
0 03 SF Addition o Og 8-plex ? 13 Garage/Accessory ?
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o
0 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
,sG'31 New o 33 Alterations o 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? Basement sq. ft. -"
? Main level sq. ft. 3l0 aieW
2';?•/ sq. ft.
Q• 3 sq. ft.
? sq. ft.
4ei sq. ft. $'ZQ_IM
Footprint sq. ft.
APPROVALS
Planning ?Building
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
city sAc
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
..Y?4 i '1 • ? !
°r6 SAC
SAC Unitsr '?-
ti10??
¢Y.
? !•; i
R.
?s w i a .
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
_ Engineering Variance
?
Valuation: $ 197D00
?f,4t?v
335'?x sy =
6lE4.
r `
4r /g?,ZZy
00 /3, /Za
? LGlG
11aoa x z .
$ Z , y0°
?
yES
?/03
ai
I
?_ Z
" CITY USE ONLY
L / BL
SUBO.
RECEIPT#:
RECEIPT DATE:
NECSANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT lQ10B RD
EAGAN, DN 55122
(612) 681-4675
Please complete for all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: ? OX.E? CONTRACT PRICE: 95QD, ev
WORK TYPE: y NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%0 _??6V
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ..') u (5.50 per $1,000 ofcersnit fee due on all permiss.)
TOTAL
SITE ADDRESS:
OWNER NAIvIE: il.E_C{l ??? PHONE #: ?;[0 " /?sJJ
TENANT NAME "xovEMEN'rs oN[.Y):
INSTALLER: (?,/IL'?-C/G(l )
ADDRESS: PHONE #: - /O?"I??
CITY: &-temDU/-k STATE: ?rn,V ZIP: y?
A OF PERNIITTEE CITY INSPECTOR
CITY USE ONLY
IAT BL RECEtPT #:
SUBD. RECEIPT DATE:
1998 MECHANICAL PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PIIAT IQd08 RD
EAGAN AII7 55122
(612) 681-4675
Date•
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL SO M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install fumace
Install air exchanger, i.e. Vanee system, etc. _
Minimum fee applies to all remodel or add-ons of existing residences
State Surchazge
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: PHONE #:
INSTALLER NAME: PHONE #:
STREET ADDRESS:
CITY:
JS/FORMS BLD/IaCH PERMIi (RES) - 1998
S'tATE: ZIP:
SIGNANRE OF PERMITTEE
?
C
I L ITY USE ONLY
? - A
D
SUBD. BL ?
?
RECEIPT #: P0 1o7-RECEIPT DATE: ?/P?1
1998 PI,UMBING PERMIT (COI+A
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: all commerciaUindusVial buildings
multi-family buildings when sepazate building permits aze not required for each dwelling unit
b ckflow preventer to be installed in commercial azeaz or residential boulevards
Date: / /e Work Type: X New Bldg. _ Add-on Repair _ U.G. Sprinkler
Is Water Meter equir d? Yes No Water Flow GPM
To inquire if Pressure Reducing Valve is required on new service, call 681-4646.
FEES
1% of contract price or $25.00 minimum Contract Ptice: $ U(PV? i?o x 1% _ $
COMPLETE THISAREA IFINSTALLING
Service: Existing (if coming off domestic line) OR _ New
Backflower Preventer Permit Fee
Water Meter I" @ $185.00 or 2" Turbo @$846.00
/f "new servke" add Water Permit $ 50.00 =
WAC $ 780.00 =
Water Treahnent $ 420.00 =
City Installed Tap $ 300.00 =
SPRINRLER SYSTEM
$ 25.00
$
$
Permit Fee $ /M. &/)
??v
State surcharge is $.50 per $1,000 of ermit fee or minimum of 5.50 per permit State Surcharge $
Total Fee $ /?LI/ ? ?V
I hereby acknowledge that I have read this application, state that the information is corzect, and agree to comply with all applicable Ciry
of Eagan ordinances. It is the applicanYs responsibility to notify the property ownet that the City of Eagan assumes no liabiliry for any
datnages caused by the Ciry dwing iu normal operational and maintenance acHvities to the facilities cansWCted under this pertnit withm
City property/right-of-way/easement.
SITE ADDRESS:
TENANT NAME:
INSTALLER NAME: / ?J_/ /C //C.I/ / TELEPHONE
STREET ADDRESS: / 'T /'7`? /?f J/JU 7 / / /
CITY: ?U?.(.J7JaLCa / e STATE: My_ ZIP:.'1?
SIGNATURE OF PERMITTEE
CITY USE ONLY
COMMERCIAL PLUMBING PERMIT -1998
METER SIZE
PRV _ Yes _ No
Domestic G?
,
Irrigation
IITILITY CONNECTION (APPLIES TO NEW SERVICE ONLY)
REVIEWED BY:
43'4?
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 (Remarks)
* If gallons per minute aze less than 25, a I" meter will be required. If gallons per minute are more than 25, a 2" turbo with suainer
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 sellina meter
' Check PIMS Screen 320 for anoroval of inspection results. No meter will be sold before all sewer and wazer inspections are complete
on a new service. If new service lines are not required, 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 forwazd copy to Utiliry Billing Clerk.
* Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utiliry Biliing Clerk.
Miscellaneous Information
' The installer is ro contact Building Inspections at 681 -4675 For inspection of the inside wazer line and backflow preventer. The Central
Maintenance Division may be reached at 681-4300 for water tum-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..
JS/Forms.bld/plbg permit (comm) 1997
CITY USE ONLY
L BL ? p d RECEIPT#:
SUBD. RECEIPT DATE:
1998 PLUI+BING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZIAT IINOB RD
EAGAN, AIN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES Y ^ ' EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bafh Tub 3.00 x -
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet " minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener " tor dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x ? = a 0• U CJ
U.G. Sprinkler ' for dwelling under wnst. 3.00 =
U.G. Sprinkler ' for exisfing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Tum Araund 20.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL 26,50
-----••------•-------------------------------------------------------•----- - • -°---...-------------------------•-----------------
I hereby adcnowledge that I have read this application, stata that the infortnation is cortect, and sg?ee to compy with all applicable City af Eagan ordinances.
It is the applican4's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operationel and maintenance activkies to the facilities construeted under this permit wkhin City property/right-of-way/easement.
SITE ADDRESS: Z5 l t" Y
OWNERNAME: _P i to FVIrIOn
d-TELEPHONE#' 7?S' o?-aG a
INSTALLER NAME: rYIIVI Y1 0?<i-FC:I. Id a-Le V :1 V--Y adjnLr
STREET ADDRESS: N (lY-FWil(1, I 0 Bi vd•
CITY: CUnYI pCl D1 oL C STAT E :ZIP
?
JSIFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
/
A
Toa of Irons a Box Corners
OA 10' Offset 872.45
O 28' Offset 869.64
CO 10" Offset 865.37
OD 70' Offset 865.75
CER TIFICA TE
?
U
(ass.z)
868.66
N8901$'23"E 1
..........{
_ .............................
MERLOT I
I
?
?
U
e
?
s
[U
n
^I i nT
m
h
n
/ ? $? .?`,L o ; ??•
? V/? (aes.so ic) ?
an.ao rc)
.AM<o Tc -_ i .._....f...... ?
.... ............
? ? ? oo ? (869.70 TC) ?
; j 1,.,_. • 1 - ' B7070
°
a
858.5 ?aa ?? ... ? _--...,,__ .__•,_.,._.,_ N87°31'28°E
` ----4----
- .?.Y__4_00 ' _____ _____ 34.00 i;. 34.00'•.-..?,?
r
873.8
? 3.
A
?10.00 68.00
o
O
I
N
I
1830
1828
MERLOT ? CURVE
I g; FULL WALKIOUT
I I
7
?
? Drainoge &
i'Utility Easement
/
(870.70 TC)
OF SURVEY
cec,ac oESCRIPnoiv:
Lot 1, Block 2, CENTEX VERM/LION 2N0
? ADDlT10N, according to the plat thereof
Dakota County, Minnesota.
IS
I . ?Sid Floor = 874.2
(86??) ; ? . Low oor = 865.7
i8 ,j1 867 4 orage or = 873.2
?
Proposed CurG t 70 151p Q denotes existing e/ev.
(865.0) denotes praposed elev.
& Gut ter
denofes surface drarnage
(e70 .75 ?rc) I 826.6 denotes san. sewer serv. inv.
rc?
? i ro
m al ?m w?
T O I
?9?.00e ?q q m m
----
? - ?
? 34. C?7 i ? .
m i 40.00 ol m 6'9 °I Iv?
°I a oo a' I IN
I o I I ? o
7.00 7.00 70.00 i ?
N o, ?+ 'NQ, I N
OV V$.?V ? I
V 500
1834 I 1836 N
? o MERL 0 T? CUR 1/E a a?; ? I
FULL WALKIOUT {° I
1 I
68A(1 6' 10.001
--?
i ro.aa 66
V
seoo
-
1 (865
5J ?
O? _ v
I o I Q I
°
? I
o (865.5) 34.00
o o
$
00
°
? .
?°
34.00 2 1 74.00
____-'
I I
?
?
v
? I ol 34.00
?--?--------- __ _,
?__
?
34.
o
-?----a ;? ;-
E O
_
190.00 C \
?N
N87 3] 28 ?
V A
?
? I
Drainage & r, L 0 T 1 lo
Utility Easement
-
5 ? \'
` - - - - - - -
- - - - - - J
o `
/
Scde: I "= 30 feet
* Denotes iron monument found
O Denotes iron monument set
Bearings. baseQ on, ossumed datum.
? ?. !I 1"j' r!ry ? ? IS?O
! heretiy cer
bymeorui
/ am o duQS
low9 0l rp/ei
/
License No.
n ond that
under the
REQUESTED BY.P? ?
o 0 0
CENTEX HOMES
w Westwood Professional Services, lnc
14180 West Trunk Nwy. 5
Eden Prairie, MN 55344
(612) 937-5150
?
° - ' - - - S89 °35'42"W 229.72
Y (864.4) (849.7) ; Revised:
71311.97 Ex. Ground Elev
? 864.8 I 855.2 i
E i
3
: 3 Drawn by MS Date: 7128/97 ?ob No: 95893
i Lot 1, Block 2, Building 8
- P282LOLOKG
From: Parsons Exteriors Inc Fax: (888) 426-9712 To: Fax: +1 (6511675-5694 Page 14 of 26 9/26/2013 8:24
Us. a eiLUE or BLACK lark
1. For. ft'ice Use - - t
Permim.
Eap I l I~y~b 1
#P,
I
city
•a
Pefrnrt Fee:-.
3834 r itot knob toad 1
Fagan ]VIN 55122... ' bateReed'96d:
Phone: (551)6'7'5-5675 1
Far, (651) 675.5694 a#aft
L.
of 3 ESIDE TIAL UIL DI PERMIT APPLICATION
Date: Site Addres Unit.
F
rte' !?hnrre: s
Name.
'Residentl
Ovsfl"!ei" Address tCity l:Zip-
, '
i
Applimpt is Owner Cantractctr
f Desoription of work:
Type of Work
Construction Cost_ y Muhl-Famify Buil 6ng (Yes ! No
s~
compan ar ~d'fL contact Pftjc e~
Address: 1a
Contractor
Stag; dip: ` Phone
-76 3 Iq 71
License (!&3J 7 71Lead Certificate
If brie profect is axe ptf m teats certification, pleasta ex lain wii . See Page 3`foraddi5onal nfatmation)
u I t:T t ? `
COMPLETE THIS AREA ONLY IF CONSTRUCTING Az NEW BUILDING
Its the last 12rhonths, has the City of Eagan issued a permit for asimilar plan based can'a masterplan?
Yes No. If Yes, date and addiress of toaster plon;.
Jeensec# Plurnbpr: phone.,
Mechanical Contractor- Phone
Sewer Water Contractor: Phone.,
ser Pe.....;.~rtfndoc.,M
iVt3T ,Flans arrd uman-ts that you submit are considered to be public irrFolmaflon. Portronm of
the information may be class fled as 17op-public if you provide specific reasons that would permit the City to i
conclude that they are trade secrets.
CALL BEFORE YOU DIG, Ca3! Gopher State One Ca# at (651) 454-0002 for protection against {irideigrourid utility dam4t,. Qalf 48 hours
before you intend to dig to receive locates, of undergro ncr Wities. ac?~ .rn?c;N orr,
I hereby acknoomledcge that thls Hormation is cotoplaieand actuate; that the work will he in conformance vdth the ordinances and code5.cf the Garr of
Eagan-, That I Unde.-sl nd this 45 not-o- permit, =1 only ~n application for a {pelt, and work rs not 10 start Vithourt a pent ?t:::that the wDrk wdH be in
accordan-e vAththe approved plan in the rake of wuork.which requireq a review and approval of plans,
Ext6dor work authorized by a building permit issued in accordance wilt the Minnesota State.Buifding tCade m ust tie w ripleted Within 180
days of perrttit issuance,
Applicari Printed Marne - Appt imrs Signartwe
page 1 of 3.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA122055
Date Issued:04/23/2014
Permit Category:ePermit
Site Address: 1828 Merlot Curve
Lot:805 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-805
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Jack M Bellville
1828 Merlot Curve
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA122056
Date Issued:04/23/2014
Permit Category:ePermit
Site Address: 1828 Merlot Curve
Lot:805 Block: 06 Addition: Centex Vermilion 2nd
PID:10-16936-06-805
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
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 -
Jack M Bellville
1828 Merlot Curve
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
(11'+ O�!1 Eaali` :::ee
: 1 /6(e.a�
3830 Pilot Knob Road
Eagan MN 55122 APR 3 ���� Date Received: 'j43-17
Phone: 651 675-5675
Fax:(651)675-5694 Staff:
V J
r 1 2017 RESIDENTIAL BUILDING
PERMIT APPLICATION
/
Date: `tf S7 11 Site Address: I'M p�� C` r'e( 10-t- Unit#:
Name: Phone:
Resident!
Owner Address/City I Zip:
Applicant is: Owner Contractor
Type of Work Description of work: - 6
Construction Cost: c000 Multi-Family Building:(Yes 8( /No )
Company: ParSnv---S C nNix K0, l hr Contact: ,A09-11,--
contractor
A0c1 Contractor Address: C 1..01 b I—Uro City: C
State:Jyj,3 _Zip: -c 017_ Phone:(.0k1-IDK).- ' `Y1iEmaii: Jos -5j€ e sons I-
//IfLicense#: °'J�(4�'�,'7 Lead Certificate#: A-)//t-
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 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. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Buildin ode must be completed within 180
days of permit issuance.
x
Applicant's Printed Name
Page 1 of 3