574 Michigan CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128339
Date Issued:11/05/2014
Permit Category:ePermit
Site Address: 574 Michigan Ct
Lot:28 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-280
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Joe B Smith
574 Michigan Ct
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN Remarks Sold for Taxes
Addition Lakeside Fstates Lot 28 Blk 2 parool 10 44300 280 02
Owner z `? ? ,•' `'' ?L?-?a - , ' , , :' ! 9treet 574 M1Ch7-g.3ri Ct,. State Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. _;Z Imp. 1981 1690.16 84.51 20
STREET RESTOR. -545- 1981 1409-71 70.49 20
GRADING
SAN SEW TRUNK S'`y, 1981 280.00 14-00
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK Q 1,985 711-00 47-40 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN, 250.00 5/15/80
BUILDING PER.
sa,c 11342 -16- 78
PARK
cirY oF EAc,AN
3795 P11at Knob Rood Eaqw, MN 55122
PHONE: 454-8100
BUILDING PERMIT
To be uwd for Est. Value
Site Address
Lot Block Sec/Sub. Paroel #
rc Name
W _
Z Address Ely Dr.
? _ ':>oFl _ - r
?o Name
Z ?'
u< Addro:
?
Nom -1?i :ceier
Addreu
I hereby ocknowiedge thot I
the information is correct 4
State of Minnesotc Statute
reod this npplication and stote that
aree tn comply with oll opplicoble
City of Eagon Ordinances.
Signature of Permittee -
A Building Permit is issued t
oll work shnll be done in ac
Receipt #
N2 4942
lb
Erect 0 Occupancy
Alter ? Zoning
Repoir ? Fire Zone
Enlorpe ? Type of Const. `
Move O # Stories
Demolish ? Front ft.
Grode ? Depth h.
AoPro vois Feas
Assessment
Water & Sew.
Pol ice
Fire
Eng.
Planner
CounCil
Bidg. Off.
APC
Permit
Surchcrge
Plon check
SAC
Water Conn.
Woter Meter
?.J
Total 7 44• 50
on the express condition that
epplicable Stote of Minnesota Stotutes and City of Eagan Ordinances.
Buildinp Official
,Etue_. . -?s88 co 9 --?-D--?B KL,?-,?,-eJt ,
PMmM # Dab Imwd PawiMM
Plumbing / a a S -
Mechanical .? 7' 3 y- E-
4.19 - i- 7 n - I
3 (-r,._ )
INSPECTIONS DATE IHSP. Rouqh-In Flnol
Footings Dote ?nsp. Dote Inap.
Foundotion Plumbi ng 1 ?
Frame/ins. Mechonical ?-D-
Finol
Remorks:
CITY OF EAGAN
3795 Pilot Knob Road
Eoyea, Mlneesofo 55122
Phone: 454-8100
Dote:
SEPTIC SYSTEM
10-3-78
PERMIT
Site Address: 571+ "tichigan Court
Lot ? Block ? Sub/Sec. 7'3kegide Estates
Ste{+}.n 1???.?
Nome
? Address
CitY FaiiaR Phax:
Name
Trenchi.r
660 Cliff Rd.
No331
.
Receipt No.:
Single
Residential
Multl Res., Comm./Ind. I
New/Alter./Repair. Cost of Insinllotion
Pertnit Fee
SurcFarge
10.00
UI City _ Phone: I Total
This Permit is issued on the express condition that all work shall be done in occordonce with ail applicable State of
Minnesata Statutes and City of Eogon Ordinances.
Building Official
CITY OF EAWN
3745 Pilot Knob Road
Eogan, Minaesofo 55122
Phone: 454-8100
??.L
.
Date:
574 ?,iicltigan Court
Site Address:
Lot Block
Sub/Sec. '_nkeside P.ssLate
No.
,? -
Receipt No.:
Single I
Residentiol ?
Multi Res., Comm./Ind. I
Name "tCVe llei' i /Repoir
Naw/Alter
.
.
Address - ; r . ? c c. •. ! • .
Cost of Installation
?
, . _.
City Phone:
Permit Fee '
-
Nome ??;nz-R.,?n r
, ,..
Surcharge
.
?
-
Address _ r - -
e
s
Ciry Phone: Totol ?
This Permit is issued on the express condition that oll work sholl be done in occordance wfth all applicable Stote of
Minnesoto Stntutes ond City of Eagan Ordinonces.
PERMIT
Building Offitiol
' cIrr oF E?GAH
' 3795 Pilor Knob Roed
Eagae, Mienesota 55122
R Phone: 454-8100
.
PERMIT
Date: SeptembeY b, 1978
Site Address: 574 Michinan C,,our-.
Lot Block ` Sub/Sec.
Name ''• ?Ieim
; Addreu
O
City ;agan Phone:
Name ?-'enz P.ti?,:
.
? ?J.l?-1:TY.J SCJ• ?V.-,_."_.- 1_
No. _
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repofr r ..
Cost of InstollaHon
Permit Fee
Surcharye
City Phone: ? Total '
Th Permit is issued on the express condition that all work sholl be done in accordonce with all oppiicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Buildinq Official
i
cirir oF EAGAN
3795 Pilof Knob Roed
? Eoqen, AAinneaota 55122
Phone: 454-8100
PI•i "?;' 7 _ PERMIT
.
Date:
Sife Address:
Lot Block
Name
?
? Address
City
Name _
Phone:
No.
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Instollotfon
Permit Fee "
Surchorpe '
I City Phone: I TMaI '
This Permit is issued on the express condition thot all work shall be done in accordonce with all opplicable Stote of
Minnesoto Statutes and City of Eogan Ordinances.
Sub/Sec. _;3k
Building Officiol
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: '"• ?y (612) 681-4675
SITEADDRESS: ?APPLICANT:
f,Lk#Lr. :
Mlt':kiltiAN Ci
1nKf-'.r0F t.;rArf
PERMIT SUBTYPE:
l.Jl)flfli hl RRk I Wffi(AJ "[H?' 1 fIF
Ar+:.' -fi1fiEi
TYPE OF WORK:
1ar w
, . .; : ..
PE`;C.FtT4'1 tOPl ` (k4•.f't At. titKt Nl )
Permft No. Permit Holder Date Telaphone A
ELECTRIC
PLUMBING
HVAC
inspection Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBfNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FT(3
DECK FINAL ? ? ? A4a
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ? ,; ? . ,. ?1 t+ ? „?_ r. . • APPLICANT:
1 flt, F''fltl 1'?IAf!•'S (tili) +I?:t.--0'1"7
PERMIT SUBTYPE:
, 11. .
TYPE OF WORK:
ria KIrl r i s&nr
k : VA I +<
111,M? /:; i u F
INSPECTION
,, . . .
F-
L -.. , .
-1
I
Permit No. Permft Holder Date Telephone #
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Commenb
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notity Plumber
Const. Meler
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT # ?
PLUMBING PERMIT RECEIPT # 33 3
CITY OF EAGAN
s 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE:
TQAf`T DDI/`C. nunL§r. Aew e4nn
.Slt@
? Name
.q Addre
c City _
L Name
c Address
p City ' Phone_
FEES '
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PEFiMITTEE
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
.?
Res. New
Mult Add-on
Comm. Repair
Other
NO. FlXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.54
Whiripool - $3.00
Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: '
STATE S/C:
GRAND TOTAL:
???SC
la?
?
?
?S'?J?`I-J PERMIT
?i
`
-?-v'•
?.rr%v MECHANICAL PERMIT RECEIPT # -
CITY OF EACiAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Add BLDG. TYPE WORK DESCRlPTION
Lot Btock S c Sub Res. New
?
Mult Add-on
? Name
°-'
?
Address Comm. Repair
Other
c City Phone
FEES
? Name HVAC 0-100 M BTU -$24
00
RES
.
.
c Address ADDITIONAL 50 M BTU - 6.00
p Ciry Phone (RES. HVAC INCWDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERMIT
- 1
50 EA
.
,
-
)
TYPE OF WORK COMM/IND FEE - 146 OF. CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler . M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
SIGNATURE OF PERMITTEE
S/C:
TOTAL• '" " FOR: CITY OF EAGAN
SQ44//?-cJ v L c c
j-? V?, s? /-i -C q y?? c! S r??t G?Jl? /? ??
7 ,!s s I-Ft,
CITIf W. EAGAN WATER SERVICE PERMIT
3795 Pilot Keob Rood PERMIT NO.:
Eogon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Stze: Account Deposit:
Reader No.: Permit Fee:
1 agree !o eomply witi+ tke City of Eagan Surcharge:
Ordinances. Misc. Chorges:
Total:
BY Date Paid:
i Dote of Insp.: I nsP,;
ciry or EaQAN
3795 Pilot Knob Rood SEVVER SERVICE PERMIT
PERMIT NO.:
Eogan, MN 55122 DATE:
Zaning: No. of Units:
Owner: -
Address:
Site Address: -
Plumber. --- -
1(1Q.?n .::,;
I agwe to Complr wilh the Cify of Eugon Connection Charge: Q
Ordinanaee. Atcount DBPOSIY.
Permit Fee: ; . •• -.t?
Surcharge:
By - Misc. Charges:
Qate of Insp.: Total:
Insp.:__ Date Poid:
? cirr oF eacaN
3795 Pflet Kneb Roed Eaguo, MN 55122 N° 4942
PHONE• 4546100
•
BUILDING PERMIT APPLICATION Receipt
To be .ud f,. SF Dwlg. 8 Gar. Est. Value 52,000 Data 8/16 , 1 q78
Site Addiess 574 Michiqan (:t. Erect [E Occupanry I
Lot 28 Block 2 Sx/Sub. Lakeside Estates
- Alter ? Zoning Rl .
Percel # Repair ? Fire Zone 3
Enlarge ? Type of Const, v
? Name '5tephen Heim Move ? # Stories
i Address 4591 East Greenley Dr. oe„wrsn ? Front 58 ft.
? -3477
a9a? n Grode ? Depth 48ft.
Ci Phone
p
u a
r
rs..
nc.
Name
4591 East Greenley Dr. nswssmenr 871
78
o Addresa
Eagan
454-3477 Water & Sew.
?i
Pho?
Police
Ww Name Richard iNheeler Fire
1-w
u-u Address En9.
<w CI Phone Planner
Councit
I hereby acknowledge thot I have read this application and state that Bidg. Off. 8 lfi 78
the infortnation is Gorrect aptd a9ree to wmply wjt oll applicable
,,'oad CJly of Eagan Ord(ances.
State of Minnesota Statutef Anvro.ei. Foes
Heim 8 H
rme
Bld
I
APC
Signature of Permitt
A Building Permit is is
all work sholl be done
Buildirg Official -/
Permit
Surcharge 26.00
Plan check
snC 500.00
Water Conn.
Water MeMr
Road Unit 75.00
Total 744.50
I on the expreu condition thot
I applicoble Siate of Minnesota Statutes and C(ty of Eagon Ordirwnces.
This request void 18 months from //G 33
' 'R 0675
Date of thy's Request ? ,1 Zr?
1, as [-!?'Licensed Electrical i`ntractor?0 Owner, o heteby request jnspection of the above electri-
cal wiring installed at: ?Q, Ek_ k'-e A k.r.(' ctD
s '
Street Address or Route No. _r -L#/-City?
Section Townshipg Range County%o???.4?? "/tJ
Which is occupied by}C_J/ W!)-
la a roughin inspection required on this job? No ? Yes ItZ" Ready Now. ? Will Call g],-?
Power Supplier f??016Gc? 7&c. Address ?Fi?O&;Z
ElectricalContractor KENDRIl;K EIECTRIr Contractor's License " "Al r.-9
(Company Name)
MailingAddress 13813 HIGH NT.'i P,l i(?? .S`"'
(Electrlcal Contractor or Owner Makln9 Thls Insta (a[lon)
Authorized Signature GARY KENDRICK Phone No. . 433
(Electlical Contractor or Owner Making TMS Installation)
fC S??. 5?I'2 '6 0/,} ?? ? ?Q??q This impection request will not be accepted by ffie
v Vl ?? (?,? ?} !r U State Baard unless praper inspection fee is encloud.
Minnesota State Board of Electricity
1934 University Ave., St. Paul, Minn. 55104-Phone 645-7703 lo
` RCQUEST FOR ELECTRICAL INSPECTION 'R 0675
CHECK BELOW WORK COVERED BY THIS REOUEST
Type oi Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home
Di.plex
Apt. Bldg.
Commereial Bidg.
Industrial Bldg.
Fazm
Othec ?
?
?
?
?
? ?
?
0
?
?
? ?
?
?
?
?
? Range
Water Heater
Dryet
Fumace
Aie Conditioner
List
Rerels? ?
.?
?
?
? Tempocary Wiring
Lighting Fixtutes
Etectric Heating
Silo UNoadei
Bulk Milk Tank
Livt
?teiels? W-?
?
?
?
?
COMPUTE INSPECTION FEE BELOW
Service Entmnce Size: # Fee Feeders&.Subfeeders: e Fee Circuiis: # Fee
0 to 100 Am a V 0 s , 0 to 30 Am eres
101 to 200 Amps. 1 131 ' s 31 to 100 Am eres
Above 200_Amps. Ab e 10 . Above 100 Amps.
Transformexs 1 1 RemoteControlCirc. Partialorotherfee
Signs Special Ins ection Minimum fee $5.0
Remark??'??Y
TOTAL FEE
I, the Electrical Inspebtor, hereby cef4ify that the above inspection has been made.
(Rough-in) Date
(Final) . Date ? eJ'- 7
This request void 18 months from
0 99/ /--, ?'
C? 69467
?g,
gi
,
...
Request Date Fire o. ftougM1-in Inspection
Requiretl?
? Reatly Now4Vill Notity Inspector
? 7Yes ? N. W?en Ready?
IXicensed contractor ] owner hereby request inspection of above electrical work at:
JoG rltltlr¢ss (SVeet, Box or Rou[e No.) Ciry
J ? ?
Section No. Township Nam or No- Fange No. Counry
tit
Occupan[(PRINT Phone No,
!
Power upplier Atlaress
Electr al ConVaclor (COmpany Namen ConVac?or's Liwnse No.
J .
Mailing AGtlress (ConVdCtOr or Owner Making InStdllation)
1 A , 1 /q.?9% ????11?"/. -
Amnorizetl g ICOmractor/Ownlr Making Installation) Phane Number
MINNESOTA STATE 60ARD OF ELiBTHICIPI TMIS INSPECTION REQUEST WILL NOT
Gtlgga-Mitlwey BIGg. - Room 5-193 BE AGGEPTED BV THE STATE 80AF0
1821 University Ave., SI. Peul, MN 55104 UNLESS PROPER INSPECTfON FEE IS
Phone(612)6aP-0800 ENCLOSED.
/ REQUEST FOR ELECTRICAL INSPECTION ee-oaom-m?./
? See insfmctions for completing ibis fortn on batk ot yellow cropy. 9G/ `J V
R69467 -°X" Below Work Covered by This Request N w,7'f ? o
ew Aqd Aep. - TyOeolBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) ConVador RemeMs
Campute /nspecfion Fee 8elow:
# Other Fee # ServiceEmranceSize Fee # CircuitsiFeeders Fea
Swimming Pool 0 l0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 700 _ Amps
Signs hispector's Use Onry: I TOTAL Cy7
??
Irrigation Booms 1 f%0(f
U / J
Special Inspection
AiarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, ihe Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. F,,,ai oa ?
G' !
OFFICE USE ONLY
This request void 18 monihs fmm
1i' s reguest void 18 months from /9
` pK?? . 25 886
Date of t' Request 7c-, '
I, as U?Licensed Electrical ontractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. City?
Section Township ^ Range County4?
Which is occupied by
Is a roughin inspection required on this job? No ?
Yes 9-' Ready Now ? Will Call Q?
Power Supplier
ElectricalContractRE[vnRlCK ELECTRIC Contractor's
(COmpany Name)
Mailingnadress1_3813 HIG-H DRiVE BURNSVILLE
(Eiectn<ai C ontrac,ar o, own<, Makm9 This in,tauaaon)
432 - 5036
- Authorized5ignature GARY KENDRICK PhoneNo.
(Elec[rlcal Contfnctot or Owner Making This lastallatlon)
?C"?.? /1 `?? L3I7o /}? pf? /?' ??,U/'1?{?J This inspection requert will not he aceepted by the
JIJ /,?l ll („!C1 ll State Baard unless praper inspection fee is enclosed.
- Minnesota State Board of Electricity
- 19644,Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUESTFOR ELECTRICALINSPECTION
YCHECK BELOW WORK COVERED BY THIS REQUEST
/ '9'9
'R 25886
Type of Building New Add. P. Check Appliances Wired Foi Check Fquipment Wued For
Home [] ? Range - Q? Temporary Wuing
Duplex ? ? ? Wa[erHeater ? LightingFixtures
Apt. Bldg. ? ? ? Dxyex ? Electric Heating ?
Commercial Bldg. ? ? ? F Silo Unloader ?
Industrial Bldg. ? ? ? Bulk Milk'Iank ?
Fazm ? ? ? Li - Lis[
Othei ? ? ? p
H 15 Hereers(
COMPUTE[NSPECT?ON FEE BELOW
Service Entcance Size: # Fee Feeders&Subfeeders: # Fee C'vcuits: # Fce
0[0 100 Am s. 0 to 30 Am eres 0[0 30 Am eres 1-7
]Ol to 200 Amps. .,OU 31 to 100 Amperes 31 to 100 Am etes
Above 200 Amps. A6ove 100 Ampa Above 100 Amps.
Transformeis RemoteControlCira Pattialorotherfee
Signs Special Ins ctio Minimum fee $5.00 c)
Remarks ?O' ()C7
TOTAL FEE 400 +
S ??
I, the Electrical Inspector, hereby cer ' at ve fnspection has 6een de. /,?
(Rough-in) ? .??_ Date - a't ?
(Final) _ ?? Date .I- 7- j
This request void 18 months from
t
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
37??
BUILDING
024806
11J03/94
574 MTCHIGAN CT
LQT: 28 BLOCK: 2
LAKE5IpE ESTATES
P.Z,N.: 10-44300--280-02
DESCRIPTION:
PERMIT TYPE
Permit Number:
Date Issued:
DOOR/SIqING/WINDOWS
ding?,Permit Type 5F (MI5C.)
dartg, ao,rk Type REPAIR
1-? ?-
\?, u !i'
REMARKS:
L. f.y^t\F? ? , •?? 4=.??
`? ? iI??' i?,? W 4sa.a ? k v ?`ti?`3 C'? L^1 ?5
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
I.S c. 5earch
Total Fee
$189.09
$9.00
Fee $5.00
$203.00
$18,000
CONTRACTOR: - Applicant - s-r. LIc
MIC-GJ INC 14568287 0007775
1369 LaKESIDE DR
EAGAN MN 55123
(612) 456-0287
OWNER:
SMITH BRAD
574 MSCHIGAN GT
EAGAN MN 55123
(612)452-6919
F-- _
Z hereby acknowiedge that T haYS read this, application and' state that the
informatian iS correct and agree tn oomply wath all applicaL92e State af MrY.
L 3te[Utes and Eity pf Eagan Ordin-anees.
I
R.u A- I
T qpPLICANT/PERMITEE SIGNATURE ISSUED 8 SIGI TIJRE
1410L
CITY OF EAGAN
1994 BUILDING PERMIT APPLtCATION 4 ??.3• `!?
6$1-4675
ll
SIN6LE & MULTI-FAMILY 2 sets of plans, 3registered site s
l c
p?px
of e e rgy
rveys,
y
M
.,
L
CalCS. Q E tf??
COMMERCIAL 2 sets of architectural & structural 3-s
specifications, 1 copy of energy cal
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is chan9ed or 3) lot change is requ¢:sted once permit
is issued.
.
?
--,
Date _tl Valuation of work
Site Address: S?7d{ G-y7'-
S7REE7 SUITE #
Tenant Name: (commercial only)
LOT 1-0 BLOCK ? FSUBD.
?lN?p,}?tA2 ch?u,n P.I.D. #
pescri tion of work: 6-1 r s
The applicant is: D Owner JZ-Contractor ? Other (Describe)
Name Phone
lASTcSflIc? F1R5T c-cck
Owner Address
STREET STE N
City State /h-e^._ Zip S.r?oz?
Company Phone
Contractor Address License # 7775_Exp.?:7?
City ?? State Zip
Company Phone
Architect/
Engineer Name Registration #_
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
BUILDING PERMIT TYPE
? OI Foundation
? 02 SF Dwg.
El 03 Sf Addition
? 04 SF Porch
?.1 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
E7 33 Alterations
X 34 Repair
GENERAL INFORMATION
Const. (Actual
(Allowable;
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Ptanriing
Engineering
REQUIRED INSPECTIONS
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 7enant Finish
? 36 Move
Basement sq. ft.
Ist F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site we11
On-site sewage
Buiiuiily
Variance
? Site ? Footing
? Wallboard ? Final
?Framing
? Draintile
:2ZE
-L
0
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
vetu.e:a,:
.? ?b .
... .. +: wt?"?.
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
El 20 Publtc Facility
? 21 Miscellaneous
0 37 Dema7ish
MWCC System
City Water
PRW Required
BaDster Pump
Fire Sprinkler
Census Code
3AC Code
Census Bldg
Census Unit
Assess,nen ts
SAC 9G
5AC Units
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KN08 RD • 55122
651-681=4675
New ConstnuFlOn ReaufremeMs
? 3 registered stte surveys showing sq. Fl. oi lot, sq. R. 01 house
and aJl roWed areas f20% max(mum bt coveraae allowed)
? 2 coples of plans (show beam 3 window sizes; poured fnd. detign; etc.)
? 1 seT of energy calculattons
? 3 copies of hee preservatlan plan tl IW platted aHer 7/1/93
DATE: lf? ,/.5 "77
_ ? f n
DESCRIPTION OF WORK: -7fAdL 10910911'- '
STREET ADDRESS: S7 y %3'/E :
LOT: BLOCK: a
?
c?osT:
?
r/ Phone #: Zr/-
Name: 45?.9/- 5?
PROPERTY It First
OWNER
Sheet Address• --??/?' ? '•?' '*?i? -
Cify State: Zip:
ComPanY ?f' Phone #:
(area code)
CONTRACTOR J???J???
Sheet Addreu: 6cense # Exp.
City
ARCHI7ECT/
ENGINEER
Telephone #: area code ( )
1o-r3-
Remodel/Reoalr ReauiremeMs
C? I
2 copies ot plan
1 sef of energy calculaNons for heafed addHlons
7 sNe survey for extedor addlHons 6 decki
/
Name:
Stree't Address: Registrahon #:
City
Sewer 8 water iicensed plumber (reauired for new consfruefion onlv):
State:
State:
lenaHy appltes when,address change and lot change is requesfed once permR Is Issued,
I hereby acknowiedge that I hwe read this appllcaflon, state that ihe
State of Minnesota Statutes and City W Eagan Ordinances.
Slgnaiure of
OFFICE USE ONLY
Zip:
Zip:
all applicabl
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 ApaRments ? 19 Lower Level' ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New D 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg."' ? 41 Wood 5tove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee ? 1• a r Valuation: $
Surcharge ?-
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Qeposit
S/W Permit
S/VN Surcharge
Treatment P'
w.
Park Ded.
Trails Ded.
Other ?
Copies
Total: 113 . ?7 ?J`
SAC Units
% SAC
CITY OF EAGAN
f.ASHIEFit S 1'E'f:MINAI N0: 83
DA7E. 06/02/97 7Ii1E: 16e01ac6
ID:
NAt1Ee WOC]IiFN F:AINksOW INC
3210 3001 574 MICHIGAN C7 .`i0n00
2155 9001 574 MICHIGAN C'T 0.50
r
Tn{:a1 Receipt Amount„ 5(].50
CFiO i 4628
LISF..:R IU: NANCY
? 'CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I, N.: 10-44300--280--02
PERIVIIT
574 h9TCFIT6AN CT
LOT: 28 BLOCK: 2
LAKESZrJG FJTATEJ
PERMIT TYPE; Bu z Lo zNG
Permit Number: 030131
Date Issued: 0 6( 0 2/ 9 7
DESCRIPTION:
(REPLACEMENT)
ai-mit l"yPe DCCK
4,?;,? 7YPe NEW
? , A34 ALT. RESIDENTIAL
?,:-°:-N
? ..
?
?{' I
??a:?
REMARKS:
FEE SUMMARY:
Eiase Fe? $5m,Q0
Surcharge _? '?,.5@
Total Fae $5ae50
CONTRACTOR: - Applicant - sr. ?_IC. OWNER:
6?QODEN RAINBOW SNC THE 14528466 0006E392 SMITH BRAD
P 0 80X 702 572 MIC!lIGAN CT
?-MENGOTA h1N 55150 EAGAN MN 55122
(612) 452-8456 (612)452•-6919
. f,
.. • ? ° r.e+, rcF `??- v 1 ?E £ '2S} .: X
4,
. ??r??? ?????a???? ????•,?e ???q????t
?
4,?Vo'ab"?I?tote #f otoa
s
?.
??6tuta?s ty
X ? 7 L?M? GI3??In?? l?AA . I I?E .
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3 CITY OF EAGAN
1 5830 PILOT KNOB RD - 65122
681 -4675
New Conshuction Reouiremerrta RemodeVReoair Reauirements
? 3 regiatered ske surveys ? p cppieg o{ plan
? 2 copies of plans (Includa beam & window sizes; poured fid. design; etc.) ? 2 ske suneys (extenor edtlitlons 8 dedcs)
? 7 energy calalatlans ? 1 enefpy celculationa Por heatetl additians
? 3 copies ottree preservaHon ptan If lot platted after 7/1/93
required: _Yes _ No '
DATE: _512(,/77 CONSTRUCTIONCOST: /505)'o o
DESCRIPTION OF WORK:
STREET ADDRESS: S 7 r 4
LOT BLOCK SUBD./P.I.D.#:
PROPERTY Name: 5 rh (fh 8r44 Phone #:
OWNER ,,.. ... .
Street Address: S 7 y Ct-
City: Cu;uw State: 1??A) zip: 55 /2 z
CONTRACTOR Company: 000c( eh 2a jhEw ?) ih c, Phone #:
Street Address: FU? 7 c)2 License #: ??y Z
City: n'1 ev\jofq State: MN Zip: 55150
ARCHITECT/ Company: l;-)co&.A 12c,?+\ b?uj T"c. Phone#: ISZ"'L"
ENGINEER -
Name: SteD?z? 1AM1i?t2,r Registration#:
Street Address: I?? s CC4,5't 5-7 f h St
Ciry: MP15. State: MA)Zip: SS L/ 1?7
Sewer & water licensed plumber (new construction onty): . Penalty applies when address change
and lot change are requested once pertnit is issued.
I hereby acknowledge that 1 have read fhis application and state that tlhe information is cortect nd agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY =BY:
CeRificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
n 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
a 04 SF Porch ? 09 12-plex
? OS SF Misc. ? 10 _-plex
WORK TYPE
,a'31 New o 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
0 11 Apt./Lodging o
0 12 Multi RepaidRem. o
n 13 Garage/Accessory ?
0 14 Fireplace n
,a' 15 Deck
0 36 Move
0 37 Demolition
Sej
aA ? H
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MCNVS System ?
(Ailowable) Main level sq. ft. City Water ?
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ti 3 H
Depth Footprint sq. ft. SAC Code oI
Census Bidg i
Census Unit 0
APPROVALS
Planning Building ?S Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Unfts
. . A Jj•?•y l LN?
' t
I
N I
I I
?
?O
11
?
C-?
.1
I??LS E
;
i i
I
a ?
ELV
?
? Garage
,
?
p.P?p?er?r
LiNE
I
?I
i
i
7 ,F
10-
,;.2 D
? I
?VV
I
LoT aLac k p I
STREET ADDRESS
?T,_?ROi?F2TY LINE ?
:. ? ELV. 100 ? _---%
?
iL ? .
?
UNt-
_ ?:?
c
T ?
y??? ?0!
2I
11 1
As
BUILDING PERMIT APPLICATION
znciude a Eeta of plans, 1 site plan w/elevations and 1 eet of energy calculations.
?
7b be used for
?`--
site Address: c
Lot Block
?Owner
Aaaress
See Sub,
_ .?Z dh'
Contractor ?
Addrese <!c-C.'/ llsq?
Arch./Eng.
Address
Erect
Alter
Repair
Enlarge
rwve
Demolish
Grada
OFk'ICE USE
Date of Approval & Initial
Assessment e'?. A 311Glv
water/sewer "
Police
Fire
Eng.
Planner
Oouncil
Rldq. Off.
A.P.C.
Valuation
Parcel Number
Telephone 05y- 3 y 7 Z
?.Telephone 3`7])
Telephone
Occupancy ?
Zoning X1
Fire Zone 3
Type of Const. t/
# of Stories
Front 5 8
Depth h'
£EE3
Permit
Surchar<Je
`pian Check
snc ??n n =
F?ater Conn.
47ater ter
°-
mrar. 1 J11-o
S'S?.3s? ° `
,S >G U
?--
? S"d //?
. ,,
,
SITE PLAN
.? ?
!
1' -
?
-
UNr
?? .
?'
-- ?
° ? Nc?uSE I +It
? ef
,'? ? ? ELV Feet < _
Feet
?Garage
? I
w
°'
?.QDpE?TY
? I
LiNE ,
?'a I
a I LOT = ? B`LOC?k+ ? I
F .
STREET ADDRESS
? ?
?QNT_.i?R?i?E(aTl( ._LI.NE
BLV. 100 '
,.f?: .? _ ._ .. ........... _.. .
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 574 Michigan Ct
Lot: 28 Block: 2 Addition: Lakeside Estates
PID:10- 44300 - 280 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Joe B Smith
574 Michigan Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA090936
08/31/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115265
Date Issued:09/24/2013
Permit Category:ePermit
Site Address: 574 Michigan Ct
Lot:28 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-280
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Amanda Hanson
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 -
Joe B Smith
574 Michigan Ct
Eagan MN 55123
(651) 687-7015
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119664
Date Issued:12/11/2013
Permit Category:ePermit
Site Address: 574 Michigan Ct
Lot:28 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-280
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Joe B Smith
574 Michigan Ct
Eagan MN 55123
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
05/14/2018 10:35 7635311801 DEANS TANK INC PAGE 01
140 Inp I
Use BLUE or BLACK Ink l�
For Office Use f
City
ry
iiv p1,44 rte' Permit#: /f i i/ /t.of Eaall Permit Fee: -7_6'0 0 j /CC
3830 Pilot Knob Road
Eagan MN 55122 REC s V Date Received: i
Phone:(651)675-5675 I
Fax:(651)675-5684 MAY 14 2018 staff:
r
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 5/14/18 Site Address: 574 Michigan Court
Tenant Brad Smith Suite p:
) Brad Smith 612-3274352
Resident/Owner Name: _Phone:
Address/City zip: 574 Michigan Court, Eagan, MN 55122
Name: Dean's Tank, Inc. License 5: 0475
Contractor
Address: PO Box 22515 City: Robbinsdale
State: MN Zip: 55422 Phone: 763-535-0194
Contact: Doug Nething Email: deanstank@gmail.com
New Replacement Additional Alteration X Demolition
Type of Work Description of work: Remove underground heating oil storage tank
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.
RESIDENTIAL COMMERCIAL
Furnace New Construction _Interior Improvement
Permit Type Air Conditioner _Install Piping _Processed
_Air Exchanger _Gas _Exterior HVAC Unit
—Heat Pump
x Under/Above ground Tank (_,Install/_,y,_Remove)
x Other Heating oil tank removal
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank Installation/removal,includes State Surcharge =$ Permit Fee
=$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ 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 nota 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.
x Douglas L Nething x Des; i_ a (�
Applicant's Printed Name Applicant' i5Ignature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:C I I Co (1 SZ
Underground Rough In Air Test Gas Service Test In-floor Heat jr...Final HVAC Screening
05/14/2018 10:35 7635311801 DEANS TANK INC PAGE 02
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� % i f :::ee:
„�/'�%v. EAGAN
/4/1v53 I
Date Received: y a-19
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAY 02 Z U j Staff:
buildinginspectionsecitvofeaoan.com L
_J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/1/19site Address: 574 MICHIGAN COURT Unit#:
Name: BRAD & NANCY SMITH Phone:
Resident/ 574 MICHIGAN COURT
Owner Address/City/Zip:
Applicant is: Owner X Contractor J
Type of Work
Description of work: KITCHEN UPDATES
Construction Cost: 8550.00 Multi-Family Building: (Yes /No X )
Company: ISPIRI, LLC Contact: ADAM BENDER
Contractor
Address: 7779 AFTON ROAD city. WOODBURY
State: MN Zip: 55125 Phone: 651-842-9167 Email: abender@ispiri.corn
License#: BC627402 Lead Certificate#: NAT-20349-2
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 maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
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.
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.00pherstateonecall.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.
x ADAM BENDER x 4cianv
Applicant's Printed Name Applicant's Signature
57 q ( c h' 7 C/-
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration(Single Family)
/ Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
—
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION `�
Valuation ` /0 OD Occupancy ",r,'j `'f
' - MCES System
Plan Review / Code Edition r SAC Units
(25%_1009V ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V6----
Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: Ice &Water _Final �" Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
X Insulation Windows
J Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , , Building Inspector
RESIDENTIAL FEES €/ X
Base Fee r�
„)0.,..
Surcharge
Plan Review 11 a <<
MCES SAC
City SAC
Utility Connection Charge .cL2
x/'
Treatment Plant I
Copies
TOTAL
Page 2 of 3
\ , For Office Use
` ' ' EAGAN Permit#: 7' () 06
Permit Fee:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
:.C E IVE Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 } FEB 2 5 2020 Staff:
buildinginspections(a�cityofeagan.com t -1
2020 RESIDENTIAL PLUMBERM1-T APPLICATION
•
Date: 2/17/20 Site Address: 574 Michigan Court
Tenant: Suite#:
Resident/Owner
Name: Brad & Nancy Smith Phone: (612)327-4352
Address/City/Zip: 574 Michigan Court/Eagan/55123
Name: Minnesota Rusco Inc. License#: PC749301
Contractor
Address: 5010 Hwy. 169. N City: New Hope
State: MN Zip: 55428 Phone: 952.935.9669
Contact: Scott Ziemer Email: scottz@minnesotarusco.com
Type of Work —New Replacement ✓ Repair Rebuild Modify Space Work in R.O.W.
Description of work: Demo existing shower, install new shower and positemp valve.
Tankless Water Heater
Lawn Irrigation ( RPZ/ PVB)
Standard Water Heater
Add Plumbing Fixtures (V Main/ Lower Level)
Description Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $200 for Radio Read = $550
*Sewer&Water Permit also required for connection charges 00
TOTAL FEES $ �O
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.qopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeaoan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the.�rdinances 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 is tart withoGt 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
Scott Ziemer
Applicant's Printed Name Applicant's Si e
Page 1 of 2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176773
Date Issued:06/01/2022
Permit Category:ePermit
Site Address: 574 Michigan Ct
Lot:28 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-280
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Joe B & Nancy L Smith
574 Michigan Ct
Saint Paul MN 55123--203
Street Plumbing Inc
12107 12th Ave S
Burnsville MN 55337
(612) 419-9926
Applicant/Permitee: Signature Issued By: Signature