3801 Mill Run CtI
?
\
. ?
.a . ?.
BLDG. RERMIT Np
01-3210 Bld
S. Permit
01-3422 Plan
Check ?
01-3445 Surch./Adm, f ? GC?
01-3446 SAC/Adm, 01-2155 Surcharge
1) -3860
, Road Unit
20-2275 SAC .--
20-3865 Water Conn.
20-3868 Water
Tn"t• l > i i
20-3716 Water
Me[er 20-2252 Acct.
Dep,
I ?
20-3713 Water Permit ?
20-3743 ?
Sewer Permit i
79-3866 Sewer Conn.
11-3855 Park Ded.
I?
---?_
TOTAL ?
i
i '
i
I
?
??. CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19 r?
RGCEI V ED
FROM
AMOUNT $ I.
& DOLLARS
+oo
E] CASH ? CHECIC
FOR 306I
?
? . , ._.. ? _ . .
?
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
??41 BLDG., P•ERMIT N0. ,? ? G - ,?f?:!,? - - ? - ? 7,?a4&,
.
,
01-3210 Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SACIAdm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20=3865 Water Conn.
,
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
?
. . . .
.
?..,.
(Itx#iftrate uf (Orrupttnry
titp ot (Cagan
Drparbmrnf of ludbing JWprtian
77iis Certificate rssued pursuant to the requirements of Section 306 of the Uniform Building
Code ceMifying tlrat at rJre time of rssuance this structure was in compliance wirh the various
ordinances of ihe City regulating building construction or use. For the following.• N
Use Cla'ifintioo 'C DWG??'+AR Wdg. Plrmit No. I1990
Occ„v111Cy Trx R3 yooms Dow R!2 iYve COOS- v
owner or eudding R3M Iuw-q Add= 5516 PRIOR LAK`'.
?`x :I h'[1u F?? I.6, B 11, K:?MDT F,TD[E
euilmng naam Local«y
/
suaaing official
o.te: `fAY 14, 1988
POST IN A CONSPICUOUS PIACE
MODEL HdME - NO C.O. GNTIL 13990
PLANNING APPROVES CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
# ? r?r
BUILDING PERMIT PHONE: 454-8100 Receipt vQ ??
To be used for SF DWG/GAR Est Value $66,000 Date JULY 29 1987
SiteAddress 3801 MILL RliN CT OFFICE USE ONLY
Lot 6 Biock 11 Sec/Sub. BRIDLE RIDGE
On Site Sewage
Occupancy R3
_RT_
MWCC 5ystem X Zoning
Parcel No. On Site We11 Type of Conat v
Clty Water X
(AClual)
m
Name R.S.M. HOMES _
(Allowable) v
W
=
Address 5516 180TH ST E # of Stories
Length
T+1
o City PRIOR LK Phone 432-2440 Deptn 46.50
S.F. Total
o
Name S?
Footprint
S.F.
,
0 ` Address APPROVALS FEE3
? City Phone Rssessments _ Permit * 384. SO
33
00
Water/Sewer Surcharge .
?
yVj W NBme Police _ Plan Review 192.00
?? Address Fire = SAC,City 100.00
Engc SAC, MWCC 595?0
` W City Phone Planner _ Water Conn. S? S np
l
I hereby acknowledge that I have read this applicetion and state Counci
BIdg.Off. _ Water Meter
_ Road Unit 67. 0
305. 0
that the information is correct and agree to complywith all appticable APC - 7reatment Pi 180. 0
State of Minnesota Statu s a C' of Eagan Ordinanc s Variance _ Parks
\ Copies
Signature of Permittee TOTAL $2,311.50
A Buildin Permit is issued to: R. S.M. HOMES
?I6v?l?s1all b?e in accordance with all applicabl , ta e of M on the express condition that
in ota B tutes and City of Eagan Ordinances
Building Official
s
,
. I F AGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PU C/0 UNTIL BUREMM 'ApPRVVM, HONE: 454-8100
BUILDINC PERMIT (= SrATiw? Receipt ?
To be used for Est Value Date
SiteAddress 3$01..
Lot Block ??. Sec/Sub.
Parcel
1C IVSR
Add
° City
o °C Name .
? 3 Address
P Etty Phone
City Phone
I hereby acknowledge that I have read thia 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 Permittee '
On Site Sewege _ Occupancy
MWGC System Zoning
On Site Wetl _ Type of Const
Ciry Water _ (ACtuan
(Allowable)
* of Stories
Length
Depth '
S.F. Total
Footvrynt S.F.
FEES
Assessments _ Permit ?
WatedSewer _ Surcharge
Police _ Plan Review ,-y
Fire _ SAC, City
Engc _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment Pi
Vartance _ Parlcs
Copies
TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permlt No. Parmlt Holder Date Telephone #
'Plumbing
H.V.A.C.
e
MA
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing ?
9 /4(-F7
Roofing
Rough Plbg. ?/ _
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. •
Bidg. Final
C@rt.OGC.
Temp. LP
Deck Ftg.
Deck Frmg. QL. ? ? COOr- 4W)o., r (, ? Z 1sc?;? 1?
weii oK l?- ? 4 QS
Pr. Disp.
' PERMIT #
• • PLUMBING PERMIT RECEIPT ti
CITY OF EAGAN
3830 PILOT KNOB FiOAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot 4 Block f i Sec/Sub
? Name ?
? Address ? .?
c City Phone - ? 21'
a?
c
3
O
Name _
Address
City _
Phone
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8. CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.OQ
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - ,50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CIN OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. X New -?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TOTAL
Water Closet - $3.00 S
-/-_Bath Tubs - $100 '
-L-Lavatory - $3.00 '
J Shower - $3.00 -' ' -
Kitchen Sink - $3.00
Urinal/Bidet - 53.00
' Laundry Tray - $3.00
' Floor Drains - $1.50 i ?
-L_Water Heater - $1.50
Whirlpool - $3.00
% Gas Piping Outiets - $1.50 ? .
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?3 Rough Openings - $1.50 `
FEE '
STATE S/C:
GRAND TOTAL: ??? ? ?'
CONTRACT PRICE
Site Address -4::? ; C
Lot _6-_ Block
? Name _
co Address
c City /L
Name _
Address
City _
TYPE OF WORK
Fvrced Air
Boiler
Unit Neater
Air Gqnd.
Vent
Gas Piping Outlets #
Other
PERMIT # MECHANICAL PERMIT RECEfPT #
CITY OF EAGAN 3$30 PILOT KNOB RaAD, EAGAN, MN 55122 DATE:
PHONE! 454.8160
7?M BTU
M BTU
M BTU
M BTU
CFM
?
FEE:
S/C:
TOTAL:
BLDG. TYPE
Res. ?-
Mult
Comm.
Other
WORK DESCRIPTION
New -x_
Add-on
Repair
FEES
. •
RES. HVAC 0-100 M BTU • + -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C OIV NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) -, 1.50 EA.
COMM/INQ FEE - 1o/a OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDaS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODEL5 - 12.00
MINIMUM COMMERCIAL FEE _ - 20.00
STATE SURCHARGE`PER PERNIIT - .50
--- -' -- - •___? ?1
_ . _ ..?.__ . j ? ? ?,-/ . ? .. -•?,?,?
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
r, -- `? - `? ?; -• i= i
CITY QF EAGAN Permit No: ' Date: `
3830 Oilot Knob Road Meter No: Size: 5 8?? oC
P.O. Box 21199 Reader No: Date: f?
Eggan, MN 55121
?nre?
Owner,
SiteAddress: `:?il'• '!i11 1%nn_ Court L6 i'll2rie :i:lLe
Conn. Chg: ` `2')-00pd
Betore d199h"i?? +?ttI1tIP,5 -
Acct. Dep: a e ore ? ,?7?ft?,??S FiL-
Permit Fee: 1-i> - tlE?nci '?EL?p
5urcharge: A r&% 40lth !he City of Eagan
Tr. Plant -Q 0 ?d Ordlnances.
Meter. F7 : pord
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: `?'•4C Date: 01--29-87
3830 Pilot Knob Road B/P No: Date: 7-30-"7
P.O. Box 21199 `
Eaga% MN 55121
oc.
SitB
MWCC; D? ?. k??3pd Zoning.
City Chg: 1?O. 00p?' No. of Units: `
Acct Dep: 15'00Pd
Permit Fee: Z 1 agree to comply with the Cify of Eagan I
'?• ?'b34
Surcharge: . 5 `31:3 Ordlnances. i
SEWER SERVICE PERMIT
This re0uest vaitl p
18 months trom 9?j/AyD?p -7
D 21366L6 611.
Reques/1,? Fire No. qe9p?ied7ln er,tion ?ReatlY Now hil Will Noziiv Inspec-
y?
? Yes ?No lor WhPn qeady
? l.icensed Electrical Conlractm 1 hereby reduast inspection of ebove
Ow^Pr electrical work installad at:
Streei Address. 0ox or Route No. ' City
ecli on o. Townshi0 Name or No. RanAe No. County
Occuo- [IPFlINT)
S
n Phone No.
.
t
z
/
., C
41q6
,
Power upolier
M Adtlress
Elechical Conlractor IComp? n Namel Conlractor's License No.
.(??r?UC. l? U Cl
Mailinp Ad ress IConiractor or Owner Making Instailationl
67s ?v i, - ?Q m
Author' d Signawre IContt to /Ow Making Ins[allaUUnl Phone Nu
mb
er
\ /
'
/
C7 lCJ? CO J ?
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTIDN NEQl1E5T WILL NOT
Griges-Midwey BId9. - poom N-791 BE qCCEPTED BY THE STpTE 90AflD
1821 Universitv Ave.. St, Ppul, MN 55104 UNlESS PNOPEP INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION e/sy-ooo/oi-os
JV% ..? 1 Sea insbuc4ons lor com0latirp this form on back of yellow coPV.
D 21366 "X" BeloW Work Covered by 7his Requesf
ev4 Add 11eD. T,yoe o1 Bailtline Aovliantea riired EquipmeN Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fi.tures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unlunder
Industrial Bldy. Air Condi[ioner Bulk Milk Tnnk
Farm onniq peci v -T, ht?I lSnec?tvl
[hnr SpecifV Other Other
ompute lnspection fee Below
k Fee Servica EnbanceSize H Fee Faxders/Subfexders # Fnx Circuits
Z Cb U to 200 qm s 0 to 30 qm s 0 to 30 Am s
Above 200 qinpy, 31 to 100 Amps 31 to 100 Am s
Swinuniny Pool Above 100_Amps Above 100_Ampa
Transiormers Irrigation Booms Partial-0t
Signs Special Inspection M?15
TOTA
pe?rks
_
L EE
•
Nough-in
V ? a Df
r he EI nical
I spector, eb
y
certilv thac the bove
Final inspaction has been
maa.
Thb repueat volU 18 montlu hom
1???910 .?'/!? o fL
0 . 70 635 ?
,16,1i.,??
Request / /?
?//?
[ C ?.? Fire No. Rough-In Inspection Fequiretl 19
(Vou must call inspec[or wh reatly)
? Ves No Inspecti n piher Than Rough-In
eatly Non ? WII Notify Inspector
ate ReaGy
I licensed conUactor ? owner hereby request inspection ot a6ove electrical work at
Job Atltlress (SVeeC Box or Route N?a) n
/I / //?? ?'!?? Ciry
?
Section No. Township Name or No. Range No. Counry
l
Occupant?PR TV) 0 Phonepla.w?
?J
Power Supplier Atltlress
EleclricalConVacbr(Co,Ra??ison Electric,'nC.. ConVaclotsLicense?i?oo8o8
?
MailingAtltlress(Contrec?525aNMUlfte. N., Golden Vailey, hMl 55427
Authorizetl Slgn re (C r r M??ng Installation) Phone Number ?-3n21 UnO2s? av8e.? 5
, S Paul, ?MN 8 55104 ICITV II NII I'll II II III I'IYII ? pp II I n?? 8THIS NL S5 I T
PROPER INSPECTIONFOEE IS
G
II! UI u I II I P?? N? 'WI
REqUEST FOR ELECTRICAL INSPECTION
e ?d ? ?.: ?- o ?
See insWCtions for completing this brm on back ol yellow copy. s?
' r
0 070 6 3 5•°X" 8elow Work Covered by This Request ?='Z,,V
Ne Add Rep. Type of Building kp?mances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer Load Management
Comm./Indushial F nace Other (Specify)
Farm Air Conditioner
Other (spacify) ConVactor's RemarkS
C/
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee
Swimmin Pool 0 to 200 Amps f 0 to 100 Amps
Transformers Above 200 Amps Abov 100 -Amps
SI OS Inspectors Use Only: --T TOTAL
Irrigation Booms 'GJ
Special Inspection ???
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fae COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
A
f Aouyn-in oaie
ce
i
y that ihe above inspection has
been made. . Finai
OFFICE USE ONLV
Tnis request void 18 monlhs fmm
0 CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
& ooLLwws 00
? CASH ?[cHECK
1
I
•OR T // ?/ . .?!J O I
PUNO COOE PMOVNT
J 13 V ?
?c? 73 /o o
?0 3713 ?O c??=
o I ?i5 9
c? ? aa
Thank You BY?d
N2 _ 77796 ' White-Pavers Copv
Yellow-Posting Copy
Pink-File Copv
-EAGAN, MINNESOTA 55122
`? ? Z ESEDPxyr+ 3 LEVEC. ? ? ?lI ,?',tico?, ,C?;
M- HEAT 1055 CALCUlAT10N ° YEMP. DIFF. -
Gutanw Nrm . TypwConsnKtbn . .
1Nind0?ri - Storn? Srr?
? -
WIN
Drh? N? Y . .
cei?? _
??M ?--_ ?? .
pry Fbor VL7 . Aeoin anph 2. wbnr Z ?.I naom I L wwtl? 01
w:?..?nw and Ooora-Gaekaw and MM . NfMdow? Doon-G?p? MA N? v
? MI?M
M y?1y M?r?1??
01 MM N? 01 '. L??1?1 1?.
? ?? N??M? • „
1
C.MI. BtY
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Guu ? ISOI
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Ne es0. wall .?.,
L? Q V
lec wlY '
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plow 2 O
11?.
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3
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.
...?.._,---... .. . ._.. _ ..
rv.
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Ine.
HEAT LOSS CALCULATION ° YEMP. DIFF.
CuatonN?lhnM TY" Conanictlowl
ptY WiMar? Starm Smvls
Owqr tdan0. vwlM . r - - InL
SvNt- - Wltnq Jnr. -
CkY flox
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NO W?M
er wwM?
m Na. M ? L??111.
• a ?M.
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'
CA0. BtY
In}iItnMOn 4901
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wanaeW.
IN, ri1F? INNM 1N. M LItiM N. .
A
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9lY
IMihration
G4r
Exo. we11 ^
NM nP. wall
lm.wNI
CNlinO
flear
7oW 8tu. I
FI.I RaanlLwiph 1Nid?b Maid?1
windew and ?mra.d"iad?ir rfd Ivr
? .N1w? MMM? IM. N ?1?111.
Cod. 111"
• l111+hrnim .
G+M G)2/?W` ' 4
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iM...n rt 4 t
t„rrq
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flap
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**************?*********k
CITY OF EAGAN
APPLICATtON FOR PERMIT
SEWER AND/OR WATER CON(VECTION
t.rrcJ7,:. PA'PfFar oF F''EE aT `rLklE C
APPLICATICN DQFS Ndf COPbZZ=
APPRWFIL OF PFPML'r.
INSPECi'ION OF SES++nIIt AAID/Ci WA'[y
TT1S'ITAT.7.ATTONS F7IIZ IxYP $E $(nZ'
ULM tJNrIL PFRhII:T AAS REEN
APPRt7AED. '
P ease Print)
? 1) PROPERTY ADDRESS : o
LEGAL DESCRIPTION:
2)
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRUCiLTRE, DATE OF ORIGZNAL BC'ILDZiZ pE.4MIT ISSL'ANCE: '
(Nbntn/Year}
PRESETTr ZONING/PROFOS"D L'SE:
U CCMMERCIAL/RE,TAIL,/OFFICE
Q IbIDCSTRZAI,
F-I INSTIZS7TZONAL/GOVERNREN'i'
_n?R-1 SINGLE FAMSLY
Q R-2 DLPLEX (Two Dnits)
? R-3 TOWNfi00SE (Three + Units ) ( L?nits )
? R-4 APARTTIFSIT/COPIDCMINILT1 ( L'nits)
NAMB: L?lk-c- 67,Q
ADDRESS:?S,d
CITY, STATE, 2IP: ?in„rrs? m..?• ,?S 7?
PHONE: Q-? ? O O
3)
NP1'?IE:
ADDRESS:
CITY. STATE, ZZP:
PI30NE: MASTER LICIIVSE$ 6 6.2? F?7 /YL ?
? Active
EScpired
Not recorded
gta.f± Initi'al
4) •..u• ? `r,7a: , ___--
N.atiL:?CfJ /Yi ??., e ? L _,ZY1 L _
a
_ ADDRE55: /L, -? ?B ?i• ,S ?7'c?'f ? ?
CSTY. STATE, ZIP:4r;?ir
PHOi,M: ?'/
5} !i:)1 YY" I:I[M: •?I•! :I:1/
M'CC',,n=ION
i-? M CITY SE'r7ER ?r3? CONNECI'ION TC)
i?.._a ? CITY WATER ? OTI?R '
6)
?
1
??;'•?[d; ?- ?;?- ? PLEASE HOLD APPROVED PERMIT FC.LR PICK-OP BY ONE OF ABtJVE --" -
PLE.?SE MAiZ, APPRCJVID PERh1IT 1U 1, 2, ?, 4. AEOVE
?.. ?
. , , (Circle one)
FOR -ClTY IJSE ONLY .
PERMIT # ISSUED
Pd w/B1da. Permit
S
$
a
c
FEES:
$
$
c
SEWER PERMIT (INCLUDE SORCHARGE)
WATER PERMIT (INCLODE SL'RCHARGE)
WATER METER/COPPERHORN/0[:TSIDE R:?DER
WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?:`> G n ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ TRC'NK SEWER ASSESSMENT
$ LATERAL SENEFIT/TRONK SETdE3
$ LATERAL BENEFIT/TRLNK WATER
$ WATER TREATMENT PLANT SURCHARGE
7 $ OTAER:
$ I •r3 CI .7 '?? ? $ l/ /, z?, ?? TOTAL
_ 76-
' ,.77 r l?
;ir.Cc;1P7
n RECEIPT
?OES UTILITY CONNECTION R°QUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
? ROADWAY" MUST BE ISSOED BY TAE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
'C'BJECT TO TH° FOLLOWING COPdDITIONS:
,PLtOVED BY:
mITS,E:
D?TE:
4 'N 13 ffi
1987 BDILDING PERMIT 9PPLIC6TION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATSS OF SIIRVEY, 1 SET OF ENERGY CALCOLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATfi WHICH ADDBESS
IS DESIRED. NO CHANGES'HILL BE 9LLOWED ONCS BIIILDING PERMIT IS ISSQED.
MfJLTIPLE DNELLINGS - RESIDENTIAL RENTAL VNITS FOR SALE OB6ITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SQRVEY - CHSCB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS '
COLMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
-
To Be Used For: Valua tion: Date:
-7^ ?.O -d' ]
Site Address J OFFICS IISB ONLY
Lot ? Block On Site Sewage_ Occupancy K-3
MWCC System J Zoning
?
Pareel/Sub On Site Well _ Type of Const
City Water ? (Actual) ?
Owner ? , S , ?, ?}'p rY\PS (Allowable)
Address ssS \lp Y
? Uc?? S? c-. # of Stories
Length
?.
o,
City/Zip Code ?C ?Or va? Depth
S.F. Total .Q6.5
Footprint S.F ./q 2?6
??? z g 4 o
Phone APPROVA)G EEES
Contractor Assessments Permit IT
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC, City ?
City/Zip Code Engr SAC, MWCC 55L.S
Planner Water Conn
Phone Couneil Water Meter 6 7
„ Bldg Off Road Unit , 6 S
Arch./Engr. APC Treatment P1
, Variance Parks
Address Copies
TOTAL
City/Zip Code
?
Phone #
od
.- ,
Hedlund Engineering Services 9201 Eost&oominyronFr..?
ftomiw?wt,mbnosm 55420
LanO Surreyon Clvll Enpineers Land Plonners PAono: 888-0269
?" sur?vve?or?s G'ert?,f "?cate
? BOOK _ PAGE _
JOB 140. $7R-433
SyRyEy Fpq; R.S.M. Homes Inc.
OESCRIBED AS: Lot 6, Block 11, BRIDLE F.IDGE 1ST. ADDITION, City of Eagan,
Dakota County, rlinnesota and reserving easements of record.
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OP OF FOUNDATION =ROB.ti
MI LL R U N GARAGE FLOOR = 9ab•9
BASEMENT FLOOR = 905•5
COURT SEWER SERVICE ELEV. =N/A
PROPOSED ELEVATIONS
EYISTING ELEVATIONS : -
L[tAINAGE DIRECTIONS :_--?-
DF.NOTES LOT CORNERS :O
T17Nf1TF.S (IFFRRT RTAKR• n
LGRLLru.plt CF SIHVEL. I Mnby certify lhaf this survey, plan or nport was pnpand by me or under my direcT
supSn?falon md tAOt I om a duly RepWaod Lond Surreyor under tbs laws of tqe
Staft ot Minoesofo. „
o Dafe: 1 /13 / an
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No.143T6
: r qSM HOMES. ING
G(TEAZOA GJrV«LCF2 AYF:RAGr, "U' COp'06"74111PHY LqKE BWQ,'
PRIGR W(?, MN. 66A? ., AN??ER
s=TE napRess a r r?
CQNTRAGTQAR. 5.ir?,S/tla?'S
Aetermine working aqu4rQ raAxagg wr 44cbq ?
l. TGt#i expoaea wail area ...,
. ./ • ? "?
.
2. Tox4j rqoP/ceiling area .... u ?&'
,
Tatal exposed Hall area aqaye tloor w
f
? as Total wall rrinCow 4rea ?,,
D
T .
.
.
otal door area
, •........7rr1}???.?• Q Ct Total sliQing glass area
d: Total fireplace wall area
.r...e•.1?
t,r
,; . e, TotAl wall Praming area (average : yvY'.a. 1
t. Total net wall area apcve tlaor
R
Total
i
.
r
rr aoist area
,. . _ 0 q ....,.t .0 .0.r.9 ,•??,•?i,?;
,? .
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iy
Total exposed roundt?tipq srea •? y?,.
h. Total foun3ation rrlndow area ..,...,,,,
1. Total net foundatloq area abave grad@
? • "
"4
. h
`
Determine IV yalue of each aall 15ecmeRC, 1 I 1
;
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X „
a
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X IIV{i
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... 3......... ..................................?r?Pt1l.? ti.. 1 5r t .i
Ir item ,Y3 ss the same ps, ar lesa tban ?Geiq 4'10 Y4u hayR; iAeQ
' intwpt of :9C 6006(c)2
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?:.
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Tvtai exposed roor/peiling 4rea • ?
' ' "
,
J, Total akyllght area .... ...........
...
k, Total rooF/celling framinq area (avera?e
'
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atal nat Insulatea rovt'/ces?.inc are4 4
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AeC0rmine 'U' value tvr each pvorlGelling scfawn;.0';
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If tctal or ,a4 i ?G ?.??,?c?a,? t
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s the same as, ar leas Lhan yPµ
3ntent of S6C 6006(0)1. haYa. plO?i Tjh?
.
,
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Alternate 8u1Idis1g gtlvelpP@ A@64F•A
To.uLl.lze the total enVelope systera raeC.yoci, the v41
bY the sum of `SCems N3
d
4 ue3;e§t#p34s4e0
an
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shall not Ge creaoer C
lterra dl and ti'2 hoA xho? .; ;,• ;.: . -.
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SINGLE F9MILY DWELLINGS
2 SETS OF PLiNS
3 REGISTERED SITE SDR9EYS
t S:'3' OF ENERGY CALCS.
1989 HOILDIAG PERMTT APPLICATION
CITY OF EAGAN
1.394 0
lIDLTIPLS DflELLINGS
2 3STS OF PLANS
9fiGISTEAED 3ITE SOR9EY3 -
(CHECB iTITH BLDf1 DIV.)
1 3ET OF EHERGY CALC3.
MULTIPLE DiiELLINS3S AENT9L UNITS FOR 3ALE WtITS
?
COZ4ERCI6L
2 SETS OF dECBIiECTUR9L
& STROCTURAL YLAN3
1 3gP OF 5PECIFICATIONS
1 3ET OF 8NER6I CALC3.
1 OF UNITS
BOTEs 1DDRESSES POH CORNSR LdTS - CQRTBACTOfl/HOMEOiiNEA !lQST DESIGNAiE WHICB ADDRFSS
IS DFSIRED. NO CHANGFS i1ILL BE ALLOflED ONCE BULI.DING PERMIT 23 S330ED..
3E{iER 8 iikTER PEAHIT FSES iAD ACCOONT DEP03IT F6ES iiII.L Bfi INCLODED i11'P$ THE BDILDINf3
PERl4IT FEE. PAOCE3SING TII7E FOR SEHER lAD WATER PERMITS I3 Ti10 DAYS [RICE A PERMIT H63
BEEN COMPLETED IIiDICATING A LICENSED PLUMBER.
PENALTY APPLIFS HHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQIIESTED.
LOT CHANGE IS REQQESTED ONCE PERMTT IS ISSUED.
ju1l 0 i qR18e
To Be Used Fors OZcv- Valuation: Date: iftMf Swt 1, 14Pj
Site Address 3901 r'??"'- Rw C-T.
Lot (o Bloek I1
Parcel/Sub ,,,32ioA?.
Owner L
Address _34;?0? 2,,,,, cT:
City/Zip Code SSIZL
Phone 2 N _C-)
Contraetor 1 uo?. ,?c ?'.a?z
Address 142-2-q M)2 _
Citq/Zip Code Ae- r.N SS12Z
Phone (?Q 7 .. o 12 1
lrch./Engr. S4? s As ts.TFram:me
Address
Occupaney
Zoning
Aetual Const
Allowable
! of stories
Length ?
Depth '
S.F. Total
Footprint S.F.
On site sewage
On site well _
MMTCC 3ysLem _
City water _
PRV required _
Hooster Pump -
APPAOVALS
Planner _
Council
Bldg. Off.
9arianee
City/Zip Code
FEFS
Bldg. Permit
Surcharge
Plan Aeviest
SAC, City
SAC, MWCC
Aater Conn
Water Meter
Acet. Deposit
S/W Permit
5/ii Surcharge
Treatment P1.
Aoad Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
?
Phone ll
nd
yon
9201 Eost &oortwnaton FrMroy
eaommaton, wm..uw aasxo
Phone: 688- 0289
0 > ..
g00K - PAGE -
J08 N0. 87R-433
4lRVEY FOR? R.S.r9. Homes Tnc.
aESGA19E0 AS: Lot 6, Block 11, BRIDLE F.IDGE 1ST. ADDITION, City of Eagan,
Dakota County, Alinnesota and reserving easements of record.
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. $
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Engineering Services
Clrtl Enainfara Land Plannen
su?ver?or?s G'ert?f?cate
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OP OF FOUNDATION c
M i LL R U N GARAGE FLOOft _
9os. S
pASEMENT FLOOR _
COUR T SEWER SERVICE ELEV. = NIA
PROPOSED ELEVATIONS
EYISTING ELEVATIONS : -
L[tAINAGE DIRECTIONS : -?
DENOTES LOT CORNERS :O
DYNOTES OFFSET STA6E:o
SF+RTIFICATE OF SURYEY
I Mnby cotfify Ihaf this suntY.plan or "port Mas pnpond by me or undsr my dincf
suprrviaion a?d tbol I om o duly Reybtend Land Surveyor under 1ne lorl ot tA•
Stot• of Yinnesota. ?l /'Ay? ?• ??.??
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o Oate: 'I / 23 / e-I
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License No.
,4 I./Sy7y
CITY USE,ONLY tl?rj
L ? BL I? RECEIPT #:
SUBD.? DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)'
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: g .4 -.*S
FFFS
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 eacli)
? 5tate Surcharge .50
TOTAL a•?d
SITE ADDRESS:
OWNER NAME: PHONE #: YaLL-AY66
INSTALLER NAME: .?nC314 /l('K
HEATING & AIR CDNDITIDNING C0.
STREET ADDRESS: 8910 WENTWORTH AVE_ 50_
CITY:
STA1`E?--- ZIP:
PHONE #: ( ) ,?
SIGNATURL 07Y1lGa ? F„F'tKr,44 1 IL 4n4M,,,
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are nr%$ requised
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee Q[ 1°k of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of nermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE •
TOTAL
SITE ADDRESS:
OWNER NAME:
TELEPHONE #:
TENANT NAME: (IMPROVEMENT5 ONLY)
INSTALLER:
I
ADDRESS:
GITY:
PHONE #:
STATE: ZIP•
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
SS.? ? L RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registereA site surveys siwwing sq. ft. of lol, sq. ft. of hou5e; and all roofed areas
(20% maximum lol coverage allowed)
• 2 copies of plan showing 6eam & window sizes: poureC found desgn, etc.)
. 1 set of Eneryy Calculalions
. 3 copies of Tree Preservation Plan il bt platted after 711193
• Rim Joist Detail Options selection sheet (6ldgs with 3 or iess uni(s)
DATE
g 4? >j
RemodellRenair Requirements
• 2 copies of plan
• 1 set of Eneryy Calculafions (or heafed adtlib'ons
• 1 site suney forextenoraddi6ons 8 decks
• Indicate if home served 6y septic system for additions
VALUATION
SITE ADDRESS ?O I n1??11 ?1iWU COV(-\Z MULTI-FAMILY BLDG _ Y >4 N
TYPE OF
APPLICANT
STREET ADDRESS I
TELEPHONE # I
I
RMA HOME SERVICES INC.
Home Depot Installed Sales
3200 Cobb Galleria Pkwy., Ste. #200
Atlanta, GA 30339
763-542-8826
Bc-zo268257
REPLACE(S) _ 0 _ 1 _ 2
STATE _ ZIP
_ FAX #
PROPERTYOWNER?gS'?'? TELEPHONE# 4053'15YOtO
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY •
Energy Code Category _ y[IVNES01':\ RliLF.S 7670 CATEGORI' l 'v[IVNESOT:\ RU[.ES 7672
(J submission type) . ftesidentiaf Venfilah'on Category i Worksheet Su6mitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing sys[em includes:
Mechanical Contractor:
Mcc}ianical svs[em includcs:
Sewer/Water Contractor.
Phone #
- ° ---------------° -° ------------------------------------------------------------------ • ----- • ---- --------°------------
I hereby acknowledge ihat I have read this application, state that the information is correct, pnd agree to comply
wiih all applicable State of Minnesota Statutes ond City of Eagan Ordi nces.
Signature ot Applicanf
OFFICE USE ONLY
Phone #
_ Water Softener - Latim Sprinl:l?e?r'' ? ?`9 << 1 'Fee:
tiVa[er Heater No. of R.I. B?LQj SEp 1 9 ?002
No. of Baths
.1ir Conditioning
Hc;v Rccoven Systcm
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlated 1102
OFFICE USE ONLY
. ?
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? Oa 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding '
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
• REQUIRED INSPECjIONS . ,
_ Foo6ngs(new bldg) Final/C.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addidon) f plumying
_ Foundation I-VpC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Poot
Ftgs
AiriGas Tests Final
_ Fiaming _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ _
Final f Windows (new/replacement)
_ Insulation _ Retaining Wali
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License SearcFi
Copies
Other
Total
Building Inspector ,
talled
ing andl"&RspOWER OF ATTORNEY
OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
('Principal"), and a Iicensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN
55427, having a license number of BG 20268257, do hereby appoint, name and
constitute Elder-7ones Building Permit Service, Tnc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
liinited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 3e
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WI"I'NESS WHEREOF this Limited Power of Attomey is executed this
3O T-A day of Mh`( , 2002.
a c D d?
David . z ?
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
30`h day of May, ?
Notary blic in for the Stat of eorgia
My Commission Expires: January 21, 2006
396815.v3
Proudly soltl, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
Elcler-Jones
Building PeRnit SerWce, 1nc.
1 i
1120 East 80th Street
` . Bloomington, MN 55420
Phone: (952) 345-6047
Fax: (952) 854-4909
To whom it may concern:
We at Elder-7ones Buiiding Peimit Service, Inc. are aoting as an agent for RMtI Home SeMcp,
Inc. If there are anY 9uest?ons, or if the peimit has to be gicked up in Petson, Please give us a call
at the number above. If the permit can lie mailed back to us, we have enclosed a self=addressed
envelope fior your convenienee.
Thank you,
Kara Benson ext, 147
Elder-Jones Building Permit Service, Inc.
1120 East 80th Street ° Bloomington, Minnesota 55420-1498
952-854-2854 2 FAX:952-854-4909
lqv3 4
2006 RESODENTIAL PLUMBING PERMITAPPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/- CO-D
Date
Site Street Address ?Unit #
Property Owner QiY1 (.? ?r) Telephone #(
Contractor CHAMPIOU w^;e
Telephone #(? I?i ?O
M
212 N. Rlver Rld? ? S
Address City SWte Zip
The Applicant is: _ Owner L---C'ontractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100,00
Per as-built $ 10.00
Alterations to ex.isting dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are insfalling on/v a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener
Water Heater $ 15.00
?
new +! replacement
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ 115°C?
I hereby apply for a Residential Piumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and fhe plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will 6e in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
/
,
plicanYS Printed Name ?I Applic nYs Signature
Ap M [E
D
e
pt 1 D
??y3o
2007
?I'1?'
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA078447
Eagan, MN 55122 . Date Issued: 06/22/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3801 Mill Run Ct
Lot: 006 Block: 011 Addition: Bridle Ridge 1st
PID 10-14996-060-11
Use
Description:
Sub Type: e - Water Heater
Work Type: Replacement
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Sean Conway
3801 Mill Run Court
Eagan, MN 55123
651-334-7295
Fee Summary: PL - Permit Fee (WS &/or WH) $15.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $15.50
Contractor: Owner: - Applicant -
Sean P Conway
3801 Mill Run Ct
Eagan MN 55123
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.
Applicant/Permitee: Signature Issued By: Signature
2012-04-2411:12 » 651975 5694 P 216
Vsv DLVG W 04pvn urw V
For Oleos Uss
1
aty of Evan Permft
~ I
Permit Fee: I
3830 Pilot Knob Road l r2af ,12,
Eagan MN 55122 i Date Received:
Phone: (651) 675-675 t sfafi
Fax: (651)675-694 tr----------------a
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date, '4 W t'L StIaAdanesa: 380 1 Mill Gin 0-.
Tenant: Suite p: l q
RESIDENT / OWNER Name: Phone: I0I I 33q. Address /City /Zip; na'MA as
CONTRACTOR Name: I ' License n ba a 3
Address: V~ City; 36Y,30471
State: Zip: R! 5Q _ Phone, U V a F LOT LOT 14 10 4
Contact: '~~On Email
TYPE OF WORK New _ Replacement - Repair Rebuild -ModifySpace _ Work In R,O,W.
Deecrl n of work: 66nj 64
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation I_,,. RPZ / PW3) - Add Plumbing Fixtures Main I - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$65.0011inimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround (includes $5.00 State Surcharge)
`Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CA6L B§FORE Y DIG. Call Gopher State One Call at (651) 4"-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. y #_vj.aopherstateonecall.orG
I hereby acknowledge that this infornatlon is complete and acwrats: 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 permR; that the worts will be in
accordance ~with htthe approved plan in the case of work which rogtaires 9 review and approval of plena.
X ti Y" ~ m - X
Applicant* Printed Name Appliand Ignatu
FOR OFFICE USE Reviewed By: Dace:
Required Inspections: Under Ground __„-Rough-in Air Test Gas Test TFinal
/a
l 4/"
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168015
Date Issued:04/06/2021
Permit Category:ePermit
Site Address: 3801 Mill Run Ct
Lot:6 Block: 11 Addition: Bridle Ridge 1st
PID:10-14996-11-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Sean P Conway
3801 Mill Run Ct
Eagan MN 55123
(651) 334-7295
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature