1765 Monterey Lane
2011-06-2013:48 >7 651975 5694 P 213
Us* BLUE or BLACK Ink
For ONAM Use
i I
I
blally- _ Of Eajan V Permit:
1
I PermR fee: ~ i
$830 Pilot Knob Road j
Eagan MN 55122 i Dste R ~
Photo: (651) 675.5675 I Star j
Fax: (651) $7646$4 cc
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
I `
Date' r +'1 sltr Address 1 ~yf Y V t iZY t~-"'I ~~V +
Tenant: Suits 0:
RAI
RESIDENT I OWNER Name: Yl J Phone:
t c`
Address 1 City ! Zip: -tVe.
CONTRACTOR Name: 1 i LioBnea n ki 3
Address, a5 S'.--1&'flm Lek . V~ city: r
State: Zip: 5 915,Q Phone: LAV', O Pg9 4410
Contact: c )QSt~1'1 Email:
TYPE OF WORK New _ Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Desc n of work: 1
PERMIT TYPE RESIDENTIAL
- Water Heater _ Water Softener
Lawn Irrigation L RPZ ! PVB) -Add Plumbing Fixtures Main ! Lower Levert
Septic System _ Water Turnaround
-New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater W Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonme , Water Tumaround` (aldudes $5.00 State Surcharge)
"Wabr Turnaround (add $166,0D if a 5!8" meter is required)
$105-00 Septic System New (510.00 per as butt) (indudets County fee and $5,00 Stale 5urdwrge)
$95.00 Fire Repair (replace burned out appiianaes, ductwork, etc.) (includes $55.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 4640002 far protection against underground unity damage,
Call 40 hours bafwe you intend to dig to reoeive locates of underground utilWes. www.gopherstataonecall.grg
I hereby acknowledge that this ir4ormation i8 complete and acaeate; that the work wNi be in conformance with the onlinanees and codes of the City of
Eagan: but I urrderstand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work win be in
accadance hh to approved plan In the can of work which requires a review and approval of plans.
zi, -7~'
X `-a(A LAGL% x
Applicant's Printed Name Applicap s Signs ro
FOR OFFICE USE Reviswred By: Date:
RaWlrwd Inspecgons: Under Ground -Rough-In ~Alr Test Gas Test _f inai
r
PERMIT
City of Eagan Permit Type: Plumbing
Ea,an, Permit Number: EA098278
Date Issued: 03/17/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1765 Monterey Lane
Lot: 12 Block: 3 Addition: Ridue View Acres
PID: 10-61000-120-03
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1310
Fee Summary: PL - Permit Fee (WS &or WH) 550.00 0801.1087
Valuation: 848.00 Surcharge-Filed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Champion Plumbing Brian P Running
3670 Dodd Rd., =100 1765 Monterev Lane
Eagan SIN 55123 Eagan SIN 55122
(651) 365-1340
1 hereby aeknowledue that I have read this application and state that the information is correct and a,ree to comply with all applicable State
of Minnesota Statutes and City of Ea,an Ordinances.
ApplicantPermitee: Signature Issued Bv: Signature
CITY OF EAGAN Remarks ?"//" p"
Addition Ridge View Acres Lo< 12 aik 3 Parcel 10 64000 120 03
OwnerB?-?00 q' SUSO1.1 RUR{1HO?t Street 1765 MnTYPYPy L'dRP gtat?',agan, MN 55122
J
Improvement Daxe Amount Annual Years Payment Receipt Date
STREETSURF. A?, 1977 1418 20 141-92 10
STREET RESTOR.
GRADING
40 SANSEWTRUNK 1968 $100.00 3.33 30
*SEWERLATEFAL & $tub 1972 ZO
WATERMAIN
*WATER LATERAL & StllU 1972
WATER AREA
STORM SEW TRK ? Zj1/ 1983 $61.00 37.40 1$
121ieSTORMSEW LAT 1972 $29]].$0 $148.89 20
CURe & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 1 4-22-75
sa,c Z 4-22-75
PARK
RESIDENTIAL
?I u f? I, BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651.681-4675 ? 70, o0
?
New Construclian Reauirements RemodellReoair Reauiremenis
• 3 regis[ered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies ot plan
(20qo maximum lol wverage allowed) • 1 set of Energy Calcula6ons for heated additlons
• 2 copies of plan showirg beam &window sizes; poured found design, e[c.) . t site survey for exterior additions & decks
• 1 setof Energy Calcula6ons . Indirate H home served by septic sys[em for additions
• 3 copies of Tree Preservation Plan if lot plafted after 711193
• RimJoislDefailOpfionsselectionsheet(hld9swilh3orlessunils)
DATE Z- 2'?? - 6(
VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS /765??__ ?I ev1 ? l2u1 Lf'L
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ?30i4yl /C?hYI /716-?
TYPE OF WORiK -? {1j rytn-,pJ?i ? FIREPLACE(S) _0 rl _2 _3
APPUCANT ?tA1.V?41&i4 C74'_1 67U PHONE #??7.''?? ?333?0
ADDRESS -1?? ? > nU L{44tZLVi -C.L ec.> Nke ZIP CODE ?? .
PAGER # 6Z!y CELL PHONE # FAX # 'K2 ' 9&I - 3
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Su
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Su6mitted
Plumbing Contractor:
Yluinbing System Includes:
Mechanical Contractor:
Mcchanical System Includes:
Sewer/Water Contractor:
Water Softener
Waler HeaCcr
No. of Baths
Air Conditioning
Heat Recovery Systein
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordina
1
Signature of Applic
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Phone #: "
Iawii Spruikler Fee: $90.00
No. of R.I.13adis
_ Phone #
Fee: $70.00
_ Phone #
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
Alteration
? 34 Replacement
Valuation ? ocU_u
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
X*?25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fireplace _,\,-R.I. 1CAir Test ?, Fina]
? Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
REQUIRED INSPECTIONS
FinaUC.O.
x FinaUNo C.O.
_ Plumbing
HVAC
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ F[gs _ Air/Gas Tests _ Final
Siding Stucco Stone
L5xr Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or_ N
Building Inspector
Total
. ? CITY of EAGAN
_ BUILDING PERMIT
?-vY?ytiGN
oWnat .....!.?.??..'.'-<--?---? .
... ............... .......p.... .o......?..?..? .----•
Addseca (Psesani) ...T/.-5.-`.1'....?`?:?` ................................:.....
...
Huildes .............°.": ...... :.!`?° :': .....................................
Addreu .................. ....`.P..rri:??:a?..?.....??v.`........................
DESCAIPTIOIQ
w ;•
N4 3555
3795 Pilo! Kaob Road
Eagan. Minaesola 55322
454-8100
Dsla ...... ?- a ?- 7?
...................
6lories To Be Uead Foz Froni Depih Hoighl Eet. Cos! Psrm!! Fee Aamuka
Y -.?7 °i' .a3 /y ? u/ I n?o '/ 3, °?O /D ? •4-`-?-r- .G.--Z'-,? ?_
dl ' LOCATION '/ (2 ?; ti?o
3ireei, Road ar ofhe= DeseripSion af Localion I Lo! Block AddllSon os TraC
)7 6?SJ A ,3
Thiq permif does aot aulhoxise the usE of slzeels, roads, alleps or sidawffiks aor does fl give the ownas oa hlf agen!
the righ2 to eseate enp siluafion which ia a nuisanca or which presenls a ha:ard fo the healih, eetely, aonveaieaca ead
general melfaxe !o anpone ia the communily.
THI3 PERMIT MUST BE XEPT,ON T#P PR£MISE WHILE TH£ WORK IS IN PAOG ESS. .
?6 -cJ
This is !o cexlffy. 3bat__...-------- 96, "- . ....... hes permiasion !O 6SeC! ""
"'....__.._'...."'_ _... ""'•_ .......
0., .. ? ..... ... `...... _1iP00
the above described pxemise subjeet io the provisionof all applicable Ordinances fos !he Cfty of Ea
.... rer /?-?-? ??•?-.?
.......... ............................... ......................-'--------..........................._...........
.............."..... ... "'._.......-.'Mayor . ...................... Buildif?p Iaseloz
?
/?) -3 ?t`4 tU/&/
CITY OF ErGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMCT N0.• 669
The City of Eagan hereby grants to D,.;,„ R„„.,;.,R
Of 7 pSa qjljrp? F 71 RA
a ur,nmrr.ir. Permit for: (Owner) gaine
at 17A5 Monterev Lane , pursuant to application dated 4/24/75
Fee Paid: $20.00 dated this
.50 s/c
28th day of April 1. 19 75.
Building Inspector
Mechanical Permits:
Bid Totalc
CITY OF E.':GAN
3795 Pilot Knob Road
Eagan, P1ir•nesota 55122
FERMIT NO.: q C, 14
The City of Eagan hereby grants to prian Rnnninn
Oi IOriQ Si,LjLar Anll Rna+r7 ?
a _pyq,.,RrbC Permit for: (Owrer
at 1765 *v+c, , Pursuant to application dated df9b/75
Fee Paid: $Za 00 dated this qpy?y_ day of Ala,-; l , 19 75 •
.50
Bu:Llding Inspector
N:ao'r.snical Permits:
Eid 7.bta1 t
MASTER CARD
LOCATION
/s-
OWNER
STRUCTURE AND
IAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUIIDiNG
PLUM8ING 3655
___, e•-?
J 4'72'71
?
?q,?
.e0//F
? ?
.?e?,r?•.
CESSPOOL - SEPTIC TANK _
WELL
ELECTRICAL
HEATING ? 44-', /t
GAS INSTALLING _
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From WeII
FOOT I NG i?- SE PTIC
FOUNDATION ? Z ..'7 CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATWG
?-?Ql 77 TH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING / 7-Xp ?f
WELL
SANITARY SEWER Z? ?PY/!e
;Z 6-
_
Vi tions Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN 6VENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
NON•COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPEC'fION
REINSPECTION REVEALED
CERTIFICATION -1 certify that I have carefully inspected the a6ove in which I have no intarest presen[ or prospective, and that I have reported herein
all significant conditions obrerved to 6e at variance with ordinances of the Town af Eagan, approved plans and specifications, and any specific require-
menss for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILDING INSPECTOR DATE
.q? s.
YILIAGE OF EAIiAN WATER SERVICE PERMIT
3795 Piloe Knob Rood pERMIT NO.: 1719
Eogan,MN 55122 DATE: 4/28I75
'Loning: Rl No. of Units: 1
Owner:
A6dress
Si[e Add
Plumber: $aMe
Meter No.:17?Z_;Z''?S-"/ ? Connection Charge: 320.00 pd
Size: ? Account Deposit: 15.00 pd
Reader No.: permit Fee: 10. 00 pd
I agrea to comply with fhe Villoge of Eogon Surchazge: •50 pd
Ordinonus. Misc. Charges: 60.00 pd GItI.
Total: /d • Cn S
BY Date Paid:
Date of Insp.: Insp.:
YILLAOE OF EAUAN SEWER SERVICS4%RMIT
3795 Pilot Keob Road PERMIT NO.:
Eagan, MN 55II2 DATE: 4/28/75
Zoning: RI No. of Units: 1
owner: Brian Runnina
Address:
Site Addn
Plumber:
1 agrea fo comply with eM Village of Eogen Connection Charge425.00 pd
O:dinancas. Account Deposit: 15 ? 99 Qd
Permit Fee: 7 (1 _ flp pd_
Surcharge: _ 50 Pd
BY: Misa Chazges:
Date of Insp.: Total:
Insp.: Date Pafd:
CITY USE ONLY
G
PERMIT #: (?
? 7 I ? RECEIPT DATE:
2002 RESIDEATIAL bI£CE414ICAI. P£RMiT APPLICATION
crrY og FAsax
3830 eaor xxos Rn
$ABAA MA $51 EE
631-681-4675
Please complete for: D single family dwellings
townhomes and wndos whert permits are required for each unit
Daie:
SITE ADDRESS:
OWNER NAME: t?(lccn ?-LUi"l Y 1 i(1G
? INSTALLER NAME:
v STREET ADDRESS:
CITY: SC(_.t ?4n
TELEPHONE #: C9,?I
TELEPHONE #:
-9':?5z Mu-rxcs
STATE: M n ZIP: ?-SS? k
Place a check mark next to the permit work type
LC Add-on, modifcation or alteration to existina dweliing unit $ 30.00
? furnace replacement
_ ;:r axchanger
• air conditioner ,
• other
Nature of work: /ZQ?IJAe?L J.J'v (llJ i' ? ?L AIC
v
002
State Surcha e .50
Total $ 3U. SO
SIGNATURE OF PERMITTEE
voz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 C03dMERCIAL MECHANICAI. ffgM1T APPLICATlO1V
C11'Y oF EAG41V
3850 PILOT KAOB itD
£A6M. MA 551 EE
651-6$1-4675
Please complete for: all commercial/industrial buiidings
muiti-famiiy buildings when separate permits are not required for each dwelling unit
DATE:
STTE ADDRESS:
O WNER NAME: PHONE #:
TENANT NAME (IMPROVEMEIVTS ONLI):
WAS THERfi A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME:
INSTALLER: '
STREET ADDRESS: ?
CITY: STATE: ZIP:
TELEPHONE #:
WORK TYPE: _ New consuuction , Install U.G. Tank
_ InteriorImprovemeni _ Remove U.G.Tank
_ Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marsha[ and
Plumbing inspector.
Fees: 1°/a of contract price OR $50.00 minimum fee, whichever is geater.
Undergcound tank removaUinstallation = minunum fee
Conhact price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL g
SIGNATURE OF PERMITTEE
Updated 1/02
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA088954
Eagan, MN 55122 . Date Issued: 04/29/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1765 Monterey Lane
Lot: 12 Block: 3 Addition: Ridge View Acres
PID 10-64000-120-03
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: 3/2/10 Letter & correction notice sent to applicant and correction notice to inspector. (pf)
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Apex Energy Solutions Brian P Running
1509 Southcross Drive West 1765 Monterey Lane
Burnsville MN 55306 Eagan MN 55122
(651) 688-2739
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
11/16/2011 09:32 9527070334 ACE GARAGE DOOR PAGE 01/01
118/2011 /WED 11'21 AM City of Eagan FAX No. 651-975-5694 P. OOl/OOl
Use BLUE or BLACK Ink
~
Permit P
City of EaAH I 4
Permit Fee: w I
3830 Pilot Knob Road
Eagan MN 56122 j Date Recalved:
Phone: (651) 675.5676 _ I
Fax; 651 675-5694 I Staff:
I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: A ~ Site Address: ~ N 2
Unit
Nome: Phone: 17?
RESIDENT I
OWNER Addrose / City/ Zip; /'hd,~J~tr ey N 2
Applicant is: Owner Contractor
TYPE OF WORK Description of work:.r-~tv-4c~y
Construction Cost: ZEN ~ODC> Multi-Femlly 8Wilding: (Yes / No_) .
Company: A Contact
CONTRACTO♦? Address: 37 09 P-,~ /Zw /5J-City:
State: _Ml f Zip; 155 -?J4 Phone: -6904)vf ~vrCcQ P QCP+~ an
License Lead Certificate
Does this project require Lead Remedlatlon? M Yes O No (see Page 3 for additional Infor netion)
If no, please explain:
COMPLE=TE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan basad on a master plan?
„_,_Yes _No If yes, date and address of master plan;
Licensed plumber: phone:
Mechanical Contractor Phona;
Sewer & Water Contractor; Phone:
NOTE, Plans and supporting documents that you sukmlt am considered to be public lrifonnatlon., Portions of
the Informatlen mdy'be classlflod as non,•pubiic If you provide speclfic reasons that would permit the City to
conclude that the ars trbde secrets.,,'
CALL BEFORE YOU DIG. Cell 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 ulilltles. www.eo herslateerl0eall,ortl
I hereby acknowledge that this information Is complete and ac rate: that the work will be In conformance with tho oroinanoas and codes of the City of
Eagan; that I understand this is not n permll, but only ",.p ieatlon for a permit, and work;z not to start without a permit; that U)c work will ba in
accordance with the approved plan In the case of work wlvch re ui .3 a review and approvaall of laps.
x ~Grl~~.-c , I{ I x 4 -
Applicant's Printed Name Applicant's Signa uro
Page 1 of 3
~GALK- / ~ 30 ~ l
Surveyor's Certificate
_ 08
r- 5~ 3Go CR~,►~ e~i~ic
SURVEY FOR :PULTE
DESCRIBED AS : Lot 5, Block 5, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsoto and
reserving easements of record.
4
ff R' F-~
X 943. gA3.b r _yh
r
Q
935.1 + \ ` ~
%rV ? O ` 952.
o° 952.1
0
1 v ary oQ°y`~~ ~o~oQ 0 \ 951.)
! ~ ~ ~ ~ 919
952.5
443.2 o° 95J,g
O
4 10
X29, (0 1661
11
WED -loo%F, OAKBRODKE CIR.
I~ ,s2 I
EAGAN FNGINEERLNG DEPT. °
9493
LOT SQ. FOOTAGE = 9,867
HSE. SQ. FOOTAGE = 1-801
r
LOT COVERAGE = 18%
R1EAGAN
Plan # 18211 ?Otis.
PROPOSED ELEVATIONS ~0 DATE. P--i
Tnn of FnunHntinn
N i~1/Jt;a ~a
41`
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: kl v 53S Lf
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S i' / 3 Site Address: / 7 . S
RESIDENT /
OWNER
TYPE OF WORK
Unit #:
Named%% .Jut~ }"t,fN.v1ti1CP
Address / City / Zip: Sara lr ✓✓
Applicant is: Owner `I- Contractor
Phone:
Description of work: FS4.1•4
Construction Cost: 6 ((.t') ? Multi -Family Building: (Yes / No r- )
Company:gfrEAT 1044,-E7S (LJ �r,�Scuc ontact: ry tGT ,. L
Address: /4‘90 64,414 E- ,4 v& City: �: •
State: YY,N Zip: iS1.•.4— Phone: £ �!S2— 89 (- 346®
License #: "-ECJJ 4-2..) Lead Certificate #: 7.52..q 7 —
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ,0\1�
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:
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 the are tram secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
icanrs Sig
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use I
Permit I I j
City of Ea Oq g. I Permit Fee:
3830 Pilot Knob Road I / I
Eagan MN 55122 Date Received: f I
Phone: (651) 675-5675~N 1 I
Fax: (651) 675-5694 1 Staff: )
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 13 Site Address: e e Unit
Name: JJr_J'rAJA- Phone: Z KE e3-7Z
Resident/ _
Owner Address / City / Zip: 11`"tOLA ~ C,-,A-e_ t~cgG~a Vv) C-91 2-Z-
Applicant is: Owner Contractor r
Description of work: ~~lJt ~CJ
Type of Work
Construction Cost: __<S_,C_DVc-p Multi-Family Building: (Yes / No
Company: Contact
I Address: City: y ~ PAUL'" Aim
Contractor !
State: Zip: ~ -T Phone: 47L- SLIP`, 76
License Lead Certificate
If the project is exempt from lea
d certification, please explain why: (see Page 3 for additional informatif,
Lksyt_ t c✓r " 117 d i a t &'l4r ~r r d ec - rJ
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:
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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; t at 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 Bull ' Cod m st be co eted within 180
days of permit issuance.
X_
Applicant's Printed Name icant's Signature
Page 1 of 3
1~ 5 LG THIS LINE ~
I (
DO NOT WRITE BE=
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
- t- ami y Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi -X 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 CEO ~ Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% Zoning City Water
Census Code Hay Stories Booster Pump
# of Units Square Feet PRV
# of Buildings / Length Fire Sprinklers
Type of Construction- Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEE 4d 04,G i® /J-6r-l0 ("Z10
Base Fee
Surcharge
Plan Review
15
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies Q
TOTAL
Page 2 of 3
r
a
NEW SINGLE FAMILY DWELLING - BUILDING PERMIT REQUIREMENTS
Site Address:
Applicant: Phone Number:
Check ✓ Appropriate Box
V ne (1) signed and completed building permit application including a current contractor license number.
VTwo (2) copies of detailed plans, drawn to scale including but not limited to; foundation plan and wall design
including foundation wall insulation, radon control system, floor plan(s), cross section(s), elevation plan(s), beam
size(s), joist size(s) and spacing, label window and door openings with the manufacturing U-value, and label all
exterior wall and ceilings with the R-value
❑ Three (3) copies of a scaled Certificate of Survey prepared by a Minnesota registered land surveyor complying
with City approved Survey requirements (maximum size 11 x 17).
❑ One (1) copy of energy code design criteria labeled on the plan, verifying that the building envelope meets the
provisions of Table N1102.1 and/or Table N1102.1.2.
Exceptions would include one of the following calculations that must be submitted for approval:
o R-value computation method per N1102.1.1.
o Total UA alternative per N1102.1.3.
o Engineered systems alternative per N1102.1.5.
❑ One (1) copy of calculated heat loss / gain and calculated cooling load verifying HVAC sizing in compliance with
the Minnesota Energy Code.
❑ One (1) copy of IFGC Appendix E, Worksheet E-1 calculating combustion air size, AND
One (1) copy of IMC Table 501.3.1 calculating makeup air quantity.
OR
One (1) Centerpoint Energy Form completed by a HVAC contractor, including size of mechanical room."
❑ One (1) copy of New Construction Energy Code Compliance Certificate (N1101.8).
❑ Two (2) copies of the individual lot tree preservation plan, if required by the development contract, shall be in
accordance with the Eagan City Code.
* Please contact (651) 675-5675 if you are experiencing problems with the Centerpoint Energy software.
REMODEL / REPAIR REQUIREMENTS
Check Appropriate Box
Two (2) copies of plan showing footings, beams and joists, label window and door openings with the
manufacturing U-value, and label all exterior wall and ceilings with the R-values
❑ One (1) copy of energy code design criteria labeled on the plan verifying that the building envelope meets the
provisions of Table N1102.1 and/or Table N1102.1.2.
Exceptions would include one of the following calculations that must be submitted for approval:
o R-value computation method per N1102.1.1.
o Total UA alternative per N1102.1.3.
o Engineered systems alternative per N1102.1.5.
® One (1) site survey for additions and decks
❑ Addition - indicate if on-site septic system
LEAD CERTIFICATION EXEMPTION
Check ✓ Appropriate Box
❑ The applicant is not a Minnesota licensed residential contractor, residential remodeler or roofer.
❑ The building was constructed after 1978.
keThe e structure is not residential housing ora child occupied facility.
renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square
feet or more of painted surface for exterior activities, and does not involve windows.
Page 3 of 3
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MONTEREY
Use BLUE or BLACK Ink
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I For Office Use �
C� � Permit#: / ��`{ `�' � j
lty of ����� I Permit Fee: �' �
3830 Pilot Knob Road � ~ I
Eagan MN 55122 � Date Received: .�� l �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��� �� Site Address: � �" ��� � L����� Unit#:
Name: l�l Gt � /� l�f. G1r Phone: /�7.� /•-L-/SL�"'J/�
ResidentJ � '
OWn�r ' Address/City/Zip: �� � �
�
' Applicant is: Owner Contractor
n
Description of work: �%�
TYp;e,Of WQrk .
Construction Cost: � ,���� Multi-Family Building: (Yes /No�
Company: � �!� � � /6�-S Contact: GZ'<< �G�'L-
�
f �f7�(t�[1CtOr Address: ��J C� /� City: �f'd D C.�y�
3`��� State:�Zip� Phone: >?' �' ���
�; �p
`� License#:��� l��� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE:Plans�nd supparting dacuments#hat yvu submif are�on�iafered#o�be perblic infarmat�ion, Portians af
th�int'Qrmation may f�e clas�ified as nvr��pu#���c`�i you pravid��pe��fi���easor�s that wauJa�permit the City tcr
concl ����i�t#�e :are frade secrefs.
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
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. �
X �G�l�` � '�V�-. X � --�� �'�
Applicant's rinted Name Applicant's Sig ture
---� Page 1 of 3