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1844 Narvik CtPERMIT City of Eagan Permit Type:Building Permit Number:EA111929 Date Issued:07/18/2013 Permit Category:ePermit Site Address: 1844 Narvik Ct Lot:7 Block: 1 Addition: Ridgecliffe 6th PID:10-63985-01-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Joseph A Hendershot 1844 Narvik Ct Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Receip4 5.9.? ? MECHANICAL PERMIT Permit Na. ! I ? l/ CITY OF EAGAN Fee •-'O. Fill in numbered spaces S/C '.? G Type or Prini legibly Tot. 20.50 1. Date 2. Installation Cost i800 .0 . 3. Job Address 1844 NeZ'vlk DZ'.lot 7 Blk. 1 Tract =dd. C1. F 4. Owner nR?I?1 TH,;iNT'SON HOW'. 5. Contractor Y?T .:: i?i?: ITqG Phone 825-6SE7 6. Address /kb37 C?LCc?Fo ..ve. .?o. 7. City State :'.N. ziP 5540r1 8. Building Type: Residential Dc Commercial ? Institutional O 9. Work Description: New a Add ? Alter ? Repair ? 10. Describe Instc},11 f`urMce & air cont.,el Type ut-3 - !?lec. AC 17. No. Eauipment STU - M. Ea. Forced Air 10S?OC?. No. Equipment CFM Ai H li Mfg. r and ng: Boilers Mfg. Mech, Exhaust Unit Heater Mfg. Other 1 Air Cond. 36p 000 Btu Mfg. ._:I''ctriC ?ir co-l u 1 Gas, Piping Outlets 12. I hereby certify th,7t the above information is true and correct, and I agree to comply with al}brdina and codes.gover?ing this type of work. lj ?/./.?/` ?. Signed : for ? Rough / Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No, - CITYOF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tat. 1. Date -'? 2. Installation Cost 3. Job Address /) yV/VilRjV1,&_1?r ,Lot 4; Blk. Tract ?• 4. Owner ?- 5. Contractor /ylLaCry Phone =y - i 6. Address i?- 7. City L Jc?;!I/I State Ai?ti Zip -- 1_ 8. Building Type: Residential L?.. Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe 11. No. --} Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank ..3 Lavatory Softner / Shower Well / Kitchen Sink Urinal/Bidet Other ? -- ? / Laundry Tray ? / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ., for 11 Rough Final Inspections: Date Insp. Date Insp. This is yotur permit when numbered and approved. Appraved i? CITY OF EAGAN 454-8100 PERMIT # PLUMBING PERMIT RECEIPT # •= ? ? ? CITY OF EAGAN ???-` 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 • Site Addre s L L U4 Vi 1( BLDG. TYPE WORK DESCRIPTION Lot ?? 81ock ?? , Sec/Sub X_ Res. New ? Name Mult Add-on = ?o Address Comm. Repair c Ciiy Phone Other ! I Name NO. FIXTURES TOTAL Water Closet - $3 00 $ c Address ? `f ?, ? . Bath Tubs - $3.00 p Ciry Phone Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 MINIMiJM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES -Gas Piping Outlets - $1.50 BEYOND $1,000.00) ? Softener - $5.00 Weli - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• '" CITY OF EAGAN WATER SERYICE PERMIT 3830 Pilot Knob Road ?4,,? P. O. Box 21799 PERMIT NO.: Eagan, MN 55121 DATE: 4-17 -- ,14± Zoning: No. of Units: 1 Owner: ???'" `I . F}te/4ddre55: Site qddrc ..???{` B1 R1dgeCl:tffe 6tii Plumber. , c:.: . • Uc u _ , Meter Nor 3 .?? 2 ? .0 SQ.. Size: eoder No.: n..?!V LAo A 3 74o .. I qrN ie oomoiy with !6w City of Eaga¦ Ordioanaa. By ?Dote of Insp.: CITY OF EAGA°i 3830 Pilai Knob Road P. O. Box 21199 Eagan, MN 55T Zoning: orapsoa a ey Owner: Address: Site Address: 1,?44 Narvik Court L7 A1 RidReCli e t Plumber: 4I.ttZe eC 4-11-`;4 42532 too.00 I.gr.. to oomPy wqk tw Cft ei Eagae Cannection c],arpe: 425.00 pci Ordlmncas. Acoount Deposit: 15. 0 p'l Perrnit Fee: p,' Surcha?pe: .50 pd By Mist. Chcrpes: Cpnnedion Charye: Y1ccount Deposit: 15.00 pd Pertnit Fee: 1 l. 00 pd Surcharge: .50 d Misc. CFwrpes: F) - P inetet' Total: - Dote Paid: SEWER SERVICE PERMIT PERMIT NO.: ? . j•i..??. DATE: u No, of Units: ? Dote of I nsp.: Totol: I nsa.: Date Po{d: - CITY OF EAGAN Remarks I/ Addition RIDGECLIFFE 6TH ADDN Lot 7 elk 1 Parcel 10-63985-070-01 Owner street 1844 IVARVIK COURT state EAGAN MN 55122 Improvement pate Amount Annual Years Payment Receipt Date 5TREETSUFiF. (097 I982 37.28 3.73 lO ? •1p I?oJ??o 67 I/-S ??J? STREET RESTOR. GRADING SAN SEW TRUNK (o 1982 36.80 2.45 is SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA ?G qS' 1982 36.80 2.45 15 o?los STORM SEW TRK i 8 C STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 4-11-84 WATER CONN. 470.00 11 13UILOING PER. 8963 SAC PARK I/? /? ?)' l..l l l VC 4YU'1Y 11K..lUUC: <?CCI? VL 1CL?I r 1 site plan w/e}.:vations 6 Plan: !F--b BUILDINC; pER[''1IT APPLTCATION 1 set of energy calcvlations. - • ?"???- o ,.1 'Ib Be°Used For Valuation ?j,a? ?ate Site Address: 1??<? (-'r--- OFFICE USE ONL.Y Lot _:'7 siocx sec./sub.',,J,..•4?;. ?Erect X_ oc?,? Parcel # : &3 1 ?} /F+l ter zoning • - - Repair Fire Zone • p Owner: , Enlazge _ Type of Const. Mbve # Stories Pddress: DeJrolish Front ft. City/Z'ip Code: Grade Depth 3y _ft. Phone @ : ' .. , APPROVALS ' F'EFS - Contractor: Address • • a Division of U.S. Home Corporation ' ^--ziiz--iiBFK+NSSIt8SSR9/18 City/Zip Code- MINNETONKA,MINN. 55343 P}ione "n: Arch-/fSn9•= _ Rr]dress: City/Zip Code: Phone $= Assessrents Permit 's FJ ? Water/Seaer Surcharge 5/y Police Plan Check /`'1 Fire SAC \5-?q S cv_ g)q, Wates Conn. ?J( d a:0 plannes . Water Meter '=4 Council Road Urut ?- Bldg_ Off. `?--IO - APC ToTAL ? 9s 7- so CITY OF EAGAN 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 PHONE: 454-8700 BUILDING PERMIT N° 8963 Receipt .# _ V.2 S-3 -z,' Te bs wed for SF nW(,/(_AR Ett. Value $ 8si 000 Date APRTi, 11 , 19-BA_ 1844 NARVIK CT. R3 SiteAddyss 1 RIDGECLIFFE 6 Erect [? Occuponcyr Lot Block Sec/Sub, Alter ? Zoning ? Percel No. 10-63985-070-01 Repair ? Flre Zone s Name THOMPSON VALLEY DIV. Z Address 1712 HOPRINS CROSSROAD ? MTKA 544-7333 City Phone o Name SAME Address r City Phone ?w Name _? Address 'Z City Phone Enlarge ? Move ? Dertwlish ? Gmde ? Assessment - Water 8 $ew. Police - Fire Enp. Planner _ Countil _ Permit $ 397.00 Sur<harge 44.00 Plnn check 19 . 50 SAC 525.00 Woter Conn. 470 00 Water Meter _63? 00 Rood Unit 960 -00 I hereby acknowledge that 1 have reod this apDlicotion and state thof gldq. Off. fhe information is correct ond agree fo comply with oll opplicoble APC Tofol 51,957.50 Stote of Minnewto Starutes and Ciry of Eagon Ordirwnces. Sipnoture of Permittee 7iQ??co,? A Building Pertnit Is issued to: THOMPSON VALL EY V on the axpress corditlon oll work sholl ba done in ac ance I h all appli?,c?a6T(q? ?S,fyq?teMinnetoto Stntutes ond City of Eogon Ordinances. Building Officiol 4-'"P Type of Const. # Stories Length 52 Depth 34 Sq. Ft.- Feea 1hnt CITY OF EAGAN a. .• BUILDING PERMIT N° 8963 RecNpt # _4 5-3 1 \_ Te bs wad for gF f1W(]/C7AR Est. Volue $ ssr 000 Date A PRTT. 11 , 19_$.4_ SiteAdd ss 1844 NARVIK CT. 7 E.ecr ox Occuponcy R3 Block ?' Sec/Sub. RIDGECLIFFE Lot 6 plter ? Zoning ?DT PercelNO. 10-63985-070-01 Repuir ? FIreZone ? - Enlarge p Type of Can rc INIM. THOMPSON VALLEY DIV. 3 Address 1712 HOPKINS CROSSROAD o CiTy MTKA phone 544-7333 F Name ?? Address ,- City Phone Name _ Address City Phone Move ? # Stories Oemolish p Length SZ Grode ? Depth 34 Sq. Ft.- Approrals Fees Assessment _ Woter 8 $ew. Polite - Fire Enq. Plonner _ Countil _ Permit +S 397.00 Surchorge 44.00 Plon check 198 . 50 5nc 525.00 Water Conn. 470 00 Water Merer 6-4.. 00 Road Unit 26n-00 I hereby ockrrowiedge fhot 1 hove read this oDPlicotion ond sfote that Bldg. Off. fhe inlormafion is carrect ond ogree fo comply with oll opplicable 1,9 rj'] . rj 0 State of Minnewto Stotutea ond Ci?.y of; _Eagan Ordinonces. APC Total $ / ?/ Siflnature of Permittee .7I,L11) ?$? ? A Building Permif Is Issued ro: THOMPSON V L• Y DIV, on rhe express condition thm re? Minnesoto Statutez and City of Engan Ordirances. all work sholl be done in ac ance i h all oppl" SJtyy? Buildir,o-Offlciol -- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 y3.?c a? FtEaUEST wR ELEcMc? INSPECTIoN E?,?. ?I 1s.. 4natr"cehau re. ?o?roH+a mia fawa. m e.?" o+ r.'b., avr. 4 f? Q( 5 Y ? I i: l f5 1? ?\d-:: ••x•. Be%w Wwk .'?veied bY This Request Add Rep. TVPe u( Buildinp Appliamy Wird EOUiDorso,t ItlireO Home Ralge 7enqorary Service Duplex Water Heater Lighti22 Fixtures Apt Building Oryer Electric Heatin Cortonercial Bldg. Fumace Silo Unloader Industrial 81dg. Air Cqditimer Buik Milk Tank Fetrtl ?r f r 4Sceciryl t r uoc? tMr Other Compute lnspection Fee Below k Fee ServimEntrancaSize R F. fsedars/Subfaedera R Fae Cirouite 0 tu 200 0 Lo 30 7.1 30.00 0 to 30 Arnos Above 200 q 37 to 100 Amps 37 to 100 Anun Swimmin Pool Above 100_ Above 1Q0-1+m . Transformers Irrigation 6ooms PartiaL'Other Fee Signs Special Inspection ;D S l ' TOT Pemarks f i?,.5 EE ? Rouph-in ? Oa te 1 ny Eleeaical ?1 s' ' . ' - ? 1 Daetor. Mreby _ ni7y thet thp above Final ,? Date pee4m has been FE-E ?j 7? S d- L I TIWreOwstroMtBma?tlnfiom (; r.. J..(/ i.i 2?i ?_; This reduest wid y 3 ya--? . 18 montAs from A 0 58 7 3 0 2'49L d; ip- ? 61( fs fsY (fo.au Requast ta ?' Fire No. qoupl?-in lrmpeclion r Owaaayaow}.l e???d ceL 4j 1 ?T ?? r ? v nw Licensed Eiectdcal Comractor I beemy, np?? insg?tipe of abore Owner aMetriol work o,n.alNd at: St Addr9ss, Boz or Roule No. 54 NhtlvlwDp-w? City ?AIJ eGtion o. ownship ame or o_ nBe o. CauntAy`? r? gqi v7N Occ?upTlun{?t ?IA1,1lN?DT1 i Y avf"6 Sz'j V KJd`l Phwne No. Power Su?P-Glim II ?"?A Atltlness ?,, /? ?1"l"I (?.Twi Elec "l Contractm (ComPaM Neme) u-l.. ?7k?- CmLaetar's Licen?e No. ?525 -L Mailin0.4ddress (COntractor or Uwiar lfakiip Immibiionl 6???? ?- Cu?f- Roso AuMor'zed IC ?tra ta Owrer Makinp Insmllatim) Phone Non?bn ?+?CTIOM PEQUEST WILL MOT MINNESOTA STpTE BOA1m OF ElEC7RICRY TMO3 I 6rima-MidweY BId9. - Rnom N-781 BE ACCEPfED H7 7ME STA7E BOAflD 7827 UnivsraitV Avo.. SL Paul, YN 56104 UNIESS PqOPEB INSPECTION PEE IS VM- 1612129742111 ENGLOSEO. , PerrStit No. Permit Hoitler Misc. Permit No. Holder ` Plumbin9 y d? 3 0 ,Q., )- d 1 I H.V.A.C. Well Water Disp. Sawer Ebctric Inspeetion Date Insp. Other Footingi Foundation Framin8 Hough Plbg. /-8" Rouph HVAC 7:we,hom ?,-?a ?dydC Final PI6g ey FinaiHVAC Final Water Describe Location: Well wewer P:. DisP. • . GoaL/a l? New ConsWIXion Reouirements RemotleVFteoair Reauiremen4s Office Use Onlv 3 registe2d site surveys showirig sq. ft of lot, sq. tt. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allowetl) 1 set of Energy Calculations for heated addifions Tree Pres Plan Recd 2 copies of plan showiig beam & window sizes; poured found design, etc. 1 site survey for addifions & decks Tree P2s Not Reqd 1 set of Energy Calculafions Addition ? indicate Nar,sde sepfic system _ On-site Septic System 3 copies of Tree P2servation Plan if Iot platted aiter 711193 Rim Joist Detail Options selecUOn sheet (61dgs wAh 3 or less units Date 0/0 / a-q / 03 ConstructionCost ?94 c6 ? , Site Address ' ? N?( t/1 C"F UnitlSte # - KN S S 2 ? Description of Work 'L12Cl'e- C'e.(J\AcV\f ?- PL- Muiti-Family Bldg _ Y X-N Fireplace(s) _ 0 L 1 _ 2 Property Owner Sf:Fk IT , Cl'E?'?dC-QC?5?1 Telephone # ( &S( Contractor Address City State Zip Telephone # ( ) RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 2o so COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Rasidential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submissian type) Su6mitted Submitted • Energy Envelope Calculations Submitt?ed ?-', C 11 Licensed Plumber ? :? ? ; 1l 1?I ? 1!111 Telephone #( Mechanical Contractor Sewer/Water Contractor .??" ?'?1A Telephone #( Telephone #( I hereby apply for a Residential Building 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 the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval of plans. ApplicanYs rinted Name Applic 's Signature OFFICE II5E ONLY ' ; Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 "Accessory Bldg ? 02 SF Dwelling ? DS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 OS-plex g 18 Deck ? 23 Porch (screen/gazebo) ? ,.36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous WorkTypes I I K12 ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 'F. 34 Replacement *Demolitfon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy 12 MGES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const JA Width 1 2 Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insularion REQUIRED INSPECTIONS FinallC.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total .60 Joe Hendershat \\ \f? R \ IriKk !?? 6/ V " S. HOM CORPORATION?n t ?' eg34?1 \ E C G ? ?3--- o ? r / ry1'VD O 1? I 'p ef ! C ? \ z Ny / i ? \ q' tl Qt1t v ?? hV F l o?? {y ? ?Z s5i-au5-iaoo p.i C. R. WINDEN 6 ASSOCIATES, INC. LANO SURVEYORS Tid {40•3844 I3l1 EUSTIS SL, S1. PMJI, r+UNN. 65104 ERGLe eiq REVIEWED -O, 3 ? °g7 p eNSP?CT1O9?? ??P7L Scale: 1" = 30' O Denotes Iron VCI- G? - ?oJ 't9jr??_. S ? F 5 ?z0 NOTE: Proposed garage floor El: ??• \`, / [400.0) Denotes prop4sed t./ finished ground E1. ? -?- Denotes direction of ? sur£ace drainage. Vertical Datum - N.G.V.D. 1929 Lot 7, Block 1, RIDGECLIFFE SIXTH ADDITZON, Dakota County, Minnesota ?O ?Ct. '?y ?5!5° A'a9r1N oO`. Nq WE nERE6T CERTIFY TMAT TMIS I5 A TRUE ANO COAAECI REPRESENTATION OF A SY11yEY Oi TNE SOUNDARIES OF IHE IANC AWvE DFSCRi6E0 AND OF tME IOCATION Of Alt WIIDINGS, IF AN?, TNEREON. AND All VIS11lE ErtCROACNMENIS. IF ANl', iRQM OR ON SAID lANO. Oef%d lFit 10+h 461 giA?ril A.O. 1964' C. R. WINDEN 8 ASSDCIATES, INC. .5w..11or. MiAMMM R&qMfOlipl NO 77ZEf v, ?o s? RESIDENTIAL BUILDING Permit Appiication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephooe # 651-675-5675 FAX # 651-675-5694 9`ib• O o New Construclion Reouiremenls RemodeVFteoair Reouirements Office Use OnN 3 registered site surveys shawing sq. ft of lot, sq. R ot twuse; and all roofad areas 2 copes of plan Cerl of Survey Recd (20°k maximum lot wverage all(ywed) 1 set of Energy Cabulations for heated addi6ons Tree Pres Ptan Recd 2 capies ot Dlan showing beam & window sizes; poured found design, etc. i site survey for additlons & decks Tree Pres Not Reqd 7 set af Energy Calculafbns Addition - irMkate Aon-site septic system _ On-site Septic System 3 wpies of Tree Preservafion Plan'rf kt platted afler 111/93 Rim Jaiffi Detail Op6ons selection sheet (hldgs with 3 or leu units Date r / -J?' / 03 Construction Cost ??? - Site Address /?/?/ I? /? ?rn r ?; P IC el ?' ?. UniUSte # Descrip[ionoCWork d120C-j VL91j-? Li 0?,,' y Multi-Family Bldg _ Y? N _ 2 Fireplace(s) _ 0 ? 1 Property Owner p f' ?Id P I ) C Yl (i -? Telephone #( ) Contractor CAye S I%T i 17 eCt{r N 4-6?12f y- Address 3k!,;?u (o/r I /Gil n? 3 City _ U State Zip 5S3J 7 Telephone #(?C,?) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeo • Residential Ventila6on Catego (J submission type) Submitted . Energy Envelope Calculations Licensed Plumber Mechanical Contractor Sewer/Water Contractor e Telephone # (g'??-2) U v- a? S? Telephone #( I hereby apply for a Residential Building 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 the State of MN 3tatutes; 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. vI`? ApplicanYs Printed Name heet c., ? 303 ? '_-?? 1y1 U 1 I iA) )OaAi? Applicant's Signatur NEW BUILDING New Energy Code Warksheat Submitted CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT 2/84 (PLEASE PRINT) 1) PROPEIYPY ADDRESS: r.rrar. DESCRIPTION: 11 E.LLJT1.7 .]1i.U1.1,m??T ?.7T^_!1T?T _"Ty?'^ L`'{ yC-- ? ? ---- T ;:?d 19.?.?"^i - PRESf..?VT 7^i7IiX;/PROPpSETJ USE: H?R-1 SINGLE FAMILY ? R-2 DUPLEX (2Wp UNITS) 0 R-3 7.aWNHOUSE (THR.E + UNLTS) ( UNITS) ? R-4 APAR'IlmENT/COfIDCmINILM ( UNITS) ? CONMM2CIAL/RErA2I,/OFFICE T ? IlMUSTRTAT, ? IIVSTITUTIONAL/GOVERNMENP 2) AppLICANp (PLEASE PRINT) - - NAME: G3R?',n? %??sz,? ADDRESS: /'JU d7o PKi,v.s ?,2os c,P, a? CITY, STATE, ZIP: /kl f'/,??z ? PHONE: 3) PuMER NAME. NY? tvLtast PRiNT) FDN CITY USE ONLY - - MECHANiCA PLUMBERS LICENSE: ADDRESS; 9600 KENNEBECDRIVE, EAGAN,MINN.541?2 Attive ' CITY, STATE, ZIP: 452•1565 g Ezpired [,?] Not of Recor Irl PHONE; PLUMBER LICENSE # 001445M2 a ni ia q) OCCUpANp??NER (PLERSE PRZNi) . DIANIE: ?7P?R/a? /ff?m?sa.? ADDkESS -. ,$g-m E e2? ' CITY, STATE, ZIP; ? f PFIONE: ' 5) INpIC'ATE WHICH PERMIT IS BEING REQUESTID: ? CONDIECPZON TO CITY SESn1ER ? CONNECTION TO CITY WATER ? OTfMR (PLF,FISE DESCRIIIE) 6) LNDICATE CNE: ? PLF'.ASE HOID APPROVEp PERMIT FOR PICK-UP BY ONE OF ABOVE EIPL,FIISE MAIL APPROVID PIIZMIT TO 1. 2,03 4 A$OVE (Circle one) 7) smZ%T,RE???ilu.G l?'G? DaTE: ?/? ? / .. . . . ?. .. .. .. .. . . . . J?i+?r t'+f ii4irr? tM a #!?!?!!4?!a!Yt!!`r+#r?!"4 rl f.? ?sisNr:ar;aYcr 'v F 0 R C I T Y U S E O N L Y PERMIT ° ISSUED FEES: $ C0.?50 SEWER nERMIT (INCLUDE SUP.CHARGE) $ /0-So WATER PERA4IT (INCLUDE SURCHARGE) . $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ?S 00 ACCOUNT riEpOSIT - SEWER $ IS.00 ACCOUNT DEPOSIT - WATER. $ Y70OL) WAC $ SzS, vo sAc $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL SENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ` OTHER $ TOTAL - ?•., ,.., , F . ,. _ .. ... $ SI. °J ; , , AMOUNT PAID/RECEIPT•';# yL Sq2 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISIOP,. LSST F,S A CONDI- TION. SUHJECT TO TAE FOLLOWING CONDITIONS: APPROVED BY: ?JIyVV TZTLE: DATE : 1844 ? .. ?? For : U. S. HOME CORPORATION \ F (?(0l ^ +`ToQ ey3902 ? I???? /?-- R?\\k aFVti o ?a D / X ? O ` o / ?t l t r/ 3? \ ?0 .? : 3Q ` o„ o,. ?o \ 9? \ ??\ \ o, 01 ? C. R. WINDfN ; ASSOCIATES, INC. lANO SURVEYORS 14 445•3819 I38I EUSTIS SL, ST, iAUI, MINN, 55108 Scale: 1" = 30' O Denotes Iron Cc`- w `soa Lr (4? iu' v ? . ? l Qtofv o h `q 0 ? ? ? ?? o? tv?o 0?`9?,ti D,u.s ? ?\ . F / / ? / / ? ' / ,. Q ' ? ?83 \6 5 ?Z? NOTE : Q`L C ? Proposed garage floor E1: 94!.0 ??'0 ? L900,a) Denotes groposed ? ?? finished ground E1. ' ?R .0-- Denotes direction of ? surface drainage. Vertical Datum - N.G.V.D. 1929 Lot 7, Block l, RZDGECLIFFE SIXTH ADDITION, Dakota County, Minnesota ?O j216 i 5 500.. yJ M'E kERE6Y CERTIfY TMAT TMlS IS A TRUE AND CORRECT REPpESENTAiION Of A SURVEY OF iME 60UNDARIES OF TME IAND A60VE DFSCRI6ED AND OF THE LOCATION Of All lUIIDINGS, IF ANY, TMEREON, AND AlL V151lLE ENCIIOACMMENTS, If ANY, FROM OR ON SAID IAND. Cotod 16;? ILh doy ef APr'l A.D. 1984 C, R. WINDEN 8 ASSOCIATES, INC. br__ `e. ? f Surwrar. Minn*wfa RayiserOtien No. 7726 NJ1511 o 7 lq DI 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ?O ? City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _....._ New Construclion Requiremenis RemodeVRe{rair ReauiremeNs 6fCrce-Use Ordv 3 registered site surveys showing sq. fl. of lot, sq, ft, of house; and atl roofed ereas 2 copies of plan CerJ of 5ursey R¢cd 1?L YN (20Ymaximumlotcoveragea(fowed) lsetofEnergyCalculafionsforhea[edadditions TreePC05Plan?f?ecc? 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site sunrey for additions & decks Trce Pres Reqiiited 7setofEnergyCalculafions Addifion - i/dicateiton-sitasepticsystem Drnsite3ephc.5y5tBm ^Y,...,N! 3 copies of Tree Preservation Plan iF lot plalled afler 771l93 Rim Joist Detail Options seleclion sheet (buildings wilh 3 or less units) ConstructionCost Date?/?/? J?????X Site Address 1oriy n y 4,?XJ?-? V\ 1? C,?' Unit/Ste # Descriprion of Work ? j Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 I P t O Telephone#(bsl) 90 S" 1900 wuer roper y PELLA WINDOWS & DOORS Contractor 15300 - 25TH AVE N. #100 ° Address PI-YMOUTH, MN 55447 City State 763-745-1400 LICENSE # 20165884 Telephone # - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categoiv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calcuiations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechonical Conhactor Sewer/Water Contractor Telephone #1 Telephone #( Telephone #( I hereby apply for a Residential Building 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 the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approvec?. plan in the case of work which requires a review and apptoval ofplans. d --1 Applicant's Printed Name Wpplicant's Signature , _. . , Wd9E: l •g •unp amil paniaaay PeIIa Wiudows & Doass - Twin Cities, Inc. 15300 ZSTH AVE.N. STE. #I00 PLYIVFOTTTEI, MIN 55447 753Y145-1406 3une 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Deaz 7an: WATS 1-800-462-5359 FAx763t745-1401 Elder Jones Coxporarion is authorized to pull building permits for Pella Windows & Doors - Twin G`iries, Inc_ Flease allow their representaYive to provide that service for us in Eagan- This authorizatiott shall be valid vntil sueh time as the division manager expressly revokes it, sn writing to the City. I request that this autltorizaFion be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any qvesrions, I ean be contacted at 763-745-1432. Your immediate attention to this matter is appreciated. ' cerely, ---•-? W. EAI?C ' i Bryan . May. N?yP?ia Repiacentent Sales Manager cc: Kara-EldcrJones /??i?•tQ??. Denna Krafty - ReplacemenY 5ales Process Coordinator ?? ? Windows, Doors, & Skylights 7nnl'? e?rrT1 Urur Tus sisr exi 7ra ?,r ir•cr Fv.r PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087262 Eagan, MN 55122 . Date Issued: 11/03/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1844 Narvik Ct Lot: 7 Block: 1 Addition: Ridgecliffe 6th PID 10-63985-070-01 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: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. 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: Home Depot At Home Services Joseph A Hendershot 656 Mendelssohn Ave. N 1844 Narvik Ct Golden Valley MN 55427 Eagan MN 55122 (763) 542-8826 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 I For Office - ~ ~i City of Wan RECEIVED j Permit 3830 Pilot Knob Road JAN 0 6 2012 Permit Fee: CJV I Eagan MN 55122 I I Date Received: z- ~ Phone: (651) 675-5675 I I I Fax: (651) 675-5694. I Staff: L -----------------I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ( ` I Site Address: _ doe Hendershot Tenant: 1844 Narvik Court Suite Eagan, MN 55122 RESIDENT / OWNER Name: 6516810157 ine: Address / City / Zip: CONTRACTOR Name: (!IORBI OhA PI I IRAB•I•NG r..() License (P P 52A Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK -New Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: WtAcej Water n law PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures C_ RPZ / PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES; $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 ~ iyor/al o-r7v x Applicant's Printe Name A icant's Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In ' Air Test Gas Test Final PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA102595 Date Issued: 12/28/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 1844 Narvik Ct Lot: 7 Block: I Addition: Ridaecliffe 6th PID: 10-63985-01-070 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Standard Heating & Air Conditioning Joseph A Hendershot 130 PIN-mouth Ave. N 1844 Narvik Ct Minneapolis NIN 55411 Eagan MN 55122 (612) 824-266 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 Citv of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132293 Date Issued:08/04/2015 Permit Category:ePermit Site Address: 1844 Narvik Ct Lot:7 Block: 1 Addition: Ridgecliffe 6th PID:10-63985-01-070 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Joseph A Hendershot 1844 Narvik Ct Eagan MN 55122 (952) 393-7207 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature � 12�812015 15:49 6516365389 KITCHENS BY DESIGN PAGE 91/05 Use BL,UE o�BLACK Ink r_��_—.� �—_.��_ �' 1 I For OtTce Use - �� I � � Permitlk � Cl� Of��I�Il � ' � , � 1 Pertnit Fse: � 3830 Pllot Knob Road � � N"��'�� i Date Recslved: ��"«� I Eegan MN 55122 � � Phone:(651)675-5675 DEC 1 8 Z015 j Staff: � Fax:(6g1)675-5694 I +—�-------------� � � � �� -1 1 RESIDENTIAL BUILDING QERMIT APP�ICATION � —�„�� 20 5 L �1 i 6 �'�j�� G�t1� �L. ~ J� r'}' Ur�it#: Date: � o Site Address: Name• �`17r v.� I ' 1 l.t.,�n o�. - Phone: 2 � �� ;,;i�,;Q,,�9',S.�I�,�,n��i(ti��:"�`; L ` i;�'� '`'�`�vVn�er�� Address/City/Zip: ��G r v i r ��'� Applicanc is: Owner �Contractor i:f"� ri�l��. �,�f�•�� i/�y� yp:�..of;W� rk;;'; Desc�ption of work:�*,ti� � ^�-� �i;i,T'::.:,�°' Q';...,. Construction Cost• �� . '�J Multi-Family Building:(Yes /No ) �,aw. �r� ;;',;,;�� ►��.,tiw�..� ! Compsny: i ' � Conkact:,—r-,� �;;�,; �� ;:i;:.� _Z_.s.�1 C; (�.o r L..r�►Ic.�—�,�- .��ry� �- r �,�-�--, :�:. "::.;;` ',,;.'"":i,,.. ,.•�. Address:— "�;ont�ai�tot;;�':;'.;' �� j .�3�1 L03i�0�'�E ail:��,.��-` "'a,�'�""`�5� i- State:�(Y�� Zip: l 1 Phone� ------ ry,,, ,� �1��i1 License#: \'ti.�.�J�l��LI Lead CeRlflcate#: b a�� '�.�::';;::,;;::' �:; If the project Is exempt from 1�ed certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1�the le9t 12 months,hae the Ctty of Eagan Issued a perml!for a similar plan based on a master plan? Yes No If yes,date 8nd address of mastel'plan: Licenaed Plumb�r: Phone: Mechanlcal Contractor: Phone: Sewer&Watar Cantrector: Phone: Fire Suppression Co�tractor: Phone ,, ; NOTE:�P,�a�is��'d;;supp�rting:;docume»ts�th�t yow.submlf a�con,side�'ed to be ptubifc/t��tini;r�it�on:��;'Po�cins::o��;;;� ,. ..., , , , � �,�the,:miormation�f�y be classr�ied as�ton::public'if you,Rravide�speciic reason's�tMat�wi.o�ld.perr»�,t•:'the;;Erty�o,' :.� .,. .. �� ,.: ., •..::.::.:.: ..::::::::: .. . :•::�, ; ..:.. :::.,.. ��,,,.,. .:.::: ... . ..:.:::.::. . .. , „. �� .conclude:that the are trade'secretsi:. � . CALL BEFORE YOU DIG. Call Oopber Stste One Call at(651)454-0002 fo�proteetlon against undarground utility demE�ge. Call 4B hours before you intend to dig to receive locatea of underground utilities. �aooherstateonecali.or9 1 hereby aCknowledge that this inf0�maqon is compiete ailtl accurate;that the wodc wlll be in conformance with tha ordlnances and eodes of the Ciiy of Eagan;that I unde�stend thls Is not a permit, but only an applicetion for a perm�t, and work is not to start without a permlt; that the w0�k��ba in accordance with the approved plan in the caso of wortc which requires a review and approval of plans. Exta�lof wo�k eulhorized by e bulldltlg permit ia�usG In accordance with the Mlnnesota StBte�ullding Code must 6e�mplotsd withln 180 days of permit iasuenca. x ��.9._ � �O�� X � ppplicant's Printed Naiite Ap ant s Signature P�ge 1 of 3 � 12!�8/2�15 15:49 6516365389 KITCHENS BV DESIGN PAGE 0�/05 � g� `�G(J►� �T IS LINE `�� DO NOT RITE BELOW suB� Fcundatlon Flreplace _,_, Porch(3Season) _ Exte�ior Alteration(Single Family) � Single Famlly _ Garage � Porch(4�Season) � Exterior Alteration(Multi) Multi � Deck � Porch{ScreeniGazebolPergola) _ Miscellaneoua � 01 of�Plex _ Lower Level � Pool � AccesSory Building WORK TYPES New Interior Imp►ovement � Siding _ Demolish Bullding` Addition � Move Building _ Reroof _ Demolish Inte�rior ^ Alte�ation ^ Fl�e Repair _ Windows � Demolish Foundation Replace _ Repair _ Egress Window _ �Natar Dama�e Retaining�Na�� `Demolition of enNre buiidine—give PCA handout to applteaM DESCRIPTION ' � Valuation � Occupancy ��'� . MC�S System Plan Review Code Edition � � � SAC Units (25%_100% `�) � 2oning --�� City Weter �,_ Census Code Storles Booster Pump #of Units � Square Feet �— PRV #of Bulidings Length Fire Suppression Required � Type of Construction � Width _ REQUIRED (NSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Requlred Footinga(Addition) Final/No C.O, Requi�ed Foundation HVAC_Gas Service Test Gas Llne Air Test Roof:_„_Ice&Water _Final �� Pool:_Footings Air/Gas Tests �Final Framing Drain Tlle Firepl�ace:_,Rough In Air Test _Final Siding:„Stucco Lath 8tone Lath _Brick � Insulatlon Windows Sheathing Retalning Wali:_Footings_,Backfill�Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Eroslon Cont�ol � Other: Reviewed By: �.Building Inspecto� RESIDENTIAI.FEES Base Fee �� Surcha�ge _ J� �'��, ,�,, �� ,� Plan Review � ,�� MCES SAC ��;'�� Cily SAC _ � Utility Connection Gharge � S8W Permlt 8 Sureharge � � � � (� � � �1 � � v Treatment Plant � Copies TOTAL Page 2 d 3 City of Ewn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink ---------------, For Office Use I I� �5 I Permit #: a I I Permit Fee: (P0 (no _ I I I Date Received: I I Staff: tJ ------------------ 2016 MECHANICAL PERMIT APPLICATION / ❑ Please submit two i (2) sets of plans with all commercial applications. Date: /" Cl & Site Address: / !7 & _ n r l<' k G P-71 Tenant: Suite M 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. xI- -et F rti5�,y x Applicants Printed Name Applicibift Signature FOR OFFICE USE . Required Inspections: .. Reviewed By: Date. Underground Rough In Air Test Gas Service Test In floor Meat Final HVAC Screening Name: 42a Pldl d Maki C Phone: ResidentlOwner Address 1 City 1 Zip: Name: �, 2 t S �-P&CAqZ`• &J Address: fO 6-y0 %_/Gv S City: d(it <h `l Contractor �/i State: _B)V Zip: t�:6:C1*3V Phone: zCa -- - Cl Contact:./- -e- Email: New Replacement Additional _2( -Alteration Demolition Type of Work 11 Description of work: VlLLXh e' � An 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. ij RESIDENTIAL COMMERCIAL i Furnace _ New Construction Interior Improvement Permit Type. Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank L Install/_ Remove) Other 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 $ t/(/ X.011 $60.00 Permit Fee Minimum $70.00 Underground tank installationlremoval = $ t 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 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. xI- -et F rti5�,y x Applicants Printed Name Applicibift Signature FOR OFFICE USE . Required Inspections: .. Reviewed By: Date. Underground Rough In Air Test Gas Service Test In floor Meat Final HVAC Screening r t= _.. City of Eaflan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink ----------------- For Office Use I I / I I Permit#: I I Permit Fee: I I Date Received: s 161 Staff: V I 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: ! e4"41 Resident/Owner Name: _G'6� Phone: Address 1 City / Zip: Name: "3L, License #: 6aA C? Pei Contractor Address'66_9d7 (e!))�l4al_L p State:—Zip:Phone: i!KC2 -32- Type of Work . Permit Type Contact: Email: New XReplacement _ Repair Ile. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ 1 ` PVB) Septic System New Abandonment Rebuild — Modify Space _ Work in R.O.W. -- �4�r i•u<g *- —Mt,T► Water Softener Add Plumbing Fixtures L Main 1 _ Lower Level) Water Turnaround 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 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 314" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) 0 TOTAL FEES $ 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 i of to s 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 plans. x ditJ Applicant's Printed Name FOR OFFICE USE I. Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff.