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4731 Narvik Dr$UI1.6iNG PERMIT cirr oF EAGn?N 3795 P11aR Knob Qaad Eu9an, MN $5122 PHONE: 454-8100 Site Addrcu 4731 :larvik Driva Lot "tt«k 5 Sea/5„b. Park Ri.dfze Parcel # oWc Narroe _ ; Addreas b Ci S • , o NOf"e - Z? Nddreu ~ Cit Bu ? W W Nome _ ?- x? Address 1 hereby acknowledge tha the information is torre- State of Minnesota Stot Slynature of Permittee . /1 Bullding Permif ls issue oll work sholl be done in Buildinp Officiat to: Receipt # Erect Nlter p Repoir Q Enla?fle ? Move p Demolish ? Grode ? 6th St. Assessment- p?bne _ 432-1433 . Wote? 8 Sew. Pol ice F ire Enp • phorw Planner Councll read this application and stote that 3ree to comply with all opplicnbla City of Eogon Ordinances. Bldg. Off. _ A? oll Occuporicy R-3 Zoninp rc-1 FifQ ZOf1Q 1rA Type of Const. v # Stories Sq. Ft. Fees Permit L`JZl. UU Surcherge 27.50 Plon check 149.00 SAC 525.00 Water Conn. !+ 5 (1 _ M Woter Meter 6n= Rood Unit ?-')'" • E-0 I Total $1759.50 on the express tondition fhnt and City of Eoflan Ordinances. Permit No. Permit Holder Misc. Psrmit No. Holder Plumbing ? ? 7 ?- GF h?Z - ? 7- ?'Z -?? H.V.A.C. 3 Jl ( D '1,??E_n zE 1 7-(0-&3 weu Wetsr Disp. Sewer Elact•ic woco3s?89 b.t L EI ?c . -r-B-£33 Inspection Date Insp. Other Footings Foundation Framinp Rou? Plbg. ij Rouyh HVA ' I Inwlation 7 Final Pibq. Final HVAC Final Waor Dasa?ibs Loestion: YWII ' Sewsr . . Pr. Disp. Receipt MECHANICAL PERMIT Permit No. 3%n CITY OF EAGAN • Fee - FiII in numbered spaces S/C - ?-?n TYpe or Print legib/y Yot. - ? 1. Date 2. Installation Cost 3. Job Address I?73i NaLot ?Bik. Tract r, .c 4. Owner 5. Contractor Phone •> - -- : 6. Address = 7. City _r -?;r -? State i?-/' Zip 1/2171. 8. Building Type: Residential t Commercial ? Institutional O 9. 10. 11. ? 12. Work Description: New Cf' Add ? Alier ? Repair ? Describe Fuel Type ??- No. Eauiprrient HTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. Boilers ? g Mfg. Mech. Exhaust Unit Heater Mfg. Qther Air Cond. Mfg. Gas, Piping Outlets I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes Signed: governing this type of work. for Rough ,' Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 PERMIT # MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 City c Add o Citv TYPE OF WORK Forced Air 8oiler Unit Heater Air Cond. Vent Gas Pi in O tlets it RECEIPT # Use Oniy: BLDG.TYPE Sec/Sub Res, ? Mutt Comm. Other M BTU M BTU M BTU M BTU CFM p g u Other FEE: S/C: ? .J TOTAL ?'?. ;;, - ,>t•;.. ?.t WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU AODITIONAL 50 M BTU (RES. HVAC INCWDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - $24.00 - 6.00 1.50 EA. MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIRE OF PF_AAIIliZE FOR: CITY OF EAGAN tl/?,/r9 va a",? Receipt - PLUMBING PERMIT CITY'bF EAGAN Fill in numbered spaces Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. 4. Owner 5. Contractor 6. Address 7. City State 8. Building Type: Residential ti- Commercial 0 Institutional ? 9. Work Description: New 91--'? Add ? Alter O Repair ? 10. Describe No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel l 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 Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks L Addition PARK RIDGE 1ST ADDN Lot 13 Bik 5 Parcel 10-56750-130-05 owner street 4731 NARVIK DRIVE State EAGAN hQ1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 49.1 14.91 10 104.40 AL013171 STREET RESTOR, /? d r 102.91 C009876 10-23-84 SR41)-f? P ` 38 .08 25.94 SAN SEW TRUNK 19$2 9.81 15 117.78 *SEWERLATERAL 1989 26.16 1.74 WATERMAIN * WATER IATERAL 1985 WATER AREA _ 1982 9$1 ? is STORM SEW TRK 1985 370.93 24.73 1 * STORM SEW LAT 1985 CURB & GUTTER SIOEWALK STREET LIGHT ROAD UNIT 250.00 36451 6-15-83 WATER CONN. 450.00 n It 6UILDING PER. 9146 SAC n n PARK i CITY OF EAGAN WATER SERVICE PERMtT 3830 Pilot Knob Road S 4R9 P. 0. Box 21199 PERMIT NO.: Eaga!,, MN 55121 DATE: Zoniny: R 7 - No. of Units: 1 Owner 4„ -^ G1i?'i0Qa4 i : Add?ess: Site Address: LL731 arYik FJr i1' A, ar; F&Tit ifLiRs Plixnber. -r2t 7)--14-tabin^ - 450.00 p3 Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: i n_ fli} y-1d I ogroe M cwnpip wiHe 1hs Gtr of Eagae Surcharge: Ordinanea. Misc. Charges: 60.00 ?x3 mEtel^ By Dote of Insp.: Totol: Dote Paid: CITY OF EAGAN SEWER SERVICE PERMIT ? 3830 Pilot Knob Road P. n. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' L 1 Zoning: No. of Units: pN,,w,; Auacon HOmes Address: ? Site Address: -''31 NFiTVik ?rivc: L13 r?''Y. `.?1?;e Plumber :?tar 36 4 100.00 ,;:i : 1 a9ree to oomplp wfth !iM G!y ef Eagoe Connection Chorpe: 42 5.00 Ordinances. Accaunt Deposit: , By Doh of I nsp.: I nsp.. Parmk Fee: lfl -O0 pd Su?chorge: - SQ 2Si Mist. Chorges: Totai: Dote Paid: m Zb Be Used For ?5--g 5L CITY OF EAGAN BUILDING PEF2MIT APPLICATION ? - ? SSQ d U Sirt?le Family + 60-VValuation ? Site Address: 4731 Narvik Dri.ve Lot 13 Bloc7c 5_ Sec./Sub. park Ridge Erect ? Parcel #: Alter Repair Raner: Victor & Constance Erickson Enlarge - Nbve Address: 2$5 Park St. W. Deirolish City/Zip Code: St. Paul So.. MN 55075 Grade Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date (p-Cr g-a OFFICE USE ObII,Y Occupailcl' 4 ? Zoning Fire Zone _ Type of CAnst. # Stories Front z 8' ft. Depth y :z ft. Phone #: 455-6137 APPROVALS Contractor: Ruscon Homea Address: 1000 E. 146th St. City/Zip Code: Burnsville. MN 55337 Phone #: 432-1433 Azch./Ehg.: Phillips Plan /Probe Engineering Address: 1000 E. 146th St. City/Zip Code: Burnsville, MN 55337 Phone #: 432-ZO44 / 432-3000 .ar. Assessments Permit Water/Sewer Surcharge Police Plan Check l Fire SAC g1q, Water Conn. plannp,r Water Meter G,lJ COlII1C11 ROad UT11t _2S--6 ? Bldg. Off. APC TOPAL [ -7 S q ? t BUILDING PERMIT CITY OF EAGAN 1795 Pild Kneb Rmd Eagan, PNONE: 454-8100 MN 55122 lr ? 8146 Receipt # i SF DWG/ d h Vaiue $55 GAR E t 000 Dore June 15 19_$L Te M we r s . Site Address 4731 Narvik Drive Erecr }[$ Occuponcy R-3 Lot 13 Blxk 5 Sec/Sub. Park Ridge Alter ? Zoning R-1 Repoir ? Fire Zax NA Parcel # V Eniorge ? Type of Const. a Name Victor & Constance Erickson Move ? # 5tories ; Address 255 Park St. W. Demoliah ? Length 38 a Paul St S 455-6137 Grade ? Depth 49 Sq. Ft.- . . ci phone ' ? ""....6 F.w. g Nama Ruscon Homes Addreu 1000,E. 146th St. t- P'...Burnsville w,.,.,. 432-1433 Name Address Asussment _ Water & $ew. Police _ Fire Enp. Plonner - Councfl _ I hereby acknowledga thaf I have read this applicotion and stote that Bldg. Off. Ihe inlormation is corrett ond agree to wmply wifh all applicoble APC - Stote of Minnetota Stotutes and City of Eagon Ordirwnces. Signoture of Permitfee A Building Permit Is Issued to: -aI1 work shall be darx in accordunce with atl Building Officiat Permit 47v - vv Surchar90 27•50 Plon check 149.00 SnC 525.00 Water Conn. 450.00 WaterMeter 60.00 Rood Unit 250.00 Toml $1759.50 _ on the expresa condition th-i and Clty of Eeqan Ordinonces. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi.oa ' See inu<ruetions tor completinq ehis (nm on back of vellow copy. « ? QE359 "'K" :;elow Work overed by Thrs Request ??p (qQ? dd Rep. Ty00 Of Builtling APOliaoces Wired EquiVmenl"Nlir¢tl Home Range Temporary Service Duplex Water Heater 14 Ligh[iny Flztures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm Other oeo y 71hcrl5uer,ifyl c r uecify Othe, Oth.r omnute lnspectron Fee Below k Fae ServieeEntranceSize k Fee FeaCers/Sabteedars # Fee Circuita 0 to200Am 0 io30A s 7 0 to30Am A6ove 200 qm 31 to 100 Amps 31 to 700 Am s Swimmin Pool A6ove 100_Am s Above 100_Am s Transformers Irtigation Boorr.s Partial,'Othe[ Fee Signs Speciallnspection S ? T Remarks sP°i? w . AL ?E 1 7 _ TJ Hough-in I. theecElachicnl Insptor, hereby Final J r 1e ? certily thet the above insVection hes been' made. Thin rweuwnl roia 18 monlln IfOT 'If This request void 7` O L1310 s, ?4(?k P(AAe- J(o ( 0 18 months iram O - W063589 °27 Reques[ Date _F3 fire No. Ibugh-in Insp?ection []11eQm ¢tl? Ready Now ill Notifv bispec- ? es No Iur When Ready Licensed Elec[rical Contractor ' 1 hemby mpuest insoection ot ebova Owner C4`131 WtU li k Dr ?j eleclriwl work installed at: Streut Adtlr Ss, Box or Route No. k'`? CiW ection u. Township Name or No. flange o- Cou / ? (\ Q ? Occupyf?? INT?w ' ?' ? s e ,? Phone No. Pow uOV, i ?%FR n ? l Address =M 1:::?OI Ele I ConVactor (Compeny Na 1 ,- ?,- C traclor's Licnnse No. 6 4, c? a? s M»ilinq AAdress iConVactor ar Owner Making In tailation ? ' ¢(j A? ? S v? / , u orized a (Ca or Ow Maki tallati Phone omber ? THIS INSPECTION BEQUEST WILI NOT MINNESOTA STqTE D OF EIECTIiICITY eE ACCEPTED BV THE STATE BOAHD Grig9s•Midway BI . - qoom N-191 UNLESS PNOPEP INSPECTION FEE IS 1821 University Ava., St. Paul, MN 55104 ENCLOSED. ?/3i10 IF 04714 REQUEST FOR ELECTRICAL INSPECTION ji? 5ee insimctions tor compleling this farm on back of yellow mpy. "X" Below Work Covered by This Request EB-00001-0'! v? S'/?& 5/ e Atld Rep. TypeofBUilding. AppliancasWired EquipmemWiretl Home - Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) • Comm.Andustrial Furnace Farm Air Conditioner Olher (specily) CoMrac[or§f emarks: Compute Inspection Fee Below: # Other Fee # ServiceEntrance Size Fee # Cirwits/Feeders Fee Swimming Pool 0[0 200 Amps 0 to 100 Amps Transfortners Above 200 _ Amps Above 1_ Amps S19fIS Inspeclor5 Use Only: 7 7'pL InigationBOOms /? • S Special Inspection a Alarm/Communication Other Fee I, the Eleclrical Inspector, hereby certify that the above inspection has been made. Rough-in owe Finai ? oare r - ?jol OFFICE USE ONLY This request wiG 18 monihs Imm R oate - ? Fra No. Houghin nspeqi n RequireC? ? Yes ? No ? Ready Now ? WIII Noti(y Inspector When Reatly? I046,5?nsed contreaor ? owner hereby request inspection of above electrical work at: Job Ftldr ss tree6 Box r Raute " _ Ci O-rf? Secti n . Township Nartre a No. Rarge No. Counry Occu n? ( RINn P No. - 7a Power Supplier Adlress Eleclrical ConVaclor (COmpa Name) Cqr?liuclo?§ ' nae No. r IingAtltlressCOnVacfo i4 PEii i?. a [prlhyg?ilypg?¢5?y?9?iLp??ANE .?p ' A ho u( aki ti Phone Number MINNESOTA $TqTE BOMD OF ELECTqICRY 7HI5 INSPECTION REQUEST WILL NOT Gtlgga-Mldwey &Eg. - qopm S173 BE ACCEPTED BY TNE STATE 80ARD 18E7 Unirnalty Ave., St. Paul, NN 55/0C UNIESS PROPER INSPECTION FEE IS Phone (812) 612-09W ENCLOSEO. Llai C3st ParJc tu'?? HOUSE'MEATING TEST RECORD , j u i ?O ADDRESS ? ?2 1 /? L3'? • ppT. -FLOOR CITY SUBURB OCCUPANT HEAT LOSS DATE HTG. INST OWNER SOLD BT INSTALLED BY ?, . Eleetrieol Work By Ces Lin. gy TYPE OF HEAT GA -FA HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN . CONVERSION - MAKE MAKE OF BURNER Moa.i ?ra oF ?C?1 _._?,oa.t , . . Ssrial E{j Max. BTU Retlny INPUT ?d??'+? ? MAKE OF FURNACE Modd , CONTROlS - THERMO$IAT ypat Plu? Vmt Sl:s . ' ? Valw ?? ,r?i' ?'? r, KIND OF LINER SIZE , HONF Limit Drah Hoed Repulowr _ Limit Settinp . Filfan Sise . :aumber Fan Sstting Chimney Loeailon imide Wtddd Pilot Typs Chimrroy Conitructfon . Pilot Moks , ' . .. .Y/ ;i . PiimAbdsl ? SmokeBomb .? ..... .'WIrInQ._ .,...-- Pilot Timinp ?, . Draft p .. ? . ? I.. i. ..J ?. a F?T : r.':t . ?..,.,;.. j` `i L.W. Cin OfF Doa Prssswe Lightiny Inar. r [? BQ Preasure ??? PeroantCOZ DptaTssied ?7 T I?vt CFPacanf Q1 ?.a?'JLi ComPany Tsstlny c.{Gh ck Pae?nt CO sl?'? ?7 Nams of Testee / l r=y.1 I1,-121.S . .. ?Farw 295 , . .. . . . ' - . i. . .. • . ?: .. qc ?Y 1)? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PII.OT KNOB RD - 55122 (651) 681-4675 New ConstNCtion Requirement5 ? 3 registered site surveys ? 2 copies of plans (include 6eam & window saes; poured ind. design; etc.) ? 1 energy wiculations ? 3 copies of tree preservation plan fi lot platted aRer 711l93 required: _ Yes _ No DATE: C? - I O` ` I CX?- COST: _ 00 DESCRIPTION OF WORK: 1 1 U -K? \-<UUoj? STREETADDRESS: ??- LOT: BLOCK: SUBD./P.I.D. #: Pkv-V PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: 5? ? `l Q Phone #: ?,? Lut First SveetAddress: City C?M {?QJ State: n? Zip: JS 4??-. 1G H t °Wiwai 6ti?S?Y'IN G 1200 c.79th Street Street RemodeVReoair Requirement5 • 2 copies of plan ? 1 site surveys (exterior addkions & deGcs) ? 1 energy celwlations tor heated additions P6one #: c,ty ? (61 2')S5:3-0049 I stace: Sueet City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that I have read this application, state that the information is correet, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. '7?j Signature of Applicant: ?? ? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - ot Required Zip: Phone #: Registratien State: Zip: License #aens.-Exp. SE?? I 5 ,_. - J 0 OFAOBE COHSULTINb 40101144411151U EN6INEEAING PLpN?+eA: eno LaHO IIVEYOIIf ? COMPANY, INC. ?1000 [AST 1441h STlIECT, OURNSVILLE, MINNESOTA 55137 PM 432-3000 Jd?t I?Gf - s?/ p??01L • Lor 0?., $t-be.v- 51 PARIL RlDt?E., , DnKorA ceuarv, Nua.) ESerp, . AIORt? • CF?-bTES ?ND Mowlv?'?+Fi?r ? i ? . s ^ `??'? a 2f°• ? / \ 3?0 82 'o^i7 q?. ? p ?93s 'B 9 '?D .o </Gna?GC / b ? ?93xt, '? Oy . 1 j / ?• ~ry ?p ?? ? ? L oT- \ ? Sy ? -DO 6 ? C935. o? j?orLS PkflR?SFD Et61. ?' •? ? Fi?is?tED GAk+(? Fu»2 Ee.e?1='9a5 ? [k+-ixES DI RF.cxwn o4 1 DaAWdtae 9T?z.o / MCP6 I _5 m ? a9 / F R3o y? ?3 r \ F io 30? BU?LD10a 'M SEiBKIL Li-lE ? 1 ? \ S S ' i_Ai 7Xtn1.Jn,06e a?ID urjuTv EASEr.nE•-1r Ihareby ceMity thaL this i¦ a true and correet raprasentation ol a-traat ot lanE at •hown'anE described hereon.. Ai prep4red by me on this dar ot Su.?E ? 19 $3 . . ? ,..a17,.Yk 2.ti`?^'1_ r? tiinn. Rfg• NQt l?(nr,u ¦ '??' a. e+ wsw. ?C/\ % 2005 RESIDENTIAL PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN 651-675-5675 APPLICATION MN 55122 Please complete for modifications to existing residential dwellings. DateI I lc2y 1 65, ?,/ Site Street Address A4731 1'?or1r?C U r- Unit # Property Owner ?.?1 vrl.t e? Telephone #(ev5f ) ?$ Contractor I S Telephone #(I65I ) 365 ?(34 O Address ? City ?GL State ?L1 ? Zip 5S? ? The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. !i p,ou are installina oRIV 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 Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener 4"?Water Heater $ 15.00 new replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 "- `_JJJ I J Sb Total g I hereby apply for a Residentiai Plumbing 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 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 be in accordance with the approved plan in the event a plan is required to be reviewed and approved. IC rls ol th k/Iz11 App Ys Printed Name Applicants Signature ? 5 (4p For Office Use (1n Permit#: City 11 OT E/U(1UI1 C1 I 92..C I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _ /i Site Address: 11/~.c1Ul~ !VO` Tenant: 4A/ 7a4 Suite Phone: RESIDENT / OWNER Name: Address / City / Zip: y~/2t/ del y~ Applicant is: Owner x Contractor S~la•erGdh, G /rt&Li~zL) TYPE OF WORK Description of work: /fj c4" S%6/ d lW C iii?~,? C Construction Cost: ' /7,, -S , Multi-Family Building: (Yes / No CONTRACTOR Name: kl. ~l~,zD License 3(~l+~k. Address: City: %L ~l2 /moo?r r~=`d State: Zip: '5-S-076- Phone: 4 - 1 1 5 ? 6 1/10(-191 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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. 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. _oe Applicant's Printed Name Applicant's Signatur Page 1 of 3 ù÷ù ï ÿþ ÿþþ ýüý ûþþïü îøÿ ôÿ áÞ ÿþù ýüûúùø îü ÷ õ îü Ýü ÿ ÿ ø ó ïü ó üû ã þý ø þ þ äå âù Þý ÷ë ã çëåëåå ôû ýü çëäëä óííñ ùðö øø øø ò ÿÜ ñ ÿãú Þý Þõ ì øø è ùãõ ÿãõ àäßå ûù ÿ ì øø ê ó ÿ óøùøøû ý êã ýü ñùê ÿí ë øøö ó ýÿü ü ùýÿü PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139425 Date Issued:10/21/2016 Permit Category:ePermit Site Address: 4731 Narvik Dr Lot:13 Block: 5 Addition: Park Ridge PID:10-56750-05-130 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Craig M Testa 4731 Narvik Dr Eagan MN 55122 Boevaag Plumbing P.O. Box 1257 Prior Lake MN 55372 (952) 292-1511 Applicant/Permitee: Signature Issued By: Signature 411/11 CityofEaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 Staff: Use BLUE or BLACK In For Office Use // Permit #: /0627 7 j It LV Permit Fee: /'i 7, 6 Date Received: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION / (F) Site Address: y7 3i Alio- V i lam-- DY Unit #: J Name:k C l s- feSt11-. Phone:i�< -bb l 't)3 2c S/iApAddress / City / Zip: 27 / '3! / % -friR f r eglan MAI SS/2- Applicant plicant is: Owner X. Contractor Description of work: ,('"thJl'r/ C Construction Cost 51;)'' .61e' 6 v Multi -Family Building: (Yes / No 5k ) t rf Company: � � � ♦ ` % _� ' / � L(t�� •' tact: ffkf Y%) Address: /ol?(D& Nj(44Ilrt L- City: l i/'9,5%ilG[ State: PA/Zip: ,5-33-7 7 Phone: 9,502 -,P7907 -S)/ Email• 000/X -R73 f S) a/117"/ Carl/DIAL/A/6 . COP -7 License #: %jCDt o e S Lead Certificate #: Av# 7 -c/a 3© 3 -a If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Cali 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 1 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 SJat Buildin, Code must be completed within 180 days of permit issuance. Applicant's Pr Applictant's Sig -. ture Page 1 of 3 117s( \ifsciz-v PK— DO NOT WRITE BELOW THIS LINE JE97-7e SUB TYPES Foundation vSingle Family Multi 01 of _ Plex WORK TYPES New Addition Alteratio — Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction () Fireplace T Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool 11_ vTLIi 6A-) i . k h^ 6y)('L. Interior Improvement Move Building Fire Repair Repair to vo REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _._Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: Rough In Air Test Final Insulation 0 Occupancy Code Edition Zoning Stories Square Feet Length Width Sheathing Sheetrock Fire Walls Braced Walls Shower Pan _ Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill — Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 0 )(1)(9- Z//60 Page 2 of 3 Use BLUE or BLACK Ink .- For For Office Use C' Permit#: //� '9 lty of E /�/Permit Fee: r C .. 0 v 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L 2017 RESIDENTIAL PLUMBING PERMI APPLICATION Date: S----10 - 117 Site Address: (�( -7 31 ikJ a{ U(iC r Tenant: C I Cq T--e-J-k Suite#: Resident/Owner Name: Phone: I Address/City/Zip: C� i Name: QU C,Q V1 f (rl I�✓ /�r!' Licens #: 6 / 3 . - 'l Contractor ', Address: WO 9 l� . I "I S City: �YY S(�I l \Q, C3 9 a 9 / 0 State: Zip: ✓ /37 Phone: 0 f Contact � G.S 0 IC) Email &S O V\S av e i'i ezt)1 pi oh ..00i'l New Replacement —Repair —Rebuild —Modify Space Work in R.O.W. , Type of Work — — — i Description of work: RESIDENTIAL / Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) Permit Type I Add Plumbing Fixtures( Main/—Lower Level) Septic System 1 New Water Turnaround Abandonment I 1 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 Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ I 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 permi, -•d work is not to s a with a permit; that the work will be in accordance with the approved plan in the cas o work which requires a review and ,ppr. al of plans. 1a5011\ Si # ilk}P..' Applicant's Printed Name Applic-nt's Signa • FOR OFFICE USE Reviewed c v. Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: