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4106 Nicols Rd Use BLUE or BLACK Ink I Office Use I I I Permit ~5G City /~'ll EaI Permit Fee: _V5~ w I 3830 Pilot Knob Road 22 Eagan MN 55122 ~cC~l J~ I Date Received: Phone: (651) 675-5675 I I I Staff: I Fax: (651) 675-5694 L______---_I INFLOW & INFILTRATIO PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: 1 ~y ~o o t p1 S 2 t/ Tenant: Suite RESIDENT / OWNER Name: Phone: C,51 _ 14 ~-'j '~~(9 7 Address / City / Zip: Name: zh License /41 / Address: City: In /5 CONTRACTOR State: /21 A) Zip: Phone: ~.o /a - a 5D a~5 7 Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 l 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 x Appli6ant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final cirr oF EAcaN 3795 Pilot Kaob Reod Eagen, MN 55112 PHONEt 454-8100 BUILDING PERMIT Site Address Lot Block Parcel # Sec/5ub. '='' nY?Ve W Name Z Address 0 . . ., r:.., a.,,.,s °C Nome ? Z ? ?? Nddress ?- r'sf., oti.,..e Nome _ Address I hereby ocknowledge that 1 hove read this opplicotion ond state thot the information is correct ond agree to comply with all applicoble Stnte of Minnesoto Statutes and City of Eogon Ordinonces. Receipt # N4 5247 Erect ? Occupancy Alter p Zoniny Repair ? Fire 2one Enlarge ? Type of Const. Move ? * Stories Demolish [] Front ft. Grode ? Depth ft. Aonroroh Fees Assessment _ Water & Sew. Pof ice Fire Eng. Planner Council Bldg. Off. _ APC Permif Surchorge Plon check SAC Water Conn. Water AAeter Totcl Signature of Permittee I 060 ?•?- ?/- A Building Permit is issued to: on the express condition that cll work sholl be done in occordance with all opplicable State of Minnesoto Statutes cnd Ciry of Eagan Ordinances. Building Officiol Pwmk # psM law/ ?ennkh? Plumbing Mechonicol INSPECTIONS DATE INSP. Rough-In Finol Footings -J Dote Inap. Dafe Irbp. Foundation Plumbing Frame/ins. Mechanicol Finai 7Z ? Remarks: PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 4r-1 5' ?-? ' CONTRA(:T PRICE PHONE: 454-8100 ? _- Site Addre?s ' '?' ' '''- `'' `? ' ?'`' • gLDG, npE WORK DESCRIPTION Lot ` Block -?` Sec/Sub - J R N ? Name =icksoii iit,T. t v es. ew .9? Address 4030 :;e--au 1)' :tue Dr. Muit Add-on C R i ? C? tY a?san Phone `?-'2-7. 77, omm. epa r pm =t ] a gr e} _ ct? Name ? oe Carro1 FEES _ 3 Address RES. HVAC 0-100 M BTU -$24.00 p City :?' Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. .;' 1, ;LL"M BTU STATE SURCHARGE PER PERMIT - .50 (ADO $.50 S!C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE 1 ? - SIGNATURE OF PERMITTEE S/C: - ' TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN Remarks * Cgdar. GY+OVe ACQUiSit3.oA _ Additian EDAR GROVE 1 Lot 3 Rlk 2 Parcel 10 16700 030 02 Owner _-i `=' ' y{ -` f ?' Street 410C?adatrAvenue State EBqsn, MN 55122 i a r ro I I M, Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. , 1985 1266.95 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK SEWERLATERAL ? 1972 1,304.00 52.I6 25 Paid WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CaNN. BUILDING PER. SAC PARK CITY OF EAGAN BUILDING PERMIT APPLICATION To be used for Valuation 6ez" Date Include P,?05>L-lj cG ets of plans, 1 site plan w/elevations & k 1 set of energy calculations.j ? t Site Address N1 p(n C2cQn.t, riy,n_ 50 OFFICE USE ONLY Lot dp Block 'P. Sec./Sub. r t5-? ` Parcel Il Owner: vD? CfF Address: L( ? b (? eS?Qa? <<? S d Phone #: -- 3 .SG 7 Co`ntractor: Address: ?JU6?u/DNc?4- /tUt? ?UU Phone 0: S 8F" 1? 7S0 Arch/Eng.: Address: Erect &-" Occupancy ? Alter Zoning Repair Fice Zone Z ' Enlarge Type of Const. i/ Move II Stories Demolish Front ft. Grade Depth g2? ft. Approvals ees I Assessment_ Water/Sewer Police Fire Eng. Planner Council Bldg. Off. APC Permit j8- Surcharge Ylan Check SAC 1 Water Conn. Water Meter Road Unit' Phone ll: TOTAL 199 EAGAN TOV1/N S H I P BU.IL.DILVC PEI2NBBT Address Builder Address ...... DESCRIPTION N° 677 £agan Township Towa Hall Da2 ___...".. '_._._'_..'...._.__._'....._"'_ Slories To Se Used For Fronf Depih Heiglif Esi. Cos! Permif Fee Remarks ? 1 ? ` w 4 ;2 I TION Iz or ? This pexmit does noi aulhorize the use at sfreels, roads, alleps 6r sidewalks nor does it give the ownez or his ageni the right io crea4e any sifuazion whicH is a nuisanae or which presents a hasard !o the healih, safefy, convenience and general we2fare !o anyone in the communify. THIS PEAMIT MUST { PT TH M SE WHILE THE WORK IS IN PROGRES / This is !o cerfifp, ih ' ?? . : . ? : _. as permission !o erec! a-- - -- --- " -.- ? .':V -------.-"_"--upon the above described premise su jec! fo the pxovisions of the Building sd' ef or o adopied April 11. 1955. ------------- .__'_------ _....-------------------------- ----------------- ------- _._ Pex ...............__ ? _ . .. "' .. . . . ....... ------------------- ....._.._. Chairman of Town Board . 8 g ector EAGAN TOWNSHIP BUILDING PERMIT DESCRIPTION N° 1826 Eagaa Township Town Hall DB:e _r? Siories To Se Used Fos Fzon! Depth Heighi Es1. Cost Permit Fee Remarks ? a? 0 '.t5 ? LOCATION Streef, Road or oiher Deseripiion of Locafion I Lo! Slock Addition or Traet This permit dces no2 auihorise !he use of streets, roads, alleys or sidewalks nor does it give !he owner or his agen! !he xighf !o creale anp sifuafion which ia a nuisance or whiah presenls a haaard !o !he healih, safely, convenianca and general weltare !o anpone in ihe communify. - THIS PERMIT MUST BE„KEP ON TFIE PREMISE WHILE THE WORK IS IN PAOGAESS. • -This is So cerlifY. fhal-?---.- ........................ .--.----.has permisston Yo ereci a---- Ix....... ......... .-.... upon - -""- --• the above described premise subjeei to !he provisions of !he Building Ordinanee tor Eagan Township adopfed April 11. 1955. ^ //p? ..."'..._..__-•%._`.'-:"-.....-_"--'-... Per ..............!ef? .?? ?C--•--,7?':."?f!.r_..".^.?`."........................... Ch man of Tnwn Board / Building Inspectos ?' ? cirr oF EAcaN 8795 Pile! Knob Road Eagon, MN 55122 N2 5247 vHONe: asa-aioo BUILDI14G PERMIT APPLICATION To 6e ueed fer Garage 6Lddl? Est.vai.e Sr000• site qddmu 4106 ?A ue South ? Lot 3- Block 2_ Sec/Sub. Qeddr Gro?#-1 Parcel # W Name _ ; b Address 454-3567 ? IN,m, 1`ules c;aracte z? 4500 Lyndale Ave. So. o Address 588-9750 V? MPIS. ron. ok,...e Name Address 1 hereby acknowledge that I have rend this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes ond City of Eogan Ordirwnces. Receipi .# / L;? -- Erett 7[] Occupancy 11?5 Alter ? Zoning Rl Repoir ? Fire Zone 3 Enlarge ? Type ofConst. V Move ? # Srories Demolish ? Front 24 ft. Grade ? Depth 24 k. Approwls Fees Assessment - Water & Sew. Police _ Fire Eng. Plonner - Council _ Bldg. Off. _ APC Permit liS.UU_ Surcharge 2.50 Plan check 9.00 SAC Woter Conn. Water Meter Toral 29.50 Signature of Permittee I A Building Permit is issued to: es e on the exDress conditian that alI work sholl be done in a with a imble Stote o Building innesota Statutes and City of Eagan Ordirances. Officlal ? . IPI- (I 1111' ' ' DIESEL SALES, INC. 595 ALO/NE ST. . ST. PAUL, M/NNESOTA • 848-8855 SALES • SERV/CE . PARTS • RENTALS ? t? \ i ?- # i ? r(1 ? v ? TNREE BRANCHES TO SERVE YOU BETTER.., )r:L lI ? . l ? MINOT, N. DAKOTA FABGO, N. DAKOTA GBANO FOBKS, N. DAKDTA, HIGHWAY 2 EAST I 4700 W. MAIN AVE. I XIGHWAY 2 WEST 836-1186 232-2488 774-8061 • CeD 11 f- r ? 2 rd??s ? M ? S?oc 14.1,Z , ,5a . (E(ajq v\, ,qlO(?n C-e c)6t ? Cf (-)e .-o,, (F&yu ?. ??-1T?4Tcl..?e?, '7?5?- .,?'j-? ? 9? . - / , ? w S ?- r c ocK% 2i? / v3[ot-I?-S ? 1 bxg , C9ver??am t?oo?- ` ,? ? N0. v exp :o. 2 rows 0oc.Ks ? ?2 ?? ?YOS??ooT?Y.qS 18X 20` avea ExucUaTtCremove a&ooT 1?" "j-e kf v e 1. , rxveoL? o!? ctse?a(T To 6e -revmoveo , a C) SO U 0 kh NL)?,e bz lno??'e `2Ev?nouQ ?D CXrsi?;V1y ?cvSE ?a ? 7 / ?oo 00 ?jss L4 2004 RESIDENTIAL BiJII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 $ izY. LS New ConsWction Reauirements RemodeVReoair Reauirements CJIFee?Use , 3 regislered sile surveys shovring sq. ft of bt sq. R of house; and all roofed areas 2 copies of plan aR otSurley Recd ;d. '_'N (20% ma?cimum lot coverage allowed) 1 set of Eneigy Calculations for heated addNOns Siee Pres Plan Recd =Y r. N lan showing nsem & window saes; poured found design, etc. Addition ry ndicoafe ff l on?ife ee ?ic s ?s ep?R? ? le! ??j Y ?JY Cak,ulati PtYsfem ...?.' . F ?. 1 set Ene N 3 copies of Tree P2servafion Plan if lot plat[ed after711/93 Rim Joist Deta?l Options seleclion sheet (bldgs with 3 or less unAs Date Site Address S (? Construction Cost Unit/Ste # Description of Work ? Multi-Family Bldg _ Y,ZN Fir place(s) _ 0 _ 1 _ 2 Property Owner ? I Telephone # ?? Conbractor Address State p ? City l? Zip?L? Telephone # VI YLP 9 11? 2sw COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cat?orv 1 _ Minnesob Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted - • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( i4,aR °. _ Telephone #( Telephone # ( I hereby apply for a Residential Building Pernut and aclrnowledge 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 pemut; that the wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?? Applicant's Printed Name icant's Signature Use BLUE or BLACK Ink I-----------------I 1 For Office Use My Permit#: -qAof Eajan I ~ I I Permit Fee: I 3830 Pilot Knob Road ! r Eagan MN 55122 I Date Received: C 1 Phone: (651) 675-5675 i C.- c I staff: Fax: (651) 675-694 L_----------------~ 2010 MECHANICAL /ANICAL PE RMIT APPLICATION Date: ~a 3o O Site Address: hjl Ld IS 14d. Tenant: Suite RESIDENT I OWNER Name s S Phone: GJ / - j19"W 3,51-7 Address / City / Zip: /d ~11C IS Name: , v `'e J,.0-h) cc- I License -i CONTRACTOR State: Zip: 5~la Phone: Contact: Email: ~'1 3 Q d-r'--' TYPE OF WORK New Repla ment Additional Alteration Demolition Description of work: &Lc_el~ NOTE: Roof mound and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE jC Furnace New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed _ Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire or Other Marshal and Plumbing Inspect RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surcharge) D [ O $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.b0 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Perrrfd Fee is less than $1,000, surcharge is $50. - if Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes of the City of t a permit; th a work will be in accordance Eagan; that I understand this is not a permit, but only an application for a permit, and wo&A with the approved plan in the case of work which requires a review and approval of planX ~P ~lf x Applicant's rated Name FOR OFFICE USE Reviewed By. Date: Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test `In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA100535 Date Issued: 08/11/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4106 Nicols Rd Lot: 3 Block: 2 Addition: Cedar Grove 1st PID: 10-16700-02-030 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: deb larson 8815 209th st Lakeville. mn 55044 952-469-6999 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Drain Pro Plumbing Sandra K Carroll 881 - 209th Street W 4106 Nicols Rd Lakeville NIN 55044 Eagan MN 55122 (952) 469-6999 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116016 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 4106 Nicols Rd Lot:3 Block: 2 Addition: Cedar Grove 1st PID:10-16700-02-030 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra K Carroll 4106 Nicols Rd Eagan MN 55122 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature �'q' ¢ii f''�$v8 6 ' i ;' i1�� it � I p ,yI �;yi� ��I ,, ;,„ Lic.#BC177859 3509 W Hwy 13 • Burnsville, MN 55337 Phone (952)-888-4889 • Fax (952)-948-0846 1/30/15 ..._ ,. . ...,___.... . . ._....._ To whom it,��onc�rn, . _,_�- The permi #EA11601�or the project located a 4106 Nicols Road� as �------ for roof rep acement and siding replacement. Due to t e si ing no longer being available, the Home owner has decided not to have the siding replaced. The roof has already been finaled. We request that the siding repair be removed from the permit so the permit can be finaled and closed. If you have any questions please call. Thank You, ��t o�°f�� d�i�r 4�� t� �°'� $� 9bY 888-4889 �ll• 3Ya467-7b48 For Office Use °° y ®� ::::: % 'mE AGAN Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a�cityofeagan.com L 2018 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: 1 Z.1 ) B Fee: $65.00 City Sewer City Water ,/-Repair Disconnect II1 Description Of Work: �\ ��t 1� � t e-c 1 VL" Street Address for Proposed Work Sc-Wit-, ,;, bS i - �-1 S' •"7- 1,67Nam-.' _,' .�/ 1�J\(\.,\-(2)(,-77 hone: -0-44, —r--�' 41. Owner[ ' rlriiatlor. Address/City/Zip: now.0 ► j " � + .%.fit= 116- Applicant is: Owner Contractor Licensed Pipelayer Master PlumberX' Property Owner � r- l Name: 1!i _ w 1 ��°I'll '`( Phone: C ^ C. 5 Et Address/City/Zip: ( I b -Y",';� 5 'l ;t �" i v�;xi Y��C '` V Pipelayer Training Certification Card#: or Master Plumber License#: I acknowledge that the information is complete and accurate and that th- w• k wi be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this ' ot a perm , b o•ly an application for a permit, and work is not to start without a permit. Applicant(Print Name) A.•licant's Signature You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. 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.orq