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832 Northview Park RdCASH RECEIPT ? • CITY OF EAGA14 3830 PILaT KNOB ROAD ' EAGAN, MINNESOTA 55122 , .c?" . DATE ig FtEcerveo rwaM AMOUNT a '- rl (o --,. ^ ?.1 O CASH & DOLLARS ioo ?I CHECK BY WhitePayers Copy 7549 YeOOW--?" C-OPY Pink-FKe Copy ,Thank You :t . ._ . ?.-.?--?---?-.M..- . . . . - . -, ? --,--?..- ,.T-:T'?`•T, ??t. . . SEWER & WATER PERMIT CI7YxOF EAibAN ?3830 Pilot Knob Rd. Eagan,,MN 55122-1897 •• , yr? pA-Ft 05/02/90 METER # - CHIP # - METER SIZE ISSUE DATE L- PRV - PERMIT DATE PERMIT # 1136 B.P. RECEIPT # C. 7 54?; B.P. RECEIPT DATE GS/02190 PUMP SITE ADDRESS 832 NC!?'PliVIEW PARK RD LOT 3 BLOCK 6 SEC/SUB S?AFl?ORD PLACE APPLICANT: ?1',`) N-i 'E 1: !9E VEIOPME NT coRP ADDRESS: Q115 C-o?tPURATE. CQNTF K DR+ ir CITY, STATE 6 pG A N M I N N Zip PHONE: q - 0y 3 s PLUMBER: 5 TA R PI.UM$IAI.6 ADDRESS: 1Q1 $ MOJND 5Z PRtN6'? TE kX- CITY, STATE 4 L-0 0 M i N61 N Zip?i K1!.4 U PHONE: Tg LI - q1 H 3 OWNER: _ ADDRESS: _ CITY, STATE PHONE: _ PERMIT REQUESTED x SEWER X WATER _ TAPS - COMM/IND i` RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be givq?n for Deduct Meters. ,.)i (i ?y I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES ZIP OFFICE USE ONLY SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING QEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE - 05102/90 OFFICE USE ONLY METER?3?. ?I PERMITDATE 05/02/90 CHIP # Si3 76 PERMIT # 11363 METER SIZE 679 oc B.P. RECEIPT # C 7548 ISSUE DATE ' B.P. RECEIPT DATE 51021 fl x PRV _ BOOSTER PUMP SITE ADDRESS 832 KORTHVIL•'W PARK RD LOT 3 BLOCK 6 SEC/SUB STAFFORD PLACE APPLICANT: F fewTIEJI? BEVELOMENT COIZP ADDRESS:1a S C.QKfO"TE CF.NTER DR?VE CITY, STATE 6 A6 A Pj M+ N IV Zip Sg! 11 PHONE: L45 _ y 33 PLUMBER: S TA R P LUM 91 Ak6 ADDRESS: l01 $ MO\)N_b sPRINGS TE KR• CITY,STATE e.L0OM?N6rON?MN ZI p?-55H?1U PHONE: 2 g H" yI`'i q OWNER: _ ADDRESS: CITY, STATE ZIP PHONE: PERMIT REOUESTED X SEWER X WATER - TAPS - COMM/IND -? RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be iv?n for Deduct Meters. 1 AGREE TO COMPLY WITH GITY QF EAGAN ORDINANCFS ?/ ? SIGPIA RE WkA' &TER 1gSYED PLEA3E ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ?"_ ? _ , xc7 r • ? CITY OF EAGAN CONTRACT 3830 PIL.OT KNOB ROAD, EAGAN, MN 55122 PRICE PHONE 45481A0 ? m ? a ? Name Mult. Add-or Comm. ReQair Other City Phone c Address 1285 CORP. CLNTEA DR1VE ? City Phone FEES COMM./IND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPUES - T4WNHDUSE & COMDO- RES. RATE APL-LtES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM,IND.IFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: CITY QF EAGAN RE3. PLBG. ONLY - COMPLETE THE F OLLOWING: N . FIXTURES TOTAL 3 a water ciosec -$s.oo , o $ 1 Bath Tubs -$3.00 31 60 ? Lavatory - $3.00 ; Shower - $3_00 ? Kitchen Sink - $3.00 dD UrinaUBidet - $3.00 1 Laundry Tray - $3.00 4- Floor Drains - $1.50 W t $1 H 50 4 aGer ea er - . Whirlpool - $3.00 ??- ? Gas Piping Oudets - $1.50 7 ? ,?G+ (MINIMUM • 1 PEF1 PERMIT) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? U. G. Sprinkler System - $12.00 PERMIT FEE: ? • ? STATES SIC: S? GRAND TOTAL: -50 . ? ,. . rv ? x'{?i'fAF '^'q1'? ?1I. ? ?? " ' -' -. ir -ivzr;'A#iIi ? ?. _ Offi F ? ? : . n or ce Use Only: , MECHAMICAL PERMIT PERMIT # CITY OF EA(3AN RECEIPT # 3530 PILOT KNOB ROAD, EAGAN, MN 55122 . CONTRACT PRICE: PHONE: 454-8100 DATE: Site Address - < a'ort ,v ew ;va BLDG. TYPE WORK DE8CRIPTION Lot &ock Sec/Sub c New Res. ci Name r"121?, ?iEA7'ING & A/C Mult Add-on m 195 S Add 5haw,ee FaRd Comm. Repalr c ress Cn' 452-:'.u65 Ph Other Y one FEES L Name F:?t COTit'b?iI1:.; RES. HVAC 0-100 M BTU -$24.00 c Address l?_b" C: ?zrorate (;entt Dr.x17! ADDITIONAL 50MBTU - 6.00 p Cityr Phone 454--G433 (RES. HVAC INCLUDES A!C ON NEW ONSTRUCTION ) C GAS OUTLETS (NINIMUM -1 PER PERMIn - 1.50 EA. TYPE OF WORK COMWIND FEE -1% OF CONTRACT FEE Forced Air ??• ??'?' M BTU 24. 20 APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNFfOUSE 8 CONDOS - RES. RATE APPLIES Unit Heate? M BTU ININIMUIYI RESIDENTIAL FEE - ALL ADD-ON 3 Air Cond. M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # A• SC (ADD $.50 S/C PER EACH $1000.00 OF PERMR FEE) Other , PERMiT FEE: 2 51 • 5 ?- ". ? : ` ` ? - , SIGNATURE OF PERMITTEE S/C: TOTAL. ; 26 . C G FOR: CtTY OF EAGAN GTY OF EAGAN 3830 Pilot ICnob Road, P.O. Box 21-199, Eagan, PHO N E: 454-8100 Lot - Parcel PERMIT ? SF aW/C''AR Est. Value ;84s« 832 lfOR'IHVIEid PAxK itD 'Block b SeclSub. sTAMRD PIACZ W NBfIIB _ o Address Phone Zo Name S? OU Q Address 1- City Phone 6" Name w H W ? ; Address Q W City Phone I hereby acknowlege that I have read Ihis application and state that the information is correct and agree to comply with all applicable State ot Minnesota Statutes and City oi Eagarl Ordinances., Signature of Permitee A euilding Permit is issued to: FRMTISA OEV$LOYNEM on the express condition that all work shall be done in accordance with all applicable State of Mmnesota StaWtes and City of Eagan Ordinances. Building Officiat I Receipt # _ ! `;1 OFFICE USE ONIY Occupancy R-J H"'1 FEES 2oning R*'i (Actual) Const Y-S - Bldg. Permil 8i00 ?? JAliowabie) Surcharge 42+00 8 0l Slories 369.00 Lengih Plan Review Deplh ?i SAC, City 100900 S.F.Total - SAC,MCWCC 600*00 S.F. Footprints - 62S•00 OnsiteSewage _ waterConn On Site Well Water Meter Q0•? MWCC System ? it A t D 3040 City Water xx cc . epos PRV Required ? 5/W Permit 3o'oo Booster Pump - S/yy Surcharge .50 232.00 Trealment PI APPROYALS Road Unit 355`00 Planner il Coun - park Ded. C ? Off. _ Copies 3.061.50 Variance - TOTAL Permit No. Permit Holder Date Tebphone p WATER SEINEF PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I 5 ' Z ??p ?S foundation framing Rooling Rough Plbg- fO Rough Hlg. i Isul. Fireplace Final Htg. ?C+ 6 Final Pibg. ` 7 Const. Meter Plbg. Inspeclor - Notify Plumber Engr./Plan Bidg. Final Oeck Ftg. Deck Final Well Pr. Disp. . ` ,- • . 4. y A d (Itr#iftraft of COrrupttnry titp of (f agan lprvar#mmi a# lutlding JWrrumi Thu Certificare issued pursuant to the requirements of Section 306 of the Unifonri Building Code certifying that at the time of issuance ihis structure was in complianre with t?te vcuious ordinances of the City segulating building construction as use. For the fo!lowing: use cussifim6m SF oauQ.-y Type R_ aic*. ??t No. 17789 - TYve eaml v-N ;ORPORATE CENTER DR 8w7ding Addrcs •. ? ` •. •• •• • ? • •• • l.an6ty ,• ? •, ? ?• 1?f?J?l JULY 20, 1990 n,k: { ?- eW e dff*dal POST IN A CONSPICUOUS PU1CE ? i.??? INSPECTI CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , (,T' rFi, PERMIT SUBTYPE: TYPE OF WORK: I ta f ON RECORD PERMIT TYPE: Permit Number: Date Issued: ? ? 1 0C o; , APPLICANT: ii .' i 1. 4 i+ I Permlt No. Permk Holder Oate Telephone # ELECTRIC PLUMBING HVAC Inapectfon Date Insp. Comments FOOTINOS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT F.I. BSMT FINAL DECK FTG DECK FINAL RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Canstruction Renuirements • 3 registered site surveys showing sq. ft. of lot, sq. k. of house; and all roofetl areas (20% manimum lot covera9e allowed) • 2 copies o( plan showing 6eam & window sizes; poured found desigq etc.) • 1 set o( Energy Calculations • 3 copies of Tree PreServation Plan if lot platted after 7!1193 . Rim Joist Detail Op6ons selection sheet (hldgs with 3 or less unit5) DATE l4? 31D/ V JOB SITE ADDRESS ??? I?J??C'F .?t f// ? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 0A If/i^v ? k/aAE-74? TYPE OF WORK ??ClYJeM "- Ill APPLICANT TTs-6YZJ C oJd/?a6G?'fi# ADDRESS MaPt1 -?? $V?S?'vU . PAGER # CELL PHONE # 'A 1?1p.0 O 1 - a-?--f cj I Remodel/Reaair Reauirements • 2 cropies af plan • 1 sef of Energy Calculations for heated additions • 1 si(e survey for euterior additions & deCks TION (EXCLUDING LAND) d 13, 2,e 1'?r/ FIREPLACE(S) _0 _7 _2 _3 PHONE # G/0, 7S-I- ZIP CODE 3 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractar: Plum6ing Systcm Includes: Mechanical Contractor: _ Mech.uiical Systeni Includes: Sewer/Water Contractor: t,ll' CiORdltlOllllla _ Heat Recovery Systc;m All a6ove intormation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state fhaf the all applicable State of Minnesota Statutes and City of Eagan Ordinar Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan MINNESOTA RIILES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submittetl - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water SoFtener L.awn Sprinkler Water Heater No. oF R.I. Baths No. oF 13aths Phone # Phone # Tee: $%0.00 ogree to _ Not Required _ Fee: $90.00 Lipdated 7/01 OFFICE USE OfV,LY , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex El 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex .* 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg><Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 2 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair 3 Alteration ? 37 Demolish (81dg)" ? 43 Reroof ? 46 WindowslDoors 0 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appli cant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Utl u3y Occupancy Zoning Stories Sq. Ft. Length Width MC/ES System City Water Booster Pumpr PRV Fire Sprinklerecl 6 _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile RooY' Ice & Wa[er Final ? Framing Fireplace _ R.I. _ Air Test _ Final ? Insulation REQUIRED INSPECTIONS FinallC.O. ? FinaUNo C.O. ?( Plumbing HVAC _ Other _ Pool _ Ftgs _ Air/Gas Test§ _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By 0V , Building Inspector Base Fee ,Uo Surcharge Plan Review MC/ES SAC " City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Piant ? Plumbing Permit Mechanical Permit License Search Copies Other Total ?]? 1? n ? , ,,?,• DATE: RE: 832 NOR?HVIEii PARK RD OS/02/90 x YoAewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ' +CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: - _ Your Sewer & Wa[er Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay tor meter at City Hall. Meter size must be confirmed by 8ill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 05/02/90 RE: 832 NOxTHVIEW PARK RD X You Sewer & Water Permit for the above property has been completed. It will be held at the „F?ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMAAERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN NO 17789 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt #-Q, -7,1 . ?! To be u5ed for SF DWG/GAR Est. Vaiue $84, 000 Date MAY 1 ,19sa- Site Ai7dress $32 NORTHVIEW PARK RD Lot 3 Block 6 Sec/Sub. STAFFORD PLACE Parcel No. w Name FRONTIER DEVELOPMENT 3 Address 1285 CORPORATE CENTER DR 0 City EAGAN Phone 454-0433 a Name SAME z? ga Address m - City Phone r ww Name Address i W City Phone I hereby acknowlege that I have read this application and state that the inbrmation is correct and agrea to comply wilh II ap li?pble State of Minnesota Statutes and Ci oi Ea Or inance, ? Signature of Permitee ry ?tb??o? A Building Permit is issued to: FRONTIER DEVELOPMENT on ihe express condition that all work shall be done in accordance with all applicable State of Minnesota StaWtes and City ol Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy R-3 M-7 Zoning R-b (ACtual) Const V-N (Allowable) V_N R of stories Lenqlh DeDlh S.F. Total S.F. FoolpriMs On Site Sewage On Sile Well MWCC System City Waler PRV Required Booster Pump APPROVALS Planner Council Bldg. Of/. Variance 44' 48' XX xX_ 7CX FEFS BId9.Permit 968_00 Surcharge 42.00 Plan Revlew 369.00 snc,cny ino.oo SAC,MCWCC 600.00 WalerConn 675-00 Waler Meter 9n • n0 Acct. Deposit 30-nn S/W Permit 30.00 S1N1 Surcharge • 50 Tieatment PI z SZ • 110 RoadUnit 355-00 Park Ded. Copies 0 TOTAL 3,061.5 ?i SO 97?? ? 4 ? 512 4 @ Request Date tRre o, ugbin Inspection iretl? J Featly Now fC?Nill NotiN low?tor ?? Wh R ? V Ves G No en eatly I)4 licensed contractor p owner hereby request inspection ot above electrical work at JoD Atltlress IStreeC eox or Roma N w Ciry / Section No. 1 1o nsh, Name or No. Range No. Counry ' C ? OccoP ii? I PrTi ? Phone No. ¢ /?.-yr ? Y,..d'i-??'-«.-'L-e?i,?? Power Supplie qtldress ? Elacmcal nVactor(Company Name) ? ConV or5 License No. ????J Mailinq Atl tl re ss onttactor or Owne Making mstallaton) / ? , Amnorir g aW:e (GonrcaclonOwner kmg Installeuon) Phon ?=?'q?-? 3?y MINNESOTA STATE BOAflO OF ELECTRICITY Grigga-Mitlwey BIEg. - poom &193 1821 University Ave.. St. Vaul. MN 55106 PMne (612) 64124800 THIS INSPECTION REOUEST WILL NOT BE ACCEPiED BY iHE STATE BOARD UNLESS PROPER INSPECiION FEE IS ENCLOSED. ?r' jo?/9o REQUEST FOR,ELECTRICAL INSPECTION ? See insVUCtians for completing this brm on back of yellow copy (044512 "X" Be/ow Work Covered by This Aequest '^1 EB-DOO01-07 ? l ,?? jc ew Ada Rep. ? TypeotBUiltling ApplianceSWired EqwpmenlWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Buildinq Dryer Other (Specify) Comm./Industrial Fumace Farm Air Conditioner Omer(specity) Conhacmr's RemaMS: _ Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 10o Amps ?a ' Transtormers Above 200 _ Amps Above 100 _ Amps SignS Inspector's llse Onry: OTAL Q Irrigation Booms Special Inspection AiarmlCommunication THIS INSTALLATION MAY 8E ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NTN ? I, the Elecirical Inspector, hereby Rough-in oa'? ? ? certity that the above inspection has been made. Final oa - /i-ew OFFICE USE ONLY This reQuest voitl 18 months irom REQUEST FOR ELECTRICAL INSPECTION ?O?i;% ,? ? See inelmctiom for completing Ihis form on back ol yellow copy. " " ? ? X Below Work Covered by This Request Ne A ep: ' pe of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial . Furnace Other (Specity) Farm Air Conditioner Other (speGly) on mclo/s Pemerks. Compu[e Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps A6ove 100 -Amps S19f15 Inspecror's Use Only: TOTAL Irrigation Booms ??,/? Special Inspection AIarMCOmmunication THIS INS7ALLATION MAY 8E ORD RIS NECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the ElecUiral Inspector, hereby Rou9hin oete cedity that the above inspection has been made. F;nai oate G OFFlCE USE ONLY This reQUest void 18 monms fmm 0 -?,` 8?0 3 2 ? Reques ate Fire No. ugh-I ection Pequired Insp n Other Than Rough-In ? (VOU all inspecior wh eatly) Reatly No Will Notly In??or I es No Date Reatl I ' ensatl contractor ?owner hereby request inspection of above electrical work at: Job regs (SIL treet, Box vr qoute No.) Cily Seclion No. Township Name or No. Range No. Coun Occu nl(PRINT) Phone No. ` ` l l ` Power Supplier Atltlress EIecM I Contractor (Company Name) I ConVactors License No. r t ' I Meiling tltlress (??Contrador or Owner Making Installetbn ' ? h • j V . ,?'C , ? Authonzetl S' Contrenod er M king Installation) Pnone umber f (.? ESOTA STATE 80 D 0 EL CTRI Y THIS INSPEGTION REOUEST WILL NOT Grlggs-Mltlwey Bldg. - oom 5-128 6E ACCEPTED BV THE STATE 90AR0 1821 Univervsiy Ave., St Paul. MN 55104 UNLESS PROPEF INSPECTION FEE IS 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date /-7 I /?/ I Z-' 4`? v / Site Street Address /C «- • Uni t # Property Owner Telephone # ( ) Contractor , Te phone #(? Address J<V ??? City ? StateA?Z ip The Applicant is: _ Owner X Contractor _Other Alterations to existing dwelling $ 50.00 ? Add fiutures to rooms, excluding water softener and water heater L T ` _Septic System Abandonment _Water Turnaround (add $121.00'f a 5/8" meter is requved ? DEC 16 2 D 04 Other: ? Water Softener Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ , .50 Total I hereby appiy for a Residential 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 pla is re uired to be,r ewed and approved. , Applican/Ys Printed Name ApplicanY Signature ?ic_ y s4,'Z O ?/ S' ? ?? ?` 6 74,7 ? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Telephone #( New ConsWction Reauiremenis RemodeVReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. fl. o( lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Reod _ Y _ N (20°h meximum lot caverage allowed) 1 set of Energy Calculations for heafed additions Tree Pres WanRecd _Y _ N. 2 copies ol plan showing beam & window s¢es; poured fouM design, elc. 1 site survey (araddi6ons & decks Tres Pres Required Y N 1 sel of Energy Calculations Add'N'on - irMkate ilon-sde septic system Onsite Septic Syslem _ Y _ N 3 wpies oiTree P2servation Plan'rf lot platted after7/1/93 Rim Joist beisil Options seleGion sheet (bldgs with 3 or less unils Date L_?i Site Address E onstruction Cost (O ad 0. -/0 kI/ f?s° UniUSte # Description of Work &-dd ",,(1/ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ProPertYOwner /1lj //??? Ie PrJ. L/ `?`?l TelePhone# (?? /0 Contractor C V / Address State ?S , /? ?, i(/ 6. Zip ? City d?tT Telephone#Wj??) ? 7? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 (J submission type) • Residential Ventilation Category 1 N(orksheet Submitted . • Energy Envelope Calculations Submitted Have yoo previously consiructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review ??0 C??, Telephone #?II} i. Telephone #( Nn )nr r* : I hereby apply for a Residential Building Permit and acknowledge that the that the work will be in conformance with the ordinances and codes oftYi Statutes; I understand this is not a permit, but only an application fo permit; that the work will be in accordance with the approved pla e f appro 1 oplans. ???1 zi, Applicant's Printed Name "' ant's Signatur A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted and the State of MN work is not to start without a k which requires a review and OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg `jC 02 SF Dwel ? ling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06. 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types 1?t?4tvV ???-tt,? 1Taz'?M?? ra??e? ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ?' 46 WindowslDoors ? 34: Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 2 4 cqtg?o Occupancy MCES System Census Code Y 7'9 Zoning City Water 5AC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Foatings (new bldg) _ Foatings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS FinaUC.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stane _ Brick W indows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 6 f(rlf (1.2e" o140 Cil ?(2,-2 'D PERMIT # RECEIPT DATE: MIDEPTIAL PLUM$IRH PERM1T APPWCATiOft crrY oF EALsm 3$30 fILOT KNOB iiD £AHAA, MA 5518Y 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : ? TELEPFiOIvE # ?b C? (AREA ODE) /1 . . n I 1 INSTALLER NAME: TELEPHONE#: 5MA25"`-J7 , N (AR cooe) STREET ADDRESS: CITY: STATE: ZIP: - Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new instailation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: l?) (St92f? L -4e- U-Q Septic System, new/returbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total u' ` ?J I? $ 5? • =? Reminder. Be sure to schedule inspections of alterations, i.b-inr?r-terheaters, water softeners, etc. I hereby acknowledge that I have read this application, state lhat the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. Il is the applicanPs responsibility to notify ihe property owner that the Ciry of Eagan assumes no liability for any damages caused by the City durin9 its normal operatlonal and maintenance activities to the facilifies constructed under ihis permit wifhin City property/right-of-way/easement. S NATURE OF PERMI E Updated 1/01 r,,.T.TV OF I:-AGAN CAF31-1:1:1_Ra S TiTR:M7:NAl.. NOe tr'?;] UFlT'F, 0',J16i97 r:r.a,E;; i=s,;ran06 :n. NArse:: riUIi_.rieH:s t, r;.-MoDe:i_.r_i,s a:Nr: 3210 .`.-(:lUt. 832 NQI=;IIIY:I:E:W F' SO.LlO 2155 9001 Ei32 PIORI'FIVIii_k1 I"' 0.50 Tot,<a7. Re+cei.pi; Amouni;s 50.50 CRt]78742 USI-F. :ri?; t•lAtdCY :k:$.Y/.YX(:K:tiCYC;A.?.?{:?.'V.?<h?:`X?ry k. ;:YF.?:krA%(•1;:X,.ne?:?(:?)?jllC.`;-;?:X*YC PEIZMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE Permit Number: Date Issued: BUILDING 030434 07j16J97 SITE ADDRESS: 832 NOR7HVIEW PARK RD I.pT: 3 BLOCK: 6 STAFFORD PLRCE p.I.N.: 10-72590-030-06 DESCRIPTION: ermit T.ype *rk Type R?? DECK NEW 434 ALT. RESIDENTIAL ?ai,E ?? ? fl?? 0 Y _? a REIUYARKS FEE SUMMARY: BaSe Fee $50.00 COPY (1) 1.25 5urcharge $.50 Tota]. Fee $50.75 Subtotal $50.50 CONTRACTOR: - Applicant - 5T. llc. OWNER: BUILDEftS & REMODELERS INC 18275481 0001100 LOVE JR CALVIN 3617 WENNEPIN AVE S 832 NORTHVIEW PARK RD mINNEAPOLIS MN 55408 EAGAN MN (612) 827-5481 (612)683-1109 r ? I .F10!"P,?t?y, +$CKi -??- kTIfPYft7E1?143?n,'„ .. 'tdtU'C.-B6'..ESriC??.? ? . APPLICANT/PERMITEE SIGNATURE iJ ? ISSUED BY' GNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 B81-4B75 New Gonstrudion Reauirements It sd 7s 3 registered ake surveys ? 2 copiea of plan 2 copies of plans (indutle beam 8 window sizes; poured fid. deaign; etc.) ? 2 site aurveys (exterior additions & Eedcs) 1 energy ealculations ? 1 ene rgy celculatfons for heated addkions 3 aples of tree preservation plan H lot plafted after 711l93 requfred: _Yes _ No , DATE: ? CONSTRUCTION COST: 12 Z q? DESCRIPTION OF WORK: STREETADDRESS: ? LOT _ aL BLOCK 6 SUBD./P.I.D. Gov?Q? PROPERTY Name: ?/v/'L Phone #: 6?3 -1165 OWNER Street Address: ?3 2- ??6? Ciry: ,A;gja,, State: ZiP: S/L ? 3 ^ CONTRACTOR Company: _ [5(?yla?+,f7e? Phone#: ?'7aM!fz Street Address: 3.5% 7 License #: A??a City: State: Zip: S`S , ARCHITECT/ Company: Phone #: ENGINEER Name: Registretion #: Street Address: City: State: Zip: Sewer 8 water licer.ned plumber (new construction onty): and lot change are iequested once permit is issued. PenaKy applies when address change I hereby acknowledge that I have read this appiication and state that the iMormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature af Appiicant: ?,?"" . ,;;,7 OFFICE USE ONLY Certificabes of Survey Received _ Yes _ No I ,JUL 00, 1997 Tree Preservation Plan Received _ Yes _ No _ Not Required LY. ` OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex n 02 SF Dwelling o 07 4-plex ? 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex a 05 SF Misc. ? 10 _-plex WORK TYPE p( 31 New o 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION 0 11 Apt.ILodging ? ? 12 Multi RepaidRem. ? a 13 Garage/Accessory ? ? 14 Fireplace ? K15 Deck 0 36 Move ? 37 Demolition . ., 16„ Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. MC/WS System ? (Allowable) Main level sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length ? sq. ft. Census Code. 3141 Depth Footprint sq. ft. SAC Code o? Census Bldg i Census Unit o APPROVALS Planning Building /146 Engineering Variance Pertnit Fee Valuation: $ Surcharge Plan Review License MClWS SAC ! City SAC Water Conn. , Water Meter Acct. Deposit S/W Permit ' S/W Surcharge Treatment PI. , Road Unit Park Ded. Trails Ded. ° Other COpieS (1) . 2 S Total: % SAC SAC Units ? TEL 4 ?-- L01/E 2-?I (o(p surrayor8 ecralic#-C SURVEY FOR: Frontier Development Corn. DESCRIBED A5: Lot 3, 331ock 6, STAFFORD Pt.ACfi, City of EaRan, Dakota ('ounty, Ttinnesota and reserving easements of record. \ rO :i .`. / o0 1?1 f,14 ? a? ?s 8?0 \ h ? / o ?,?? y.R.V. REQl1lRED , R F? ? - D Bss? „?o• Gdn ? f A n Sp??ops wnr S? e0' r< ?C. 8 4q / ?q? ?' / ? tv / O4 / ?DO p.0^ ? \ /\ V\ /e? ? ?r0 ,:AGANUkNGIA7EEIi.ING DEPi 4ct igl L J BL CITY USE ONLY RECEIPT #:,100 ?, _ SUBD. ? O DATE:--a? ? Py'?O/98 bsa- 1995 MECHANICAL PERMIT (RESIDENTIAL) I 3830 PI OT NOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Zcl"M)?v - aAC), Date: Cp)-O\ --qt) FFFC ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL X'roD SITE ADDRESS: h0? kv:rk)noe? ?y-' ?& OWNERNAME: CQ1q-iY1 PHONE#: ' 1 0( INSTALLER STREET ADDRESS: i M_? W(WM0 CITY: ?:0,0CIQ STATE: ZIP: GbcMR PHONE #: ( ?v I?i ) CYIQr• E?( L_ ? ? ?9J II 3-9rAN CITY USE ONLY L _ 81 _ SUBD. 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? ail commercial/industrial buildings. ? muRi-family buiidings when separate permits are 11Qt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee QC 1% of contract price, whichever is greater. ? Processed piping - $25.00 • Stete surcharge of $.50 per $1,000 of Re= fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL CIT` AI11.]p`CC: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: RECEIPT #: , DATE: TELEPHONE #: ADDRESS: . crrY: STATE: ZIP:. PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR { i 1990 BUILDING PERMIT APPLZCATION CITY OF EAGAN aPS a 4 1990 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTUR4L 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLAP7S 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS /3 SET OF ENERGY CALCULATIONS # OF RENTAL UNITS 1 SET OF ENERGY CALCS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST [JORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. IdOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSIfiG TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE PERMIT MUST SHOW A LICENSED PLUMBER. RPR 2 4 {99p To Be Used For: Site Address Lot 3- Block i Parcel/Sub _s? 6?r" eL({2? 01:-ner ?Vey Llo l.Y'd- t' ?(3Y'GTTA Address 1S03 &'6e' 2S City/Zip Code (A-&VL4Q?,eh ?pA raa Phone ?> I{^ Ss'7 L{ -/ 11ei Contractor Address 12-95- C[Tfevtc{G Co.t.42y- D/ City/2ip Code OR ?,1,?4 ('L?N ?5(21 ? Phone ?j 4 -6 43? P.rch./Engr. pryAaps &N Address )455o YQ,uk?loc?_ City/Zip Code I on: Dai OFFICE US Occupancy R"3 M-1 Zoning ? Actual Const Allowable V-N # of stories Length ? Depth y$? _ S.F. Total Footprint S.F On site sewage_ On site well MWCC System V City water v . PRV ? Booster Pump _ APPROVALS Planner Council Bldg. Off. ,-}QZ$ Variance Y FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL N W00DQ1DGE " MDDF 5G8.o? ,00 3 ,OJ C?0?00 DO 30, ? 30"G?D .SO 252.Oo 355, o? Phone # ZQA 4 4 -;'-? H{?? ?U,:?U I'Ic?.?_U? r HEDI?UI.JIi EIdGIPdEEkIi'JG ? 7EL Ilu ? LOl/E a-`1(0(,0 Sunve?or?8 ecrtiPjq-te SURVEY FOR: Frontier Development Corn. DESCR18E0 AS: 1•ot 3, Rlock 6, STAFFORD PI.ACE, City of F.aRan, pakota f.oimty, Flinnesota and reserving easements of record. f0 A? .? ??/ . An 1?QOy, ? ?A/?j?d r 40y ? 44 0o .? Sp ? , fo ' A G° / 0 ??\? ?\ /?? oG3o?lo EC??QRED \ I ? ss9' ? . " oo ' ac \ g0 / / ?'l? / 1?? ./ / o / p? ?8 ? DEPT PAOP08ED ELEVAT10 S fep ef FounAOtlen ? SG.5.$ ooro0s Floor • 866, 4 8oumenl floor ? 80, (o Approe. Bowtr 6KVla ENr, . evik4l, ? propos9d ENretlans 4 Emn11n0 EIWeflonl I aanea• oa•elien. I....... Dlnelts OIUef 8take I fD ? - tCALE: 1 10eh • 30 Ntf K? T,N. H4d• ab d+3 $Ik S 31.orkliha Avo. F-le,p. 445.34 u1A WerIM ntpLg6 E NTd irsnt . 30 M+wt OIN -) D Rgbt - f S Oaa?li we - 5 lifEiPLuNo PItnMnp Enplnssrfnp SurwyinQ MI IoM:w?yb????.nMMM Y?wnrWll i MnlY Ntllly Mmt INe Muvori ebn w nPerl wm pnNno M Me or unln mr ilNoel fuenvldan enA Ihsl 1 am 0 gu1f 11q1616101 lend Swwyw wMer MO NMt Of MO fUb e1 Mlnn46H1. I `I, 90 • LI ?n.l1?MN IMN/1? JO! N0.7 9o,Q- i_To NOK: p fut ? GHNC 2 I ti? .D D ?C1 ? V `T nr . • as,, rR: V(QC!..) p`!liNc G?GN?'Gp -'?^?`?' v?t» ? ' (cJc c ?2!DG? Z=?: (:{i 'AC '.' / cm /x •.?.-- ?? ???? .: ? G. O'S 2. iocal rac?/ca:ling ar=s.... Tocai ex:cse^ ?.qa11 arca abcv? `iccr=._?? /c! ^_ d IOC3? 'Nd:l 'd1"dCSJ d "_d ...................... .................... . b. TcCai caor a-e_.............. ............... .................... ::z 7 i l t lass Ccor area ............... slidin(: ..................... c. o a g d Totzi fir_pizc° wail ar==................... . .............. , .. . . .... e. Tctal wzll frsrinC er=_: (averace 10Z ) ....... ..................... ! F?;,.1 r. iotal rin jais= zre>_ ........................ .................... - net wzll zrea abcv=_ `iecr ................ .................... y y. h. wzli zr2a zoov= `iocr ................ ..................... i. wzli ar°: z-:) cve `icar ................. ..................... j. rrznne wali area a:c . 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' . 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OP EAGAN -3 3830 PILOT KNOB RD - 55122 !_ 651-68'I-4675 ??J NeW Conshucffon Reaulremenh D S regLsfered sRe aurveys showing sq. R. of lo}, sq. fl. oF house and gll roofed areas (20% maximum loi eoveraae allowed) D 2 coptes of plans (show beam 8 wtndow stzes; poured fnd. design; efc.)- ? 1 sef of energy calculations ? 3 copies of hee preserv aflo? plan H b1 platFed aHer 7/1 /93 DATE: v DESCRIPTION OF WORK: I STREEi ADDRESS: -25? LOT: 2) BLOCK: SUBD./P.I.D. #; CONSTRUCTION COST,,/ C74`7 cJ PROPERTY owNeR last Remodel/Reoair Reauiremenh I 2 copies W plan 7 set of energy ealculations for heated oddNfons 7 aRe survey for exfedor qddHiona 3 decks Phone#: ~ll?g stote: wl? Tip: Street Address:_ CiTy ? Company:? CONTRACTOR Sheet Address:? City y .".RCHITECT/ @NGINEER Company: Telephone # area Streefi Ad ess: City Name: Regishation #: _ State: Zip: Sewer 3 wa}er licensed plumber (reaulred for new eonshuction onlv Penolty applles when address change and lot change Is requested once permR is issued. i here6y acknowledge that ! hare read this applFcatton, state fhat the IMormafion is conecf, and agree fo comply with all applicabl Stcte of Minnesota StatvFes and Cify of Eagan Ordinances. Signature W Appliccnt .? / OFFICE USE ONLY Certificates of Survey Received _ Yes , No Tree Preservation Plan Received ` Yes _ No , Not Required _ Phone #: 4Z2,_ (area code) ucense # c??6 L7Cp. .•5??`? AGew Zip: ? ? ) ?? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dweiling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (9-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments 9 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 ' Pool 60 25 Miscellaneous WORK TYPE d 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Move Bldg. ? 40 Demolish Bldg.* ? 41 Demolish (Interior) ? 42 * Give PCA handout to appl Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Building P" I; Gas Line Omly ? 43 iSid Gas Insert ? 44 ?IWir Wood Stove ? 45 ?;Fire Reroof 11 icant for demolition permit ii ? ? I Census Code' , SAC Code i? No. of Units No. of Bldgs MC/ES System City Water i; Booster Pump PRV Fire Sprinklerled li ii Engineering Variance Permit Fee Valuation: $ Surcharge I i Plan Review ? License MC/ES SAC City SAC Water Conn. Water Meter , Acct. Deposit I S/W Permit ? S/W Surcharge Treatment PI. II . Park Ded. I? Trails Ded. Other I? Copies i il Total: i? SAC Units - % SAC ? Repair A/ 3 r? O/ ? ? City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 875-5875 Fax: (651) 675-5694 Use BLUE or BLACK Ink ihrcj 0(6 (01)i Permit Fee: 1,c2 0G Date Received: 2 ZIP I L. LSta"` aM, Permit X: J jj 2011 RESIDENTIAL PLUMBING .�P�ERMIaT,j�APPLICATj APPLICATION Dat.: I�- IT -is site Address: /' vWi � do P'^'' �- 1'••-A •G�� 1h. )0 53133 Tenant: \ V\. A RESIDENT / OWNER Name: ___Y\ Addles. / City /Zip: CONTRACTOR Narrie: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 501" ST EAST City, .: INVER GROVE...1IGTS, State: • MN • Zip: 557 .07Phone: • 65,1• ,:451;-2241 • Contact BILL.MILBE t'T j . Email: TYPE OF WORK PERMIT TYPE Nev Replacement _ Repair Rebuild _ Modify Space _ Work k ,R.O.W. D es crlptlon of Mork: RESIDENTIAL . Water Heater • Lawn Inlgatign (_ RPZ /_ PVB) • Septic System. ' Now . _ Abandonment Water Softener Add Plumbing Fixtures L_ Main / _ Lower Level) Water Tumaround RESIDENTIAL FEES: $55.00 Mlnlmum, Water Hdbter, Water Softener, or Water Heater gag Softener (Includes 33.00 State Surcharge) $35.00 Lawn Irrigation (Inchides 35.00 State Surcharge) 355.00 Add Plumbing Ftxtutes, Septic System Abandonment. Water Turnaround" (Includes 35.00 State Surcharge) 'Water Tumaround (aqd $166.00 Ka 5/86 meter Is required) • • 3105.00 Septic System lie* (310.00 per as built) (Includes County fee ind $5.00 State Surcharge) $85.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (Includes 35.00 State Surcharge) TOTAL FEES $ t CALL B EFORE�OU 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 reteivd locates of underground utilities: www.000herstateonecan.orr 1 hereby acknowledge that Sits intimation le complete and =curate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand tile Is nota permit, but only•an application fora permit, and la net to 'tad without ■ parml; that the work wfI be In acfordance wit�he approved plan In ti se or work which re ekes ',netting and a X )1111 ' • Applicant's Printed N l Appllcant's,signat re :,,, Lc)4h? go g'9R 0l .; at` E V. -nit, u',. r{ i r9 Flute .T.' iC 4 /i-.}j��tl �(it (t {{Jhi t / r• : t 1�Y )::!•:rj p, ( - -iR.E�U $ :4'p.�/+ t het'it Pvl f rf, t/r ,t»y {'}a, ( �':%� } t4•, iv T 4: t- !{(�a 1 . d •' T tr"80 " "P Q1/ '+�'! I - tWiy � � �yr�e r �'1, f �' r `� `ii•� Mid';, a� r.,a- �jl�l .. ra N r 1 llF�r'4'V r ,:Fan t-tulf"gy`,?' 'i`, rd",(At tiv (rli�'t°f• 4. I ly. a��.^wuy ' i' i;4, r �i t i ;'r rr� •J '( .vWF r i� P•t�.(� f tT �,� r,. �t �Y yyryry yy 4�l, ,�1I I!t t h, .nmG.;o'.twm.�.? ��< �:�;..��a•�iiyJ tin nrY " M(t •Ct� ' D iP! 1 t'r H• •S , wIF h° p'fi 9H�ff.r vp w A : f ' y •.:;i t�r lS .' ` i i ••SVS R- . �'A•t edai;, F� PERMIT City of Eagan Permit Type:Building Permit Number:EA116609 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 832 Northview Park Rd Lot:3 Block: 6 Addition: Stafford Place PID:10-72500-06-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kama Schilson 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 - Kama S Schilson 333 Hidden Elm Spring Branch TX 78070 Applicant/Permitee: Signature Issued By: Signature