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983 Northview Park Rd Use BLUE or BLACK Ink For Uke U j Permit City of Eap I Permit Fee: qo C) ICJ 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 1 I Fax: 675-5694 1 Staff: 1 (651) 1---------------- 2011 ~ R SIDENTIAL BUIL ING ERMITA Date: ✓ ~6i e Address: . Name: o1)XPZW19 Nt 7 / Phone:&! RESIDENT / OWNER Address/ City / zip: ys Z42 Applicant is: Owner Contractor TYPE OF WORK Description of work: 7ITbOA2 hr Lc n . 1 Construction Cost: Multi-Family Building: (Yes No " -7 /P - Z- Company: D1 ha- id Contact: Zk J-W CONTRACTOR Address: (5 City: , State: Zip: Phone: (O/OS License S Lead Certificate Does this project require Lead Remediation? ❑ Yes t No (see Page 3 for additional information) If no, please explain: JIS~r~ ~ m, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.ong I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi71thout nances 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 n to sta per mit; t "At the work will be in accordance with the approved plan in t case of work which requires a review and approva of ns. A~77~-l &Z x x Applicant's Printed Name ppli ant' ignature Page 1 of 3 INSPECTIDN RECQRD Control No. 081,318 CITY OF EAGAN PERMIT TYPE: atilit' lfi 3830 Pilot Knob Road Permit Number: 001 t d J' Eagan, Minnesota 55123 Date Issued: 611201gz (612) 681-4675 SITE ADDRESS: Lo tt 13 al ocr: ?- APPLIGANT: , ?rt.3 NORTHVIFW PARK f'n ! iM14ERNARKS BlpRS tllf lEX10I67QN SQ41ARE 6 (67,2) 606»0911 PERIIj)T,§UBTYPE: TYPE OF WORK: N?w 141 Nnrtr.•; = Kfct ENr 41 Permn No. Permlt Holder aats 7elspho+k # S1W PLUMBING HVAC ELECTRIC ELECTRIC Inapactlon Oate Msp. Commants Fq6tings I Foundation Framing I ROO" Rough PI6g. I Rau9h Htg. laul. Flrep?sce Final hitp. Orsat Teat , Final Plbg. Plbg. Inspetxor - NotifY Plumber Const. Meter EngrJPlan I Bldp. Flnel Dack Ftg. ? • 2 / "? ? Deck Final i ? ? weli Pr. Disp. ? • BLDG. PERMIT NO. i?`` ? ;. d WIL,6 0/1, IJ 01-3210 Bldg. Permit - 01-3422 Plan Check 01-3445 Surch.lAdm. ? 01-3446 SAC/Adm. J? 01-z155 Surcharge 75-3860 Road Unit 20-J2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ? CASH RECEIP7 CITY OF EAGAN 3830 PILOT KNOB ROAD ` EAGAN, MINNESOTA 55122 DATE 19 WCU40 ,?!?/r1?G` ? ?uLt ?`L,?? ;` ,?_t? ? 1 . AMOUNT ?- a ooLuAas loo ? CASH Cl CHECK / ??'tiGfl.-L4-GGl.v .-? FUND I OBJECT i I I I AMOVNT Thank You BY ` f C?/`?`?? wnea--Per- conr C venow-PoBUnp covr Pink--F" C,apy SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE llSE ONLY PERMIT DATE WATER PERM(T # SEWER PERMIT # METER # B.P. RECEIPT # ? ' {7 '' READER # B.P. RECEIPT DATE '- 'Q METER SIZE ISSUE DATE _ PRV - BODSTER PUMP SITE ADDRESS • LOT BLOCK SEC/SUB APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: ADDRESS: ? CITY, STATE ZIP PHONE: OWNER: ADDRESS: CITY, STATE ZIP PHONE: PERMIT REQUESTED _SEWER ?'WATER -TAPS ? COMM/IND - RESIDENTIAL - NEW EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: ,._ ,. SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE aNLY PERMIT DATE WATER PERMIT # SEWER PERMIT # METER # Z/22 3 5_2 4/ S' B.P. RECEIPT # yy' READER B.P. RECEIPT DATE METER SIZE ?- ISSUE DATE a^ - PRV _ BOOSTER PUMP SITE ADDRESS `?' ` ' r? ?• ?????' ?? k?s' PERMIT REQUESTED • SEC/SUB -Z? '- rP f- ?f LOT BLOCK ? ? APPLICANT: SEWER ? 1NATER _ TAPS w Y'x? ? •-? ADDRESS: COMM/IND ? RESIDENTIAL CITY, STATE " ZIP PHQNE: _ NEW - EXISTING PLUMBER: l I AGREE TO COMPLY WITH CITY OF ADDRESS: CITY, STATE Z1p EAGAN ORQINANCES: PHONE: a OWNER: 1,uJl l J'/ ADDRESS: SIGNATURE HEN METER ISSUED CITY, STATE ZIP PHONE: `' - -Y PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SE PERM S, CONTACT ? ENGINEERING DEPT. , ..-r,t..??... . RF.AMVp;iED FnR FUERAM 1/26/90 ? ?}?T4;?o 890-0758 CITY OF EAGAN i??`7 ??= FOR 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BA.`'IIM FINISH 3/9/90-IMERO-?KS PHONE: 454-8100 To be Used for ? VA "Est. Value *t?n Site Address Lot Block SeclSub. ;1 r Ri`!i?. + Parcel No. ? Name W 3 Address ?' '' ` L ? ` ' ?`• Ni?? ° Ciry Phone 5.01 ?-? 112 Zo Name 00a Address cc City Phone Name I hereby acknowlege that I have read this application and state that the Infortnation is correct and agree to comply with all appficable State ot Minnesota Statutes and City of Eagan Ordinances. 5ignalure of Permitee A Buiiding Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Fieceipt # Date :Zv'r. i4 , 19 ' OFFIC E USE ONLY Occupancy 9 " 3 "' 1 FEES Zoning 3'u ?.._1 (Actual) Const Bldg. Permit (Allowable) Surcharge ? • ?? # of Stories Len9th - -43' Plan Review ` 77. - Depth ks f SAC, City S.F. Total SAC, MCWCC = 7''•' S.F. Footprints - C s' On Site Sewage - Water onn On Site Well Water Meter MWCC Sysiem ?X • ? City Water ? Acct. Deposit PRV Required _ SNV Permit Booster Pump - S;W 5urcharge Treatment PI APPRUVALS Road Unit Pianner - park Oed. Council BIdg.Ofi. _ Copies Variarice - TOTAL , Permit No. Permit Hold er Date Telephone # WATER ??G •,L ' n ,. , ? .??t°' '6?% % 4 Y SEWER ' PLUMBING H.V.A.C. ?L? ? / l_ ? Q!C !, .1'L • '? ? /g / ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing S ? y?s Roofing Rough Plbg. •?7 ?j i-?? Rou9h Ht9. lsul. L „-C F,??lace 0- 1,0 -?? Final Htg. 1?6 fl' ? • J` - Q Final Plbg. -' ?- ? ? Const. Meter Plbg. Inspector - Notily Plum6er EngrJPlan Bldg. Final Deck Ftg. Deck Final w8il'- f"4? Pr. Disp. , ... , . . . . ? .?-...??..Z• ir . .? Y' ',• !. ?f _ .- . . l?. ? . . ? • 4 .. t ? (Itrtifirab nf (Orrupanr.g titp of Qlagan ]1p;wrtriiPltf Af 'Blttjdtltg jmwPtflAtl This Certificate issued pursuanl to the requirements of Sectlon 306 of the Uniform Building Code certifying tlrat at the lime of rssuance tkis stnecture was in conapliance with lhe various ordinances of tfte City regulating building construction or use. For tlie jollowing.• use cb3,;fi,600 SF'DWG/GAR Bldg. Pt,m;,,,o. 16297 OacuP?Y Type ?m 1 Zaoing DiStrict ?I I Tyye Conal. VN Owoes o[ Huilding TDIMMEn BUBIERS Addrcss 1821 WUM t?? , MQ')UTA FEIQITS euaft na&eg 983 NOf?TMNHW PATdK R[lAD cDality L13, B2, IDMCLUN 9QUARE 6Ili n,tc ,n,AE 28, 1989 suiiain offwi POST IN A CONSPICUOUS PLACE ? ? . :- . . ` , PEFiMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN ? • 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 'N? ?? ???? CONTRACT PRICE: PHONE: 454-8100 Site Addrpss lot ? Block Sec/Sub ? Name a? ? Address c City Phone ? , ?, . Name 1- 3 Address p City Phone FEES COMM/INQ FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MIMIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) j., SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. 21?- New r? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL D Water Closet - $3.00 $ I - Bath Tubs - $3.00 = ?Lavatory - $3.00 ?- ? Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 4?- Laundry Tray - $3.00 TFloor Drains - $1.50 ? Water Heater - $1 50 Whlrlpool - $3.00 I Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 3 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• ' ' ' PERMIT # ' . . . , MECHANICAL PERMIT „ ? -2 RECEIPT # . ?? . CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address L t Bl BLDG. TYPE WORK DESCRIPTION o ock Sec/Sub Res. New Mult Add-on Name m Comm. Repair Y Address ? c City Phone Other Name FEES HVAC 0-100 M BTU -$24 RES 00 c Address . . ADDITIONAL 50 M BTU - 6.00 O Ciry Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PERMI 50 EA 1 TYPE OF WORK - n - . . COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M 8TU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU g MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other $ FEE SIGNATURE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN DATE: 4/17/89 RE: 983 NorEhview Park Road. L13, 82, Lex Sq 6th . ? -XX Your Sewer &, WafeyiRermit for the above property has been completed. It wili be held at the ? Public Works Garage (3501 Coachman Road) unGl the meter is picked up. BE SURE TO ?tALL PUBLICyN/ORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. a;:' _.t'ur ,56wer & 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 mMer cannot be issuetl or occupancy allowed untll further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) betore issuance. WARNING: BEFORE DIGGING, CAIL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 4/11/89 RE: 983 lVorehviev Park 8oad, L13s H2, Lex Sq 6th -XX- Your Sewer & Wate,y 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 & Water 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 for meter at Ciry Hall. Meter size muffi be wnfirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED 8Y LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. CITY OF EAGAN N? 16297 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # ^.l To be used for SF DWG/GAR Est. Value $80, 000 Date APR 14 1989 Site Address 983 NORTHVIEW PARK RD Lot 13 Block 2 SedSub. LEXINGTON SQ 6TH Parcel No. w Name TIMBERWORKS BUILDERS o Address 1821 WALSH LN City MENDOTA HTS phone 681-0112 o Name SAMP I mi¢ Address • City Phone Name Address City Phone M I hereby acknowlege that I have read this application and sta[a that the intormation is correct and agree to comply with all applica6le Sta1e of Minnesota Statutes and Ciry of Eagan Ordinances. Signatura of Permitae OFFICE USE ONLV Occupancy R-3 M-1 FEES Zoning PD R-1 (Actuap Const V-N 81dg. Permit 554.00 (Allowable) V-N 40 50 # of S(ories Length Depih S.F. Total S.F. Footprinis On Site Sewage On Site Well MWCC System Ciry water PRV Required Boaster Pump APPHOVALS n euilding Permit is issued to: TIMBERWORKS RIIT T-hRS Planner on the express Condition that all work shall be done in accordance with all Council applicable State ot ?Min?n?e?s?ota?Sta[utIes and C,i/ry oi Eagan Ordinances. gl?, pry, BuildingOtficial ,!_6d8dL1? irA -/ .11 Variance Sumharge - 49, PlenPeview 277.00 _45' SAC, City 100.00 - SAC,MCWCC 575.00 WaterCOnn 580_nn water Meler 90.00 XX - ? ACCL Deposil 30.0? _ S/W Permit 20.00 - SiW Sumharge 1.00 Treatment PI 228.00 Road Unit 340.00 - Park Ded. _ Copies - TOTAL 2.835.50 ?,.. ?,2/,r? REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-m ? Sae instruclions for compleGng this form on back oi yellow copy. g? 3a (p ? 04700 ? X' Belaw Work Covered by This Request ew d Rep. TypeolBuilding AppliancesWired EquipmentWirad Home ' Range Tamporary Service ' Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specify) Comm./Industrial rnace ' Farm Air Conditioner Olher (specily) Conlractor5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # CircuitslFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above200_Amps ve'70 Amps Signs Inspectors U. OnN: I /' v 7p7p? S"'? Inigation Booms ? ?? ??U ? CO Special Inspection ?L Alartn/Communication Other Fee f I, the Electrical Inspector, hereby tif t th h R°"gn-'" -' V cer y t a e above inspection has 6een made. Fna? . oa 7?- ? J" OFFlCE USE ONLY This request void 18 moMhs /mm 9a3aU Request D e ? irB No. Rough- 'on Requirb ? Reatly Now II Notify Inapector r ? No When Feady? I censed contrac[or Eg!d6fti hereby request inspection of ahove electrical work at: J r ( et, Bo or Rou[e o. . • ? Ciry A.' ?mv Secuon No. Township Name or No. Range No. Cqunty L?% ?L(ACi / .' Occupant L ? Plione No. y,.7 ?U ¢ ? U PowerSupplier ' dress /_ / ?r? Electrical Conlradw (Company Name) nV ctor9 cenae No. ? Mailingft?qe?c?(By'ptp?i?tFi.vt(eFLI?C.i 1 .?1.[?+ ? AutMr¢eG Si ct /ON i I o APPLE VALLEY MN 55124 Plrorie Number MINNiSOTA STATE BDAflU OF ELECTqICRY iHIS INSPECTION REQUEST WILI NOT Griggs,NitlWey BMg. - Room 5773 BE ACCEPTEO BYTHE STATE BOARD 7821 Uniwralty Ave., St. Peul, MN 55100 - UNLESS PROPER INSPECTION FEE IS Phone(612)642-080p ' ENClOSED. 12218,?/s Request Date ? A ? Fire o. ough-in Inspeqian equire s ? No ? Reatly Now III Nofiry Inspector When ReaCy? I icensed co r h r uest inspection of above electrical work at: J. dd (SVeet. B r te No.) ? City S iion No. Townshi0 Name or No. Range No. County Occu a(PRINT) ? ph ?? d ?ngR.?9? Power SuvPlier ? Fdtlress Electrical nhactor (COmpany Name) ('qnVactor5license No. Mailing eress ICOmredor or Owner Makinq Inslallation) • AuIM1O z tl Signature ICOnva`ctor? wn rting Ins?aliatio(n?' ? ?..( ?,, t' V? 1 1' \M .?S\LI MW Phonnq Nrumber^ "Yl?? 1-6?n MINNESO S TE BOAPD OP ELECTRIQTY THiS INSPECTION REQUEST WILL NOT Gr189s-MlCwny Bitlg. - Noom Slp3 BE ACGEPTED BY THE STATE BOAqD 1831 Univarslty Ave., 51. Gaul, MN 55104 UNLE55 PROPER INSPEGTION FEE IS P1wne (612) 602-0800 ENGLOSED. _ , I J "@ 12218 REQUEST FOR ELECTRICAL INSPECTION b- See insTmctions lor completinq ihis form on back of yellow copy. "X" Be/ow WorK Covered by This Request ee-0oo01-07 e tltl Rep. Typeof8uiltling AppliancesWired EquipmeniWired ? Home Range Temporary Service Duplex Water Heater Elechic Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) CIon ctor5 Remarks: ? ^ Compufe Inspec[ion Fee Below: ! ?%??9 # Olher Fee # ServiceEntranceSize fe # CircuitNFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers A6ove 200 _ Amps _ Amps Si9n5 Inspector's U. Only: ? TOTAL 5-0 Irrigation Booms O ' . Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby cenify that the above inspection has been made. Rough-in cv F;,,ai r oaue/r ??.v OFFICE USE ONp ? This requesf voitl 18 monins Irom INSPECTION RECORD I C°n °"° 0838 CITYOFEAGAN PERMITTYPE: autLoiNG . 3830 Pilot Knob Road Permit Number: 001107 Eagan, M innesota 55123 Date Issued: 0 7/ 2 0/ 9 2 (612) 681-4675 SITEADDRESS: LoT: is eLocK: 2 APPLICANT: 983 NORTHVIEW PARK RD TIMBERWORKS BLDRS INC LEXINGTON SQUARE 6 (612) 686-0911 PERMIT SUBTYPE: DECK REMARK3: RECEIP7 $ TYPE OF WORK: NEW ? PERMIT ? CITY OF EAGAN - 3830 Pilot Kno6 Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Num6er: (612) 681-4675 Date Issued: Control No. 0838 BIIILDING @01107 07/20/92 SITE ADDRESS: 963 NORTHVZEW PARK RD LOT: 19 BLOCK: 2 LEXINGTQN SQUARE 6 DESCRIPTION: ;?Builcllng Permit Type OECK BuililiAg,,Work Type NEW , i tJ f V. ? t J ? t ;`?- ? .l `1., t,.? ? £ ?? ?",. %-.? ? t ? /' -... ?..- 1 ?.?t_ t i w, .,'.?? j ? t^?,i REMARKS: ? I ? ? C-' ? 1 RECEIPT # ? FEE SUMMARY: Base Fes $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - APPlicant - ST. IICpWNER: TIMBERWQRK3 BLDRS INC 16860911 0006352 HOPE RANDALL 829 TROTTER3 RIDGE RD 983 NORTHVIEW PARK RD EAGAN MN 55123 EAGAN MN (612) 686-0911 (612)454-5069 I hereby acknowledg8 tha;t T havo read this application and staCe Chat the information is carrscC and agrae to eompYp w3th a21 appiicahie State ofi Pfn. Statutas and CiCy of £agan Urdihahces. ? - A ?APPLICANT/PERMITEE SIGNATURE/._ ISSUED Y: SIGW RE PERMIT ?` cmr oF EacAN S . ? ? 1992 BUlLDING PERMIT APPLICATION 681-4675 ?t l " RFCn SIN6LE fl MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested,.but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date Valuation of work -3 ? QO Sit ddress: ?c?3 ?,o•ra?d?F.u? f:9+t? i?°- ?4G?? /?'/?' ?/2.3 , STREET . STE / Tenant Name: ???<'?-?- ?- ?El.?-c1 I7?,?? LOT 1-3 BLOCIC ? SUBD. ??'X• ?. 6-?' P.I.D. # Descri tion of work: v. The applicant is: O Owner Contractor ? Other (Oeseribe) Name 1-1ooOE t Phone Property LAST F,RST Owner qddress 9W3 `1/2.-??'C? ,?,e? . te? - STREET STE i City State /?W Zip Company Phone f06 '0,P11 COntrBCtOf Address ,629 iiz-O7z6gs Aticense #-? Exp.? City State !/lir? =112--? Company -Phone Architect/ _ Engineer Name Registration # Address City State Zip Sewer & water licen"sed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Stafe of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i C BUILDING PERMIT TYPE ? 01 foundation O 05 Apt. Bldg ? 02 Sf Dwg. ? 06 Garage/Accessory ? 03 Two family ? 07 Fireplace ? 04 Multi-fam. T.H. ?"Y]?-Deck WORK TYPE 0 31 New ? 34 Repair ? 32 Addition O 35 Tenant Finish O 33 Alterations ? 36 Move GENERAL INFORMATION -Const. (Actual) (Allowable) UBC Occupancy Zoning , i of Stories Length Depth APPROVALS E3 09 Basement Finish ? 10 Swim Pool ? 11 Res. Add./Porch ? 12 Comm./Ind. ? 37 Demolish ? 99 Undefined i.__ . . , !?? 13 Public Fac. li? 14 Agricultural !? 15 Miscellaneous ? ? II MWCC System City Water PRV Repuired Booster Pump , Fire Sprinkler Census Code SAC Code Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well Qn-site sewage Planning Building Engineering Variance REDUIRED INSPECTIONS ? Site ? Wallboard El Footing It Final Assesslments ? '. c3 [3 Framing ? O Insulation ? Draintile „ ? Fireplace Permit Fee r.u.c;m_ s Surcharge , Plan Review ? License ?i MWCC SAC City SAC ' Water Conn. ?i Water Meter Acct. Deposit S/W Permit j? S/W Surcharge „ Treatment P1. ' Road Unit Park Ded. • ;I, Trails Ded. Copies Other Total: SAC % SAC Units , i? ? 8 l. ? Certificate For: Timberworks Book J,j 0 Page J U ^ ? DELMAR H. SCHWANZ uNO sunvevaro. mc. 040110«.e Une.r lw.. el nr MM d 1Mmwe1• 14750 30VTH ROBERT TRAII ROSEMOUNt. MINNEBOTA 660Q! e1v41Iss»eo SURVEYOR'8 CEqTIFICATE N j'n.1 J 7 5 00 -- :, 81 ";_,'r,s'L DrainagAGUtil.ity 1 Ear,ewent., I L U -1- 1 , . ? r ? 1.bl:ZZ??'-4?,` ? Y. id T ? 5j' lil 't.. / v b,?,?,N9 O h f) I G ,s? 7 5.00 -Nj 89°?3???.3 W ? ?V 89'{,56 .?. r`? ••. ? UE:I.h1,1R H. i sci iwANz `- ?;'? , "r{l.j - bescription: 1,ot 13 , Bl.ock 2 , LEAINGTOli SQUAF2E SIXTH 11DDITION, according to the recorded plaY. ???'? thereoP, Dakota County, Minnesota. 10P??3 ?D ? ? ? c e e9Y, ve I N o K T I-I V I C?l . AlSO showinq the location of a proposed house as staked thereon. ? PAkK ROA D --?- ? --- ? I hersby eeAlly Ihtl thls survey, pisn, or repoN wn properod Ey ms or undsr my dlrect euDSrvleloe end thet I em a duly Reglelerod Land Surveyor under the Iawt of tM 31Na ol MlnnseoU. p?t*d 09-11-89 ii?- .?rItr.3 Sca).e : 1 Inch = 30 Feet O nenotes ir.on monument O Denotes set wood hub 10 benotes exlsting el.evation: Denotes proposed elevation: from development plan. l?J I 1i ?'joPNuR y g-ryy,8£, ,O ? zy -? ? I '--1- - - i zylI I I I - s n ?ry.l Ip < DHrrur N. Schaeni ? MlnnweN RphhNlan No. !!26 SINGLE FAMILY DWELLINGS 2 3ETS OF PLANS 3 REGISTERED SITE SIIRVEYS 1 SET OF EDiERGY CALCS. 1989 BIIILDIHG PERMIT APPLICATION CITY OF E9GAN MOLTIPLE DWELLINGS 2 SETS OF PLANS @EGI3TERED SITS 30RVEYS - (CHECB T+TITH BLDG DI9.) 1 SET OF ENERGY CALC3. COMA7ERCIAL 2 SETS OF ARCHIYECTURAI. & STEDCTIIRAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. MIILTIPLfi DWELLINGS 9ENTAL UNTfS FO& SALE IINITS # OF IINITS HOTEs ADDRES3E3 FOE CARNSR LOTS - COATRACTOH/80MEOWNEB MITST DESIGNATE idHICH ADDRFSS IS DESIRED. NO CH6NGES iIILL BE 9LLOiiED ONCE BOILDING PERMIT IS ISSITED.. SEWER & i19TER PERMIT FEES AND ACCOIINT DEPOSTT FEES iIII.L BE INCLiJDED WITH THE HOILDING PERMIT FEE. PROCE33ING TIME FOR SEWER AND WATSA PERMITS IS TWO DAYS ONCE 9 PERMIT H93 BEEN COMPLETED INDICATING A LICEN3ED PLOMBER. PENALTY 9PPLIFS iiSEN: PERMIT IS NOT PAID FOR IH 39ME MONTB IT IS REQUESTED. LOT CHANGE IS REQIIESTfiD ONCE PERMIT IS ISSIIED. To Be Used For: Valuation: ZZO? O(? Date: Site Address OFFICE DSE ONLY Lot Block ?-- Occupaney FEFS Zoning Parcel/ b Aetual Const Allowable Owner A of stories Address L?d Length Depth City/Zip Code f Total .??? Z3 F?tprint Phone ,? v lv3 Contractor ? - Address 3?.? ?• {?L/Jt? ?3 City/Zip Code??VU7.b Phone -Q Arch./Engr. 9ddress City/Zip Code On site sewage On site well _ MWCC System _ City rrater _ PRV required _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance Sldg. Permit Sureharge Plan Review SACO City SAC, MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Sureharge Treatment P1 Road Unit Park Ded. Copies SIIBTOT9L Penalty TOTAL Phone # 1 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS Occupancy Zoning Actual Const Allowable # of staries Length Depth S.F. Total Footprint S.F 2 SETS OF PLANS 2 SETS QF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEDWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER, To Be Used For: BSOIC' Valuation: Site Address dJ?e..+ ?.?'1?/el?. Lot ? Block o2 ??"'b70"1 ?`?' Parcel/Sub Owner ?R??YJRLy -t ??Lul tT?DO? Address ?.3_ )o???J City/Zip Code i464.--j Phone Contractor Address City/Zip Code W6;Wo7-* ??fFiS Phone 661 r0// ? Arch./Engr. Address City/Zip Code bo -9 ? , ! ?'? COMMERCIAL Date: -5 9 9o OFFICE On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off Variance 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 ? Phone # .a. o•n 5;4•ou+ ao•sa+ 277•ou+ 1) 9ti4•OU+ 2, 835•ti0* 55 4•OU+ 40•50+ 277•UU+ 19o4•OU+ 2, 855•5U* ? . 1989 BIIILDIBG PSHlIIT APPLICATION - CITY OF EAG9N SIAGLE F9MILY DWELLIPGS I ? ?0 ti INCLODE 2 SETS OF PLANSP 3 CERTIFICATFS OF SDRVEY, 1 SET OF ENERGY C9LCULATIONS HOTE: ADDHFSSES FOE C08NEB LOiS - COATHACTOB/HOMEOWAER M[fST DBSIGNATE iiHICH ADDHFS3 IS DFSIRED. HO CHANGES WILL HE ALLDASD ONCE HIIILDING PEAlfIT IS I33DED. M[TLTIPLE DWELLINGS EENT6L OHITS FOH SALE D9IT3 # OF IIHIT3 INCLDDE 2 SETS OF PLANS, CERTIFICATE OF 3D$VEY - CHEC% WITH SLDG. DEP?.p 1 SET OF ENERGY CALCULATIONS CONAfERCIAL INCLIIDE 2 SETS OF 9RCHITECTURAL & STROCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALC[JLATIONS - 'A!)R ! 2 1989 To Be Qsed For: 51'11471? ?icy Valuation: ??/ 000 ? Date: ? Site 9ddress ff3 1044,,FJ PAzdt Ku • OFFICE tl3E ONLY Lot 13 Block Z Pareel/Sub ?f.?(iiJ(,? ,Sq?,n2? (???• Owner ?.y?l??bZU-6'XcS 13U/toAGS T.JC. Address jvhtSfJ 44• City/Zip Code 1&?oa7)9 /-/T5. Oecupancy R-3 M-1 Zoning 'D R-( Aetual Const V-T Allowable V-?? - 8 of stories Length 4 5 Depth 45 S.F. Total Footprint S.F. i:? 2i -?-i Hldg. Permit S5y,OD Surcharge y0'50 Plan Review 2-117, 00 SAC, City 100,00 SAC, MWCC 5175,OD Water Conn 590, oo Water Meter D'no Aect. Deposit o,oo S/W Permit aO,oo S/W Sureharge I,DD Treatment Pl. 22g, 00 Road Unit 34oloo Park Ded. Copies 20T9L Phone o On site sewage On site well Contraetor MWCC System ? City water ? 9ddress PRV required _ Hooster Ptmp City/Zip Code ` APPHOVAI.S Phone O//Z /72Z 90 `? 7? Planner ` Council Areh •/Engr • Twre, Bldg. O£f . , S? Varianee Address City/Zip Code /21ci?r.to07-t1 { rw paone s 513 - `I6 9o NOTEs 3ewer & Water Permit fees and aecouat deposit Yees xill be included in the building permit fee. Processing time for sewer and xater permits is txo days onoe a lieeased plumber has applied for a permit at City Ball. ' VALUAT(C)IJ ZZ Xzl = y(?2 x 15= (?930 > ° BASGiMSnrr 2,14 X y 2: 1 00s 7 X lo = "7D 10?? x i4= IyIl2 ? ST FC.vOR ZC,u 4?L ?- )092 9 6 x?o = 60 I I? 3 k 50- .?s Gsz.> ----- ? ? eq 2 ?- , Certificate For: Timberworks , . Aook 13 D Page ? Q DELMAR H. SCHWANZ LAM aumvirrofts. PC. Plobw u"w uw a nr rw a rnnNa. 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNE80TA 6606! 612/443-1789 SURVEYOR'3 CERTIFICATE N uJ 41 $_ 75.00 - $ 87093'03"L- _gq? 3 to I .Drainage&Uti).ity ?i? ? LCIT E Isements SI 3 5 Bi_ocK Z I ? fopH,?13 ,-s y Z o z a ?y ya usC I k? - 4IN 0 h I?VL5 gh4 0? ? ? J_ I% 2y ? I I ? Gfld?. N L _ lyL /o w ?r ?• Nu9 ?s gq4,88 0 ol Z f4.b I m 8?1`f.56 ? - Description: a Lot 13 , B7.oCk 2, ? LEXINGTON SQ6AR'S SIXTA ADDITION, ? according to the recorded plat thereof, Dakota County, Minnesota. 7 5.00 - NJ 8 9043 ' ?3 "W 89y. v6 DELMAR H. SCHWANZ - 8625 - 7- ° r' ??tio a .. F_' -'_ + ' \,f Also stiow'? ? N Op 1? T?I \v I E v?1 • propose ouse ? PARK RoA D I haroby cartlry Mat Nb survsy, plen, or roport wu preperaA Oy me w unWer my tlirsct wpsrvlebn enE fhet I em e duly Hsplnsrod UrW SurvlyOr under the laws o11M Stets of Mlnnssoh. pated 04-11-89 A4r*, r OMmv M. 8ehwn= MMnaam MpM?Hbn No. !/Y6 I Scale : 1 Inch = 30 Eeet O Denotes iron monument ? Denotes set wood hub 169 Denotes existing el.evations 90 Denotes proposed el.evations, from developrnent pJ.an. wC?ItlCtUfOd CAfLsIJItC?ftti id1C. soa T R OR N OPE AV A "" C P I Plon " - Date "7- !8 OWII el+ r' COA11OClOR SJte Address- LOZ sq, : NU.?.?_ R .:.,. 1)TOTAL EXAOSED YlALI AREA ft " 2)TOTAI EXAOSED ROOF/EEILING AREA 14 ft. wALL AREA CAICUlATiOMS: TOTAL WINOOW AREA 1?71 aa.(t.x'U"?= GLAZED TOTAL DOOR AREA TOTAL GLASS DOOR AREA 1;6S- GLAZED TOTAL PIREPLACE WALL AREA TOTAL 1NALL FRAMING AREA NETINSULATED WALL AREA TOTAL RIM JOIST AREA TOTAL FOUNDATION AREA(EXPOSED) TOTAL FOUNDATION WINDOW AREA H Jtem 3 Is 1he aame as, oi I898 tAon Item 2 MCAR 1.16008 A ond O. ROOF/CEILINO CALCULATIONSj TOTAL SKYLIGNT AREA TOTAL ROOF??'rEILING FRAMING AREA HET INSULATED ROOF CEILIN6 AREA 38 ' ?q./1.a?U?? ' o (o G/ , ., ? Z sq.tt x"U" ?' L= ;i0, aq.N.x"U° ?t=._.L1e?? Z `~ `''13 w.ir.x'u" , I to -? r^ ; ?'' ?? 4^.ft.X,U'I ? ? • Khr ? S) T AL v' !, you hove me! !he Inlont of ? •q.ftx"u" t9.RiU Uu,PLlon 2 • ?? c --44.ft1 V- 21?. 4) TOT If irem 4 Is ?ha some ae,a lsss fhon ttsm 2, you Aare met the Infenf o/ 2 MCAR 1.16008 A and O. ALTERNATE SIJILCIPl9 ENVELOPE DE910W To uttliie fha ?otol envNops syalem rtNtAOd, IAo eun of Hsmt f and 2Woll pe yreafu tlwn tM sum of itema 3 and 4. 1) t!) ° s) .Q _ 1 hweby corlMY lAat Mw bupd?np Mn dsacrfDed rnaats or aciaAs fM Sfa?s W Aprasoto EMr4y Ca+aKVONon Act. - 0;/ '. r. •ti. • ' .. .. . • a?.V' . . . ? CEILM tECTlON IINSULATEDa ' (1(uft?!a oIr film 0.61 II _ ? " ?SHa-. , (3._??_? 1?..?S .o . (4 lRfatw aIr film (iN11) 0.61 . . , TOTAL R ?Zg .oz.Z . . U • 1/11 CEILIIC f'RAMIkG SECTION ( p ?3 (,4 (: CEILIM6 SECTION IINSULATEDl ? i rnr..ror orr film 0.61 _ (Y (3 ' (4 •.ie.ror urr trim (snn) . o.W TOTAL R U ¦ I/R VENTED CEILING FRAMING SECTION .. . ' 0.61 ( Iq(orfa a!r film (2 l3 - {4 inftrla o!r film 0.61 (a in'eMs of soH rood _TOTAL N ,y = I /R ' E}(PpSED BEAA1 CEILIHB SECTION {3 (4 ` OJT ta ta}••?? .r, film - TOTAL R ? L • 1/R.--- i .L • 1/tt •aafo fil ?i Fx PµF ?' ! /?_ .. . - t,Y ! e..,w FRAYIMfi SECTION ?nfalor alr /i1m 0.68 t ?? p S h s f eoff w od s exferior air lilm 0.I7 TOTAL R ? ? •?I' U s I/R. 'G` SECTION (INSULATED) lnfer/or air film r 1? s R .4S f s5''b r.? Iq .n f amferior alr film 0,17 TOiJI..j# ? U i + -?1fR • j_ •OA? ST SECTION ' f ii r ir /Ifm ' 0.69 b' C.o.4-f 1?1t-.. ' .+ F . ?I/L , Qlffll0( OII tlfT 0.17 ? TOTAL R 2?4-14?1 U = TION 9ECTiON inferfor air /(!m 4 o _ 12 ?-?' ' ( •?+S ixhrtor air fifm O.I T TOTAL R ' u ? .. wR. ? 1! e a • ? ? :.;,... .. • . , . ? . . f I ? . , .. ' ? . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstruction ReuuiremeMa RemodeUReoair ReauiremeMs • 3 regisleretl site surveys showirig sq. 8. of lot, sq. k. of house; and all roofed areas • 2 copies of plan (20% mazimum lot coverage allowed) . 1 set W Energy Calculations for heated additiora • 2 copies of plan showing 6earn & window s¢es; poured found design, etc.) • 1 site survey for eztenor add'Aions 8 decks • 1 set of Energy Calculalions • Indicate if home served by septic syslem for additions • 3 copies of Tree Preservation Plan if lot plaHed after 7f1193 . Rim Joist Detail Options selection sheet (41dgs with 3 or less unils) DATE 4.d?CS JOB SITE ADDRESS_ IF MULTI-FAMILY BUI PROPERTY OWNER, TYPE OF WORK____.4 APPLICANT ? ADDRESS PAGER # 1?J NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNI?SOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Su6mitted MINNESO'PA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Pluinbing System Inchides: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Confractor: Air Conditioning _ Heat Recovery Systcm Phone # Phone # ree: $70.00 All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read this application, state that the informati ect, d agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Or ' Signature of Applican UNITS? Ir ?11 VAI?AiION ?? o( 0' tV 1/ o'f ? ?? FIREPLACE(S) _ 0 ^ 1 _ 2 PHONE# 6/ 0??3_ & &4S ('.,W ZIPCODE .S-20 CELL PHONE #6la? a?V ?36 (9 FAX # yr? C;VW Watcr Softener Watcr Heater No. of Baths Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool , ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? l 31 Ezt. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-seaJi , ? 33 Ext. Alt - SF ; ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? ? 36 Muki ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage „ ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous , ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demoli'sh (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof'.. 0 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant v Valuatian Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Fk PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS i • _ Footings (new bldg) _ FinallC.O. , i Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Ice& Water Roof ` Final _ Pool _ Etgs _ Air/Gasl?Tests _ Final _ _ Framing _ Siding Stucco Stone i _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation - _ Retaining Wall 1 ' I Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Searoh Copies Other Total Building Inspector 2005 RESIDENTIAL BUILDING PERNII'f APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructbn Reauirements 3 registemd site surveys shawiig sq. ft. of IoL sq. tt. of house; and all roofed areas (20°k maximum lotcoverage allowed) 2 copies of pian showing beam & wlndow sizes; poured found design, etc. 1 set of Ener9y Calwlations 3 copies WTree Preservation Plan'rfbt platted after717193 R4n Joi&t Detaa Oplions selection sheet (6uAdirtgs wnh 3 or less unils) !J? -?-Q , ro RemodeVReoair Reouirements Ofilce Use Onlv 2 copies of plan CeRoiSurveyRecd. _Y _N 1 selof Energy Calculatbns farheated additbns TreeP2s Plan Recd ?_Y _N 1 site survey for addNOns & decks Tree Pas Required'> '-_ Y; _ N Addftion-indicateilon-sResepticsystem OnaileSepticSyslem -?. ?_Y-_N Date?? ln l Site Address q os? d 3 I- Cons`tructionCost ? oc.' 000 / c.rA UniUSte # Description of Work Ale"J .uQ6w5' - /' ?` D NQa. ? /?/Tr' ?2Xt57`?'?'???'Sf ??,rra4 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner c Qa( + i'"l.Yr5? JA'l;/"+ Telephone#(b?"l) 7SS?' Contractor Lv7L oo"Id m4 4dQ' ?(&,I 7 /VG Address State {'VjA/ C /r 'C. v/ °+ 00 City ?iLN'2r (t-+v(?'? cTc+1 ? Zip 515-07G Telephane # 03'? 2.3 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Venlilalion Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheel Submffled Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plvmber Telephone #( Mechanical Contractor Telephone #( 'I DkC 3 ? ?" Sewer/Water Contractor 5 I i Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and ac?knowledge 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 pertnit; that the work will be in accordance with ttte approved plan in the case of work which requires a review and approval of plans. ::J_e j* ?P/t?!"l N6 /? ?,c:?!?"?^" Applicant's Printed Name Applic t's ature OFFICE USE ONLY Sub Types ? 01 FoundaUon ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? ' 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_V or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 Irt Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ; ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Endre Bldg) - Give PCA handout to applfwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump , # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered ? Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Aoof Ice & Water Final Pool _ Ftgs _ Air/Gas T ests Final _ _ _ Framing _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2A d?P WS RESIDENTTAL MECHANICAL PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwelliags & townhomes/condos when peanits aze reqaired for each unit Date Site Address 7S"2, f Ir10I' *1Q?V Unit # Property Owner Telephone # ( ) BINDERHEJITING&AC,INC contractor dman e b u 222 H , aF So• St. Pet11, MN 55075 Street Address City State Zip Telephone # ( ) Bond #: Expires: / The AppGcant is _ Owner V Contractor _ Other Add-on or alteration to eaisting dwelling unit ? -` - $ 30.00 fumace _Additional _Replacement air exchanger air condition r New Replacement ? other I Statc 5urcharge $ 50 T l t o a I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurnte; that ihe work will be in conformance with the ordinances and codes of the Ciry of Eagan and with tYie Mectianical Codes; that I understand 8his is not a permit, but only an application for a pernrit, and work is not to start without a penniT, that the work will be in accordance wi[h the apprmed plan in the case oF work which requires a review and approval of plans. -??c.ha.rd? ??e.,? f._.?._o ? ,?? Applicant's Printed Name ApplicanYs Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings mutti-family buildings when separatc peimi[s are not requved for each dwelling unit Date Site Street Addmss Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) ; . Contractor . . r . Street Address "City State Zip Telephone # ( ) Bood Eapires: The AppGcant is _ Owner _ Coniractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove "*see 6elow _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: -When insta!ling/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector PC['Nit F¢¢S: $70.50 Undetgroundtank inslallation/removal . $SO.SO.LfW? (includes Slate Surcherge) '. ' or Contract Value $ x 1% _ $ Perntit Fee • If cermit fee is $1,000 or leas, add $.50 => $ State Surcharge If pernut fee is over $1,000, add $.50 for every $1,000 nermit Fee $ Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the inforntation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the MecLanical Codes; that I understand this is not a permit, but only an application for a permi[, and work is not to star[ without a permit; that the woik will be in accordance with the approved plan in [he case of work which requires a review and approval of plans. ApplicanYs Printed Name Applicant's Approved By: Inspector I, ? Cq zoos RESIDENTIAL PLUMBING PeRMrr aPPUCaTioN cinr oF eaGaw 3830 PILiDT KNOB ROAD, EAGAN MN 56122 651475-5675 Piease complete for modifications to existing residenUal dwellings. Date 0? I C) (10 _ )? 3ite Street Address c rS ?i N?f i??? ?./ Pr r(? 1`c-i9 • Unit # ? Property Owner dl'? I'? ' 1• Telephone # ( ) ContractorE111 %nC Telephone # (6v) 40-6?? 2L _ Address (O I -? I-' t j c: +^e r AL.+-2_ City n?c v)de1c, ' WfState M: V Zip .i / The Applicant is: _ Owner _ CoMractor _Other Septlc System _ New _ Refurbished Submit 2 sets of plans and MPC ticense Includes Courrty fee $ 100.00 Per asbuilt $ 10.00 Akeratio? to existing dwelling _-- i` $ 50.00 ? Add plumbing fixtures. This fee includes installation of a water softener and/or water ? , heater at the same time. If you are installing oniv a wa[er softener artd/or water y heaMr, do not comptete this section; move to the neut section and check the appliance(s) you are installing. _Septic System A6andonment _ Water Tumaround (add $130.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacemeM Lawn Inigation _RPZ _PVB -new _repa(r _rebuild $ 30.00 State Surcharge $ ,30 Total $ SD. So i hereey appry tor a Resitlential Plumbing PertnR and acknowledge that the irtFOrmafwn is complete and acCUrate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but oniy an applicetion for a permit, work is not to start without a permit and work wiN be in aocordance with the approved plan in the eveM a plan is required to pe r?y?d and a proved. r p J( , ??? Jv?ti?1 p45plipnPS Printed Name Applicant's Signature 11,1b' CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use / Permit#: ( 0,3G, Permit Fee: \ 05 . D. 5 Date Received: ) 7 113 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site gddress: A Unit #: 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.gooherstateonecall.oro 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 wi ut . •e it; th.4the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State B days of •er ssuance. pplicant's Printed Name x pleted with'n 180 ppl' 'ant Signature Page 1 of 3 Name: ! A Lar 1 i I Pho # c2 a Address / City /'ip: 0 0' i /0.2 ..._ Applicant is: X Owner Contractor Type ° or Description of work: � e ]10)%1'1 JI ti / iAl Construction Cost: . 006ir Multi -Family Building: (Yes / No g) a Con rat'o Company: / ii�.. Contact: Address: / 2 /ab &S i City: /1te)//9/17-:1 S State:Zip: 3/V 0 Phone: 6/02 Vel- / ,c1 - License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOT P an and su o n d cui encaa i o f su it arept, "s , ereal to " • 1 c the information. a yb classifi ° s t on p I "f, yo provide pec ea on of .- 0000 eha Oecre on ... 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.gooherstateonecall.oro 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 wi ut . •e it; th.4the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State B days of •er ssuance. pplicant's Printed Name x pleted with'n 180 ppl' 'ant Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137082 Date Issued:06/15/2016 Permit Category:ePermit Site Address: 983 Northview Park Rd Lot:13 Block: 2 Addition: Lexington Square 6th PID:10-45080-02-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Daryl G Smith 983 Northview Park Rd Eagan MN 55123 (612) 250-0230 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature For Office Use i • s i i f + Permit#: /50/ E AGA N �S,r.r ♦bde t 1 Permit Fee: -07'�•&2 I' Date Received: 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 r C;� ' - �1� (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 ��N L Staff: ! buildinuinspections(ci)cityofeaaan.com 2018 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: 4,„1- Name: 1i/2.tri SS C.RLI Phone: ‘12- 1 f�L7L^' 7C, ' S.-Resident! ` ' Address/Ci /Zi - /V IiZ H V t E ><�/Z I`D Ower City p 7 K or- Applicant is: Owner X Contractor Wow • of Work Description of work: +LI!, �' K CV•' C/ d r iA i VII" i e t t Construction Cost: P4. 0 Multi-Family Building:(Yes /No X ) Company: )0t;J 3i126 CON'STI('V CT/O/J 4.'c Contact: JONIV BEA6 Contractor Address: 1009 131-141A)4VL City: I41L,E2 CPotf /'EJGIirc State: At Zip: ,5507 I Phone: 65h eC-0 Email: V O/ n C kt17y' ' tOtyyt1�7j/,Cr?/11 License#: �C CO2 95 3 Lead Certificate#: NAT— 31t3,6 (/ oc 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to ublic information. Portions of the informationjmay be #. classified as non-public if you provide specific reasons;that would ittthe City t conclude that they are a secrets. :` 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.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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 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 • pl-.ns. Applicant's Printed Name App/ ant's Signature DO NOT WRITE BELOW THIS LINEj1�0( 1 ✓; Q L3 ?�c � SSD IV 1 SUB TYPES _ Foundation _ Fireplace Porch (3-Season) Exterior Alteration (Single Family) st,Single Family Garage Porch(4-Season) _ Exterior Alteration (Multi) Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool Accessory Building _ WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation iu c9, ( 0 Occupancy 1,j,-L.,,.- MCES System Plan Review Code Editionlir s?J""f SAC Units (25% 100%\/) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water Final Pool:_Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final /<; Siding: Stucco Lath Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion tontr91 Shower Pan A Other: y /2 k) " Reviewed By: Ii.-' , Building Inspector RESIDENTIAL FEES Base Fee t , ;( ✓ Surcharge '' ) , Plan Review ,f"' `: r f MCES SAC / City SAC t 1 (c. Utility Connection Charge k r fi, S&W Permit&Surcharge` ( l Treatment Plant t I ')1/41;4'C f Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152914 Date Issued:11/08/2018 Permit Category:ePermit Site Address: 983 Northview Park Rd Lot:13 Block: 2 Addition: Lexington Square 6th PID:10-45080-02-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Daryl G Smith 983 Northview Park Rd Eagan MN 55123 (612) 414-4768 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature