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1023 Northview Park Rd Use BLUE or BLACK Ink For Office Use 1 { ( { L Permit L J~ 1 My of Eagn j Permit Fes: 3830 Pilot Knob Road i Date Received: 2' t Eagan MN 56122 1 f Phone: (651) 676-6676 i _ ` i stat Fax. (661) 675-5694 _ _ _ _ _ _ _ INFLOW & INFILTRATION PERMIT APPLICATION Plumbing t Sewer & Water Date: 'q' ► S Address: I O' 3 N o y 4b, vie- Po Y K Acj Tenant: Suite Name: IJ a r f c Q s e v Phone: S/' (o 9 Z' Y RESIDENT I OWNER Address 1 City i Zip: i o a 3 Ada i l tn.,; e 4 n Name: e.S S r r_n 1' I +A" Ini» S e r v ,'Le_ S T v c.. License 1`'` C ~l J $ C Address: P0, G r a7 1 ~l city: ~i cl CONTRACTOR I State: 1'1 k/ zip: s S r a Phone: l2 S j G~ 1 ~I a s Contact: c r") 2 Email: m (ltd h e ~S 3 +n ~ • b r N , x a PLUMSM (within the building envelope) SEWER & WATER (Outside the budding envelope) TYPE OF WORK Sump Pump Repair Repair a k p i Other: Other a Description of work: )2 w,10 f-V u g DESCRIPTION K FEES A-Z rhetvi 4-0 $60.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ , 0 U 'Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www,cityofeaoan.com/lnfI* or City Hall at 3830 Pilot Knob Rd. CALL BEFORE, YOU QIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.oro t hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a, permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name. Applicanrt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: __,_Under Ground -Rough-in Final Use BLUE or BLACK Ink I F~,r Cilice lv~ Permit r City of Ea~a s. I 3830 Pilot Knob Road r1~ Permit Fee: Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 J L fit! 2 Staff: j 2011 MECHANICAL PERMIT APPLICATION IV y1 r V) G9/1~ t'~U ~-t~.ll~l Date: f l~ jSite/~A,,ddress: 1023 Tenant: V (arrl~ cq Suite RESIDENT/ OWNER Name: Dq-rre LGAS~ g Phone: ,,{&sj- (Q O 7~ o42 Address /City/Zip: I ®23 f `1 ~ Vl ~ yl CONTRACTOR Name: h~ r License Address: H04 V- mi4 111 --tl-fe*City: J 1 State: { i 1 i zip: p~(~~~5-3Nd 1 Phone: IUJ T `T) Contact: 1 i ip 1 G 1 t I Email: y 1, ondur (r' TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement lAir Conditioner Install Piping Processed Air Exchanger Gas - Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 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. www.aoaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work 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. xULtI tiW 1 Il/1 If1llA 1 x c Applicant's Printed Name Appli nt's Signature FOR OFFICE USEReviewed By: Date: Required inspections Under Ground Rough In Airiest Gas Sr=rvi(_e Test - In-fl()or He, t Final Exterior HVAC Screening Inspection C17Y OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 '? • ' PHONE: 454-8100 BUILDINGPERMIT Receipt# To be used for M g ?'??y?tr?? Est. Value Ss ?"Do") Date ?'?'`' ? ,19 ?? Site Address 1023 NURTHVIEW ?ARK RD OFFICE USE ONLY ZXXINGTQ« S?`t 6"1"1'. Lot 3 BIoCk ? Sec/Sub On Site Sewage Occupancy . MWCC Syatem Zoning i_ n B? t Parcel No. r- ? - On Site WeII (Actual) Const KEYLAHD HOMES City Water x (Allowable) li"N a Name 2 Address 144SU 8i1R1i3VILLE PKWY PRV Required # of Stories 0 City SURNSV11+LE Phone 896_2436 Booster Pump Length at ? Depth 471 p Name 5At`F S.F. Total , ? ? Address Footprint S.F. ? City Phone APPROVALS FEES ? WW Name Engr./Assess. Permit 498•00 /?/? r^ l Planner Surcharge YV ?.N Z ?? Address Council Plan Review 24q.? `W City Phone Bidg. Off. SAC, City 1010.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5.010.00 information is correcf and agree to comply with all applicable State of Waier Conn. 550.00 Minnesota Slatutes and City of Eagan Ordinances. Water Meter 67.00 Signature of Permittee ?-- Road Unit ? 25. D0 ABuildin Permit is issued to: _ "yY??? '1=?riE? 9 --- --- Treatment P1 1?.Q0 on the express condition that all work shall be done in accordance with all parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 2 s Scs. ?. SO Building Official TOTAL 5LDG. PERMIT NO. ??' ?lJ• `? 01-3210 Bldg. Permit _ 01-3422 Plan Check _ 01-3445 SurchJAdm. _ ?. J 01-3446 SAC/Adm. _ 01-2155 Surcharge _ ,?... _ 75-3860 Road Unit ? 20-2275 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 RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE neceiveo ? FFKW 'AMbUNT $ So? . & DOLLARS ? CASH ?f] CHECK • ? k,? --? '&? ItA AMOUNT Thank You . sv W,na---Paye% copy . , ?. veflow.-Qosurig Copr Pink--FUe copy SEWER & WATER PERMIT CITY OF EAGAt1 3830 Pilat IZnob Rd. P.O. Box 21199 _ Eagan, MN 55121 i OFFlCE USE ONLY PERMIT DATE ' WATER PERMIT # `•` ' ? `' SEWEH PERMIT # METER # B.P. RECEIPT # ?9- READER # B.P. RECEIPT DATE 11 METER SIZE ISSUE DATE - PRV - BOOSTER SITE ADDRESS .'' ajl pA". DRIV? LOT=BLOCK ' SEC/SUB LEXINGiUN SQUt?RE 61H APPLICANT: ^-' YLAND HOMl?S ADDRESS: } 445C BiJP.'VSVI CITY, STATE `'??Ffl?V? LLT:, N PHONE: ZIP PLUMBER: r i, r;;%a u c n a-Ln,, i.??. ADDRESS: Q"C :,A:;HAR?' . CITY, STATE ZIP PHONE: OWNER: ADDRESS: CITY, STATE ZIP PHONE: t 414 -2f'3b PERMIT REQUESTED x SEWER X- WATER - TAPS - COMM/IND ? NEW x RESIDENTIAL EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWEH PERMfTS, CONTACT ENGINEERING DEPT. SEWER'& WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 . Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE ? WATER PERMIT # SEWEFi PERMIT # METER # B.P. RECEIPT # - 8 ° ', 4- R? ?' B.P. RECEIPT DATE TTT2 2? 88 METER SIZE -riZ ISSUE DATE - 1 - PRV - BOOSTER PUMP SITE ADDRESS 1 07 3.` , :"? 1'ARiC Dk1YE LOT j BLOCK SEC/SUB `-tIP7GTON SnI1Eu:r: )TH APPLICANT: io. ' ADDRESS: ??? 450 BiJFK? V i i.1.2# PK41"i I?{?F:?!`;?Il CITY, STATE LI.1''. , 1fN ZIP ] PHONE: PLUMBER: ' 1J't'W1!TN PLBG Y "C ADDRESS: .'A^'D?Ri` L?V CITY, STATE '`AP1-F ZIP ' PHONE: 93-247 - OWNER: ;:,EYL , ADDRESS:_ CITY. STATE PHONE: c"44-2636 ZIP PERMIT REGIUESTED _ SEWER _ WATER _ TAPS - COMM/IND - RESIDENTIAL X NEW - EXISTING I AGREE TO COMPLY WITH CITY OF EA RDINANCES: ? SIGNATURE WHEN METER 15SUED PLEASE ALIOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ` . for CITY OF EAGAN T?T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?p ID,? PH ON E: 454-8100 PERMIT Receipt `F .. Est. Value Date N'j"' ^'a ,19 PQ Site Adqrest j ttz3 rue Lot Block l W rvame 3 Addre 0 City _ °oC Name . V 4 Addre ? City _ Name City I hereby acknowledge that I have read information is correct and agree to a Minnesota Statutes and City of Eagan Signature of Permittee -__- _ S? J? ' A Building Permil is issued to: _'"" Building R. pplication and state that the with all applicable State of MWCC System R On Site Well City Water X 6T}! On Site Sewage - PRV Required - APPROVALS Engr./Assess. _ Planner _ - council _ Bldg.Off. _ Variance _ all Booster Pump OcCUpency Zoning (Actual) Conat (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit 5urcharge Plan fieview SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL L-3 !4-1 PD R-l V-N Y--N 42' 47' 498.00 I clq . ? 550.00 -.v . .v 249. IX? 550•OC? 77*00 32S.OC 20ri. oC . Permit No. Permit Holder Date Telephone * Plumbin9 ?''aI (i? /lY. ?? 1 ?,???K- /-/7• I -/ - ` H.V.A.C. ,- I? - GL.? IO ?. a? POJ4 - a-? ., µt. ? ? y- E lectric 6? .12 ,ff ? iLC-( / r?? p ? 0'+7 Softener Inspection Date Inap. Commenta Footings I Footings II d Foundation .79g ? Framing ??.r; i1'- ;? •? Go.C t- ' a f T? i+rn/- 7 9- Roofing Cv 6 - 6S» r Rough Plbg. , i - : ; • . . ? ,? _ C- ? Rough Htg. Isul. Fireplace Final Htg. 'Pi Final Plbg. '. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ti p. ? . . } Q ? ? u (Ur#if ira#p vf (Orrupanrg . titp of (tagan ar#rttrtmrnt af luning Awprtina This Cenifua[e issued pursuant to the requiremenu of SecJion 306 of the Uniform Building Code certifyrng that at the time af issuance thrs structure was in complrarrce with tke variaus ordrnances of rhe City reguJaurtg building construction or use For 11te jo!lowing: ux cksomooe SF DWG/GAR BWg. N,mit r,b. 15891 O-W-Iy .rype R3M1 zOnE[kg o;,ti;a PD/R I Ty,pe COOSL VN ownwaBuikhol KEYI.AI'ID HCIIES Address 14450 B'VIILE PIW, B'VIIIE auilaing naarm 1023 NOMINffi+1 PARK F[IP,D LOcafity 130 B29 UXDMCN 9Q[JARE 6IH o,tc APRIL 26, 1989 POST IN A CONSPICUOUS PLACE T.-R . PERMIT # • PLUMBING PERMIT RECEIPT li CITY OF EAGAN 3 930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address •' ?? ?' ?' ?' .? `'j / k- BLDG. TYPE WORK DESCRIPTION Lot Block Se c/Sub Res. ? New Mutt. Add-on ? Name Comm. Repair 0 Address Other c City Phon e ''' `? ' •' ? RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES ? TOTAL ? ? water Closet - $3 00 s S?• 6 '' Name !? ? - t-• f '' ? . 4) ?Bath Tubs - $3.00 ? c Address L L t $3 00 3 ava ory - . - p City Phon e -3? ? Shower -$3 00 . / Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ?Laundry Tray -$3.00 ?•nd APT. BLDGS - COMM RATE APPLIES ? Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RAT E APPLIES 1-Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 f Gas Piping Outlets -$1.50 ' STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOE S, Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 _ ?' _Z Rough Openings - $1.50 ?? G 1T SIGN/[TUFiE OF PERMITTEE FEE: STATE S/C: ' FOR: CITY OF EAGAN GRAND TOTAL: I PERMIT # MECHANICAL PERMIT RECEIPT # Z'L •-- ? • • 3 CITY OF EAGAN 0 KN B RO D E N M 8 3 PILOT O A , AGA , N 55122 DATE: CONTRACT PRICE: ?.p d1 P, ONE: 454-8100 Site Address '?' N?? v? r?'? • B LDG. TYPE WORK DESCRIPTION Lot - $lock Se /Sub Res. New - . ? -} t? ? Mult Add-on ? . ?, Name r u °-' C Addre? r L • + Comm. Repair Other L.a Cfry Ct , o . t,. Phon 3 4 FEES Narne Add hES. HVAC 0-100 M BTU - $24.00 ADDITIONAZ 5 M B7 3 O r ss C?tY Phon 0 U - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM PER PERMIT ( - 1 ) - 1.50 EA. TYPE OF WORK ? COMM/IMD FEE - 146 OF CONTRACT FEE Forced Air M BT U 12i/ APT. BLDGS. - COMM. RATE APPLIES Boiler M BT U TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BT U REMoDELS - 12.00 Air Cond. M Br, U $ MINIMUM COMMERCIAL FEE - 20.00 TATE R H R E PER PE I Vent. CFM $ S SU C A G RM T - .50 {ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $?f BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTA 7l ? L: -'' FOR: CITY OF EAGAN ' 3830 Pilot BUILDING PERMIT To be used for SF DWG/GAR CITY OF EAGAN ? Road, P.O. Box 21-199, Eagan, MN 55121 O 15891 PH O N E: 454-8100 <1 }??L! Receipt # ? ? `?^3 Est.Value $81,000 pate NOV 22 ,ig88 SiteAddress.,_1023 NORTHVIEW PARK RD i Lot 3 Block 2 Sec/Sub. LEXINGTON SQ 6TH ParcelfVo ¢ Name KEYLAIVll = Address 14450 Bl ° City BURNSVILLE o Name SAME '. ?Q Address ? ? City Phone a W Name_ = Address ? W CitY_ I hereby acknowledge that I have read ihis ap0lication antl state that the in(ormation is correct and agree to comply with all applicable State of Minnesota Statures antl City an Ordinp/¢s.? Signature of Permittee _ A Building Permit i5 issued fo:--YLA* HQME$ on the express condition that all work shall hk done in accordance with all applicable State ol Minnesota Statutes a-ynyd? Cpity of Eagan OrAinances. BuildingOfficial_.????/I.11?.-_ __- OFFICE USE ONLY On Site Sewege _ Occupancy R-3 M-1 MWCC System X Zoning PD R-1 On Site Well _ (ACtual) Const V-N Cirywater X (qilowable) V-N PRV Required _ # of Stories Booster Pump _ Length 421 Depth 471 S.F.Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit 498-00 Planner Surcharge 40.50 Council Plan Review 249.00 Bldg. Off. SAC, City 100.00 Variance SAC. MwCC 550.00 waterConn. 550.00 WaterMeter _67.0 0 Road Unit _-32$-00 Treatment Pl 204-Q0 Parks TOTAL 2,583.50 REQUEST FOR ELECTRICAL INSPECTION ? See inehucti0ns br completing ihis form an back ol yallow copy. ? 85747 "X" Below Work Covered by This Request 90?? 0? #6?38l0 ew Add Rep. Typeofeuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex . Water Heater Electric Heating Apt. Building ? Dryer Other (Specify) Comm./Industrial Furnace Farm Air CvndRioner Other (spetity) ConVacbrS Remarks: Compute Inspection Fee Below: I Ji Other Fee # ServiceErrtranceSize Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormere Above 200 _ Amps Aoo Amps SiynS Inspector5 Use Only: 7pTAL Inigation 0ooms Special InspeClion Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the abova inspection has been made. A019n-kn oa; _ OFFICE USE ONLY I - This requeet voitl 18 months irom / ';;? S// 0- 9 [E 857 47 3 12 " - - . , .- n. / Request Date . ' Fire No. P -in Inspectiad - y . ? ?gp? ? Ready N. pWill NoiifylnspeIXOr 1-2.0- 9 Yas ?NO WhenRea0Y9 I I C? licensed contractor ? owner hereby request i inspection of above electrical work at: Job Atltlress (Slreet, Bm or Route No.) Ciry 1023 Northview Park Road I Eagan Section Na. Townshlp Name ar No. R 'ange No. CouMy Dakota Occupant(PRINT) PhOne No. Key Land Homes 894-2636 Power Supplier Ad dress Dakota Electric IFarnin ton P'IN ElecUical Cqnireclor (Company Name) Contmctor$ Liranse Plo. Midland Electric Inc. 041610 Mailing AtlOress (COnfractor or Owner Meking Installalion) I 14055 Grand Ave So, Suite E, Burnsville, MN 55337 Authorized Si nature (Conirector/Owner Makin9 Ins[allation) I Phone Number Q??Q 892-6688 MINNESOTA STATE BOAflD OF ELECTPICRY L THIS INSPECTION REQUEST WILL NOT GriggsMidway Bltlg. - Hoan &173 BE ACCEPTED BV THE STATE BOAPD 1621 Univeraity Ave., St Paul, MN 55106 I1NLE55 PROPER INSPECTION FEE IS Phone(612)842-0BW ENCLOSED. 7??-5- C?? /s,sb 2006 RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB_ROAD, EAGAN MN_55122 651-675-5675 dAN E 6 2007 Please complete for modifications to existing reSidential dwellings. Date ? ` ' Site Street Address 102- IV ?J D(4+)ul e1/\/Ndk- Unit # ? Property Owner jQ( el $-2 Telephone # ( ' ') Contractor P Telephone # (oSj ) 31oS- (,?,y O Address [?_> City f7? State_/4_L_ Zip 155Q-3 The Applfcant is: _ Owner ?ontractor _Other Septic System _ New _ Refurbished Su6mit 2 sets of plans and MPC license Includes County fee $ 100.00 Perasbuilt $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are insia!ling onlv a water sokener and/or wafer heater, do not complete this sedion; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $130.00 if a 518" meter is required) Other. Water Softener L'__Water Heater $ 15.00 _ ? new V re lacement ? _ p Lawn trrigatian _RPZ _PVB I_new _repair _rebuild $ 30.00 SWte Surcharge $ .50 Total $ ? ?U I hereby apply 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 accordancq with the approved plan in the event a plan is required to be reviewed and approved. ApplicarNYs Printetl Name Applic9nns Sfgnature ? 3830 Pilot Telephone # 651 New Construction Reouirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed (20% maximum bt coverage allowed) 2 copias of plan showing beam & window sizes; poured found design, etc. i set W Energy Calala6ons 3 copies of Tree Preservation Plan if bt platted after 7l1193 RimJOistDefailOptionsselectionsheet (6ldgswith3orlessunits )ENTIAL BUILDING rmit Application City Of Eagan iob Road, Eagan MN 55122 75-5675 FAX # 651-675-5694 RemotleVReoair ReauiremenLs 2 copies of plan 1 set of Energy Calculations for heated adtlitions 7 site survey for additlans & decks Add'diar - inMicateltonsite sep6c system Offce Use Onlv Cert of Survey ReW Tree Pres Plan Recd Tree Pres Not Reqd _On-site Septic System Date ? ?3 ,P d Construction Cost o(, .?.? ? ? Site Address 14923 4 I tz-b UniUSte # ' Desceiption of Work M lti F il Bld Y I/ N i 0 K 1 2 u - am y g _ F replace(s) _ _ Property Owner r-4 A. e elephone it ?(? -??/J ` Ce Contractor Address I City State I I Zip Telephone # ( ) COMPLETE THIS AREA Energy Code Category - `,t•l°„"1Q "' Jr (? submission Type) • Residential ventil Submitted . Energy Envelope Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Pem that the work will be in conformance with the Statutes; I understand this is not a permit, but permit; that the work will be in accordance witt approval of plans. B,4kA4X14 l..J /ZS-E Applicant's Printed Name 1( IF CONSTRUCTING A NEW BUILDING Cate¢orv 1 _ Minnesota Rules 7672 Category t Worksheet • New Energy Code Worksheet Submitted alations Submittad Telephone # ( Telephone # ( Telephone #( - - - 1 ''t it and acknowledge that the informatio is complete and "accurate; ordinances and codes of the City of Eagan and the State of MN nly an application for a permit, and work is not to start without a , the approved plan in the case of work which requires a review and _ 01 4????'?c??eei Applicant's Signature OFFICE USE ONLY ° Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 90 08-plex p 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. f 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ?, 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation y?i 00 o Occupancy MClESSystem Census Code L)3q Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const JA Width _ Foorings (new bldg) ? Footings (deck) _ Footings (addition) Foundauon Drain Tile RooF Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUCO. ?a FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (newheplacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Licen'se Search Copies Other Total Building Inspector /3ZSo ? ? C ? e ? ? ?y _ -? 0 ? , _. . < m M m C) ? ? ? r-A • ?i,.,m`. I I ; ? JUN 09 '03 07:15 16053324770 PR GE.02 r f w b? o- AK,???y J ? 4 N11 aa' a ? ? 3 o'a„ ---E p a n o ra -i, RE?IDENTIAL BUILDING ermit Application City Of Eagan 3830 Pilot ob Road, Eagan Mn 55122 Telephone # 651 675-5675 FAX # 651-675-5694 % U .z?5' New Construcfion Reoui2meMs RemodeUReoair Reauirements Offlce Use Onlv 3 regslered sife surveys showing sq. ft. oF lot, sq. @. o( house; and all roofed arees 2 wpies W plan _ Cer1 of Survey Recd (200h maximum lot coverage albwetl) , 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured fouM design, etc. , 1 site survey for additions R decks Tree Pres Not Reqd 1 set of Eneyy Calculations Add'kion - irMicete i(onsite septic system _ On-site Septic System 3 oopies otTree P2servation Poan if bi platted after 711193 Rim Joist Demil Options selenion sheet (bldgs wAh 3 or less units Date __?__ /o3,r Construction Cost ? ?S Zp p Site Address UniUSte q i Description oF Work MQ1 tY1iL Multi-Family Bldg _ YN Fireplace(s) 0_ 1 _ 2 Property Owner _,Yckc kIe bCf.u ? C< v Telephone #((„5!) Oqa?-- Contractor r, cry v%„sn,,, c I''c i,. .1 h t- Address 1 a 1 2) &ra S ,5 State T. ? City 1) ( q) v, L Zip?u? Telephone#(?43) R(j -? SC? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category t Worksheet (J submission lype) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worlcsheet Submitted Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Pe4i?and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pezmit, but only an application for a pernut, and work is not to start without a pernut; that the work 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 ' ApplicanYs Signature QFFICE USE ONLY 5ub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 FirepVace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-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 w_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump i Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED I NSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foorings(deck) FinaUNo C.O. Footings(addition) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Fi nal _ Pool Ftgs Air/Gas Tests Final _ Framung _ _ Siding SNCCO Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall ---------------------------------- -------------- -- ---- --- Approved By , Building Inspector Base Fee - ------------------ ----------------------- - ------- ------°--------------------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI APRLICATION 1=0R PERMIT SEWER AND/OR WATER CONNECTION oF eC'9gaP9 1) PROPERTY ADDRESS: T•FY;AT• DFSCRIPTION; . 1-3/5 IF EXISTING STRL'CTL?RE, DATE OF PRESENT ZONING/PROPOSID OSE: Q CONA"IEEE2CIAL/RETAIL/OFFICE Q INDTISTRIAL Q INSTITUTIONAL/G0VERNMENT 3 NDS'E: PA7Qg2dP OF FEE AT TIME OF x ? APPLICATTON DOF5 NOT CON- t * SfI1V1E APPR6JAL OF PEfiDIIT. • ' ? ; iNseecriaa oF sEWER acn/oa waxm ;. ? ItYSfALI11TI0NS WII.L NOT BE SCEDULFD ? ? l!NPIL PIItPIIT HHS HE¢d APPROVID. : ##t##R***YY**f4ii14?fffitt4ff+lfe>iYfelS* (PLEASE PRINT) e UbdiVision Tvc Parcel ID NAL BUILDING PIItMIT ISSUANCE: Nlont Year IL?-1 SINGLE FAMILY E] R-2 DLPLEX ('iSvo Units) Q R-3 TOM0U5E (Three + Onits) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) ? NANIE • ?f y1,VA ADDRESS: %yvs 0 CITY, STATE, ZIP: 7] :?4 k ?s u'I& -P/) -t3 J 3 7 PHONE: e95- .?G i - 3) •i :?• N71ME: ADDRESS: CITY, STATE, ZIP: PHONE: g'/r' 3- 7Y7 '41 MASTER LICENSE # f'na706S 4 ) e ? ?• f NAME: Cz -1 ADDRESS: 2lumners License: Active F.xpired Not recorded St?a In? itia? CITY, STATE, ZIP: PHONE:. 5) =CONNECTION TO CITY SEWEE2 STORM SEWER PERMIT - CONTACT ?N TO CITY WATEE2 1-3 TAPS _ 6) ? II /z -gy ***:r*,t*******,?**r?:?*+**********+***************,?*:r****???**?**?***,r****?********+******?***,?********k * THE G01JJ COPY OF THE pERMIT WILI, BE SE[SP DIRECPLY 1+D PUBLIC WORKS 7U FP.CII,ITATE METER PICK-DP. ;i * PLEA.SE ALSAW 2WD WORKING DAYS FOR PROCFSS'I NG. SONIDOPIE FROM Tm CITY WILL COBTI'ACT YOU IF THERE * ? * ARE ANY PRnBLENLS. * ?****??*******??**??:*****+?******?**?**?*????**********,r*w**?*+***?*,r*?*?*x??*******+**?***?**??*?$ ? FOR CITY USE ONLY PERMIT # ISSUED . ' Pd w/Bldg. Permit $ $ FEES: $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDEISDRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOONT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUIVK SEWER LATERAL BEN5F2T/TRUNK'WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL 19343 0 '-17 RECEIPT RECEIPT n DOES UTILITY CONNECTION REQDIRE EXCAVATION IN POBLIC RIGHT OF WAY? E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CO[VDITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: . . ( RESIDENTTAL BUII,DING Permtt Application f City Of Eagan 3830 Pilqt Knob Road, Eagan Mn 55122 Telep6one # 651-675-5675 FAX # 651-675-5674 NewCortsWCtlonReauiremb RemodeNteoa'uReauiremenm OlficeUsaOn 3 registered site wrveys shawing sq. R of bt sq. R of hase; and gN rooTed areas 2 copies of plan _ Cert of Survey Reod (20% maximum lot caversge allarrea) t sal of Enayy CalalaUms ta heahd additlons Tree Pres Plen ReM 2 caPiea of Plan showing beam 8 wdndow sizcs; poured fouM design, etc. _ 7 site survey fa atlditions 8 dedcs _Tree Pres Not ReqA t set of Eneigy Cakulatlons Addidan •'uM'?cete nanks?ffi s?c system -OnaRe Septlc SYS@a?n 3 copies of Tree PreservaUOn Plen if bt plama0 aRaz 7MR.?i Rim Joiet Oepil Optlons selectiai sheet (bidgs wllh 3 w Ims uniGs j, Da? I I ConatructionCost VP`1?dQ ? Site Address UniUSte # Descrtption of Wark InQ.?? (Z ('p Multi-Family Bldg _ Y Q N Fireplace(s) _ p lJl _ Z Property Owner U ? Telephone #( Contractor I Address l Cjty on (f ? OL State ? ? Ztp Telepkone #((o? ) LPB? '(?-?ag COMPLETE TFIIS AREA OI Energy Code Category - Minnesota Rules 7 . Residenlial Ventil (J submission type) Submitted • Energy Envelope Licensed Plumber Mechanical Coniractor Sewer/Water Contractor IF CONSTMUQTING A NE1N BUILDING Minnesota Rules 7672 \\U • s?i? y Code worksheet #( Telephone # ( Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with tk?Ie ordinauces and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but? only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. I Applicant's ' ?i \. 2, .? ,"?'1???it Applicant's Signature OFFICE USE ONLY Sub Types O Ot Foundatlon O 07 05-plex O 13 16-plex 0 20 Pool ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) i ? 03 07 of_ plex O 09 07-plex ? 77 Garage ? 22 PorchlAddn.(4=5ea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeMgazebo) ? 05 03-plax ? 11 10.plex ? 19 Lower Level O 24 Storm Damage O 08 04plex p 12 12-plex Wbg_Ya_ N O 25 Miscellaneous, Work Types r ? 31 New O 35 Int Improvement O 38 Demolish (Interior) ? 44 ? 32 AddiUon O 38 Move Bldg. p 42 Demol(sh (Foundation) ? 45 O 33 Alteration 0 37 Demolish (Bldg)• ? 43 Reroof ' O 46 ? 34 Replacement 'DamolWon (EMiro Bldp) • Give PCA handout W appliwnt ' ValuaNon Occupancy MClES System Census Code Zoning City Water _ SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered'' _ Type of Const Width _ Footings (new bldg) _ Footings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation O 30 Accessory Bldg ? 31 EM. Alt - Mutti ? 33 Ent. Alt - SF 0 38 Multi Misc. Siding F've Repair . VV'mdowslDoors REQUIRED INSPECTIONS ! FinaUC.O. FinaVNo C.O. _ Piwnbing HVAC Other _ Pool , Ftgs _ Air/Gas Tests _ _ Siding SNCCO Stone _ Windaws (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Ptant License Search Copies Other Total Building Inspector . . ?c-??.---- ? ?. 19$$ BUILDING RMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 15M INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WHZCH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - C$ECK WITH BLDG. DEPT., t SET OE ENERGY CALCULATIONS CONAfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Date: ?- Site Address Lot ? Block C;? Owner Address ( V--q- 5 ,:f, Lj=t:.? City/Zip Code Phone Contractor Address City/Zip Code Phone . Arch./Engr. Address City/Zip Code Phone Ik 8S00c) OFFICE USE ONLY . On site sewage_ Occupancy - -, ?4ICC system .? Zoning don site well Actual Const City water ? Allowable - PRV required # of stories Booster Pump _ Length ? -?-? Depth ? S.F. Total r+-? Footprint S.F. APPROVALS FEES Engr/Assess PermiE Sf y,QQ Planner Sureharge Couneil B1dg. Off. Plan Review IZ/i3SAC, City 2. pq Variance SAC, MWCC SS? Water Conn 55LQ, Water Meter 69,00 Road Unit ZZS , DO Treatment Pl 204,?D Parks Copiea TDTAL )? Q . ? VALuATIoN 6,4 RA&E " r ZoxZ2=4qaxr4=?lGo ?SmT z6x?? _ lz4V X 13= 16zZy ?f ou s E` bs M7- 12_ u T I f ?c 13 lz4 gx49= (,2132L ? 9451(c, \ Y /U JF ' GLC V. /t SURVEYOR'S CERTIFICATE ? f '5 / S 89°43'03"E ? f..i r_ ?;? G_ ? ? (0 0 O Z 0 a Y' N O M $ M 1 5?I ? ? [cU 2 ----- ----? DRAINA6E 6 UTILITY . IB 7FASfMENT PER PLAT: I ? LOT 3 ? . ?9s.s C897. 8? e9 .a: I I4 M y M IO ? a L_0 i 3 C) w PFtOPOSED Ii I N HOUSE ? y / 0 0.0 i.5' canrr? I ? caR. N (89?8) 1 ;'d r m .I 3 W ? J F5 II O 89a.z ?- (S.UU , N 89° 43'03 NORTHVIEW _ 895.4 dJ vPT f- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOA - 898./ FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOFi - 8'SQ-y FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - gq,B,S FEET WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 3, BLOCK 2, LEXINGTON SQUARE 6TH ADOITION,ACCORDING TO THE RECORDED PLAT THEREOF,DAKOTA COUNTY,MINNESOTA. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION 7HIS 18 TH DAY OF NOVEMBER , 1988. PftOPOSED GRAGES SHOWN WERE TAKEN "%1 • l\ FROM THE DEVELOPMENT PLAN FOR SIGNED: JAJIRE?R LL, INC. / ? LEXINGTON 90UARE 6TH AODITION, PREPARED 8Y SUBURBAN ENGINEERING INC., LAST DATED II-17-87 . dY HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 ? ? 8 i ? ?1 D O l0 O < S N N m - ? ? r W 0 O O ? i< i p D ° ? ~ mo ~? "'z o ? no ? ' c n A> g ? -` oo ?Z ? m " p m ? < . Z G) James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S, • BLOOMINGTON, MN. 55431 • 612-884-3029 W ? 0 O Z ? ? L_\i 1 L zw F? N a ;?? .?s N I mirS )n o /7 r p.,. .1 '•• '?=°" EX7ERfOR ENYEI.OPI: AVfRAGr "irv r.oMrOrrnnnN ,-.:., ? , ., .....?_..._ ; -., , ? :;?:i... . . ..._... ._...... . . . ?wyc i ?? y y. ? ewn?rc: ' ' f?n?? I . s t S ?. ITE ADDR ESS: J5(.o&k,? IL?x?1pJ PIIOPIf': _ ` - C ? . ON TRACTO R: ?iCel I ar?r-? ? l Deterniine wurl:ilny ,quare footaqe of ear.li Total exposed wal l area. .... ay y ?L?_____... ?'I • fl.. x.11 - ??.L7 I _-- 2. Tocal roof/ceiliny area..... ft„ x,026 Total exposed wall arr_a ibove I'l.ior= a. b Total Total wall window area ......................................... door . c 7 t 1 area.. .................................. . . o a sliding g1a55 door area ................................... . d. Total fireplace wall area ..............................: -- T ........ . e. otal wall framing area (average 10„.) ........ .. • _ f. Total . ....r........... rim joist area . =i . L`41 .. ...................... ............ . 9•a,+c?net wall area above floor . h. ......... ............ _ i--?- wa?i-i area a? flaor...Cr.au11. .S . . .........?. LL^, . i. fJ E7 -w?rkk area al?e f1oor...Grc?,.1?..: s>........... J. frame wall area at foundation .................................. . lbtal exposed foundatiun area- k. Total foundation window area ....................... --- ' ---- ------- 1. Total net foundation area above graAe .............._ Determine "u" value of each wall segmerit (e,g, window, door, each separate wall sertion) ?a. X U"----'? -•? b. ?G + X ?. V?_?'.a?.?.^: c. q ;z - x d. '_' x llu^ -- °_?? e. P7N, n _ x ??U " --.4?L-` f. x liu„ g A'9.37 h. sl Ll Lq X ,lu„ _ i. S 7. a X 11 U., _ . .. ?• ?-_-' X uuu -'- Y.. X ?lull X flul. _._???? _- 3 . ......................... .... .... Total :._ ._ . ....,.._ ....._..__ _:-?....??..?.,.. _ __. ...? ._....._._?......_.___.._.__ .... .. .... .. ......... . _ I C f i Cem p3 i s the same!<?; as, or less than item a? N1, you have met the intent of SBC 6006 (C)2; '? :ISctr,rior Bnvelope Average "U" ComputaCion Page 2 of 4 • , ,j?; l - Total exposed roof/ceiling area o ?..> ` m. 1btal skyli.yht area ............. ............ --- i`` n. Total roof/ceiling framing area (aver.agc 10%)... o. Total net insulated roof/ceilin9 n?rea........... //'Q!3,0 ? Determine "U" value for ach roof/ceiling segmenC l ? g M. ..V., ' n• fl X Oo I .41 xa. . a. X ,.U„ qcp 90 } . ' , a ..... .. .. ... .. ........ .. ... Totai = a?, y to Zf total of #4 is the same as, or less than R2, you haae met the intent of SHC 60C?G (c) 1. Altexnate Building Envelope Design To uY.ilize the total envelope system method, the values established by tlie s:vn of items #3 and #4 shall not be qreater than the sum of items fll and #2. . . + z. 3. :.77a. 147 + a. , ? c r?. ? ;:- ? <, S PLAN -* ? LimE4L FT, F?x.posED wALL. ` BLQG (L ; aa -? a cv -t aa ? -?o ?.i?l?E ' : a? -rac?+a?+a co = /°`/ , , ` ;:UL.L? ? a?o+a-?-a+??g+acP-+_?iB-+acfl+i-+??-?d? ? F U l_ l. 2_ ;?- ?t ?.,E.??..??c.E ' ? 1Z l M : iF3o ? Sx. PaseD wALc..,., Ar R..EA t3LocK.'? 7? aC < - lCN EE ;loy x , 5 _ •,a<-? - W . Q ---- PULL I; k g Fu LL Z; - k g .= , F, P .,. , . X. . CRAwL sPAcE aax aco 5?^ TotA l... ? a7ti7 i?4a 05Q,Ft. EKPOSr--D GEiLtuP ¦ w DUs t 1 I I I a?! 3(o SLb 6,9) Ltb - ? ? 18Lo0 (7. IS ? ,?4L¢O lO I o`?U3Co Ca I ? J<1 L1?? 51-? C?Y.lv7) ?•3'? I ?`18 5 L p /8. Ca7 ? do''3(v S rir aoC?o ?e?33) aN,ci,3 As 7 C) oa rz.5 t? ar - 3 `?... ? ?ATI d bk6 1 ?°,Y(uH t?? . OF,SM`•+ Ul,)i+S ;.r? . ,A . ? ? _ ? . rfBU:c ?yq of ppailua Wa11 nrcn for frnma r.wwctruclluo - -------------- Sic ALL G, (3 ,,.?. ?,... Ccm ::C[ur:l inh ? I;...y.tlu•: .p , (I? 4. s LPC'?X ._ `o . ?mtat??.. _... ... _ .. _. ._.. ._ _. t,. r:xieri„r .,it Mm •? ? u.n , ?OL.,, ?a ?4.33 I • ?Or' V III lVV • ]. TII?[(`C?I?C illl?'????III ?.(l?? " """' '.._ .. _ . .. . .. . . ... ...."'." _'__....._r.. 2. yL! &ip,?D. _... .._....'_._.__..._____i?7 3. 4. 5. ?r4T _ ?.._.°------.._..----._...... ...--•6 6. Ex-crlr>t: r CiLe. Tue;l R= 2i?'t U ? .c4 I ' R?*'` ? 1. 1 t rior ?ir filin 4. _.?uLL.'LRISE_....... ... ---_____._'--?•OL? 5. .?.tLLCN.Ex...__..- , -- . -----.--....?_a??.Z 6. }_xtcrlor nit_[iLn .----t).1.'/ , _ -'io t";i V= ,o4c BIrK , 1. tnta?ioc _?1r Cil?a . _.P.GR 2. •-------.__.....- -•- __.__....__._.._.__._. ? • _.. .LZ" _.rnr?c... ..gc, f?-. _.. . -- -.. ._ L.LB n. _..------- ........ .__._.. ._..... ...._.....-- s. .._._..---------- ---------------------• 6. I:xlnrirt: -?--.._ ........ ..... . _..--_-....--" " ._?_ ? '1'ul;il ?t Z.•13 _ Ut . 47 I (:IN6L eu:. na . ? d ------ , • ? _ . ?'_ • . . i ? . , ? ._,..-.._ ...._._._.. _._.?'4C _ ..__.. . ... .. __._ _ . _--__„ ..._.:.... ?.? • ' ? \ .? r ? ?,5ut F x: ?V ,r zt t ? ? ? y ° ? '•;? • ? ? ? /II F ' . ? , • y . 1 . ! ??? ?-- , • ' r ??? v i d • . ' lj1l '_i. --- ? • ! . , / ?, ? i?t . . • ' ' N! ? } • . ` ? /??. ?= Y.. ? ?` •j s /!f Indlcute ty"-c. "tt" valuu, Qenlli nntl placendnt of innul.,lCion. • "';$i E: Uan 1yt of opoyun vall nrcn for ? fram•: ccai::trucllun L. y':01 ,{. l AricN z ? ' . ----VJ ------n ? TGPVI f.l4 OF FllAttg IQA(.i. ?: , • --------0 ? = - --l`lb O ? ? ? _... ?..Q ., . L----- ? {!?? '1 .'.. y? u I ?? ?????`????? • , ??• n •q• .,.____..-•-•--? . n . Y:Clrndc• ? . ? ?. .. -?-... : . ('unr: t f u 4'! i n u R.. ya 1 u.t "- .y?-•_Y?.D. . ?L??:1s.5+ _...__.... ._ _...?t? ]. ? ' in?:h.?; :..?li •.,,.•:t __.......__. .__ .._ ?!] .._ .............W?_. -T . ??. ?1?.?1??0..... .. ....: ... . _ ?.?I?, 6. F:r.lcriur a1G' filtn •• U.17 •r„i:,t ?2.s Iv. 85 r VL •O?1 , 1. Tnl•orl„r air !llm .. ? 0.61t ......._.-- 1. `ii:_9y p ?a1Z_. .^?.45 ]. _4!! ...Zr?sr.ri._....._... ..._._.._____L_L.Q. 4• 35413t_ ._?5?+-?1e .. . . . __ .._..- • - •-_7._??.4 ?-•:- -- - . _r._.._._._. _.__ .. La l ? c 22 FI $ U = • ?'t 1. I n t r, i;i u r_i.i r, f i 1 ni.. ... _...--- ---•• -- n.f ?t 2. .(/=._I1?SV 4 .... _. ..._..:... _ ..f°.leQ 4. _Z.$?32'--.SNtlo.....- • -- •--- ----t.oy S. ..1Ja?V'VS..... . ._. ?.---..:_.. .._... %?F.2. 6. F:xtCrlPr niC 1 i liH 3i 21~. ii 1. 2. n. S. L. :.•r.nn_ <xi , uMnui_ 4Lk .. . . n.t.n .1?-??• -.-$` ?..4L.1C. :_..._. _. .. ..,._... ?.,.2 ? .. ... .l-"_.??v?+;¢ - . ... ... ..... .... _.. ..S..v__ •,ii?Wi? .._:..._ _ .. ...._.___ - •--- _.. ? • • ? ? ? Y . • •` • ?, . j : %. . ?? • Y , 1?r • ` u • , , ' ? ` ? Y. ' . iic A1.4 PIC. tll rtc. az ?,?1????J/ii'R . . ? ??.. •',+?,? ? '??'??. ?l? ? • '. ' ? I!I ,' ' y "?? ' ` • . I . ' r, !// . yl {rfF?' etr,. ua :a ; • //! : "#+? • f?f ? ?r Y ?...`4. /? (f! ?',?AV? ?r('."•Iti.;...i?? ?, ZX? v11 111114 Janti? end ' placr.Miqt o! in:ul.ll'ion. I-VI/ . : .: ,I ? ' y;•}*?:. ?:?t?V?4R?1 • : 1(J Y.. .1 ?? 1 d?.3 ?o r WwthersUips AS • . Cuide W?ndows Dooro I Re(erence II Ou6 Wall Inl. Yea-No ? Yts-No 19_ ? FLI 14 G (RZ Room Length (o Widih Windowe and Doors-Crackaae and Area v? e tu PaN k t .7rt-rmrrrr-vrAbU,rA-"i3i Ff .onalrutlion No -• ( sulation II C 'tiling ' Roof F1oor I I Kind ? How Applied eiaht - A II ) Fl v .,.... ? a,..._ ? i _ _.L .. ..,:I.L .. • Btu Cle?? 7 ?? • ' 0 Exp. wall n?c ?:P: "'?° Cciling /(oAe2 Total 8tw Required aq. {t. E.D.R. or tin-i k'4k.-]-81(FyrOOm Windom and D..,.? u'--- - 3365 ` Total Btu. Leader area ' Required sq. ft. E.D.R. or sq. int. W.A. Leader sres Width Height ?21711 &1hs,{Jp11 RaomlLength /L Wideh S] Ares No. ef 0ont, et ftn, IIfMo v[!eaeY Aret ro. n. .. . . -114 6 u N j Coef. Bw Infiltration - t Glaa -? .- a a ?cp. wall 114 41fot qyl .?7 Net exp. wall ? q ?w.«.?? iP,m 2? le oy; c??i??g x i w»?. r..?. ._.?... Windows __'-_„ ....... ' d Doofs-Crackage and Area v ..a..dm No. WIJIh of O?n?. IlaleAt ot pnn? Ne. ot IIShU LInOI fl. of cnak wrea q. f4 ' ? O i µ .. .., - . . i . ' . Coef. Bm In6ltwtion Glsu ' ?y SD ibaa Exp. wall / p Net eap. wall 5 'IAWN+Y' 1PiM ? 7 ? Ceiliog I Ax /o 9D ....... .? w wwr.- ,a,mcu ge sna nr ea : Na wm<n e! Oan* x.12 ei ef p?n0 ,. oa Ilthts Line.i n. of er. ek w.•. ' L ? ` 0 .s 4,:, Coef. tu ` In611m[ion /O N S Glsu kIL a 40 Etp. w.ll (o x q !eZ Net e:p. wall ,2! O b 4 Ceiling .EJoor-? '+ ?? " Total Bro. Required sq. (t. H.D.R. or sq• im. W.p. ?sder area ' Requ'ved p, ft. ED.R. or sq. ins. W.A. Leeder area _?_?NN? Room ?Length /0 Vflidth Q Heighe Wcnd„W. . d n......_r.--L--- --A . I? Fl. Room Length WidtA ? Height Vo. wlath of p?n? x.lsnt af pane ne, ot Iltels ? In•.I tt. ot <raek we.• p. fl. . . 35- a . j, Cae(. Btu In6Aralioo 8qD ,la?f ? , C 10D, :xP. w.u 9 ?io AA Vet e:p. wall ' / D 336 ntr++rlP ? / / I :eiliqg p 0 p' '1d5F'? ?t.? B(oS 'r.'' Total Biu. Icqnircd aq. fL G.U.R. or ry. im. W.A. Leedef orea ?. Require•i sy. tt F.D.R. or sq ir,i. W.A. l.eadrr arca Windows and Doon-Crackege snd Arn N0. wwin ef paa* eIiAI ot O.qo Na of 11[Ats Llned [t. ef etatk A'.% p. !t. . . V Coef. Btu Infiltration -Aq 00 cJ..I a / e.ip.w.u ie+i` Net ezp, wsll 4Mr-tw14' Rj W L 0 Ceiling ? r?lser? ----•-Henrr.ass-cnccwmoNS-----°nEP,vtnwFxr-OFTBtnLatN?s . . . Wealhersinps n..?o..?.r.C, . . .,;.r;. .. . .. Guide Conalruction No. Insulation F/indow;, i ` Doon I Re(erente Oul. Wall Int. Wall C.eiling Roof Floor + I Kind °. Now p fes-No 1_ Yee- o 19 _ •1 . Room Length Width Height I' F7,&?+- Rooml Length a(a Width Windowa end Doon-Crackage snd Area Windows and Doors--Cratkage and Atea N'IAth IIe1Rnt Na.of Llne?lll. Are? Na. ef oane ol pane . ,Rht. of vvk p . (L •, I. ? - ' ? - . ? Coef. ' Bw ' In6ltration a I Glssa D IFRSI F.xp. wall , Net exp. wall ne M ? n. Toul Btu. Required sq. ft. E.D.R. or sq. im. W.A. l,esder sma Olvi•I Cioa u A _ Room Length /_4 Width ie Hei:he 40 ' NO. iem of yaa? .irni ef peo No. o UsAb ?Lin..1 n. of CncN eraa A. f6 • i ? Gef. Btu In6ltwl'ooe 1 ? ! , GI¦w I D d? I k P. w?ll L F p Net e:p, we ll LM-WAU IrA ? I Ceiling 1AX 1 O / 0 290 Flaw.- , . vw? o?u. . . . ?f y . . . . ?K Reqwred sq. ft. E.D.R. or sq. im. W.A, L,eader arcs' Fl. it- Room jLeneffia 6 ar,a?, a z t??sh? ?, Wmdoxn and Doon-Cneksse .n,i A..a No, wldlh of pan? Hrnt ef p?n? Ne. Ilgsb Una ?tl. ef cneM wn? p. fb ?? :• .. ?. Coef. Btu Inhllration Glau ? Ecp. wall } , . Net e:p, wdl ?In ?eilin8 ? Eloor T •vN4 V\V. Ne. Wldth of DS"o IINtM of pane Na. et 11??1• LIn?U 11. of enaY Arc? M. «• ... C ` Infiltntion ' - (eb Glan ?` ' ` EnP. wsll fr 6? al ? Net e:p. wall , y ?w?rwaiF-;. : •,ri,? . - ? Floor 7(? Toul Bw. ? Required p. (t. E.D.R. or iq. ins. W.A. Leader sres Fl.I Room I Lengeh Wideh wulaoNf snQ VOOfOC[i g! lI1G Altl - Na wmtn e[ p?n* HQ1(A! of p?no Ne. e p{h4 I.IneH fl. of enek Ano q, ft. + . [Coef.1 tu InbUration Glsu • Eap. wel) Net e:p. wall ' Int. wsll ' Ceiling Floor . , ,• t TOteI BW. Required aq. (t E.D.R. or sq. ias. W.A. Lesder srea Raom I Length Width ' Height Q/indowr end Deen--Craekaae sod Ares .:.? Na iatn et mne nrm et wu? u No. oi Ilrnts m. t. of crut wr.• ., t1. ... ? Coef. Bw Infilention : CJus Esp wdl Net e:p. waU Int. wall ' Ceiling Floor i mu nm. Requimd sq. ft B.D.R. mSq. ins, W.A. ( eader ana 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements 3 regislered site surveys showing sq. tt. oi lot, sq. ft. W house; antl all roofed areas (20%maximum bt coverage adlowed) I i Soils Report if proposed building is to be placed on disWrbed soil 2 copies M plan shawing beam & window s¢es; poured faund design, etc. I 1 set of Energy CaIwlaOons 3 copies W Tree Preservalron Plan if lot plaqed afler 711l93 I Rim Jois[ Detail Options selection sheet (buildings wifh 3 orless units) ti5nnegasco mechanical ventilation form ? RemoddlReoair Renuiremenis 2 copies ot plan shovnng footlngs, beams, jdsts 1 set of Energy Calculations fir heated additlore 1 site survey for addilions & decks qAtlifion -indicafe if wr-sife septic sysfem Otfice Use Onlv Cert ofSurveyRec4 -,- _Y _N Soils:Report _Y _N TreePresPlanRecE _Y.. _N, Tree Pies Required-, - _Y _ N On-site.SepticSys[em' .;. _Y. .._N Dste?, 8' ? a S Site Address _I Qa ?QA.ll I 3 Doc?. °D Coostr ion Cost ?w?i \29-a UniUSte # Description of Work ?,?y.?tTl.I.L.C..) - VL?.Ie • Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #(4ps1 )(., ?`f' a g -T Contractor Address 410 o 11.1),Lb" State ? h• i , CitY 44U Zip 5. 41 Telephone # ") 7,f y??,yG COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code CakOgOry . Residen6al Ventlla[ion Category 9 Worksheet • New Energy Code Worksheet (d submission type) Submitted ? . Submitted - • Energy Envelope Calculations Su6mitted In the last 12 months, has the City of Eagan issued a pe{mit for a similar plan based on a master plan? _ Y _ N If yes, dafe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permiti and acknowledge that the infonnation is complete azid 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 o permit that the work will be in accordance with approval of plans. rn - A l?r ApplicanYs Prin Naine an apptication for a permit, and wo: approved plan in the case of work w l ?o Zaos d)I . DO NOT WRITE BELOW THIS LINE Sub Tvoes ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool . ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SP ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous , Work Tvpes ? 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 Windows/Doors ? 34 Replacement `Demalition (Entire Bldg) - G ivePCA handout to applieant D@SCI'IPilOfl: Water Damage _ Yes Valuation Pfan Review Census Code SAC Units # of Units # of Bidgs Type of Const _ Footings (new 61dg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Wafer Final _ Framing _ Fireplace _ R.I. _ AirTest _ Final _ [nsulation Occupancy Zoning Staries Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Sheetrock Final/C.O. Final/No C.O. HVAC Other Pool Ftgs Air/Gas Tesu Final Siding _ Stucco Lath _ Stone Lath _Brick W indows Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utifity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1 D0% or 25% Use BLUE or BLACK Ink 1 For Office Use 1 ~ Permit 1 City of Ea Ed~ l I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 l l Fax: (651) 675-5694 L Staff: - _ _ _ _ _ _ _ _ _ - 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION [ ' /-0 Site Address: lo23 /J,., (-Jk,) < QGt rk Date: ~ Tenant: Suite Resident/Owner Name: ~wlo J c~~- c rY4 Phone: Address / City / Zip:-107-3 ~l J2~1a 41 V 9,V Name: I C^1-~ ~b License 6 col f Contractor Address: 2 / D city: SST" G~ cro -7~' 5 State: Zip: S (a L y Phone: i Contact: l e c Rr Email: ` Type of Work Z Replacement Replacement _ Repair _ Rebpild _ Modify Space Work in R.O.W. man Description of work: cAq, 4-A 4 < ~sW r ~ +c t { RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) { Septic System 3 _ New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work 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 1%4 1 & w✓ x 1 11 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final ECEIVE MAY 2 4 2019 For Office Use " /5<42',2j , , ; , . ::::: e: N �,1 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: buildinginspectionsecitvofeagan.com L _, 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 61,2'4 I DOkq Site Address: 10x3 IN o1R-' tVLe w 1'c.44 - 9-di Unit#: Name: ISQie10 Ch►se,y Phone: (pS1• (D8, • (342$ Resident/ Owner Address/City/Zip: 1D2.3 rro. 9-4,C od.Vl, Mt3 SS 125 Applicant is: Owner ✓Contractor Type of Work Description of work:II-S 3 c cUL-trxi t - —1 O dre.cx.n 61s 2.. pole-k Construction Cost: 'S31 Litt) Multi-Family Building:(Yes /No `✓) i�� Company:&rV12.t2(ctav► Contact: Anna Q. gall0.(2cot COntrt;tctOr Address: 82.92.ott►vv, V.e;�.. (.v) SE City: t`P• ►rl.i¢. k•Sto1 rink Soi•3sto 5%t8- 14v,41:t State: 1-41\-/Zip:SScltrc3 Phone: 800ggS•1204 Email:04.rn;ieavvrev- ca.v‘ —i..�aterwoYles License#: t?4'.3p,-,3q6. Lead Certificate#: & ivr— t t. —it) l.o 3 2. Ifthe 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 be public Information. Portions of the information may be classified as,non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.cityofeagan.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(661)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.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 of plans. /� nn X 6 .. \F. IQJo`,1�'�_(Ld _. X C.�-�n tJL &4d. Applicant's Pr ted Name Applicant's Si %iature /0 Z3 A/6 rMdf ei.,) &( k_ Kms✓ id75�(o $7- DO NOT WRITE BELOW THIS LINE SUB TYRES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 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 —11162°— Occupancy )/L G .L- MCES System Plan Review Code Edition sols 72e_ rMWSAC Units (25%_100%K) Zoning Q Q City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 6 Width I REQUIRED INSPECTIONS Footings(New Building) Meter Size: — Footings(Deck) Final/C.O. Required Footings(Addition) K. Final/No C.O. Required — Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour 0,4 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 Control Shower Pan Other: — Reviewed By: T")f ft-LL (f k t , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies LQ .ac- /5-0 TOTAL Page 2 of 3 4 For Office Use //n 1, #: f E AG N ::L : n Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinainsoectionsecitvofeagan.com L / 2019 RESIDENTIAL tB,UIILLDINnGPERMIT/APPLICATION /17217) 1/ Date: l0 113 f z I' Site Address:10 Z 3 AIV I I V iC1 ' ! AVM) Unit#: Name: 5M115 ( / I Phone�(�l/5-0 — ! v7 Resident/ r' - ' Owner Address/City/Zip:/0 Z?j ^/U �V i G^W ( op Applicant is: _Owner 1 hh�.' Contractor Type of Work Description of work: /"OCo D r Construction Cost: / 2 O`0V Multi-Family Building:(Yes_/No 4(1 Company:ittaitiV 4/14Ciit4•j`G (/j•(`�/'tQ/l ontact:�ciiii i-?ES Contractor Address:�j'5rk) W Jr S7 LJ City: ED/Air,I' State;�4 Zip: 7 J 5 Phone:� ?7 OA mail: Aft)€116911/1 rt •edM License#: YG 72f 7! Lead Certificate#: Mfr7— 07/Zia—/ 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 thatyou submit are considered to be public information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeanan.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 M51)454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 approv �pllaans. x &Jf irF-t. l c ci(rre� x /1A., Applicant's Printed Name Ap icant's Signat e PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174749 Date Issued:02/17/2022 Permit Category:ePermit Site Address: 1023 Northview Park Rd Lot:3 Block: 2 Addition: Lexington Square 6th PID:10-45080-02-030 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Multiple 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Patrick E Sheppard 1023 Northview Park Rd Eagan MN 55123 Goss Plumbing Inc 8105 Cedar St Rockford MN 55373 (612) 293-5140 Applicant/Permitee: Signature Issued By: Signature