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4076 Northview Ter? / CASH RECEIPT w? T? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . , DATE 191? RECEIVEO PROI, ? C:' i ? AMOUNT $ . -- & DOLLAAS ,oo ? CASH R CHECK FOFI z FUND OBJECT AMOUNT C. L. r _ ( , ?? ? ''i? Thank You ?-? aY - L ?,y? 84798 wnne-Parem covr lil Yellow-Posling Copy ?j Pink-File Copy -? CASH RECEIPT ? CITY OF. EAGAN 3830 PILOT AOB ROAD EAGAN, MINNESOTA 55122 DATE 19 '•? ?: REcEiveo FRW ' '?MOUNT $ , 8 DOLLARS ioo ? CASH ([?J CHECK FM i C v. ?Lc FUND- OBJECT 11MOUNT Thank You SY While-Payers Copy Yellow-Postin9 CoPY ? Pink--Ffle CoPY PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154036 Date Issued:02/13/2019 Permit Category:ePermit Site Address: 4076 Northview Ter Lot:18 Block: 3 Addition: Lexington Parkview PID:10-45035-03-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Bradley J Lutovsky 4076 Northview Ter Eagan MN 55123 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature ?.. : BLDG. PERMIT N0. clo? ?- I ?., r?l L L, 1;:.. _ ; i.--.L--X ?IC:.l Nc?,-+?,v',r-c 01-3210 Bldg. Permi 01-3422 Plan Check CDO 01-3445 Surch./Adm. r 01-3446 SAC/Adm. 01-2155 Surcharge -?5=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 Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. ? 3855 Park Ded. 1'- TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199,, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for SF pWG/GAR Est Value ?; ?`' •??? Date "'AY 2 's?7f, 'i0RT}IV1E?? TERRA•^_-:; Site Address OFFICE USE ONLY XIt?4{'sTD!d P:?!tti- Lot is Block 3 ? Sec/Sub On Site Sewage Occupancy R3/h1 . V1 F% MWCC System Zoninp ? Parcel Nc1: W Vn On Site ell {Actual} Conat Q Name ROCNEC, BROC tNC cirywater x (Allowable) Vn = Address PRV Required # o# Storfes 0 City zi?RMAN PhOnB 559--51 47 8ooster Pump Length 48 Deptn 46 , p Name • 5AME S.F.Total ? Q Address Footp?nt S.F. m I.- City ? Phone APPROVALS FEES rc ,??.W Name Engr./Assegs. Permit $ 626•00 ?? ? Planner Surcharge ? ?? Address Council Plan Revlew 313.00 ? W City Phone Bldg. Off. SAC, City ??•? I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC 550•00 information is correct and agree to comply with ali applicable State oi Water Conn. 550L00 Minnesota Statutes and City of Eagan Ordirtances. Water Meter 67.00 Signature of Permittee _ , Road Unit 32500 A Building Permit is issued to: FOCHEL DR(1$ lNi Treatment P1 204•00 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. -791- w Building Official TOTAL - ?`' ;MENT 9/23/88CITY OF EAGAN REACTIVATED FOR DE K 1 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 7/3?89 PHO N E: 454-8100 n..??a?• r - To bsj -_„--_ Site Addre Lot I ? .' Parcel No. TC )r Est. Value • k 3 Sec/Sub. ? ¢ Name ,o ? ` Address ? City Phone yVj W Name I W _ ? Address ` W City PhOne state that the able State of 5ignature of Permittee _ Buflding POCFIF,j, RAY 2 OFFICE USE ONLY On Slte Sew ge Occupency MWCC Sys m Zoning On Site WeU (Actual) Const City Water (qllowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. FEE APPROVALS S -- Engr./ASSess. Per t Planner Council Surcharge Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL , Permit No. Permit Holdar Date Telephone it Plumbing nj J J ??, =?/?- 5 3/ H A V C ? !s . . . . r U U/?/8 Electric jl?oc 138 * 12 °/??1 'g ov Softener Inspection Date Insp. Comments Footings I ? Footings II Foundation Framing Roofing Rough Plbg. zez& I "J Srp ?D Rough Htg. r • ff ? i I5ul. pv o o?Fd- ??s 7 -- Fireplace j Final Htg. e - ? Final Plbg. Bldg. Final Cert.Occ. Temp. LP ?•j ?? ? ? ?? - Deck Ftg. Deck Final C' ?? •,„ ' r?p O Well ?" ?G- Q "O{qC :VN r ?? Cn I? Pr. Disp. p?„ `?., / • i., tcf; o ????' - ?- /. , MECHANICAL PERM{T ' CITY OF EAGAN ' . 3830 PILOT KNOB ROAD, EAGAN, MN CONTRACT PRICE: w PHONE: 454-8100 Site Address - ' BLDG. TYPE Lot Block ? -a? - Sec/Sub l :t- , : Res. _ • -_ } ! .` , Mult Name °' - ' Comm. Address ' ? CityJ phone,.Zr ? J Other Name c Address • p3 City.:;' Phon 7 TYPE OF WORK . Forced Air M BTU ^ ,. , Boiler M BTU Unit Heater M BTU Air Cond. nL? 1 M BTU ? Vent. CFM Gas Piping OuUets # ? ; Lr Other ..„ ?_ FEE: 343 (. SiC: TOTAL: PERMIT # RECEIPT # DATE: WORK DESCRiP710N New -Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW - 1 PER PEkMIn - 1.50 EA. APT. I VYYIVI'1VUJC * l,llIVUVJ - YSC.7. MA 1 C NI"1"LIGO MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COM MERCIAL FEE - 20.00 STATE SURCHA RGE PER PERMI7 - .50 {ADD $50 S/C f F PEAMIT PRfCE GOES BEYOND $1,000 ) . • PERMIT # - , ? ? • ' PLUMBING PERMIT RECEIPT # , CIT11 OF EAGAN 3930 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address ? ?'•" 7 ?'' ?=z BLDG. TYPE WORK DESCRIPTION Lot Block . $eciS pb Res. New Mult. Add-on ? ? Name Comm. Repair m Address Other c City 'Phone ' U RES. PLBG. ONLY - COMPLETE THE FOLLOWING: P10. FIXTURES TOT&L Name ?Water Closet - $3.00 ' ? ? p ? Bath Tubs - $3.00 c Address =-` ator 00 L $3 J Gb 3 , ,., . av y - _ . p Ciry ; / - •f-?- -- Phone f_Shower - $3.00 ?. G[- ' Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE _4--Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE AP PUES % Floor Drains -$1.50 Water Heater -St50 MINIMUM - RESIDENTIAL FEE - $12.00 Z Whirlpool - $3.00 ?' • e? MINIMUM - COMMlIND FEE - $20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 rl? / ?//? , l^I Y. . ?/ II OF PERMITTEE FOR: CITY OF EAGAN Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• . . ` ? 1 1 T * I ? . (Itrftf iratt uf (Orrupanry titp of (tagan lgPpwr#atM ,a# lutlbalg J»sprrfinn This Certificate issued purserant ta the requirementr of Section 306 oJthe Uniform Building Code certifying lhat at the time of issuance this structure was in conrpliance wuh the rarious ordinances of lire City regulating building construction or use. For the following.• uxa?,? sP i;wG/r,:,? FbinkNM :,.3/M-1 ? N O0caparc9 TYPM-' Zo? Diatria T can? '=.ochel Brot .ers, I?1c. Box ., Ti7r:r.,erman, *"I: owm or auaa;ng '' aaa? o r t n v, er; ,e r r. , , xing[or, . a.:vl et., 6ui{dina Addrm , IawMY ? July 25, 198F eWaing oacW POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: Date: 3830 Pflot RnoEr Road B/P No: Ts3Date: - P.O. Box 21199 ' . Eagan, MN 55121 Owner. BrO.i Site Address: ' 07 Nc,rthv4nv t;? ?•- - _; _ Plumber. f' ? ?! T'it s MWCC: 5S(1. :,:' City Chg: 15.:1:. Acct. Oep: Permit Fee: Surcharge: Misc.: CITY OF EAGAN 3830 Piloi Knab Road P.O. Box 21199. Eagan, MN 55121 Site Address: 4075 j Plumber. F&D ? Zoning• No, of Units: I agree to comply with the Clty of Eagan Ordinancea. SEWER SERVICE PERMIT Permit No: Metar No: Reader No: Date: Size: Conn. Chg: [Sa. 00 Zaning: Acct. aep: No, of Units: ? Permit Fee: 1`? • ??? , Surcharge: I agree fo comply with the City oi Esgan Tr. Plant 204• 00 Ordinances. Meter o' - :"a Misc.: By WATER SERVICE PERMIT CITY OF EAGA14 Permit No: Date: 3830 Pilot Knob Fload Meter No: d?? CI 77 Size: P.O. Box 21199 Reader No: ! I p fl ?'7 9 c? Date: ? 0-- 7- 9FL Eagan, MN 55121 a Qwner. :'.0crzel csrvs SiteAddress: 4t)76 !dorthview B3 r:ox e"•= Plumber. Cann. Ghg: Zoning: Acct Dep: No. of Units: i Permit Fee: Surcharge: •=?'-? I agree io compiy with ihe City of Eagan ?. Tr. Plant ?'•`-'`? • `'' Ordfnances. Meter. ?•7. 0'_' ` Misc.: &r WATER SERVICE PERIVIIT RESIDENTIAL BUILDING PERMIT APPLICATION / CITY OF EAGAN ? f a g, Z y ? ?f76 9? 3830 PI 55122 851•681-4675 New Construction Reauirements RamodellReoairReuulrements . 3 registered sHe surveys shoxnrg sq. fl o( bl aq. ft M house; ar4a mofed areas . 2 mpies ot plan (20% mauimum bt coverage aWwed) • 1 set of Eneqy CalaWdoris for healed additions . 2 copies o} plan showing 6eem & window sizes; poured found design, etc.) - . 1 sile survey (or exlerior aCdNOns 8 dedcs • 1 set W Energy Cakulatlons • Indicate H home sened by septic system for add'Nons • 3 mpies ot Tree Preservation Plan M bt pletled aRer 711193 • Rim Jois[ Detail Optlons selection sheet (bWgs wilh 3 a less units) j? o O DATE VALU,t[ION ?- t JOB SITE ADDRESS 4107G od/nr&//Bi.I T2l?. IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY i TYPE OF WORK R.rc - PooX APPLICANT ADDRESS n 54- PAGER # CELL PHONE # PHONE# qS?2- 8P/'?SS ZIPCODE SS?/?O FAX # 9-5,-rS'2/-c3?1(0 7 NEW RESIDENTIAL BUILDING ONLY- Flll OUT COMPLETELY Energy Code Category _ MINNFSOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submftted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor. Mechanical System Includes: Sewer/Water Conhactor. _ Water Softener _ _ Water Heater _ No. of Baths _ Air Conditioning _ Heat Recovery System FIREPLACE(S) _ 0 _ 1 _ 2 Phone #k Phone # Fee: $90.00 Fee: $70.00 All above information must be submilted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc. Signalure of Appllcant Certificates of Survey Received . _ Tree PreservaGon Plan Received - Not Required _ _ .' Updated 1/07 Phone #: Iawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 13 16-plex [3 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace O 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-piex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Muiti ? 05 03-plex ? 11 10-plex ? 19 Lower Level D 24 Stortn Oamage ? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 . Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demollsh (Bldg)* O 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolidon (Entlre Bldg only) - Giva PCA handout to applicant Valuation 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 REQUIRED INSPECTIONS Footings (aew bldg) Footiags (deck) Footings (addiHon) Foundation Drain Tile Roof _ Ice & Water _ Final _ Other Framin8 _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Sid'mg Stucco Stone Insulation _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC 1Nater Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Final/C.O. FinaUNo C.O. _ Plumbing HVAC CITY OF EAGAN : 3830 Pilot Knob Raad, P.O. Boz 21 •199; Eagan, MN 55121 PH ON E: 454•8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $116,000 N_ 14921 Receipt # o Date MA? 2 ,19 8$ Site Address _ Lot 18 Block Parcel No. 76 NORTHVIEW TERRACE 3 Sec/Sub. LEXINGTON PARK- VIEW s Name ROCHEL BROS INC ? Address BOX 163 ° Ciry ZIMMERMAN Phone 559-5147 a Name .o ?Q Addre a CitY- ua Ww Nan Fw i ZZ5 Add aw City I hefeby acknowled9e that I have read this appliCa[io a State thaf the inlormation is correct and agre.e to comply wi?h all a cable State of Minnesota Statutes and City of Eagan ?. Signature of Permitfee _ A Building Permit is issued lo:R0GH_ on the express condition that all work shall be done in accordance with all applicable State of Minn?es n. ota S?t+atutes and City of Eagan Ordinances. BuildingOfficial D?a? n?l? 1 ?.?r 7 ' OFFICE USE ONLY OnSiteSewage _ Occupency R3/M1 MWCC System X Zoning PD Rl OnSiteWell (Actual)Const Vn City Water X (Allowa6le) Vn PRV Required _ # of Stories Booster Pump _ Length . 48 DePtn 46 S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit $ 626.00 Planner Surcharge 58•?0 Council Plan Review 313_00 BIdg.Off. . SAC, City 100.00 Variance SAC, MWCC 550__._00 WaterConn. 3-5000 WaterMeter _67_ 00 RoadUnit 325_O0 Treatment P1 204.00 Parks TOiAL ?/??jsr a 38417 REQUEST FOR ELECTRICAL INSPECTION ? See insimctions lor compleflng Ihig brm on pack ot yellow copy. "X" Be/ow,Work Covered by This Request EB-00001-00 eiasss e fikfE, Fep. ' Typeol8uiltling AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heaier ElecMC Heating Apt. Builtling Dryer Other (Specify) Comm./Indusirial FumaCe Farm Air Conditioner Other (specity) ConVacmrS Remarks: Compute Inspection Fee Below: fl Other Fee # Service Entrance Size Fee # Cirouits/Feetlers Fee Swimming Pool D l0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps SiJnS Inspector5 Use only: 70TAL IrngalionBOOms .,30 "sV Special Inspection Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETEDWITHIN 1B THS. I, ihe Electrical Inspedor, hereby Ro?yn-;n c J oa" ? ?? III certi thattheaboveins eclionhas ? P been made. Final oate 57 OFFICE USE ONIX ? •n1s requeat voia 18 monins irom ?// + ?? l C I A1 ] ?'\ ? :i ° 5 a 38417 o` Repue4 Date 0?'-.2 ir . ough-in Inspedion equiretl? Yes ? No -w ill NoHty Inspectw i nen Reatly9 I 0-licensed coMractor Powner herehy request inspection of above electrical work at: Job AOtlress (Street, Box M e No.) CHy ? ?? 2 An Sectbn W. TownsMp Name orNo. Fenge No. CouMy - ? 6 Occupent(PRINT) n R S() 0 n D Pr PM?e o. Pawer suociie. :EL? , naareas Elaclrical ConVacior (Cpnpany Name) Cwihacla5 LiCense No. I? W n ?2 -- Mailing A4tlress (Canheda or OvmBr Making Mafallatpn) S o. Yn Q, Auflro Sgnature ( Mr rlOwner ing Inslauation) ? Phone Number ? _ INNESOTA ST BOAPD OF ELECTNICITV ? TNIS MSPECTION REQUEST WILL NOT'. Q Mitlway Wq. - Naom 3173 BE ACCEPTED BV THE STATE BOARD 1821 Uniwnlry 11ve., St. Feul. MN 55100 UNLE55 PPOPER INSPECTION FEE IS Yhwro(61t)BCt-0B00 ENCLOSED. ' . %Qt,4SV FOR ELECTRICAL INSPECTION ea-po?Ooooqi-oJsy It, Sea instmctlons lar completina this torm on back of Vellow copY. a!// U E 14044 "x' eeloW Work Covered by 7his Request _x_ff Nint {.dcl fleR TyDe of Building Applianees WueO EUUiUnient Wired Home Range Temporary Service Duple.x Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heaun Commercial Bldg. Fumace Silo Unlonder InAustrial Bldg. Air Conditioner Bulk Milk Ttink Farm Otf+er peu v -?he: (Sn?ar,ilvl ?her Vec? y Other Oihm ?;(I ?; ?', ; ComUUte lnspection fee Below - p Fee ServiceEntranceSize M Fee Fexders/Subfeeders # Fen T Circuits 0 to 200 Am ps 0 to 30 Am 5 I 0 tn 30 Am s Alwve 200 qmps 37 to 100 qmps 31 ta 700 qm s Swimming Pool Above 100__Am s Above 100_F+mps Transformers Irrigation Booms PartiaL'Other Fee Signs Special lnspection 5d?•C J TOT EE emarks J hh? V flmgM1-in ?a1e I, the lectri I . 3??q I.saa1 , a.aby certily thnt tha nbove Final ^? ' spection has Eeen f ??3 ea. mis raCUest void 18 monUU Irom ? This requesl voiA -?.?7-?? ? ?00? 18 nwnths Imm ? ? ? E 1404 4 i. iQ 't?°`' Requ?u?[ Uate ! g ? Fire o n ph-in InsUection uired? fleaAY Now Q Will NotifY Ior Wh R ? 0 v¢s ?NO en eatlv DLicensed Electrical Contractor I heraby requast inspeclion oi ebove JK Owner electricel work inslailetl et Street Address, Box or floute No. City h?b7G Ea E eMmn o. Township Name or No. Range o. Counry DAKo?'J1 Ocwpant IPPINT) /I'IAR Phmpe No. !o SS- 91 -,14/ Power Supplier Adtlress OtjKo Electrical Conbactor ICOmpany Numel Conlractor's l.icense Nn. (2l?NE?. Mailinp AAJress IContractor or Owner Makinp Installationl yo 7 Authorizetl Smre omracmr Owner Mak- g Ins?allationl PM1Une Number i MINNESOTA STME 9DAR0 OF EIECTflICITY THIS INSPEGTION pEaUEST WILL NOT Griggs-MiAway Bidg. - Noom N-197 BE A CEPTED BY THE STATE 6048D 7821 Universitv Ave.. St. Paul. MN 65104 UNLESS PflOPEH INSPECTION FEE IS i iw»f we,.nann ENCLOSEO. `?-1 `,51gg REQUEST FOR ELECTRICAL INSPECTION es-oa/o?o/i-os Ilk Sea instruclions for completing this form on beck of vellow copy. D'L 61? iJ "X" Below Work Covered by Ihls Request Newiu.ndl Rao.l Tvoe oi Builaino I Aooliancea riirad I EquiUmant WireA I i i?i i uuoiex j i water r+eater __ i ve i uqnunu rixtures i ic I I I I Industrial Bldo. I I Air Conditioner 1 I Bulk Milk Tenk I p Fee ServiceEnVeneaSize fl Fea Feeders/Subleaders N Fee Circuils 0 to 200 qm s 0 to 30 qm s 0 to 30 An+ s Above 200 qmps 37 to 100 qmps 31 to 100 Am s Swinming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Booms o Partial"Other Fee `? Signs SpeciallnsUection TOAIiF E ema.ks ..?r? I rtify that the abo% final insoec[ion has bean maea. Thie reQUeat vold 18 montM1V trom pr? ? O Y'??CL...C This red5/6? ta ?„ins t.am ? , • ??? Q% D26120 %/ /??2 r . flequest DaR-T°'?y?n F?re No. R?oqP.-i ?InsVection OReady N Will Nntifv InsOec- ?'- ?!S = V Ves ?NO or When Ready at ?? Licensed ElecVical ConVactor 1 hereby re0uest inspection of above ' elecVical work inetalled at Cit SVeet Address. Box ar Route No. ? ? a (JF_ fra! E ecuon o. Townsh. p Name or No. Hange No. CounJtyf/? Occuoant IPRINTI `7? Phone No. 55"?- S0 ? Powe, Suppli¢r / AtlAress?•, a ? .?..? u.., ? ?220 .?''r?'` . Elect' ntracmr l mpany N mel ConVacjor"s License No.Q Dwner king Instail on) mr O a ing Ins Ilation) EAutho,i aN; Phone Nvmber ?-z -1110-1 [CT W. 1 Nl?T • ro ?.ai....... ..?.?..?... .. MIryNE50TA STATE BOA0.D OF ELECTRICITV BE ACCEPTED BV THE STATE 90AND Griggs-Midwey gldg. - Hoom N•191 UNLESS PFOPEF INSPECTION FEE IS 1821 llniversitv Ave.. St Peul. MN 55104 ENCLOSED. Phone (612) 642-0800 3 2 9- 6 4 6[41 771 USE NLY Thia reyual wid 18 monMs Irom mlidafion dak pnnkd in Ihis boz O? 7?`'i me-? C170 PLEASE PRINT OR TYPE 83 Raquest Dak Rmgh-In Inspection reqaired2 Yes Inspection Other Than Rough-In: jTlaady Now ? Wiil Coll Q g 6 ?You must call tM Inepetlar when ready? D.I. Ready: I, icensed confrador ? owner hereby request inspection of }he above eledrical work at: Job Addmss IStreet, Boz, or Rouk No v ? Ai°?N.K4? •?JI Ciry / ?/M. 'ji? Zip Cade Senlon No. Township Name or Na. Range No. Fire No. Counly.r? / /?A Ko ?.s a??Pa? / ? ? Pho?na/No. ? ? ? ?? O tJ /J /•j O 7 PowerSupplier a,e.. EI«fiml Canka r ?Company Name? CanMacror License No. Mosrcr Lic No. (Plant EIM. Only) Mailing Pddres Imclorm Owner Performing Inshllanon) -?+ f ? ?? ? 30(e? Bi+i O4•bJ ? . o .21. Aulhonzed Signa ont r o ar Pedormmg Ilo?pnl ' ? PFwne No. J EB-OOOOlA-10 STATEBOMDCOPY- EEINSTIiUCTIONSONBACKOFYELLOWCOPY A 55104 I I?I II ?I I I I II II II I(II (I III IIIII 1?G? U nive?sdY Ave., Rmo SR 28c? PaulP, MNT * 0 3 2 9 6 4 6 4? Ph!oe (612) 842-0800 9 ???(y Home Duplez Apf. Bldg. 61her: ? New Addn mmarcial Indushial Farm I Remod Re air Air Cond. Equip. Water Htr. Laad Mgmt Other: ? er Ran e Elec Heat Tem . Service "X" above the work covered by ihis requesG Enfer remorks in this spate and on the batk of the whifz ropy only. Calculate Inspeciion Fee - This Inspecfion Requesf will not be occepted withoW Ihe correcf fee: Olher Fee # $ervice EMmnce $ize Fee # Circuih/Feeders Fee Mobile Home Pork Stall 0 fo 200 Amps b?to 100 Amps 5}ree/ Lfg./TraNic Sig. Above 200 ps ove 700 Amps Transformer/Generafor INSPECTOP'SUSE LY ? ..? TOTAL /.O $ign/Outline L}g. Xtmr. j Alorm/Remofe Control Swimminy Pool I here ceai 1 11 ins d th ecm insrollafiondescribed herain on Ihe dataa abted Irrigation Boom eooyh-io oore $pecial Inspedion Invesfigative Fee F???? oa? THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 19 MONTHS. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4875 NawConetruction Reauirements • 3 registered site surveys showirg sq. R. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverape allowed) • 2 copies of plan showing heam &window sizes; poured found desgn, etc.) . 1 set of Enargy Calculatbns • 3 copies of Tree Preservalbn Plan if lot platted atler 7/1/93 . Rim Joist Detail Options seleclion sheet (61dgs with 3 or less units) DATE '/ 118 /?Z NValer Softener _ Water Heater No. oi' Baths SITEADDRESS /VI)27Flv4Ck? _TMZ4C-C MULTI-FAMILY BLDG -Y aC' N TYPE OF WORK R? - R-&BF PIREPLACE(S) _ 0X 1 _ 2 APPLICANT /1 J ??PPA? ??cld-r,2.vc.TtmnJ ??C, STREETADDRESS'J6%:5 /114-eN '5?9` Oev. r6 /oZ? CITY???' CeE STATEA" ZIP91638 TELEPHONE # CELL PHONE # ?5r- 24s- S S?5 FAX # 651- 7(.2- zgjZ, PROPERTYOWNER A?OM "'N4C*Z???` L'Lr'_bY19y TELEPHONE# lo?!-4D5-??1 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNF,SOTA RULCS 7670 CA'CEGORY 1 MINNLSOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: ____ PltunUu7g sysLem includes: Mechanical Confractor: Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat. Recovery System Phone # Phone # rcc: $90.00 c s u I hereby acknowledge that I have read this application, state that the information is co"rrect; ard:agceeio _C_oFraply with all applicable State of Minnesota Statutes and City of Eagan Ordinara,c??/ Signa}ureofApplicant •--------------__----_____._....__-------•-•--------- ---°°-------------•-•-•-•--._____--------°-- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 )If a . --I ?? RemodallReoalr Reauirements • 2 copies of plan • 1 ut of Energy Calwlalions for heated additions • i site survey for exterior additions & decks . Indicate'rf home served by septic system for additions VALUATION 4 0A191 °Q Phone # _ Lawn Sprinkler _ No. of R.I. Baths OFFICE USE ONLY ? 01 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 EM. Alt - Muiti ? 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 (screened) ? 36 Multi ? OS 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) ? 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 only) - Give PCA handout to applicant Valuation Occupancy MC/ES 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 Canst Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. ? _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (ewheplacemen[) _ Insulation _ Retaining Wall , Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ? 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: Description of Work: Construct new fireplace _Gas _Masonry ? Install gas insere onlv _ Other Job address: -ri I,ot: 1 !/ -??-? Sate: rhA?_ Zip: SS J -s Applicant (circle one only): Owner Contractor Block: (J Subdivision/P.I.D. #: e 1 ?(VVOL4 PROPERTY OWNER FIREPLACE INSTALLER Name: Phone Last First v16,j Permit Fee: $60.50 City State: Zip: ComPanY: Phone #: q,? _ft-/j (azea code) Street Street City GAS LINE INSTALLER Street City I hereby acknowledge that I have i comply with all applicable State of Phone #: (azea code) State: 40.50 II-1-0-00 Alteradons to existing Install pas line onlv Zip: and state e information is coaect and agree to uA City Eagandinances. I OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Altentions O 39 Gas Line ? 41 Wood Stove ? 32 Addition 0 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. p' • ?l 1989 BfTILDIBG PERMIT APPLICATION \e,.- Y OF EAGIN Ja 11{-q 0-ICIT rjuN 2 9 lm SINGLE FAMILY DFiELLIAGS MSILTIPLE DIiELLINGS C01'EZRCIAL 2 3ETS QF 7LANS 3 RBGYSTERED 3ITS SBB'PEYS 1 SET OF EHEAGY CALCS. MULTIPLS DWELLING3 RENT9L ONIT3 2 86TS OF PLANS ? 2 SETS OF ARCHITECTURAL REGISTfiAED SITE SDPVEY3 - i STAURQRIL PLLN3 (CHECB WITH BLDG DTY.) 1 SBT?1OF BPECIPICATIONS t gER OF EAEAGY' CS, 1,3ET OF F.NEAGI CAI.CS. FOH 3ALE IIR?? i 0F 1U9ITS 80TE: IDDRFS3ES FOR COA9SH LOTS - COA?AACiOR/HBMOWNEH !lOST DESIGAAiE IiHICB 1DDRFSS IS DFSIAED. NO CHAAGES KILL B€ ALLObiED OdiCE HOILDTNG PERMIT 13 ISSOED.. 1 SEWER & 61aTER PERMIT £EFS AND ACCOII9T DEPosIT F883 HII.L 8fi INCLUD£D b1ITH THE BUIL9ZNQ PEIffSTT FEE. PAOCESSING TIME FOA SEWER END iiA4EA PEA!lIT3 IS TiiO DAYS ONCE A PERMIT H65 BEEH COMPLETED IHDICATIAG A LICENSED PLtIlBEB. PENALTY IPPLIES bIHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS AEpOESTED. LOT CH9NGE IS AEGIIESTED OHCE PERMIT IS ISSIIED. To Be Used For: DECJ< Valuation: ;'01100 Date: loLf 9e/ Site Address ym, Lot )R Bloek 3 Oceupancy FEES Zoning 7( Aetual Const Bldg. Permit // Allowable Surcharge / # of stories Plan RenieW Length SAC, City Depth SAC, MWCC S.F. Total Nater Conn Footprint S.F. ilater Meter Acet. Deposit On aite aewage S/W Permit On aite well S/W Surcharge Mi1CC System _ Treatment P1. C1ty water _ Road Unit PAV required _ Park Ded. Booster Pump Copies _ 3UBTOTAL APPAOVALS Penaltq - Planner ? ?OTAL Couneil Hldg. Off. Varianee Pareel/Sub ?mv?seN OA2KVrfiU/ Owner MA+2K ? clEzYL SnCOwU& Address qn7& A/ne1tFVj?-Ti] Tr.*zaeE City/Zip Code £AGA/11 53'123 Phone ?88 - 91 ?-lU Contractor -()iA/F.V _ Address - City/23p Code - Phone - lrch./Engr. _ Address - City/Zip Code -^ Phone R 1J?? 1988 HUILDING PERMIT APPLICATION _ CITY OF EAGAN SINGLE FAMILY DWELLINGS 14 1 it INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, t SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/SOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS SEP Z 119$8 -5;W'fi4e ?".srrla r A:ev=c- To Be Used For• ? uation: ??}-? Date: l`_.,__?_ Site Address s/p7/ A1,.iy7-?z2y.w ?_e Lot 1% Block ?_ Parcel/Sub ?jllcAnq& LdiNiiJ Owner 4)'Q91k '5'nta]RD/+ Address y?, &4?272?YLEf& 7Z72 City/Zip Code f;,q,S.941 &-?U 2''-'1 Phone 6 $R - 9J:7? Contraetor Address City/Zip Code _??l,# Phone Mch./Engr. Aferm&- Address /?IA _?_._,? ? City/Zip Code ? R Phone ll T On site sewage_ MWCC system On site well City water PRV required _ Hooster Pump _ APPROVALS Engr/Assess Planner Council Bldg. Off. Variance Occupancy 2oning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Permit N L, Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies /, Ub TOTAL 0 •/l -6 U . :I: '?'i•UJ? > I 7 ' : U ? 7t)•Ut1+ •i'i?l•UU+ UU r IU ? r '( _, , • U _I .= T 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN -11 lqq ZI SINGLE FAMII.Y DWELLINGS r , INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CfiANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS AENTAL UNITS FOR SALE UNITS P OF UNITS INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SURVEY - CHECK WITH BLDG. DEPT.0 1 SET OF ENEAGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHIPECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CAI.CULATIQNS In To Be Used For: 1ti -riA ? Valuation: ?6v a e c, e 1)ate: Site Address .e Lot /A Block 3 Parcel/Sub LQ+;,.?tc., F'ark?-c ti- J Owner 'EaC'(,p f LS . -Vn C, Address /?Uf /0 C3ty/Z3p COde Z?42,mRh kn n S`S3 9 QI Phone ? s9- s? r7 ? Contractor ?tOAd &oS. ?NC Address IG3 City/Zip Code.z,-Pv.mt?r„a„r h $531? ' Phone SS ?' S-1 [/ 7 Arch./Engr. (;.L uce 1- t Address'3 /?0 (- eo rsi,Yg 7-?/ie /I e, T City/Zip Code Gl?TS'i f./,AYn Phone R $" 3,je- ? 7?` (o ll 6 aav? ------ --- ----- On site sewage_ Occupancy R 3 M-I MCC system ! 2oning f?R-1 On site well Aetual Const V-N City water fG Allowable PRV required ll of stories Hoaster Pump _ Length - 4-T Depth S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit ( 2(0 •DD Planner Surcharge 58,00 Council Plan Review Z3, ao Bldg. Off. SAC, City I D D, ov Variance SAC, MWCC 55 ,r>0 Water Conn S.rj D, Q7 Water Meter (?9100 Road Unit -O? z S O`t? Treatment Pl Parks Copies TOTN. ? GARAGE Z4x ZU' 048DX l4= GrjZD ?m' . ' ' l i7Jl? IpX ?r I?I x IL = zzY Fs X?t _ 3z 2 1N,CZ,j " 336 K ? /obU ? ?'Z = ?2c?vv 2r.t? Fe?o2 IxZ3 ? Z3 y1/zx 13 _ 59 Z?rx3? = g6?? jNej_ q63sy ?---- x /iso-7y APFLICATION FOR PERMIT ? SEWER AND/OR WATER CONNEGTION ? .'? NOTE: PAIQ+IISTP OF FEE AT TIME OP ? ? APPLICATLON ?OES NOT CON- i ? SPI2SA'E APPRGVN. OF PERMIT. : • ; iNSrBMaa oF sEP= r,rv/oa FmIER + ;. ; xexsTACiaTxoN,s wua, Nar ee scmvzm : i L!Nl'IL PIIEFIIT FIAS B@I ApPROVID. .'? xwexvx?txs.??.+a?t?axx?,?,w?Wak?++i?i++w+y oF eciccin - (PLEASE PRINT 1) PROPERTY ADDRESS: T.FrAr DESCRIPTION; IF EXISTING STRL'CT[JRE, DATE OF ORIGINAL BUILDING PERMIT ISSDANCE: PRESENP ZONING/PROP0.SID USE: Q CONIIMEEtCIAL/RETAIL/OFFICE Q INDLSTRIAL Q.INSTITUTIONAL/GOVERDIIMENT Nbn Year ??-1 SINGLE FAMILY ? R-2 DLPLEX (2Wo C'nits) ? R-3 TOWNHOL?SE (Three +,Onits) ? R-4 APARTMENT/CODIDOMINZUNI Units) ( Onits) 2) ? NAME: ADDRESS: CITY, STATE, ZIP: PHONE: For City Dse 3) M u:D; Np,ME; P/M Plumbers License: ADDRESS: Active Expired CITY, STATE, ZIP: Not recorded PxorE: y9'7-&Xqe, rAsxEa LicEvss #a7 4) ? Dl' NAN1E: ADDRESS: CITY, STATE, ZIP: PHONE: 5) s ? ' o Sta Initia MCONNECTION TO CITY SEWER El CONNECTION TO CITY WATER a OTHER n 6) ***?:.*?+***?,e*?*****************+*,r***??+*****,t*********«****?????**********?*?*??*****x*?a**??****? * * THE GOLD COPY OF THE pEFtMIT WILL BE SEuI' DIRFX.TLY 'PD PUffi,IC WORKS TD FACILITATE NETE[2 PICK-OP• ? PLEASE ALLAW Zw0 WORKING DAYS FOR PROCESSING. SONIDDNE FROM Tfm CITY WILL CONPACT YOU IF T[IE[tE ? * ARE ANY PROHLEhLS. + ?r+***************?*,r**+?**+*****?W**+***,r*****?**?*******,r*********,e,e,r***?+*???*?*?*?*++??*********; . FOR CITY USE ONLY PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ $ lj• 5 O SEWER PERMIT (INCLUDE SURCHARGE) $ S ?0.,-rj Q WATER PERMIT (INCLLDE SDRCHARGE) S C? 7, 0 U $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ 0 0 ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ tl,?, J D ? Uv $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENSFIT/TRU[VK WATER S ,v O??? O?J $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ? / / I, o7Z $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC ? NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS A CONDITION . . SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ?z5' TL2JY?i,??COZ? MHEGT.-WSS CALCULATIONSIB, ByZ DEPARTMENT OF BUILDINGS - WEATH61tSTNIK` -- -- MF O! CONSTRUCTION INSUTATION wmde" Ooen II ???? I OM. Wd Id. Wep GIU Roei Rosr Kind ? Giliny I Wdl I Yu - He ra - Ne 1t- , / R I K?P Drvv 4? ?' Wldi\ / WINGOWS and OOORS-CRAGCA6f sad ARiA Z N?IqM p. I A)i,N f?k'xSG? I ILS-56 Z S' Wtd}6 9 Hdqhf 8 WINDOWS aed DOORS-CRACKA6e 4nd AREA 1?0. WId?6 Ot p"M Mdy 1 O/ M e• fl AM w 1. Of WL? NM p. .1. N. d1U 0fmM M?la 01 N No. e lI hft 4nNl . 0f CraCk ArN 'a M. I G` G B` (JiC .3 1 70 2 Fa `ev 0,2 ZO Z.l 2• !f, G,y' iJ,e / g zo Cwf. Me. Cod. Btu. In61h?Ae? ? 9 Z/Q / 9l (' lnRhnxee '. . . ? ?i I{O Z(a 111? Eup, WoII 6 Wal z`B Claq 5'? 2-v 0 !? Gim -3 -3 3D Z. a$-7 N.? Er w.u 130 6 s-1o N.# r2 w.ll 1 S -r 97 5 i.?. w.u ior. w.p ' Gide a Heor Teld !% 3-2 / O COMp a pOOf TofJ ihi. R•,..imd 19. , ir. E D. R w . Im. W. A. Ludw one l p' V%I/j Rem LOMA !(e WIdi1 /(p Hdq6! b uind . N. 6 0. R or tQ. ias. W. A. l?adw ang 2- 0. ry?yL gAW9 Ree1e I L.onq4h 16 wdfb / 7 H•ighl g WIND OWS •nd DOORf-CRACK A6E as1 ARFA WIND OWS ond DOOIlS-CRACK A6E and AREA N Wi? p? 1.0 HM oM 0f ?M a. a 11 Nh ?wM O? G?• An? ?. A. H0. IdfY O/ MM M•Ia Ne. O? aPs 1 11 MI L me O/ CNd Ana . f1. e, Cwl. Ma Cwi. 1 Hu. lefii;r?fion ' 33 /3 "L0' I.1MnNom .SG vo 12-gc bw w.u 36$ See. W.u z- ?.,, 415? .5? Z Z3'Y> eke . .? Z 16 O C Nd fip. Wail .j Z3 S /5-- Nd [a WdF! vc.7 C 0 IM. Wdl IN. W.U Giiin er fber Gilin er Reer 77Z Z:S TstJ CN. TeW Btw _ s_36C Mquind SCI! N. ED. R a Ina W.A. Loada Wne /2Taar. L-pM 16 WidM ??i H?iqhf ?° WINDOWS and DOOlS-CMCKA6E and AREA ?Tw:dt? . aN o. rN e. Aru Mae 1 M d u?ck ?. M. Nw o1 ?e? ol -:7 30 Z7 ?f 8 ?f•s' `f?! 3G 0.puind 14 . k. ED. R or s. InR W.A. leader mna ? FL IZ44Id' Room l.?eqf6 ? WIdfA ? Heighf 8 WINDOWS .nd DOOIIS - CRACKAcB •nd AREA ' IJM M.kN Na. t nM An• No. d M ef - II hM e/ n?ck ?a. tt. c..t. ia. cA.f. ew. infilfrafien 7 4f6 216 6 O InfilMdien z-V 0 U 69(f Etp, Wa11 6 Watl 36 erN 63 0`? - I s? 06.. / z 6 o a wf 6a w.u g- 6 S' No fig, w.u z</ 5` z C IM. WII Int• Wan Gip a qoet C?ill a flow Z? ?5- ? Z Z- TMd Nu. -7 . Tsid Nu. - 'l.7'1 R"uf..d . k. E D. R. x. la. W. A. le.dn .ns utr.d . H. E D. 0. w . in. W. A. I.oadar er.e ?• 55 1.fNLk:ULAI (U1VJ ucr.rn ? n?GIV i Vh tlU1LU11VU5 / Ic/'`-f? / G?? - '/ ? RSTRIn ?•?? 6utd? TYIE OF CONST0.UCTION I I INSULATIOM Dean ?? 0u1. W.0 Id. Wep G19M Roof Reer Kled Giling W.II Yu H?._ I lanqM Wfdf? ! y HoIqN X R. Roa?r l.nqM NlidMHety6f INC end OWS DOOIlS CRACKA6i 4? AR6A WINO OWS and DOORS CRACK A6c aed AREA f Y n HoiyM a/ 404 e. • 0 hM nM tl pM MM p, q. Ne. Haas Hy af u li Lh 1nw ef naek Area W. R. . Z. ?' !,t -Z z zo Cwf. Nr. Ce.l. 6}u. IeBNr?kw Zz - ?O E??i ? 1?INralhs f'GU` / ]-'7 bjl? w.p 73 z. r w.a Al? / Go 0 2 2 °f 3 Glw 2-0 5-n c,:, e9 O 61ar ? s¢SGQ ?>7?ti. ? S -C"7 w 21Z ? ( O W Nof 6 all s p o dl NN 6 Id. W.11 lel. WJI Gt:+n a Reor ?Uy Z?5 ?%? C?llln x Fioer TaMi Mr. Total C1, pr..ind gq. ff. E D. R. x tro. W. A. Lwdn It?quind tq. H. E D. R. er w. tn:. W. A. L•.d•r sn? ? FL'!f?/q J Z R«° VB9w O WIdN 13 HdqM Roae , 4nqiA Widfh Noiqhf WINDOWS and DOORS-COAG(A6E and AM -d 4NORS-CRACKA6E and ANFA NM W?dN CI F?M MoIyM OI fM ie. a nIIA L Aw N Ar" 1.II. NO. OI NM h•?vp?? He. T.t N 1 II AN L ma OI UKk An? • II. y u 7'Y ? - - ca.r. N.. car. em. Idt!r•fioe ' ' fff ?10 f-,-.( L7 IaA1h?He? ba w.r ?f w.u 61.a 4/0 O ZG?nc) 610 , NO fisp, Wsll Nd 6 Wdk Isf. W&d Iot. Wdl Gilin or Hoor ?/Q Zr? 73 Giqn a Flear - tad tltu. 7etd 91u. fuauind sQ. H. E D. R a . inw W.A. I.wdar m# IGquind p. H. E D. R or s. in.. W. A. I.?.do rns G$.r7 FL /f?13 e•+C•„?-Reew L.+qiY,.:5LWidM 2 _L HdyH F4 ! Room L.ngM VJidM Hdght WtNDOWS and DOOIIS -CIUCK A6E aad AREA WiND OWS .nd DOORS -CMCKAeE and AREA ' i Widlh Nw of "M Ndylq ui uo Ne. II Lnw ef vaek Mw . N. Ns. ' WIdIM oF M HdpM ol Pwwa Ne. 11 Fh lnM ai v"k N*a W. N• ?s' 3,y>r 3 6 Z, S 2,2 zo I s r?,z v ? a c.o. n.. co.r. en?. Infilhafiom l(?y? q6 /(;,O InRlh?f'w? - Esp. w.u filip, w.n e614 oe-- rr.r bw. w.u G^BE ? 30 ?io Ega. wdi In. won Id. wJl Gili. a How 7777 ?O // -7`0 G19a a fleer ro,.i lw. s-c Torr N.. Rpuired s N. E D. R. a. lu. W. A. Leada ans R daJ w• H. E. D. R. er . Im. W. A. L••d•r +r.? TRI-LAND C0. SiTE PLAN FOR: SURVEYING SERVICES 1260 YANKEE DOODLE ROAD NEW CENTURY HOMES EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOTJ$,BLOCK-3-1 I FXINGTON PARKVIEW ACCORDING TO TN RECORDED PLAT c THEREOF DAKOT? COUNTY,MINNES07A o NORTHVIEW TERRACE 907 K3 908 A 908F7 T.BC. T.B.C. f? /10/1'f?tlZ?? \L []G A/1 W.V. r WI ?? ? P? O? XI ? l ` CD ? 0 -P I 85' 6- ? ? w in C!1 N SCALE; I"=30' O ? ?l ? . KLI 910K< 1 . I 1854 GqRpGE HUB I PROPOSED . 12 IS Z HOUSE - ..,. I II' i?, 3' I I I ? F ? , m t T 909 y4 14' 90940 I I 907Y2 90tf4 I 7.51 I I I I I I I LOT 18 I I ? ? I o?--- Roo 29?A? LEGEND S 2?? o DENOTES IRON MONUMENT a DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION 1 hareby cerfify that tAis survey, plan or report was prepnred by me or under my direct supervision and that I om a duly Reqistered Land Surveyor under fhs Laws oi tAe State of Minnesota. ,o i_V 1 I l N 4P 45 OB11 , W W02 _- INVERT ELEVLITION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION= PROPOSED FIRST FLOOR ELEVATION = o PROPOSED BASEMENT FLOOR = ELEVATION NOTE'• VERIFY ALL FLOOR HEIGNTS WITH FINAL HOUSE PLANS J" rR.r? Bradley wenson, Mn. R*Q. No.1523s Date ' yA 8/a;? ? . TRI-LAND C0. SURVEYING SITE PLAN FOR: SERVICES 1260 YANKEE DOODLE ROAD NEW CENTURY HOMES EAGAN, MINNESOTA 55122 BL0CK 3 LEGAL DESCRIPTION: Lor1a I FXIN GTON PARKVIEW -, -- , ACCORDING TO TH ? RECORDED PLAT TNEREOF DAKOT COUNTY,MINNESOTA ? NORTHVIEW TERRACE o 907K3 9004 908F7 T.BC. T.B.C. S ° 9JB rT ` e W.V. ? o ? ? ? ?- - - ?-- -1 ? o' £ I - I ? 18?5? 9 JI ? 909'2 --- (910.0 ? 1 . r 18.5? • ? GARAGE I HUB I I Ol N PROPOSED 12 IS Z z HOUSE ? OD I 3 I I ? (D i• ? p I I ? -p I m ? ' -I85'O - -4 909 7 909 ;A 14' <0 : I s i!?) I 1/ I 2 I ? 1 J 1 '?? I 9?7Q 907.A 7.51 I I N 0 OD I ?A I W `A I I N ? LOT 18 I 1\i I ? SCALE:I"=30' ? I Op N11`A' c'9 Q? N 4° 451 Og ?• ??- LgGEND INVERt ELEVATION At SERVICE EY.TENSIOrJ= o DENOTES IRON MONUMEN7 / PROPOSED GARAGE FLOOR ELEVATION = 9//?,?c) o DENOTES WOOD HUB SET ? PROPOSED FIRSTIFLOQR ELEVATION= i o DENOTES EXISTING SPOT PfiOPOSED BASEMENT FLOOR = ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION NOTE' VERIFY ALL FLOOR HEIGHTS WI7H ? DEN07ES DRAINAGE DIRECTIOIJ FiNAL NOUSE PLANS I hxeby certify thot thfs •urvey,pian or report was preparsd by me or under my direct supervision and ihat I am a duly Raqisfered Land Survtyor undsr the L.aws of the 5tote of Minnesota. ?A /I ?'?,?-?- Bradley wenson, Mn. Req. No. 15235 Dere ? 5'/ 81ad0 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4076 Northview Ter Lot: 018 Block: 003 Addition: Lexington Parkview PID:10- 45035- 180 -03 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952- 445- 2840Micki Soule 308 SW 12t h St Forest Lake, MN 55025 651- 982 -2626 misoule69@hotmail.com Fee Summary: Contractor: Aspen Air 308 SW 15th Street, Suite 25 Forest Lake MN 55025 (651) 982 -2626 Surcharge -Fixed ME - Permit Fee (Replacements) Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Bradley J Lutovsky 4076 Northview Ter Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA075327 10/02/2006 ePermit r City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: ZZz Permit Fee: (zz Date Received: '7-Z. /4-13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION I/07G Date: Site Address: ��17 j//�%j�L U// TUC i'} -C C; Unit #: ip 4//T � Name: /�! �� /144.—.) /�,� � �7 Phone: �l'� ��'� g�d Address / City / Zip: «07 �P�4 /i�c_, / 7 Resident/ Owner Type of Work Contractor Applicant is: Owner •. Contractor Description of work:�� $Ka //1470cv &d,‘I G/fj/,/,� „tie_ 4)9 r � /rlrc�rt�/ ,G/�%3i,�liT� Construction Cost: Multi -Family Building: (Yes / No Company: i /®Tf Contact: , 4—'1--'G }% Address: 7.(9-5— /1)/// VitY i�� �.GC ity: .` C� / 4i,) /'1/1) Zip: d ?-' 7 Phone: ,07— 6 03 r// t , License #: ere o? 1(.0Fe3 K Lead Certificate #: State: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) d \to 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: Phone: Sewer & Water Contractor: t 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. 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 of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p-rmit issuan x Applic- is Printed x /44 &I9t Applicant's S' nature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES 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 Plan Review y (25%_ 100% ✓ ) Census Code # of Units # of Buildings Type of Construction 1 7.8 Occupancy Code Edition Zoning Stories Square Feet Length Width oL 1' MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final At Framing Siding: _Stucco Lath _Stone Lath Brick Fireplace: _Rough In _Air Test Final be Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 47-L Page 2 of 3 4,1/ City of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: % / 23 b7oc- Permit Fee: Date Received: Staff: % 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION 1(o i f—Ci ` Site Address"`) �s� �t1-r/c% 4 C Tenant: Suite #: Resldent/Owner Name: Phone: Address / City / Zip: Conttactor;�` ,tI, Name: \.1 e_G y % n. License #: Address: 7 /'"cr, /i c City: /' 't r74 & g zi.„ State: ./// Zip: S 5/2 0 65 /— `-7647-12 5 7 Phone: Contact: Email: Type of Work . n New Repair Rebuild Modify Space Work in R.O.W. _ _Replacement Description of work: A/7d V?r? K l 4th my wan,- �/h a Permit Type RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) _ Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (includes $5.00 minimum State Surcharge) Fixtures, Septic System Abandonment, Water (add $200.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in confor Eagan; that I understand this is not a permit, but only an application for a permit, and wor accorda ce with the a r ved plan in the se of work which requires a review and approv x v/e_ '`/ �G Applicant's Printed Name FOR OFFICE USE Required Inspections: nce with the ordinances and codes of the City of without a per at the work will be in Under Ground ough-In City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA116701 Date Issued: 10/10/2013 Permit Category: ePermit Site Address: 4076 Northview Ter Lot: 18 Block: 3 Addition: Lexington Parkview PID: 10-45035-03-180 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes. Luanne Yang Fee Summary: BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 - Applicant - Owner: Bradley J Lutovsky 4076 Northview Ter Eagan MN 55123 (651) 405-8501 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA124368 Date Issued: 06/30/2014 Permit Category: ePermit Site Address: 4076 Northview Ter Lot: 18 Block: 3 Addition: Lexington Parkview PID: 10-45035-03-180 Use: Description: Sub Type: Siding & Windows/Doors Construction Type: Work Type: Replace Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary: Valuation: 8,000.00 BL - Base Fee $8K $162.25 Surcharge - Based on Valuation $8K $4.00 0801.4085 9001.2195 Total: $166.25 Contractor: Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 - Applicant - Owner: Bradley J Lutovsky 4076 Northview Ter Eagan MN 55123 (651) 405-8501 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. Applicant/Permitee: Signature Issued By: Signature r City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 3 > ci cy V0Permit Fee: Date Received: Staff: 2015 RESIDENTIALI,PLUMBING G PERMIT APPLICATION Date: 311- Z Site Address: 4 O 2 / {/ 01 f "/l V t.QL✓ e. Tenant: Suite #: Phone: License #: t r . - () City: ` llAKi-C f Ci Contact: 0 Email: c. g.62c-P _ New }(Replacement Repair _ Rebuild — Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ Ce , CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 On-0s4,tic Applicant's Printed Name FOR OFFICE USE Required Inspections: Meter Related Items: x Applicant's Sig ature Reviewed By: Date. Under Ground Rough -In Air Test Gas Te Meter adio Read Manometer uty of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 1 61016 r Use BLUE or BLACK Ink For Office Use / I Permit #: /2 -5-Q I \\ A 91/ Permit Fee: 1-20,f0 C _ Date Received:/Cd (ci_/'io Staff: \'• I I 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / --/' Site Address: 11.64749,0),76/7 �� . � ..�. ...,Unit #: Resident/ Owner e40 �J �'f� Phone: Address / City / Zip: lLd � Al aC ,.0 �j � .6"101k, Applicant is: Owner Contractor Description of work:71 ev."7-- `'.e fiade. d *, d v F „410 'z_e. Construction Cost: ?1912,7 Company:. 7e_deP�s- Contact: i 44e--/ Multi -Family Building: (Yes / No X Address:' /F0— k?444' Zip:0? Phone �„1f3'1/Ra -17 Lead Certificate # City: 1 If the project is exempt from lead certification, pleaseplexplain why: / r COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING 1 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: I Mechanical Contractor: 1 Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: 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. CaII Gopher State One CaII 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 of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota : ate Building Code must be completed within 180 days of permit issuance. x/' �� ',All ApplicantPrinted Name Page 1 of 3 y0'-76 /`10i ' &kJ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation XSingle Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water )( Framing Fireplace: __Rough In - Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window • Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous A ccessory Building — Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Final Pool: ___Footings _Air/Gas Tests Final Drain Tile Air Test Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Radon Control Fire Suppression: _Rough In _^Final Erosion Control Other: , Building Inspector Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144064 Date Issued:07/11/2017 Permit Category:ePermit Site Address: 4076 Northview Ter Lot:18 Block: 3 Addition: Lexington Parkview PID:10-45035-03-180 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Bradley J Lutovsky 4076 Northview Ter Eagan MN 55123 Uptown Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152901 Date Issued:11/07/2018 Permit Category:ePermit Site Address: 4076 Northview Ter Lot:18 Block: 3 Addition: Lexington Parkview PID:10-45035-03-180 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Bradley J Lutovsky 4076 Northview Ter Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature r For Office Use%� �9�� Permit#: NIST., za Permit Fee: (..2d- Al ? i19 474-22 ,, n Date Received: 7_22 7 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 /// (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 1 7J 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Y Date: 4/18/19 Site Address: 4076 Northview Terrace Tenant: Suite#: Resident/Owner Name: Brad Lutovsky Phone: 952-250-2087 Address/City/Zip: 4076 Northview Terrace, Eagan, MN 55123 Name: Tim's Quality Plumbing License#: PC 643755 Address: 225 County Road 81 City: Osseo Contractor. State: MN Zip: 55369 Phone: 612-827-7951 Contact: Timothy Lindholm Email: speedyplumbing@comcast.net Type of Skwit — New ✓ Replacement Repair Rebuild Modify Space Work in R.O.W. is Description of work: V Water Heater Lawn Irrigation( RPZ/ PVB) Water Softener Add Plumbing Fixtures( Main/ Lower Level) Description Septic System Description: _New Connection to City Water from Well Abandonment RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges 60.00 TOTAL FEES$ 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. y, ' 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 v...... '. :f..:. . 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. xMary Belobaba ( e'4— fz-- x Applicant's Printed Name Appli t' Signa re Page 1 of 2