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4134 Oakbrooke TrPERMIT City of Eagan Permit Type:Building Permit Number:EA128550 Date Issued:11/18/2014 Permit Category:ePermit Site Address: 4134 Oakbrooke Tr Lot:6 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Description:20 SQ Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Han Cao Nyugen 4134 Oakbrooke Tr Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature AddI2SS 4134 Oakbrooke Trail Zip 5512 2 IAt 6 Blk 3 Sub Oakbroke 3rd Addition THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FIVAL INSPECTION. Datc: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Peananent steps (main entry) Permanent driveway Pennanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and Ihe shuFOff of water supply to the outside Iawn fauce[ before freeze potential exists. Contad engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink • Contrador Copy Y?%RktM' %k>k?Xiklkh,.Xik(.?FYF$t?};Y('X.':K$i>ki?."1,($C?;M'?>k14X<Y,<'MX<Y,(N:4:Y6?kYi C.T.'fY 01- E'AGAN CFl,^I-17?ERN JS TL"RrSTNA4. Ni)s C)Cl'c.'. nF;rE02/28J00 'TTMF_': 09:35:OJ. ? IIi ; ' nAP4L'•:e f-'Ul_TE CfASTCFi IsLiIIDEf? 2252 9220 404 t]AF:r<haoi; r 30„00 300 9001 034 OAI:IsRpOF: "I 993.0 306 9373 4:1.34 (7At(RRfJ01<. T 100.00 3422 900:l 41.34 OAl:Etf'EJOFC T 645.94 2275 9220 4'134 LAKF1R??OK T .?nOf3.?.U0 ? 3q.:s6 :?Clrl:l. 4134 nAF;HRf)C,K 1' 7.!..00 203 9001 034 OR.f:FskOOK f 0.50 3743 9220 4i.3sr OFlI(PfiOU6; l' W1'l0 2155 9001 034 f7Al:E;h'004; r' 50.00 3868 900 4134 (7HPCRRpUt; 'i' 492.00 G02"3960 ** CnNTSNUC IJSF.:Ii Tiie .7FlN >k* C0N'iTNUE ?kX??F??;YF ?>kk<7?Yn>k>Y.?kA?NcY:?I?Yn.'R??K??i 'MM?X>N%X>k>ItW7kM?>X!K7k>k 3 ?r ?15.3 ,r,0N11 hlt1E CC'fY QP' EAt.P.N CAtiFIIISCi: 15 TFRM.T.NAl. NG: 002 UfiTc:; Oi'/csi/[)r) 1'TM;ce 0905:02 IW Nr1t1Er. PL!Ll'E 3tA3'iCF{ i.J:[I_DFti 37.lu 922C1 404 OAEJ31i0(]I: T ii4„00 3713 9^c_it(] 404 QftI;EF;OCiK T 50.00 3865 9220 4114 UAKL,1:004; 'i" 840.,00 f . 7n+,al ficccapt Amount,; 4946c:,.i.? CR] 2;:)S?c,0 USIc Fi ?:Tf a 7AN Yc.?SPo??:'Y.Yf>X°Fm%F'MY? n?%?kYi.YFh°?k?k°t???:rim>RMm?kY:YF?'>'F?fm>X?>k?X?k: ciTV use oNLv L BL ) RECEIPT#: SUBD. 34 RECEIPT DATE: PERMIT# 2000 PI,UMHING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 UvN I Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIYTI IQFC EACN # TOTAL Alterations to existing dwelling - minimum fee Desc(be: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System new/refurblshed ' requlres MPC Iit. 75.00 X = $ Septic S stem abandonment 30.00 x = $ RPZ new installatioNrepaidrehuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Under round sprinkler ifdwelling is underwnsMudion 3.00 x = $ Underground sprinkler if eacisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under constructlon 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x -- _ $ State Surcharge Total ,50 -> W_> -> '-> $ 50 $ ?- ? Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------------------• •--------------------_ _... -------------------------...--------------------------•---------------------------------•---- I hereby adcnowledge that I have read this applicalion, state that the infortnation is corred, and agree to comply wRh all appliceble City of Eagan ordinances. It is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages pused by the City during ks normal operational and maintenance activities to tYiie facilities constructed under this pertnit wRhin City propertyln9ht-of-way/easement. SITE ADDRESS: 7 / 3 V UC'l"? `?-?fj W) I - ?IU /S TELEPHONE OWNER NAME: : ? (AREA CODE) ? INSTALLER NAME: ??TELEPHONE #: V/ ? ?`?y 1 G? STREET ADD ESS: ?3- (ARE^ coDe) CITY: STATE: ? ZIP: 6140e SIGNATURE OF PERMITTEE ?. 2000 BUILDINC PERMiT APPLICATION (RESIDENTIAL) crTr or eacnn . • 3830 PILOT IOVOB RD • 35122 851-681-4875 cjo Haw ConMn,eMa, Reaulre?M, D 3 reOatarotl flle pwaYf thowlnp aQ. IL W bf, s4 fl. of haiw 2 caPles d Plan and Qp rooled aroat (20% mmdmum bt covamae allowem 1 aet of eneryy cdcWaHau fa haated atlmMaa D 2 ooples of Pkffu (show beam R window tltes; Poured tnd. deslgn; ete.) 1 tlFe wrveY for exdeAOr a0t8MOm A tlecW D 1 f61 of anarpy ea9aAatlOrq D 3 caplet ot tre9 prosanalbn plm tl laf pkAlad dpr 7/1/93 DATE: e41- CONSTRUCTION COS?: DESCRIPTION OF WORK: SiREETADDRESS: LOT: -L- BLOCK: ? SUBD./P.I.D. #: PROPERTY Wd OWNER Phone i: Sheet Address: city Sfate: Clfy State: Zip: Companr? 1-I\\40- NO?2 ? P„ne #: LS\_ G.a4- "09?g11 carea code> corrrRAcroa sheat aaareax\??S \n? ucenae# ?' .? Cny?.c>..c n,n smre: up: ?\Z?u ARCHRECT/ ENGINEER Company: Name: Telephone i: ( Sheet Addreas: ReglshaHon #: ZiP: Sewer/water licensed plumber (H Installina sawer/watarl:V \\e. Phone #: lD( \? ) -ActZ 7..\ Z\ t here¢y ackrawledpe lhat I have read fhis applkalbn, Nate ttat Ihe atbn b cW cf. and ree to eompiy wilh a1 appBc?le ?ade of Minnesola Sfatutea and Ciry ol Eapan Ordirwncea. • Sipnalur6 Of AppNcGM' \ OFFICE USE ONLY FEg I Certiflcates of Survey Received ? Yes _ No ?h ? ?l?.l Tree Preservation Plan Received Yes _ No , ?ot Required OFFICE U3E ONLY . am BUILDING PERMIT SUBTYPES 0 01 FoundaUOn O 07 Orplex O 13 16plex p 21 Poroh (3-sea.) O 31 Ext Alt - Multl < 02 SF Dwelling O OB 06-plex p 17 Garage O 22 Porch/Addn. (4sea.) O 33 Ext. Ak - SF O 03 01 of _ piex O 09 07-plex O 18 Deck p 23 Porch (screened) p 36 Muitl O 04 02-plaz ? 10 OS-plex p 19 Lower Level O 24 Stortn Damage O O5 U3plex 0.11 10-plex Plbg Yor_N O 25 Miscellaneous E3 06 04-plax 0 12 12-p1ex O 20 Pool O' 30 Accessory Bldg. ' WORK TYPE )& 31 New O 36 Move Bidg. O 43 Reroof O 32 Addition ? 37 Demolish (Bldg)' O 44 Siding 13 33 Alteration O 38 Demolish (Interior) p 45 Fire Repair O 34 Repair 0 42 Demolish (Foundation) O 46 Windows/Doors • Give PCA handout to applicant for demolitlon permit GENERAL INFORMATION SAC Code QL # of Stories -:MC/ES sq. ft. No. of Units I Length -?,-?e- sq. ft. No. of Buildings ! Width ?ys tpri nt sq. ft. ? Const. (Actual) ? Basement sq. ft. ?Census Code (Allowable) ? Main level sq. ft. System UBC Occupancy Azi-11- ?j sy. g, _iCity Water Zonin9 sq. ft. Booster Pump PRV ? Fire Sprinklered MISCELLANEOUS INSPECTIONS X Stucco/Stone APPROVALS Planning Building ? Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. ?tL ?, Water Meter ? ? ? '? , Acct. Deposit ?/ c' , S/W Permit S/W Surcharge S° `) ? `7 L?d O y ? Treatment PI. ? Park Ded. ?//?/ Trails Ded. 0 Other Copies Total: . ' SAC Units % SAC , f SiTE AODRESS: AVERAGE 1'U,1;_GONPUTA710N COtITRACTOR: rG??? •• M'? _*DA7E : RM1NE NOaK111G SOUARE FOOTAGE OF EACN: : ySz -S Z o0 . OETE • . ? ? ). TOTAL EXPOS'e0 NALL AREA,,...... sq ft x"U" I ? Z b ?? t ?? Q? Z. 70TAL u ,q fe X ROOF/CEIIIHG AREA,,,..... t Z?'? j, TOTAL EXFOSED NALL AAEA CALCllLATi0N5: , Totai exposed xa11 . . ft area above flaor,,,,.,., sq ? . . c a) 7ota1 wa11 xlndarl area: . DOLBLE glazed...... 2'I'rj sq ft x"U" •"?.?- ? glazed,,,... sq ft x n •S5 $Q Ft x 11u11. 6) '7ota1 door area ,,,,..... , . .• e) Total sl(ditig glass doar area: ' ' ' ' • (?j?- giazed...... ? Sq,fL X' uU?t- . e 7? - ° ? . ? . le SQ f i . glazed...... X JtUH a d) sq ft .Total firegiace wall area x "U" ° - - e) Total wall framfng area sq ft ? . z"U" •G?? _ .. (Arerage lOt)........ f) Total net xall area above • -' ?'?`? O a I %ZQ Sq ft Elvor ((nsulated)....... X uVn , -= - ?i?'J ? s q. f. t ?? . x ??U g) - Total riW )aist area...... -?; , . Total foundatian ft ... sq area (Exposed).......... h) Totai foundatlan '--'' `54 ft x "U" - ? wlndoN area ............. 1) Total net foundatian I( 1 sq ft x"U" •G7(0 area above grade........... _ TOTAL a) thru 1) 3• ° EORJ I` item ,43 Ts the same as, ar less than (tem 41, you have met the intent af 2 11C.1R 1. 56008 A and 0. ' Pag_ 1 ? ^aw_` _?,' . `' i „',;'%'' - o ? . - .- . - - : •?.. ; .? :; . • .. ' ,?" ? .i"}. ? ?Y _`:?i.' •I `_?:?'"? X.w(iLL"?:tl:i .- _ -. . . . " . ^ .? . • . - . - _ yY? CALCUTATl :'rOTAt:,ElfPO5E0 ROOFICEIUTtG OpS: . ' . . . .. =T,?i Total exposed ?2 _..,. roaf/celling area........ 'v sq ft Jj Tocal skyltaht area....... ?- ' sq f't x"U" ? w . . k) Total roof/celllnq fram(ng area (Averaqe 101,) • • • • • •? 54 ft x "U" 1) 'Total net tnsulated 0= ZQ, 75 raaf/eeil(ng area....... f Z sq ft x"U" . ? r 1?, - - - TOTAL J) thru .T) 2? •.. . _. If total oF 34 fs the same as, or less than.R2, yau have met the lnterit oF z rtc.ut 1.16008 Aaua o. { ALTERNATE BUILDItIG ENVELOPE DESIGN To utilize the total envetope system method, the values established by the sum af items P3 and 94 shail_not oe greacer thaa the sum of icems 11 and fl2. t. + y, + 4. e a 3. e"c =TiFICATIO11 I herehy eartlfy [hat ! have calculated the "U" factors and "R" vaTues hereln and that che buildinq here descrlbed meets or excaeds the State of Hinnesata Enerqy Conservation Act. / - - Slqnature) (Da[e) pigr. 2 . ? C , I? i ? XiV n A':'•e 1 ? Yr A' •;?s _ A, a,' d4 RIM JOIST SECTION: '1 Interfor air flim n 68 . l 4 r 'z R a-r n ? n?,,?U - r c. - 4 a/=S7' SttlL TftiT? ' 7 DC?„ 5 . 6 Exterior air fflm -6:13-?:?_ ,=. . TOTAI &•- ZA.?'!7 ?;: ;= FOUNDATION INSULATION REqUIRED-- ' -= '?- , Min. R-5 an entire wall OR U- 1/R a ?y[ ;":_=" Min. R-10 down to frost.depth _ --? FuuNOartoN sEcriae: --(1 Interior atr fiTm .?.(+R 3 12' nAlC- C-?LOC iL --• I.ZS .?. _,-;? 4 Exterfor ai r f i Im Q.17 •-- `;;< (S I / TOTAL R a ? U - 1 /R - 2lb SLAB ON GRAOE . ,- ,. .a :; tt -- .:a •? ?j/ a ? ?? ' , •.•? , ?. .;.?a . o' '3 a • ?•• Heated Sla6s: .a •'',: Q. Minimum R = 8:5 .y; Uhheated Slabs: '? - a . Mi nimum R= 6. 2 q ?a `.. ? , .. ? ? • _ ? .. 7 ??, q El. :/...? " V v 1 v : ?. .1 .J rjirlW 1 r ? :v . v 1 vv • ? ;R a ?. CON57A1lCTTON _ r,? ?':,?:•:. . ' R•YAL - . ' WALL FRAFIING?`?5-? ?-?i ?Interior atr film? _. ?0 -{4 ----cs --{6 ,7 / =. =;/SZ' Sc1rL.'fTZ?'TF? &L!;A? .tj ni NG Exterlar afrfilm 7.C1? .47 r 0,17 • TOTAI R - ? U' 1/R- UALL SECTIOH (INSULATED) --(1 fnterior atr ftim 0.6A --{2 1/7 ' u GT 'L -?3 R-I 11.I'50tA"ftD kl 14 00 --{k ?nz' (3L)r-r2tr? . 7 ? . ; -?5 1?1 Ulai :41DIt.1C . -/a I Extertor aIr fllm - 0.17 - TnTni R . -7-F U?1/R ?.-..., ..° :. •?.•?••••Q. • 4 - . . , ? q ? . , •,.d ` ?• a ? . • •. ., .. . ' , c , .Q ; . : , 4' , 4 ? . , ? ' • G ? • • • ? ? 9 4 ' Q • , ' . a , . ' • d: , d; ; . Page : . . . . . ??r`? ' . . ? c . <<"U]??`: 1?.'3?: Sti "?;'? • ' ? ?? _ . ? L????Fl. ?YdZ?y'1:..???' + . ? 1 COHSTRUCTION *VA[L G .• ?.i'.??:.??.1'?+?:N?_=?i ?..' . • _ _. . ?'T.ai T - CEIL11lR SECTION (INAU1'TED): 1 Interfar atr'film • ?? "c"'° • 2 s18' c*. ` 3 4 Exterior air film srill) . ' - , TOTAL R ? ' u - i/R - ?z CE1L(NG FiUU11NG SeGTfON: 1 Interior air f.11m 2 3 _Q.?I i? lI A?fAI? ?1 nn 4 lnterior air film still . (). T• 5 3/2 fnches soft waod Q 3_.r?-- TOTAL R ' U- T/R CElUNG SELTION (ItISULATED): ' 1' Interior air fiim ?.61 2 : 3 4 Exteriar air fiim sCill 0, i U? 1/A= ". VENTED CEILINr, FRAMING 5'cCTION: 11- 1 ISFu<iPdr alFrfi +ttn °as. z ._ . g. 4 Exterior aIr film still n• l ,ri (nche3 Saft t+aod ? I, TOTAL R U = 1/R ? Inside air film n•rl 2 3 •4 S Outside air film n,17 TOTAL il U- 1/R- _,_ Page 4 - --- --- - ??1- - - - JOB INITIATION ORDER N° °x' Pulte Homes of Minnesota Corporation CONTRACTOWSUPPLIER: 1355 Mendota Heights Road, Suite 300 Mendota Heights, MN 55120•7112 Phone: (612) 452-5200 Fax: (612) 452-5727 .108 NO. ?? COMMUNITY: s -4 o ? LEGAL CESCrJPTM: LOT (o BLOW 3 uw ba3 j:V MODEL NANE: lulDDEL MUBER: ELEVATION: OI? OAFtAOE: IEFT RIOFfT BVYER'S NMtE: DATE OF IXiOER: i ? CURREF7T ADDRESS: CRY: STATE: t{OW PHONE: BUS E: BUSMESS PNONE: SALES HEPRESENTATIVE PRICE .r iN 1 91'.. TOTAL APPROVED BY BUYER (S): APPROVED BY SALES: RELEASED TO START CONST.: eaunL xousiNc 0OPPOftTUNiTY BiiilAwre 1 Iranm 8nnntq7l TIIIS COfI$tltU(QS 8 COIIIfBCt bBLWBCn the SBIIAf AIIA }I1N P111Y:F1ACAf(cl fnrfho nhmin Nn?ne , . LOT SURVEY CHECKLIST FOR RESIDENTIAL , ` BUILDING PERMIT APPLICATION ? PROPERTY LEGAL: l oT' 4 P Fl(t,7A 0' -')' ce 70? ?4 - 3RO A?.o. H DATE OF SURVEY: ? W LATEST REVISION: A.' p DOCUMENT STANDARDS z O ? a u-? ? ? • Registered Land Surveyor signature and wmpany M/ ? ? • Building Permit Applicant 6/ ? ? • Legal descriptlon Is' ? ? • Address Q? ? ? • North artow and scale u/ o o • House type (rambler, walkout, split w/o, split entry, lookout, etc.) r,r/ ? ? • Directional dreinage arrows with slopelgredent °,6 r ? ? • Proposedlebsting sewer and water services 8 invert Hevation m" ? ? • Street name 51/ / o ? • Driveway m'/a ? • Lot Square Footage 10 ? • lot Coverege ELEVATIONS Fxdslina m' ? ? • Sewer service (or Proposed) ? ? ? • Property corners ? ? • Top of curb at the driveway ?A ? ? ? • Elevafions of any ebsting adjacent homes ? o Adequate faodng depth of structutes due to adjacent u6Try trenches Prooosed q? ? o • Garage floor ? ? ? . Fitst floor al' o ? • Lowest exposed elevation (walkou7window) 71' ? ? • Property corners o"? ? • Front and rear of home a[ the foundation PONDING AREA (if aoolicable o Vo • Easement line V? o . NWl m/ ? ? . FIWL m/ ? a • Pond # designation ? e/ ? • Emergency Overflow Elevation DIMENSIONS ar/ a? • Lot IinesBearings & dimensions e ?? • Right-of•way and sUeet width (to back of curb) d o ? • Propased home dimensions inducfing any proposed decks, overhangs greater than 2', porches, etc. (i.e. atl structures requiring permanenttootings) r9' ? a • Show all easements of record and any City uti6tles within those easements 13'? o p • Setbacks of praposed structure and sideyard setback of adjacent epstng structures ? a/? • Retaining wall requirements, if any Reviewed: Mareh 1989 Cqp09=PqMfFM Surveyor's Certificate SURVEY FOR :PULrE 3'dpad. tio1) DESCRIBED AS : Lot 6, Biock 3, OnKBR00KEA Cily of Eagon, Dokoto County, Minnsota and reserving easements ot record. LOT SQ. FOOTAGE = 3,432 £? HSE. SQ. F00 TA GE = 1, 74 7 LOT COVERAGE = 51 7o srLTO ,7.o wa ? 2a'2?„E 7a.R?9Z? qZ? N I 92? 9309 28. .N pec? I 8 9ZI. POND 250 ? Z 0 I 1 9 3?8 e proP°s,d e? 6? .? 923•? m BP-35 o rog b µomW,??o q NWL-912.0 O ? q2J ?7 ?80, 9P 60 1q2? HWL=921.0 1 00 y 4. A? ?, 36. m q21.4 ? Z?W78 4 .0 ? 1 93a 193?. ?a ? ? ? . ? ; . ? A?' ? ? LW't I? ?% . \ v\ . ? Plan # 17921 PROPOSED ELEVATIONS BENCHMARK, rNH@ 7eg/q Top of Foundation = 933.0 Garage Fioor =q3i,$ Ele?=q31,59 Bosement Floor =q2q.0 Aprox. Sewer Service = ai-7.7t Proposed Elev. -? MIN. SETBACK REQUIREMENTS Existinq Elev. _ Droinage Directions = Front - House Side - Denotes Offset 5take = • SCALE 1 inch m 30 reec Rear - Garoge Side- JOB N0: HEDL(1/VD I HEREBV CERTIFV THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-OS$ OF THE BOUNDARIE$ Of THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER AIY DIRECT SUPERVISION AND DOES NOT PUftPORT TO BOOK. P.4CE: PLANN/NC BNC/NL'ER/NC SURV6Y(NC SHOW IMPROVEMENT$ OR ENCROACHMENTS, E%CEP AS SHOwnI. 2005 Pin Ook Orive Z Eagan, MN 55122 DATE _--/ CAD FILE: Phone: (651) 405-6600 (jeo Z,ts.pp ?FLINDGREN. L 0 SURVEYOR Fox; (651) 405-6606 LICENSE NUMBER 14376 OAKBROOKE RECFIVED FEB 9 } 2000 ? U1IQ CITY USE ONLY ? LOT ? BL S? PERMIT #: 00176 SUBD. L'oK YJrOUke 3 rd RECEIPT #: ' RECEIPT DATE: 3(5 ' Oc) 2000 MECHANICAI+ PERMIT (RE3IDENTIAL) CITY OF EAGAN 3830 PIIAT I@708 RD EAGAN 2MI 55122 651-681-4675 Date: 2 'e2 0 q` ooL_ Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ownedoccuoied. . HVAC: D-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 g,ao . Gas outlets (minimum of one required @$3.00 ea.) y, D D State Surcharge .SO Total $ 34.50 Complete this section onlv if you are remodeline, addin¢ to, or reairin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair _ Other ? Furnace _ Air exchanger Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for rnspections SITE ADDRESS: h I3L-I 0 Gl tO nDO v-9,- ?( OWNER NAME: Pl ) I?C. I--I QYVLQ? _ PHONE #: c?- Y6a-`5?00 INSTALLER NAME: C?(SY (1S UI PHONE #: ( 7?_- . (AREA CODE) STREET ADDRESS: QLI I CITY: ?12 A)0-9,C ?- STA'i'E: Af ZIP: ScS SI A OF PERMI E 6 LL' 61 L _ BL _ SUBD. APPROVED BY: INSPECTOR PERMIT #: _ RECEIPT#: RECEIPT DATE: 2000 L+ECBANICAL PERMIT (COD4SERCIAL) CITY OF EAGAN 3830 PILOT IINOB RD SAGAN, MN 55122 651-681-4675 Please complete for. all commerciaUndustrial buiidings multi-family 6uildings when separate pertnits are not required for each dwelling unit DwTE: WORK T'YPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When insta/ling/removing undergrowrd tank, ca!! 651-681-4675 jor inspecdan by frre marshal and plumbing inspector. DescripUOn of work: Fees: 1% of conuact price OR $30.00 minimum fee, whichever is greater. Undergound tank removaUinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNERNAME: PHONE #: (AREA OODE) TENANT NAME (IIAPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN TfiIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CTTY: PHONE#: - (AREA CODE) STATE: ZIP: CITY USE ONLY , ; SIGNATURE OF PERMITTEE CITY USE ONLY L BL ? RECEIPT #: C? /?;U& -77 SUBO. RECEIPT DATE: PERMIT 2000 PLUMSING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, NIIJ 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ilYT11QFC EACH # TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: 6 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ G85 piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ SePtIC S stem new/refurbished ' requires MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ FjpZ new installation/repaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground s rinkler if dwelling is under construction 3.00 x = $ Underground sprinkler rf existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwen+ng under consvuction 5.00 x = S Water softener if existing dwelling 30.00 x = $ -? Water tumaround 30.00 x $ State Surcharge 50 -> -> --> $ .50 TOt81 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -- --------- ------------------------------------------------, ----------------------------------- • ---------------------- -°-- •--------------- I hereby acknowledge that I have read this application state-that the infortnation is corted, and agree to compty with ail appiicable City of Eagan orclinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ds normal operational and maintenanca adivRies to the falities constructed under this permit within Cily propertylright-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREETADDRESS: 5O`/?1-i i-,Uf.fM /?° ` /w cirv: 4v910-2 SIGNATURE OF PERMITTEE STATE: M h ZIP: co- 5ql,?Lt- ?? cAt Cities Diaital itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. L:.:?'"'_ ? ?•;6?h.?4;??1;:'L,'?,e?•. ' ?- RECEIPTt:_ i' ', .'RECEIPTDATE:! ERMfT ly Q?a37?/ ?.. ? 4 ` . .- . +;:C:t?•S'.+?'?',?'i . ' ?,. ? FF?> wjv-:1+X3r UlI YRLi'ahvt'A::'RiStix".m.,.:ti?.w?ea.:?rcv:+.°:a?m*un.a jJ?y?.I ?'',j? M1.??_I ?'' ty?v_J. N ? .n..?...?.. ?-...- ?Y ?n ?.yF.1' -,?....N... ..._ .._` - _ _ . ' [1IIUfl1 fP.Es Y•!£ ; ? cW J_ ?l ? r'? .t Y4.LL',..<Y ? ??fL•{ P+Fl. .p s' '. ?, ? . l ,i; .?y $ : ? t,? ^f•. !?g.. ? 1-i?b9 . 5 'C?t . - . : ?. .la-z \• ?t ??69tIt:tUb "- ? 'r' ?' ?l_`.a . _ r q? . . !?'?{' ?' ??, ' d??n ? Y E <9'? V`L?AN' A p ,y?Y . J I b r7a$ - Oi iri :yt ..xxx. ? Yle°-T y? ..,:...a,.,. <:;-?.• - r ? :??•;, ?,?:r r -•; _t-.,???r:?, 4. • ,?:-.•? tub/s. Hot ,:;,,a 3.00 ,? ?•- , Kitctien'sink' ? ..ti: ; ?z?; ? rir ?,:?..? :?? ?,? ,. r ; L.BUffdNt ?;::vrs.a3.00'`?" ';?"x'=:` • - .'r.'? :'si = $ -, . ? y ? ».?f w????e 5:G`? ?'??"....? ? tO ?LBWeI ? titi?"`w•"?z;?`:?,?v .x'?. x:...."3.00 .PF <.:.?x ` • . . .SE ZICi $t8fI1t1;rt??A`iyv'?+_Tr,FU'll@W/flflirbllhed ?iequlf9lMPCiiiC.+7f?' l ?:n+'r'? p- ;;?y7C?",.; teitl>I*` '_' ::,.`etiaridoninent'd,•x";:.`.?n'?C?"'"i:?::?'.<-•=?=`t•. ?Se'tiC; 's i,?.::?• ? ?:i?X $ . •_1 8?1?IOVw1Y R{?Z 11?/y/? . ..i?t1J ' :_S.? •. ? $ . ROU h 0 nifl - V 'in; '?: X . - ._ .. X,y':•r?? Und round s rinkler?i".??uawelrug ts underconstrumon`??:??" <, :"?,'; `x :r+° ,:?.-: ?:ic;:r: ^?r_.;$:: ,;-_:?: ?:.?'?::??`=?;:,?: Watercloset',?s?:, ??_:?:?'?;: ' ` W- x = g.•?. . . , Waterheater ,?..:._--• a-. ?:.: - ??:•.:?€?" -:FTn<,?.°'€.: ,-:; ?;,e ,;' . ?, ."?:-?:.??5•_;c?s,,;?t>.4.'.a , ??,_.: ? ?;c?', `3.00 1:. . 'x YS t= 11 $ ? < :. , . .: ?£: ? H awemiig u?er corotnicnon ` Water softener :i;?> ;?:4r` ?, ,, . ..?. , .. , . . ....... ..: :... : _ . : ... „. Water softener,:: ,rnoxisune r?30.00 '?$18f8;SUM.?18 8?u'ig?.-y?"-.ytiia?Y'N.?s11`=VaC? :_i:;.'•;:.:. ':r' ='r": +:... . ? .50 TOtaI zJt A:..1 . . ?,y, `y!•• ,. .-+?Sy?,?",?ryit??'.! . .4 '?'e..... r . . ' ?. Reinfnder: ,*_;Call for irisp K; .,.: I Y?eby eduiovAedge That 1 have iea It Is lhe apPrpnPs reaponslbiUty tc .;%nortnal operationel and maintenance ???.dV y`??"?G ?'s?°"a>.? xf?}r . ' fi +1?..' .°.:. ?'.i'(?:... .,rv`7*?`•.:.h?' .SITEADDREpS3?? '? . ?'J.:II?r.\.!? ?yiK?;YI'?-Y{.V??}•.` p ??j`{??:x?:?. 4?OWI?:a?:..}t•,??.. In.. a 1?f4.. ER NAME'::t'?`??"-?;, ?' a.f `.,;Y•IFSi: V{?i?f:f:~7;.ti* . c? . i ?)(?,.n???.•?n .wi??.`4?????.f.?1 F ">INSFAClEFt NAMaEµT?:y??' "?. ADDRESS;?? °: STREET ' cirr: ?j i.. + { ?'2}'A? yG ??? 5 N J saQ?i.ti.? k4'?,ti . ???? ?S?l.?'ir•i,'??.?^?' i . . . . . ....?. .. . . "'..v. , n.? . ..:.a _ . ? L. . ?,• :5r.. . _,cti< :i7d.:-?iM?ns??i'+??>.,»,?-4y.ry??..:;Y'.?.?_.,_:n^?"t-;?[^-;..?•._:?«a. .... _ ' e a.. ; .. .. _? . _ _ .^.' ..r..? .! _.r Lr.` f alterations; i.e. water heaters; wate soiteners,"atc. .? .,..: , _ . , . _ ...,. .. .._ , , . .. . . _; y.. w: . ,.? . . .. ?..? : ?': . ,.. ? _ :,. ..- .' . : . ,.,.. ,,. .r;5'.::-.^-„ .r.." ., „ .,? .. . . .... . :.. .. .. .: ." "" " ? """""""""""_""_" "' "'" ' on. sUte tAat tAe iritomiedon o eane4 and a9ree to comPN wdh all appllcable City ot Eagan ordinanoes. wAy'amer fhat the Ciry of,Eagan, asaumes, no Ifablity , for anryl damages caused 6y the City during its ? pe.rty/dght-of-v+ayleasemeM. he facil'itlesponahuded under thia pertnit wkhln Cily p : "F: '_.?r ??.i? ._.r• +w:?k5 ? •,_?'J?-?f::? _ " _. . . _ 1??, *(,ZV? _°??y?'5..•.;C' -ii?•.)?:/.i'n ??• u??S'?• ????i.n-??.??x. !. :.:1? ? .?.....?_? .... _ '?•! - = 5.?-i?s;;,1 ?.?;"?1?«. ? - -`e?,:'":.:•. ?"', ??'"{:s ? • 'S .1' ? .. «-:._ "' _ '_ _ ' ' ' " :'''? .i?. -??y ?? " _.?w?'`7??•?'Q ?.,.'...??.c:! .a3 - " i ry'n?.'?; ".,'4?,:; I ?°?:_ `..t. ^ . = i ?[,1 ? ' _ _ "'_ "'_" R.J:.."f.'v'z ?!'i y •?/?+'yj'ifjr 4. ???t?, ?.?_?. ??.?: r.?'? -7- ::.._ :a-:.';S` ???, x .iG ?L?PFIONE#:??•==?=1_'?_:" -T?i?'-? /?l _ _. . ?..; .? «- .? Q?E) _ ? ..... . KiY t ;,Y ? %•y., f.F. i:?"EA ?ZIP ;?:d:??`?-;t?.? TE: . '^j*i' .?.??'...?'t??• }4?'la..e' i?l` / /[/C.?C??'-X 4a, '? ..?'' '• ,i???" / ? ?? W-?, ' ? rSIGNATUREOF.PERMITTEE 41 c. ..h 1 i• ?i?``?-, - ... . . - . 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reauirements ? 2 copies of plan DATE: K ly?U? DESCRIPTION OF WORK: ?CIa.' ? INDICATE THE FOLLOWIPdG EQUIPWIEfNT TO E REP Plumbing Homeowner ? Mechanical _ Homeowner CONSfRUCTION COST: 7 a'?? Ii mulH-famiry bldg., how many unltsl LACED AND BY WHOAA: Qr Conhactor Name g[ Conhactor Name "Note: If somebody other ihan ihe homeowner is pertorming plumbing or mechanical work they must apply for appropriate permff. Only licensed plumbing conhactor or homeowner may complete plumbing work. SfREETADDRESS: ?/oy JD2?&? LOT: ? BLOCK: ? SUBD./P.I.D. #: a'±?n°,-' 3r? Name: L A? Phone PROPERTY Last First OWNER Sheet City State: _ Zlp: . AilleA Rtla? 3-?.S7o j Company: gpa n.e i,e r..... Phone #: ? G3 Lieense #2009D911 (area code) CONTRACTOR 2700 N. Feirview AtN. Sheet Address: Rasoft MN 65113 License ri11)cpfo?ulExp. 40 i 651/833-1581 CNy State: Zip: I hereby acknowledge Mat I have read this application, state that the infortnation is correct, and agree td'compy wilh afl applicable State of Minnesota Sfatutes and City of Eagan Ordinances. RFCEjVED nature of Applicant: 4-a - ? AUG 17 2000 BY: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex 0 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 36 ? 32 Addition ? 37 ? 33 Alteration ? 38 ? 34 Repair ? 42 GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning ? 13 16-plex ? 21 ? 17 Garage ? 22 ? 18 DeCk ? 23 ? 19 Lower Level ? 24 Plbg _Y or _ N ? 25 ? 20 Pool ? 30 Porch (3-sea.) Porch/Addn.(4-sea.) Porch (screened) ? Storm Damage Miscellaneous Accessory Bldg. Move Bldg. ? 43 Reroof Demolish (Bldg)* ? 44 Siding Demolish (Interior) ? 45 Fire Repair Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Wze1P EaE!rt tw. o;, etizr; l r.d5 I!@fiE'6Q??,V ?z? e'?1 .BvA nawiecl.N OOC? !S?S-£E?',ic? - ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF 36 Muki 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) ??? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 657 -681 -4675 Reauiremanh n a&elislv? -PL.r2 r4 DATE: G-/I ^ 00 CONSTRUCTION COST: '? 3 B F?i?yq , o? DESCRIPTION OF WORK: R+2?JOC4i LOk*X (,?? Fwf?N muNi•family bldg., how many unita? IPoDICATE THE FOLLOWIPlG EQUIPAAEPfT TO BE REPLACED APlD BY 1AIHOAA: ? Plumbing _ Homeowner or Contractor Name Mechanical Homeowner or Coniractor Name "Note: If somebody oiher than the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit. Only licensed plumbing contractor or homeowner may compleie plumbing work. STREET ADDRESS: LOT: (o BLOCK: ? SUBD./P.I.D.A: OaKbqUO?& 3IfQ Name: IV (S. U ?rtm AA N Phone #: &SI 76 ? PROPERTY Lasf Firsf OWNER L StreetAddreas:?I3¢ D?41?nee"g®r Tto,41 city L-:.GRN state: /V? ziP: ??'LZz Company: ??? ?M?'S PhoneN:(CS/ ' l52^SZ06 (area code) CONTRACTOR 11 SfreetAddress: MSS mL?/A ttiunlafrs P-1 Licenae# 1371 Exp.3"Zuo/ crty M614DoTA #&14A/ls state: M N ziP: Ssl2o AUG 2 3 2000 I hereby acknowledge that I have read ihia appllealion, afale ihallhe Intortnation Is coneef, and agree fo comply wilh all applicable Stafe of Mlnnesofa Stahilaa and CHy oi Eagan Ordinancea. Signalure of Ap plleanf: ? jz? ? -- OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 07 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex O 04 02-plex ? 10 08-plex ? 05 03-plex O 11 10-plex ? 06 04-plex ? 12 12-piex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screened) ?' 36 Multi ? 19 Lower Level ? 24 'Storm Damage Plbg _Y Or _ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No, of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water 8ooster Pump PRV .            þó ü  û ýüü  ûúîûúú     øüü   ñëë âïì ú ï  ï âïâ þý ýüö  úùø÷õ   ê õ ùø÷Þô ý ÷õ   ê à  Ûà ùø÷à  ê   ßéÞ éú  Û ã ýì  ü ïâ ß ü  ûéï âïâï  éíèõ öó õòæäçÿçÿ õø   äçáçá  ôóò ö ñð ÷÷  ð ò ð Þø  ïâ ßçûÚïì ú ù ü  ü  àÞ èâæïâï  úø ô  ë  ý ÷÷  ý  ê é ý    é÷øô  ÷÷ ú   êàý    ý ðøêü  ì  ýç ÷÷ ó é  ýý ø              îî ÿ þ þýý   üûüúú     ùýý ûòèè ßûö ö âßß  þýö  ýüûúùø  Ý öïõ öüúùø  ÷öúùø Ý ø  öø ü Üãö õ  ü õ ôôüøù ó  ýòüö ñ  ï ö   øö  ø øööïþ ööîü î   ø öÞ öïûöë  ý üö ö  øû  üï ø  ë õöûîí   ö ö ö òüö ûù   ïîù î ë  ñ èôçèëëô õù  ýüö èëæëæ éüôþë  ô óú  ö òñ øø çö  õáùü  ßß ö  ôôûö úö ð öãöð   ÿ åá ìßêßßß  ö ûù    ð ö   øø    ïöî öö  ö îøù øøû ý  ïå ýü õùïÿ ö ë øøÞ öî ý üö  ü ùý üö PERMIT City of Eagan Permit Type:Building Permit Number:EA127908 Date Issued:10/20/2014 Permit Category:ePermit Site Address: 4134 Oakbrooke Tr Lot:6 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Han Cao Nyugen 4134 Oakbrooke Tr Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature For Office Use t ° ,.., EAGAN �� [, a ` � oa • e Perit#. , � a a®2 Permit Fee: 47 RECIE�:_ Date Received: ��lip/ / 41E ^? 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 FCStaff: i'la buildinginspections(&citvofeagan.com CO ? ti 2018 L /''2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?��/j -f� Site Address:f'!'" I�/T!`. A00gg -FA-FA/L.> Unit#: � Q c Name: ,.► --y , / (J ., Phone:(YI(.:5./D' '0555 Residents ��r► Owner Address/City/Zip: / �►�P-».— / lc„ i�� T fZ Applicant is: O, tli,. wner � Contractor 1„ , & "' Description of work: tP a t3 J r .g1, ,r Ab I A t A,/, TYPe of Work r Construction Cost: Multi-Family Building:(Yes /No ) Y ;.n Company:r (,.[� Contact:giell-+. lige Address: / / / / ,A i. City: Aykil&yeg.C ontractor State A y Zip: ✓ 301- Phone0/„- N 0Email: �/ 1j / -1e-. &� jC7. D e b Lead Certificate#: .te a �x*;�w License#: If the project is exempt from lead certification, please explain why: 4.0 _ - g droC 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.submtt are considered.rbe'p:oblic#i G• `" -, i 1t ions o` formation m be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trail" secrets ..4 ... You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.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 • s not to start with•ut a permit; that the work will be in accor nce with the approved plan in the case of work which requires a review and appr.val o *Ian/ x / /1 1Cg • x A iI, *Jr � A plicant's Printed Name A-pli•<nt's Signa ur- DO NOT WRITE BELOW THIS LINE i-/if y G( OKb/ 0 & 1;: , / goo 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 3060°-=- Occupancy 1 i7G -/ MCES System Plan Review Code Edition 7,®/T SAC Units (25%_100% L/) Zoning P/./ City Water — Census Code GY3414 Stories Booster Pump #of Units 1 Square Feet PRV #of Buildings / Length `� Fire Suppression Required Type of Construction ,7 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice Water Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , , Building Inspector RESIDENTIAL FE Base Fee ?r /3494g Q Pte/ - A,br"!rte `r Surcharge Plan Review 5721— MCES 7 ✓ _MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies .. TOTAL Page 2 of 3 For Office Use::::e1 E AG N : ((,)40, (� Date Received: 3/I Z 7> I l 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:(3 buildinginsoections(a�citvofeacian.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite#: Resident/©Weer Name: 3 UD NCNUL(EP Phone: O & � z L Address/City/Zip: J31Zod TRS f Name: 131ZZ-K rAEG A-14 Cc,JAL LLS - License#: ()'?k(51 7h Contractor Address: Ip 03 ((O& �� L City: 7'/U 6 '�'- State: / Yv Zip: 5.503 J Phone: (051 7 S� b /30 Contact: �EEmail: Type of Work New _Replacement —Repair —Rebuild Modify Space _Work in R.O.W. Description of work: tTC 11Et ErOC L RESIDENTIAL Water Heater Water Softener Lawn Irrigation(—RPZ/—PVB) Permit Type Septic System Add Plumbing Fixtures( Main/—Lower Level) I - New Water Turnaround 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 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 $ 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.popherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 BR&`rT I" .11rD(6 op x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test. Final Meter Related Items: Meter Size Radio Read Manometer Staff:.