2079 Opal DrEAGAN TOWNSHIP
ILDING
Address (preeeni) `.?
Huilder ----_........................
Addrem ............................
Sforie To He Usi
C
5lreei, Road or
LOCA
M IT
Gy??I 'W'<<. l
N?
Eagan TowasLip
Town Hall
Da!€7' -c%..'. ........... {..........
....
or
This permit dces not authoxue !he use of sireels, roada, allepa or sidewalks noi does it give the owner os his ageni
the sigh! !o cseafe any situafion?which is a nuisance or which presenfs a hazard io the healih, safelp, eonvenienae and
general welfare So anyone in ihe. ommunity.
THfS PERMIT MUST , , T TFIE P MIS£/??;yy, ?H?IEit: ?THE WORK IS IN PROGAES`g?
This is !o carfify, iha?/? ._...._.._..?.?.._'??,?',? ,..?.--., faspermisaion !o ereet a.,..?._Z? ........_..' ..fl----------- ------ upon
The'sbove desc ibe :emise sub' af the xoVisions of the Building Ordinance foz Eagan Tow ' adopfed April 11.
1955. r /
---'.-_......'-\-- °- -- ----"-- ----' -- ---'- - -' --'-"--.. Per --------- ------------ ------------------------------- ......
... ...
Chairm of Tow ard . Building Inspectos
CITYOFEAGAN Remarks * Cedar Grone Mqlduitinn _
Addition CEDAR GRp Lot 11 aik ( Parcel 10 16700 170 06
Owner C 0.?A e't (YIQ treet 2079 agal Drive State EaLg? , MN 55222
Improvement Qate Amount Annual Years Payment Receipt Date
STREETSURF. 19 8 5 1266.95 84.46 15 1266.95
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
WATERLATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIpEWALK
STREET LIGHT
WATER CONN.
BUILDINGPER.
SAC
PARK
?
Reoaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print /egrWy
Tot
1. Date 2. Inallation Cost
3. Job Address -2 7 OPCX- t Lot Blk. Tract
4. Owner "
5. Contractor Phone
6. Address
7. CitY State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter 11 Repair ?
1 10. Describe
Fuel Type
No, Eguinment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true end correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Fiough Fin ?
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITY USE ONLY
PEILNIIT #: _-7 S I09 RECEIPT DATE: 5--3 -O 1
RESIDENTIkL M£CH4NICAL PERMIT APPLICATiON
crrY oF EAsAx
3830 PILOT KNOB ftD
- ' f.A6" MN 55122
651-691-4675
Please complete for: ? single family dweilings
5? r ? O townhomes and condos when permits are required for each unit
Date: ,
SITE ADDRESS: ?ao 6
OWNER NAME:
TELEPHONE #:
(AREA DE)
INSTALLER NAME:S? TELEPHONE #:
4 16 WEgT LqKE STREET . (aRea eooe)
STREET ADDRESS: MINNEAPOLIS, MN SSqpg.pgg,g
CITY:
STATE:
ZIP:
Place a check mark next to the nermit work tvoe -- - -
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
IAY
Nature of work: 0 3 2001
State Surchar e $ 50
I Total $
Reminder: Ca!! for inspections.
i
SIGNATURE OF P E
Updaicd Ii01
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: &rr% Gre`.?? , INSPECTOR
COMMERCIAL liECRANICAL PFIUM1T APP11CATION
CITY OF f AsLAP
3$30 PILOT KNOB RD
£A614ft, MN 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
O WNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
PHONE #:
(AREA CODE)
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
WORK TYPE: New canshvction
_ Interior Improvement
_ Processed Piping
Specify Nanue
ZIP:
Install U.G. Tank
Remove U.G. Tank
Wken ii:sta[ling/removrng underground tank, ca!! 651-68I-4675 far inspection by Fire iYtarshal and
Plumbing linspector.
Fees: l% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: S x 1%= $ (Base Fee)
State surcharge
TOTAL
$
calcula[e at 3.50 for each $ 1,000 Base Fee
SIGNATURE OF PERNIITTEE
PHONE#: -
(AREA CODE)
STATE:
Updated 1/01
L cin use oNLv RECEIPT #: /05 Fl
SU 1 BD. BL ? RECEIPT DATE:
0
N.Vmii-vt:3tn1r-5fJ
1999 PLUMBINC PEfiMIT (RSIDENI7AL)
crrY oF Ea?sM
5830 PILOT KNOB fiD
f.kfiAN, MN 55122
(651)6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for undergro und sprinkler system
?- - - ------------ --- - - ____»----------
FIXTURES ------ ----- - -
EACH - - - - - --------- -'---
# ------------- -------- -----
TOTAL
Shower 3.00 x =
Watsr Closet 3.00 x =
Bath Tub 3A0 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa
Water Heater 3.00
3.00 x =
x 1?C =
?3D-`3O
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under consUuction 5.00 X =
Water Softener ` for exiscing dweniny 30.00 x =
U.G. Sprinkler ' for dwellin9 under const. 3.00 =
U.G. Sprinkler ' for axisting dwelling 30.00 =
Alterations ' to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System * MPC iic. 75.00
=
(new and refurbished systems)
Private Disposal Systems ' nbandonmem 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE 50
Reminder: Ca11 681-467 5 for inspections of water heaters, ?
water softeners, alterations, etc.
TOTAL
3t? .?L7
---------------------------------------,-----------------------------------------, --* ------------------------------*---.._ _._...-*-----------
I hereby adcnowledge that I have read this applicatlon, state that the infortnation is corted and agree lo compry wifh all applicable City of Eagan ordinances.
It is the applicanYS responsibility to notity the property owner fhat the City of Eagan auumes no liability for any damages pused by the Ciry dunng ifs normal
aperational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easemenl.
SITE ApDRESS:
OWNER NAME:
INSTALLER NAME: TELEPHONE #:
STREETaDDRESS: & WATER SPECIALTIES, IIYC.
CITY: QVION KAPPaID,i M?INN?aS?OTA 5544$ STATE:
ZIP:
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999
7q/ /2 zoos RESIDENTIAL BUILDING rExMtT arPLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements 3 regisiere-0 stte surveys showing sq. iL of Vot sq. fL of house; and aIl roofed areas
(20% ma)fmum lot wverage a0owed)
2 wpies of plan showing beam 6 wiMow sizes; poured found design, etc.
1 setof Energy GalcuVations
3 copies of Tree Preserva5im Plan if lot plaried atter 711193
Rim Joist Detail Options selec6on sheet (buildings wdh 3 orless un'rfs)
Winnegasco mechanical ven6lation form
RemodeVReoair Reouirements
2 copies oiplan showing footings, beams, joisis
1 set oi Eneigy Calwlations for heated addifions
i site survey for additions &decks
Addition • indicate i7wi-site sepfic sysfem
JoZS ?
Otfice Ne di'v
Cerl oF61in2y ReR3 ";'?.:; , G ?=? Y' --r'N
,„?..,.
'freePres;Requilesl?-:-:•_'==.".1', =' ?1
Dirzite Se`plic S?%slem;.: Y=°=N
Date ? / ;?I/
Site Address ? G 7 ° (?
vGQ Construction Cost
Unit/Ste #
DescripYionofWork KQ I'c"01' t""`dO-7
MaTti-Family Bldg _ Y fi N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # (??l ) tf o (a
Contractor ` ,i ?t°"r?ei"'°"'( S -G"?? •
Address ?lGu
State ("' f-?/ac-?,. /?rrew?r? ?/4`oftf _ City 6/00M .
?l5
Zip Telephone#(9 5:2) FF1
COMPLETE THIS AREA ONLY IF CONSTRIJCTING A PfE1R1 BUILDING
Minnesota Rules 7670 Cate? Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(q submission type) Submiried Submitted
• Energy Envelope Calcula6ons Submitted
In the last 12 months, has the City of Eogan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of mazter plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # f
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a perxnit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Na e
Ap icanYs 5i e
DO NOT WRiTE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 37 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 OSplex ? 13 16-plez ? 20 Pool ? 30 AccessoryBldg
? OS 06-plex ? 16 Fireplace 'O 21 Porch (3-sea.) ? 31 Exk Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 OB-plex ? 18 Dack ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 12 12-plex ? 25 Miscellaneous
? 35 Int improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
`Demoli8on (Entire Bidg) - G ive PCA handout to applicant
DBSCfipti011: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width -
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings(deck) FinallC.O.
_ Footings (addition) FinallNo C.O.
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ FmminB _ Siding
Stucco Lath
Stone Lath
Brick
_ Fireplace _ RI. _ Air Test _
_ Final _
_
_
Windows
_ Tnsulation _ Retaining Wall
Approved By.
Building Inspecfor
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
ToEal
Use BLUE or BLACK Ink
r----------------�
� For Office Use �
• l
� Permit#: ` � ��
Clty of ����� //`�/,, —
� Permit Fee: 1 `-��E'� �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2015 RESIDENTIAL BUILDING PERN�IT APPLICATION
Date: y'���"/-t� Site Address: 2� � Unit#:
� � Name: ,�z!�,r�� Phone:
Address/City/Zip: Z d jZ ( �i�a�/�'
Applicant is: Owner Contractor
Description of work: 0 1�'' �>�/ ,,..
=v � Construction Cost: �/d 6 Do Multi-Family Building: (Yes /No�
Company: �. _Contact: ��c�e/
�x y '/
� � Address � a _City: � !/
f �
�. _
� '� ; State: ? .�/Zip: �� Phone: l�L—ZLI 33�'in�ail:
r ��
� . ��� ��
� License#: G � � Lead Certificate�t:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTINIG A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan b�ised on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
_ _ � ° _ ::� . _� _ _ .
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 util'�ties. www.qopherstateonecall.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 i:s 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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota St�ite�ing Code must be completed within 180
days of pe � is�nce. _ /
l%�
X Gr a v�'cr�� X /
Applicant's Printed Name Ap icanY:i ignature
Page 1 of 3