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4368 Onyx Dr Use BLUE or BLACK Ink J I For Office Use:.. Permit 0.0 zoo I City of Eap I Permit Fee: 3830 Pilot Knob Road _ I Date Recei d: Eagan MN 55122 e l I Phone: (651) 675-5675 IC Fax: (651) 675-5694 C L Staff: - - - - - - - INFLOW4 INFILTRATION PERMIT APPLICATION J Plumbing / Sewer & Water Date: Site Address: Tenant: Suite Name: QgA 1 Phone: RESIDENT / OWNER V Address / City / Zip: Name: 1-1t S©W Sg (C ar'V License 5 r) P,Wf Address: ~°I I h YV ~ltL- City: 'V upt- CONTRACTOR State:y,f\*3 Zip: Phone: q6_1 b2ti Contact:WeI4.0 ~JJ- rv Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: ©L~ y` Yr t C!~\, &_C.. }4, Z h,j DESCRIPTION FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofea-gan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.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 work which req s a review and approval of plans. x V Y \\e P! x Applicant's Printed-Name Applicant's Signat e FOR OFFICE USE Reviewed By: Dater Required Inspections: Under Ground Rough-In Final CITY OF EAGAN Remarks * Cedar Grove Acc7uisition Addition Lot 4 Blk 1 Parcel 10 16703 n40 01. Owner ??` '? 1 L ??'?' ' Street 4368 OnYX I?ive State ?gan? M?1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STR EET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1,304.00 52.16 25 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW lAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK Receipt MECHANICAL PERMIT CITY OF EAGAN ?? 'r a f Frll in numbered spaces Type or Prini leqibly : No ? . Fee S/C Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. ? Tract ? 4. Owner . / j 5. Contractor Phone `? -- ? 6. Address _?_,? C'?'? /J,l1?': tt,- r?•--- r?- 1? ` .. - .. 7. City _ ? % .,?,,-•- State -' ' Zip 8. 8uilding Type: Residential )& Commercial ? Institutional ? 9. Work Description: New.t Add ?l Alter ? Repair ? 10. Describe Fuel Type 11. No. Eguioment 9TU - M. Ea. Forced Air No. Equipment CFM dfi Ai H Mfg. r an ng: Boilers • Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. _ s Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : " for Rough Fin I / Inspections: Date Insp. Date ?? Insp. ? S This is your permit when numbered and approved. / Approved ClTY OF EAGAN 464-8100 EAGAN TOWNSHIP BUILDING PERMIT Owner ._.......4r0..:i'.A..:..... 4ea:........... Address (pseseni) Builder ...................................... ---------------------------------------- ---------'- Address .._.. DESCRIPTION xQ 1014 Eagan Township Town Hall DaYe ..<.l.F.l..??......................... 5toxies To He Used For Fronf Depih FIeighf Es1. Cosi Pe mit Fee Remarka - or This permit does noi auihorize !he use of tlreets, roads, alleqs or sidewalks nor daes i2 give the owner or his agenS the righilo cteafe any siluatioa which is e nuisance or which presenfs a hazard fo the healfh, satetp, convenience and general wellare fo anyone in the communily. Tk THIS PRIT Eo MI=iMUS?T BE $? EPT ONHE P$EMISE?WHIhas Pe missOi nxio5erecPAqGAESS. 4E `--...- 4W--.-.-----•- -.--.......uPon r the above described gsemise subjecf 2o the provicions of the Building Ordinance for Eagag Tawnship ado ed April 11, 1955. ?_[ f ?/ _'-'-......_.:.......--"'--...._.... Per .......---..... J/L?"'..."I..._. .. Ct?.. ...._._"'._... ___....__'___...... Chairman of Tnwn ard Building Inapeclor a .90 ?4077?j 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4875 a -7 5 ' W RamodW,R.oaif ReauiremeMa J * 3 reglsteretl slfe wneys ahowlnq sq. R of lot, aq. H. of house pntl gl ropfetl arew (5016 rtw)dmum lof coveraae atlowefi > 2 coples of plans (ahow beam & wlndow aizea; poured Ind. deat9n; etc.) > 1 sef of eneryy cafculaHOns > 3 coPfea o1 hee preaervattan plan H lot Dlatte6 aHev 7J1/93 DATE: `f - G1 61) " 2 coplea of plan 1 sef ol energy cdculaMons for heafed adclflons 1 site wivey Iw exfeAOr adtlitlons d decb CONSIRUCTION COST: to 5 rs v ?l DESCRIPiION OF WORK: b L 1>LD-- '' Y' ?OL ' hG STREET ADDRESS: y 3?i S of/}t? k?J?4tQ ? LOT: ? BLOCK: SUBD./P.I.D. #: &;a _ w,.>-oa38 Name: Dvd-ey,., ke3r"n P,ane.: PROPERTY tasl flrst OWNER _ -, , „ .. . Sheet CONTRACTOR ARCHITECT/ ENGINEER Clty cZa 9 C'i ..,, v Stata: k" /1J Zip: 5`J/Q, Z Company: A-)C0 o-'? Phone #: h5-),-?6 r9r?C7G (area code) Sheef Address:?ZZv ?j??l? +?1d' Llcense # ? . `? Exp. C0y '7, Ci ?G,v S1qiB: Company: Name: Telephone #: ( ) Skeef Address: Reglshafion A: CNy State: Sewerlwater licensed plumber (if installina sewerhratarl: Phone #: Zip: iip: I hereby acknowledge that I have read this applicatbn, stpte thaF the informatbn Is conect, and agree to comply wNh ap appffcable StatE of Minnesota Staiutes pnd Ciiy o( Eagan Ordinpncea n ?v Signaiure ot ApplfcanY. ? OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes No ` No - Not Required iviAY - a OFFICE U3E ONLY BUILDING PERMIT SUBTYPES ? 01 FoundaUon ? 07 05-plex ? 13 16-plex ? 21 Porch (3-Sea.) ? 02 SF Dwelling ? OB 06-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage . ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscelianeous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 Ext. Alt - Mutti p 33 Ext. Alt - SP ? 36 Mutti ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demoiish (Foundation) ? 46 WindowslDoors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION 5AC Code # of Stories s9• ff• No. of Units Length sq• ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning - sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stuceo/Stone APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC CITY USE ONLY L? BL RECEIPT#: 0- 0, I 0--)L,13? SUBD. r 11C= 'fe RECEIPT DATE: 1994 PLUM$INEi PERMIT (USIBENTiAL) CI'CY OE £AfiRN S$SO PIL07 KNOB RD EAsax, UN 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 --°----------------------------------------------------------------------------------------------------------------------------------- Alterdtions to existina resldence 30.00 = JC?. 'Q o Water Turn Around 30.00 = Private Disposal System ` MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems " Abandonment 30.00 = RP2 (new installation/repair) 30.00 = FIXTURES EACH # OTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ` tor dweilings under construction 5.00 X U.G. Sprinkl2r ` for dwelling under const. 3.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, ? water softeners, alterations, etc. TOTAL -----------------------------------------------------------------------------------------ce- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appliGable Ciry of Eagan ordinans. It is the applicant's responsibility to notiry the property owner that the City ot Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance aclivities to the facilities wnstructed under this permit within City property/right-of-way/easement. SITE ADDRESS: -7' 12??; L_y`-' [x Di/_ OWNER NAME: keu1 Dj Ufjpeyn INSTALLER NAME: j TELEPHONE STREET ADDRESS: ` e? J CITY: STATE: ZIP: ? SIGNATURE OF PERMITTEE CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1999 2004 RESIDENTIAL BiTII.DING PERNIIT APPLICATION City Of Eagan ?,?? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4 ?fl? New ConsWCtion Reouiremenb RemodeVReoair Reauiremenfs 3 registereA site surveys showing sq. it of lot, sq. R of house; and all roofed areas 2 copies of plan (ZO^k maximum lot coverage allowed) 1 set of Energy Calculations for heated addilions .,;??. 2 wpies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNons & decks ,, _ 15etofEnergyCalculafions AddBion-fndicateifon-siteseptksystem pU„G„?'S,?„e ?; 3 mpies of Tree Preservation Phn it bt pWtled aRer 711f93 Rim Joist Defeil OpUons selection sheet (bidgs with 3 or less unils Date Construction Cost t3 Site Address UniUSte # ?,? 5S zv Description of Work MuIN-Family Bldg _ Y _X N Fireplace(s) _ 0 _ 1 _ 2 Property Owner (1t-ib EM Telephone #( b.i 1) J1W jW7 '%?J'Z ? Contractor 6Ke- lKOa ??aeal i Address C? Jl- i Cit3' State 10 Zip Tetephone # ( *5?,) COMPLETE 7HIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 - Minnesota Rules 7670 Cateeorv 1 Enei'gy COde Category . Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted • Energy Envelope Calculations Submitled Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone # ( Telephone # ( T Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informarion id=sf? . ?aY . that the work will be in conforinance with the ordinances and codes o£ the City of Eagan and the State of MN Statutes; I understand tkus is not a permit, but only an applicaflon 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. c, l,H ?t/ ApplicanYs Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea:) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex 13 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Remof ? 48 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to appliwnt ; Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Itoof Ice & Water Final _ Pool ? Ftgs _ AulGas Tests Final _ _ Framing _ _ Siding _ Swcco _ Stone _ Brick , Fireplace R.I. Air Test _ Final _ Windows _ _ _ _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total Building Inspector RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete £or. Single Family Dwellings & Townhomes and Condos when pemuts aze required for each unit Date 001_ U ? Site Address 0 ru'?( . IInit # mr-is?5.sr 2- 2D4 Proper[y Owner Telephone ti ( (05() (n?i7- I SZ9 Contractor Stree[ Address N). 3 ,X14(6_5 Cit3' State Zip SCJG - Telephone # p! 2. ?. ((O57) 32.2- Bond #• Eapires: The Applicant is Y Owner _ Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger ? air conditioner _ New XReplacement other e? $ .50 i State Surcharge ? t EP 2 3 2003 Total ' $ ) • 60 5G° I hereby apply for a Residential Mechanical Permit and aclmowledge that the information is complete and accwate; that the work vrill be in conformance with the ordinances and codes of the City of Eagan and with the Mechanica] Codes; that I understand this is not a pernrit, but only an applicarion for a pemut, and work is not ro 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 p/la'?ns. t ? ?: ?9... ? t k ? VJ. 1?9., M `S?_ _ ApplicanYs Printed Name Applicant's Signature ? j COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephoue # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenaut Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New construction _Install _ Remove Underground Tank Interior Improvement Schedule inspection during installation or removal of tank Processed Piping Nature of Work: P¢TII]lt F¢¢ $50.50 Mlnimum Fce (includes State Surctiarge) Conhact Value $_ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 =5 $ State Surcharge If pertnit fee is over $1,000, add $.50 per $1,000 Pemrit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemut and aclmowledge 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 with the Mechanical Codes; that I understand this is not a pemut, but only an applicaHon 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. AppGcanPe Printed Name Applicant's Signature Approved By: , Inspector Date: 2006 RESIDENTIAL BUjL,DINCi PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements 3 registered sKe surveys showing sq. h. of lot sq. ft of house; and all roofed areas (20% mazimum lot coverage allowed) 2 mpies of plan showing 6eam & windrnv s¢es; pourad found design, etc. 1 set of Energy CalculaUOns 3 copies of Tree Preservafion Plan if IW pladed after 711/93 Rim Joist Detail Options selection sheet (bulldings with 3 or less uniLs) Minnegasa medianiql venlilalion Sorm RemodeUReoair ReouiremenLs 2 copies of plan showing footings, beams, joisis 1 sel of Energy Caiculations for heated addiGons 1 site survey for addiGOns & decks Adddion - drdicate if on-site septic system Telephone # ( Da[e Construction Cost y3 l!/Li q I•00 Site Address ?Iz( d QnV x L1 ?. UniUSte # Description of Work TPoIl R 1'!3d Multi-Family Btdg _ Y &N Fireplace(s) ? 0 _ 1 _ 2 Property Owner K afl U A-2.1'n Tetephone#(Wi Contractor Rf-(C ? CCaC+Yll Cn SeYVICQS Address Ab7F? Q mt2Mhaha A1,2 C City \r1P1 c ( State Mt') Zip L'??Lf 6(p Telephooe # ((p? a ) c?.l' ? _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculalions Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masier plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( <.? yo,cz ce'?l3se+Ont'v 'R?i^l ='N iree ?res.P_?a2Recd ? '_ N 7reePRS'Req ??? "` Ya-?:N Op`sde Septlc $ystem , Y;'^ N Telephone # ( ) I hereby apply for a Residential Building.Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with 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 pem-ut, 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 wtuch requires a review and approval of plans. 2,YYl S ?& J p dkd2l'a Applicant's Printed Name pplicanYs Signahue PERMIT City of Eagan Permit Type:Building Permit Number:EA112781 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 4368 Onyx Dr Lot:4 Block: 1 Addition: Cedar Grove 4th PID:10-16703-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Betty Engen 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 - Kevin C Undem 4368 Onyx Dr Eagan MN 55122 (651) 687-9329 BAC Construction Services 3032 Minnehaha Ave Minneapolis MN 55406 (612) 721-5500 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123741 Date Issued:06/13/2014 Permit Category:ePermit Site Address: 4368 Onyx Dr Lot:4 Block: 1 Addition: Cedar Grove 4th PID:10-16703-01-040 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. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Kevin C Undem 4368 Onyx Dr Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175641 Date Issued:04/11/2022 Permit Category:ePermit Site Address: 4368 Onyx Dr Lot:4 Block: 1 Addition: Cedar Grove 4th PID:10-16703-01-040 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kevin C & Margaret C Undem 4368 Onyx Dr Saint Paul MN 55122--204 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature