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4385 Onyx DrCITY OF EAGAN aemarks * Cedar Grove Acquisi£ion Addition CEDAR GROVE #4 Lot l:a Blk 3 Parcel 10 16703 220 03 Owner !51n V1e,'b Street 4385 Onyx Drive Stete E3gan, Mn 55122 go b&U Improvement Da Amount Annuai Years Payment Receipt Date STREET SUR F, STREET RESTOft. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1,304.00 $2.16 25 WATERMAiN * WATERLATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET UGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNSHIP 11T° 850 Eagan Township Town, Hall Dafe .... ./?1.-?.Sr. .._.... _.._ _...'_.._ Stoeies _ To_Be Used For Froni I Depth Heigfii Esf. Cosf Pexmii Fee Remazks . ? WA LOCATION J'1" i - i: - iY - ? i- - ;). i - - •.p _ !u 6 I J? l 7.- ?,;?.q This permi! does no1 auihorize-?ifi?e use of slreets, roa s, eps or side?Ydl? the righi fo creafe any situation which is a nuisance or which presenis a hazard general welfare !o anyone in the crommuniiy. THIS PEAMIT MUST BE qKEP,T Op/ TgyEPAE?MISE WH,oI?LE THE WORK IS IN Thieis fo aeriifp, Shai_..llrDR<EN__.f,K0-6`ti..?._f.Chaspermission !a erec the above desc ' re ' suhjecf fo the a"4isions of ihe 8uilding Ordinanc 1955 ? @<.L...? -A«- 2 ? SL does ii give the owner' or his agenf Yo the healih, sefely, convenienee and PROGRESS. , 3 a.....r22?._. .___ ..__...upon e far Eagan Township adopied April 11. .... ............ ---- --"--------- ---- '--------......--------_ Per ........._-... & ..... . ....... ? ? ? Chairman of Tnwn Board Building?Inspedor ? EAGAN TOWNSHtP BUfLDING PERMfT N? 2093 . ... . .. ..... . .. Ownes ?. '- ?- - -. . . .. . . . ._---..-. .- ------------------- Eagan Townahip --- Address (Pre ni) ..?.........-_------ - -------!?5.._:...-_.-.-.---.--.- - Town Hall Suilder - '---. .................._..._.. ..-..... _ , - Dafe -- -...'------- . ....... .G1 ............:.... Address --------------------- --'-'.------------ '------------------------------------- ..--....--'.. DESCRIPTION Siories To Be Used For Fxon! Depih E3eighi Esi. Cos! Permi! Fee Remarks ?.?; ° -0- " LOCATION Si:eef, Road oz oihex Desc:ipfion of Locaiion I Lo! I Block Addiiion or Taaci 3 I 3 I (° , 'gy. This permit does not aufhorise the use of sireefs, zoads, alleys or sidewalks nor does it give the owner ox his ageni the xighi fo cxeate any si4ualion whiah is a nuisance or which presenYs a hazard !o the healih, safeiy, eonvenience and general welfare !o anyone in the communify. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. y ?aD ?.'- .'°........ . ............... _upon This is !o cerfify, !hal..?.bL:....--- - - ------------------.....----has perm. ?ssion !o ereef a....... °- - the above described premise subjec! !o the provisiona of the Buildia4 Ordinance for Eagan Township adeplad April 11. 1855. '--' .-"!_.... Per ------------------ .. lL3F.:.?'ctei...__------' . ,...........-- . .?-: ........................... ......' - . Chairman of Town Soard ? /? Suilding Inspector 2. 9 CITY USE ONLY pL d # RECEIPT#: SUBD. lJ?-auu'L ? ? RECEIPT DATE: 1999 PLU1IBINH PEfiMIT (itESIDENTiAL) crrYoF EAsAN S$SO PILOT KNOB itD £A6f?N, MN 551 E2 (651) 6$1-4675 Please complete for: ? single family dweltings ? townhomes and condos when perm its are required for each unit ? backflow preventer for underground sprinkler system ------- ------------- - r- - - - __- - - ------ ----------°--- FIXTURES ------------- EACH -------------------_ - # TOTAL 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 TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - y 3.00 x = Rough Openings 1.50 x = @r ` for dwellings under construclion 5.00 X Water Soften " for exisUng dwelling 30.00 X Sprinkler ' fordwellingunderconst. 3.00 = U.G. Spi'inkler ` for existing dwelling 30.00 = AltBrdtiOnS " to existing residence 30.00 = Water Turn Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' nbandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. ° TOTAL ------------------------------------------------------------------------------..... - •- ------------------------------------------------ I hereby acknowled9e that i have read this application, state tt?at ttie information Is correct, antl agree to oomply with all applipble City of Eagan ordinances. It is the applipnPs responsibiliry to notify the properry owner that the Cily of Eagan assumes no Ilabillty for any damages pused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 2 '> OWNERNAME: C cJ ???? ?(?l' 023 2" INSTALLER NAME: p4't4,?^i r_ I Lt&, i%v4 GG, TELEPHONE #: ?-7 le ?I STREET ADORESS: 313 y 060-1- • ?G CITY: sy • Lv cl- gy V'Ir STATE: MAl/ ' ZIP: SS SIGNATURE OF CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 August 15, 1969 Fagan Town Board Eagan Township, Minneaota Gentlemen: Please review the recently conatructed outbuilding at 4385 Onyx Drive in Cedar Grove for violation of the town building code. This building is built within inches o£ my.property line and is a public eyesore. It is improbable that the owner could have obtained a permit to build their shed on or very cloae ta the lot line. However, the building ia on a concrete £oundation and thua appears to be a permanent structure. Pleaae have this building looked at and advise me of your evaluation. Sincerely, Mardell T. Rodgera (Mra.) 4391 Onyx Drive St. Paul, Minneaota 55111 '- - ;. .. - ' l ' S? Sw?' . . /• '? -? ? ? c • r5 ' &v ` 9 4 MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pemvts are rcquired for each unit Date Co Site Address Unit # O.n- Property Owner -& 6? L ? rs e. Telephone # ( (p$ ( ) ?(e ^G z3'Z Contractor 6(j ? Street Address gl,,G46 S City State Zip ,SSO ?oFf os ^0YSS Tele hone # p ((s?51 3z.2-t?i9ZSo The Applicant is _ Owner ??Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30 00 e?_ furnace replacement air exchanger . ? •u air conditioner _ other u'U; L State Surcharge $ .50 Total $ 3o•5G A( Z2 (,.5 G I hereby apply for a Residential Mechanical Pernut 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 with the Mechanical Codes; that I understand this is not a pemrit, but only an application for a permit, and work is not to srart without a pernrit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ?- ApplicanYs Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Pleasc complete for. commercial/industrial buildings multi-family buildings when separate permits aze not required for each dwclling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Appticant is _ Owner _ Contractor _ Other Work Type _ Newconstruction UndergroundTank _Install _Remove _ Interior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature of Work: Permit Fee $SOSO Minimum Fec (includes State Surcharge) Contract Value $ x I% _$ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If pemilt fee is over $1,000, add $.50 per $1,000 Pernut Fee $ Total Fee 1 hereby apply Yor a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work wIll be in conformance with the ordinances and wdes of the City of Eagan and with the Mechanical Codes; that I understand tlris is not a permit, but only an applicadon for a pernut, 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 wluch requires a review and approval of plans. Applicant's Printed Name ApplicanPs Signahue Approved By: , Inspecror Date: rl 4 2-1 5 2006 RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. S 15.130 Date ! I U I U(O Site Street Address 3 Ull Unit # Property Owner 0 !VlOrs-e- Telephone # ((51 ) kL'E V a31- fpi?/vrKS Telephone# (j?I ) 31?-I?v Contracto r -H Z ? _ Address Jr?-) o (yM P-d CitySWte?t ? Zip55WAZ The Applicant is: _ Owner ontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to exisUng dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are instalfing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $730.00 if a 5/8" meter is required) Other: " Water Softener )eOWater Heater $ 15.00 _ new P replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 SWte Surcharge $ 50 ToWI /115-50 I hereby apply for a Residential Plumbing Permit and acknowledge that the Informatlon is compiete ana accuraie; [nac me work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordan with the approved plan in the event a plan is required to b reviewed and approved. ?hd' oreh ?. ApplicanYs Printed Name Applicants ignature Ti F-' t City of Eapn 3830 Pilot Knob Road Eagan MN 55122 ,_ ... ___..... .__..._ Phone: (651) 675-5675 Fax:(657)675-5694 ---------I ? For:Qifice?'LI`re ? ? i /?12 I j Permit #: ?L- I ? Permit Fee: i ? Date Received: ? I I StaH--_':.. I -----------------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION -Date: 8 I? ( D $ Site Address: 4 J ,\ Vc- Tenant: Suite fA of ScL Phone: 6S1 -686 - 0232 K0.'E1^Le, RESIDENT./OWNER - Name: Address/City/Zip: "13gs onn)e, lbr\ Ve? M?J SS/ZZ Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: Constmclion Cost: 7 000. Muki-Family Building: (Yes _/ No ? CONTRACTOR Name: VR RlzW1ofl 2(RYS Qu` WR k? License n: 20 (o34)S 0C- Gc-'ZkALoGk 0-T Address: I2S22- . V0,4? State: .l?A r V"" Zip: 2(( lY - City: ?20 WIZ V L A ?- N Contact Person: Phone: 29 Z- 93 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 7 Minnesota Rules 7672 Energy Code • fiesidential Ventilation Category 7 Worksheet • New Energy Code Worksheet Submitted Category Submitled (4 SUbmi55ion type) • Energy Envelope CalculationsSUbmitled . .. In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7 _Yes _NO If yes, date and address ot master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents ihat you;submitare considered to be public information. Portions of, ` , the Information map be classified as `non publtc, it you provide specific reasons:that would permft the C?ty fo, conclude that the are tiade secrets. ' • ? - I hereby acknowledge that Ihis intormation is complete and accurate; that the work will be in conformance with the ortlinances antl cotles ot the ary or Eagan; ihat I understand ihis is not a permit, 6u[ only an application for a permit, and work is not [o start without a permR; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plFs. ,ROM l? Jv ? 1 1!1 ----?_ ApplicanPs Printed Name , pl'canPs Siar?±s? Page 1 of 3 Use BLUE or BLACK Ink �-----------------, � For O�ce Use � I Clt Qf�� �� ' �,����/:s ; � Permit#: � I 3830 Pi�t Knob Road I Permit Fee: ?�•�b � Eagan MN 55122 � I � Date Received: Phone:(651)675�675 � I Fax:(651)675-5694 � � � Staff: � " •c. �, � :.:. �����������������J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial appiications. Date: 2/5/2015 Site Address: 4385 Onyx Drive Tenant: Ed Morse Suite#: � ��i �� � ������� Name: Ed Morse Phone: 651-686-0232 ,�� � �_� �� ' ��i� t'��� d'�� Address/City/Zip: 4385 Onvx Drive Eaqan MN 55122 � �' _ -. ���.�.s4 ��. = ���_ ' ���� � - �-� �� N8m2: 4ir Macfcrc Haating& C:oolin� L'IC2f1S@#: MR003371 ��= �m� - iii � — �#,� � ,i' ;������„�, Address: 112 on .ord Exchange So�th City: South St Paul �� ��_ �I ��'��;���_ =�E,.'� y � �- ���� �_� ; State: ��_Zip: 5„Sm5 Phone: F�1�����d �"i��`= �3 ��� � � , � Contact: Kim Greene Email: kim�airmastersmn.net �� ��� -� � � �, �� New �Replacement Additional Alteration Demolition � n: �� � i�, �� � " ����r� Description of work: Remove old furnace and install new Amana GMEC9606036N high eff.fur ce. 4 �- � � -� i � x « �uiN� �;yy� � � � -_ - i �,_; [ _ -Y � �� ��r �. .�:. ��I�n Y M ��I��i� * ��!���� �F�(Ih �,� i _ ?—_ � �e I •F����-���€i4�� " _ _ �„ _/ �c 4���� _ _ ���I. 1 ��� - _ y _ - �- �t5 �" RESIDENTIAL COMMERCIAL � ,�� - �ti ��, � ?��� '���'� � � � ' a`� FUf118C@ N@W COI1St�UCt1011 � �flt@f101'�f1lp�OVef11@flf � �,_ = — i – — ��'` ���'� � � Air Conditioner Install Piping �Processed '� '������; Air Exchanger Gas Exterior HVAC Unit ^ � r, � — — — �� ��s"� — Heat Pump Under/Above ground Tank (_Install/_Remove) �� �� �� � �, — — =�' ,��,�_'q��� R`�r Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge* "If contract value is GREATER than$10,010, Surcharge=Contract Value x$0:0005 "'If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. -,_ 1 ` � x Kim Greene x � ��L� �2�--- ApplicanYs Printed Name Applia nt's Signature � �"a- - ad�u = = �,�� E T � � , � 3, =- I �v _ tip� _��.� � � � ii- �, ,. �t� I � � "�� �-A���� � - * _ �' � x �'- - � �� , ji � '; — iH It� :_ i �� � -- i ,� F w , , � � � n: .� ._ r,� �o.- — ",� - �-,� � � Use BLUE or BLACK Ink " . � � r________________� I For Office Use � I /` /I'jj Clt of �a �� ; Permit#: /�` �I`7�' �� �� � � � � � � Permit Fee: �'GG9` -"' � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ���� . - - /� / . Name: �1✓ ��'�j�'C, Phone: ��� �0�� (� �� � Address/City/Zip: ��� 1 (r 'V�, Applicant is: Owner Contraetor Description of work: � �`�`�"-�"^�� Construction Cost: ° �/n�', f t Multi-Family Building: (Yes /No_) Company:__ �V�t.ae,�- ��Vi.`��LC�t�+'� -� Contact: ���t1M i� r�'G`t�P �� ��. _. Address: l �7 .�J� (��7 1�. /��_ City: ,�h 5/��1� State:�Zip: ����' Phone: �a �Z����2 EmaiL• License#:_ �C �`b ��Q�j Lead Certificate#: I 1i t�'I "' J���d-- 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ,�3v r�;- �:� G.L � ' / 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: ��-,R. _ � � : ; � , , � 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.aopherstateonecall.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 it issuance. ./ ` ' X ` �� � J G(vw�� 1'�(u�.�C.l� X Applica ' Prin ed Name Appli a t's Signature Page 1 of 3 �:�'��J �%� ��� it/G`�.` ' , DO NOT WRITE BELOW THIS LINE ������� C� SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (ScreenlGazebo/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 � Occupancy G• / MCES System �" Plan Review / Code Edition d/ �' SAC Units -- (25%_100%✓) Zoning �I City Water Census Code L/ 3H Stories -�' Booster Pump --� #of Units / Square Feet "` PRV ` #of Buildings � Length -� Fire Suppression Required —�' Type of Construction �_ Width "'- 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 Roof: � Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: � , Building Inspector RESIDENTIAL FEES Base Fee I O�" Surcharge Plan Review ,�G MCES SAC City SAC Utility Connection Charge S�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r————————————————— J For Office Use � � � , � I I ' � Permit#: � � I City of �a��� � �,�� � � Permit Fee: � 3830 Pilot Knob Road j I Eagan MN 55122 i Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff: ______________� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION �j�� Date: �� `���Site Address: c_/ � �^ \ � � � ��V\ Tenant: Suite#: �� ` T� � ��p_ /� - �� ��° t�� Name: �� � � "'`��'l� ���`�� Phone: �.5 �' �� �`'C/ ��� �� � � � - � �.� - � Address/City/Zip: � � �� �� _ � i �-�- ;�' � *� Name:�� �—PG�� � ��'���� License#: �� 7o�S� � � Q / �(�/ � ,�� �' Address:�0�{� ��1��`�'�� ,� l�� City: �� \V`Q-(�1 � �.� �, � � 7 6r�-��- 76�� ���� `� ' State: ��1� Zip: �.J"� Phone: .�,�" . ` Contact: ��"� Email: ��C9' � f�^�+` • C°'� ��°����� � ` � New �eplacement _Repair _Rebuild _Modify Space Work in R.O.W. ,F���' �e��f rk �- — — �`�� � En �e u��� �y�e k�� a ������-��-�� � �@SCPIptlOtl Of WOI'�C:'17�Ccn�eC�'PE(o e+� .�{-ro�-{+�e�Sebr r �'�,S�v�k�J ��� � m� RESIDENTIAL � ���,� ��°� a�. ��-��_: "�� � �- Water Heater � � � � � � � � � �' Water Softener ����n�� �; � � C � - � Lawn Irrigation�RPZ/_PVB) °` � � -� � Add Plumbing Fixtures�Main/_Lower LeveQ ����_ � Septic System �- New Water Turnaround ��� � � ���. �� ��� _Abandonment �,- . �§�.- RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround`(includes$5.0o State Surcharge) *Water Turnaround(add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qoqherstateonecall.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 ��`�1h2 4�"�U�A�� X ApplicanYs Printed N me Appl� ant's Signature � ,�_. _ _—�w _�. :.�._ __ ..� __ x = , -._ _- _ �-�� {-��� � _� _ _ _ __ _ _ ����-_ � � � - � _ -a - q� � �� p���O�n�-. , . � ..' �l�� - - �� __- ;: . � . � . ��� � . � __ Nleter�Re a�� .��e�rtls. rt�te� �:. � . +�� a 'i�� _.�.�x �,-�.—���„ _ �.��wt�.�� _��� ' Use BLUE or BLACK Ink --------- j For Office Use j I � Glt of �a a� � Permit#.��S � � � �� � � j Permit Fee:�� ' � I 3830 Pilot Knob Road � � � Date Receive�` �� ` �� � Eagan MN 55122 � � Phone: (651)675-5675 � Staff.��l j Fax: (651)675-5694 �________________� 2015 RESIDENTtAL PLUMBING PERMIT APPLICATION � Date: y C c Site Address: �� �h-y� �/" � �— Tenant: Suite#: R�SId@11tlQWlt@P ' Name: ��/ltG{�.� Phone:(�j�l�2� � "t���� Address J City/2ip: �. � l7 �� ���� ��: Name: 1 License#: �%���fJ��UL) � C011t1"�CtO� Address: , !rL ` l City: ��""o` State: Zip:_L��� Phone; �� vl —� �a � C. Contact: � mail: ' �i, � - �'� Typ�Of WOt'k —New _Replacement _Repair Rebuild _Madify 5pace _Work in R.O.W. Description of work; ` ' RESIDENTIAL �Vllater Heater Water Softener Lawn lrrigation(_RPZ/_PVB) P�t'tilit Type Add Plumbing Fixtures{_Main/_Lowrer Level) Septic System New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(inctudes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Tumaround*(includes State Surcharge) *Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 Septic Svstem New(includes County fee and State Surcharge) ,.,,n TOTAL FEES$ ' -�ti CALL BEFQRE YOU DIG. Calf Gopher State One Call at(B51)454-Q002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 wderstand this is not a permit, but only an application for a permit, and work is not to start wi ut a permit; that the work will be in accordan e with the approved lan in tMe case of work which requires a review and approval of plans. � i.. : X , C Ml. t�1 � X � Ap licant's Printed Name ap licant's Signature FOR OFFfCE USE Reviewed By: 'Date: Required inspectians: Under Ground Rough-1n Air T�st Gas Test Fi�al �Heter Related Item�: `Meter Size Ra�fic�Read Mant�►neter Staff: ' , Use BLUE or BLACK Ink r-----------------'� • I For Office Use � I J� � ' � Permit#: � � � `�' j C��� �� ����� I Permit Fee: �� � 3830 Pitot Knob Road � ' � Eagan MN 55122 RECEIVED � Date Received: � � Phone: (651)675-5675 I I Fax: (651)675-5694 N�V ,� � �0,�� i Staff: i --------------��l,E� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �'.��j 1 j Date: i 1 �t-� f 5 Site Address: �3 �'`� b�`'�� �CL �'��VkYJ Unit#: ���.�,���o��,��� ������� � �� � ��-�-h �. ��� r�n� (� -- - d Z3 � � Name:�� �5L __Phone: S i �a��v RESICIEM� r.._ CjWtl4��'; Address!City/Zip: ����` a�-'�� Dr �:��" r +r� 1�"�'� J`�`J 12..Z-. Applicant is: Owner �Contractor `"` Description of work:��r'�-1��v� 1�-C�i'v�o�e,� 1 l,.t!�,l�l a +- �-tl ��� ��:Se m�_,r�.�"" Tyl`p+e Of il#�O I`k, = Construction Cost:������ Multi-Family Building: (Yes /No� /1 �'�- ��� Company:l.-��1�.�.►'Y1Q�1G� �S�GYI L.�� Contact: �u-YY1rrr,� ��t,1,�1�u.S �t��l�t'�C'�C Address: �C� �7`� ��1r��� City: ��• �L�1�5 �1`kK��. �1n ,L �1 State:'v t� Zip:�5'7��f Phone: �j���'��-��maiL� I�LYVt►'Yl�(��h4�►9ir�1��f�-s�`V v�. lr�� II License#: ,�C-�yf��ti S��- Lead Certificate#: ' If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: �1FD��:plans and��ppQnt�n�raloct�rnent�ti��t yvu subtt���ar�e�c�»s�de�ed to b�:�a�rb��c lt��arrr�tion. .Fart�o�' ' ' t�i��'c+r�na-tic���aay be classi�ed'a�non-pct��c�#,�o�p�o�i�1��p�c�f��re�sons tlrat wt�r�p�rrr��t tMe Ci�y�to ccar�c,��tle tMat�e .=�r�t��e secre�.- '! : 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.aopherstateonecall.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 �ccordance with the approved plan in the case of work which requires a review and appr al of plans. Exterior work authorized by a building permit issued in accordance with the Minne o a State Buildi g C de must be completed within 180 days of it issuance. .�✓ C� m �,�v� 2- X Applicant's Printe ame Applicant s Signat Page 1 of 3 DO NOT WRITE BELOW THIS LINE � ��I�C� � SUB TYPES 3�� O Y"f� `J� Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) �p Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Muiti) 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 `� � ��-� Occupancy �1��� l MCES System Plan Review Code Edition M�Zo iSr SAC Units (25%_ 100%�) Zoning � -1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction v ,�j Width 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 Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final '� Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation �S Windows — �A�2Ci (s� s�JZ v-te ��o�f� Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In lFinal Braced Walls Erosion Control Other: Reviewed By: `�t� �/V� �/�/�� +� , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 1�.,` r"�C���n ��`�'�'���' l Plan Review nncEs sAc �? 2� ?� ► `Z' � 1 �l�( X 2��� s� �v��--�— -� � o r,�.�� City SAC 1 �-- 2�,��� c-�. S l���-t i���k '� � �( 3 �� ��-Scvr�e Utility Connection Charge �y�p_ o� S&W Permit&Surcharge Treatment Plant Copies t - i�� � ��{�• �c7 �G'e �t2 TOTAL "����3, J�R) v �,`�`� Page 2 of 3 4,11 City oiEaQau 3930 Pilot Knob Road Eagan MN 55122 Phone; (651) 675.5675 Fax: (661) 675-0694 r if 1 Use BLUE or BLACK Ink ' I r 4 For Office UAe Per►nit #: I 1�/O`er n/ (9' Permit Feel n C Date Received: Staff: 2017 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: Description Of Work: N► City Sewer City Water J( Repair Disconnect air � IA • dlF - 1/ /G #11 kouSC J flte_LOMQ Street Address for Proposed Work 1_8 h X - ---- Name: Oc�-k ©r e S Phone: 1.0 66'6- Oftc.R Owner Information Address / City / zip: I'/3 gs" 0^ r /114/ Applicant is: — Owner ,, Contractor Licensed Pipelayer Master Plumber ^ Property Owner Name: ;1 Tf_, • Ct 7L44e, if Phone: 676 3 %I'_ 89 a, Address ! City ! Zip: �� O y �Y 0 W t r V s3'1( Pipelayer Training Certification Card #: e�• 0� 6 — or Master Plumber License #: I acknowledge that the information Is complete and accurate and that the work will be In conformance �oatlen for ordinances annd cod s es of the City of Eagan and the State of MN Statutes. I understand this Is not a permit, but only an app' not to start without a permit Applicant (Print Name) Ca11�48 BEFOREsefore youintend fito di9call to receive IccatesOne of underground uti�lities02www.aophprotection ersta eone�a 1 o underground utility damage. Web nes Signaturew� T00t1 XVA Lb:OT LTOZ/ST/ZOi