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1404 Oster Dr? CASH RECEIPT J 4 CITY OF EAGAN o . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 J r DATE ?` ? ? 19 ] 1 nECErvEa AMOUNT $ 8 DOLLARS sw ? CASH p CHECK -* (; n 1 i 4i 3 Whda---P8,sm Copy ? Yellaw--PostintJ CoPI' Pink--Ftle Copy Thank You ev : ;? .. . DATE: FEB 21, 1992 RE: 1404 OSTER DR (VALLEY INVESTMENTS CONST) X Your Sewer 8 Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. J Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ?. • »I At BUILDING PERMIT To be used for;, SP DS Site Ad rE Lot Parcel No. Block •r. .?.q.??? ,. . . .. ' . ' . CITY OF EAGAN `2 0112 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I,r PHONE: 681-4675 Receipt ? AK Est. Value $74,000 Date FEfi 14 Name ?ALLLT iavasnWEaTS coW W qddress 2601 LEXINGTOti AVE S 0 Cky !lBNDO'[A _ HTS NN ZP cc IV8ff1@ ••ev?a. ? Address City Zp Phaie cg I ;?n. 9 0004241 I hereby acknowiege that I have read this application and state that the information is correct and agree to comply with all applicable Stale ol Minnesota Statutes and City of Eagan Qrdinances. Signature of Permitee A Building Permit is issued to: VALLEY INYES?lEtIT3 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ' OFFICE USE ONLY Occupancy R!3 II,L FEES ZoninQ R^ 1 BkiB. Pe"Tt 523.00 (Actual) Const y`N $uaharge 37•00 (alowawe) V?N Plen Review 340.00 # ot Stwies Lengih ? ? 5.00 Depth 38' SAC,City 100•00 S:F. Sotal - SAC, MCWCC ?? *00 S.F. Footprints - 675.00 On Site Sewage _ Water Conn On Site weu Water Meter 95.00 Mwcc syscem x 30.00 City Water ? Acct. Deposit PRV Required _ S/W Permit 30•00 Booster Pump - S/W SurCharge .50 Treatment PI 3W' 00 APPROVALS RoadUnit 380•00 Planner Co n il - Park Ded. u c BIdg.Otf. ? _ CoPies .. Variance - TOTAL 3415.30 .? Permlt,No. ParnHt Holder Date Telephone At SAV . ? Pj?1MBING " E , ? // ?? (G S $' 7S Ss2- * WAG Zkl ,9 3 ?s- 9a?-yoir ELEcrar, ELEcMC Inspectlon Date tnsp. Commsnb Footings I -'/2c Foundation Framing 3-792 Hooling Rough Plbg. Rough Htg. • ?, l? lsul. Rreplace ? -IL . Final Htg. . q. ,Q Orsat Test Fuial Plbg. -? , Pibg. Inspector - NoG(y Plumber Const. Metet EngrJPlan Bldg. Final ,! - Z ?LPZ Dedt Ftg. Dedt Final Well Pr. Disp. 3-7 - 72 2 2 (gtr#i#rra#t ,af (Orru?au?y Citp of (tagan arpatm,rnt uf sititd'aug imwprtinn TTiis Cenj/"roale issuedpursuant lo tIre requiremenls of Section 306 of 1J?e Unifonn Buildrng Code certfJying rhar at rhe tfine o}'issuc,ce rhis sarucrune m+as !R conrpliancr wirJ, rlre var,toas ordinancrs ojrhe Cuy regulattng building constnmlioR or Wse. For the jo!lowing.? S,F DWG/GAR 20112 uK cbmwmdm W* Paa rs. _ n ?? VALLEF 1NVESTS ?? 0 LEX1 ' , MENDOTA HTS Owma , , d? Indiry MAY 22,` 2992 n.? oeso.i POST IM A tbNNSP1CU0U5 PU1CE CITY OF EAGAN Remarks Addition OSTER ADDITION Lot 7 Rik 1 Parcel 10-55400-070-01 Owner Street 1404 OSTER DRIVE State EAGAN MV 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURf. $5 1984 4446.25 889.25 5 STREET RESTOR. GRADING **Sewer Lateral 13 3 1984 5581.04 1116.21 5 SAN SEW TRUNK 1968 aid U71C7 arcel 10- 0400 040-75 * SEWER LATERAL 1972 el it of **Water Lateral 1984 5 WATERMAIN * WATER LATERAL 1972 WATER AREA g 35 1984 277.39 55.48 5 **STubs 1984 S STORM SEW TRK ? 1984 487.58 97.52 S **STORM SEW LAT 1984 S CURB & GUTTER SIDEWALK STREET LIGHT WATER COfVN. 9UILDING PER. SAC PARK PERMIT 3830 Eagan, MN 55122-1897 DATE • ?? 14, 1992 OFFICE USE ONLY METER # ? PERMIT DATE CHIP # PERMIT # 12558 METER SIZE B.P. RECEIPT ISSUE DATE B.P. RECEIPT DATE 02120L?2 _ PRV _ BOOSTER PUMP SITE ADDRESS _sWA nSTk.A nR LOT 7 BLOCK _LSEC/SUB OSrER APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ PLUMBER: J BABx PLBG ADDRESS: 678o BA .K TR CITY, STATE INVEk GROVS H?S MN Zip 55077 PHONE: 45 5-1 199 OWNER: VALLEY INVES'TMENT CONST ADDRESS: 9401 tZg?NGTON AVP S CITY, STATE MENDpTA HTS hIN ZIP PHONE: 454-5191 PERMIT REQUESTED X SEWER R WATER - TAP - COMM/IND _X_ RESIDENTIA _1L NEW _ EXISTING Lawn Sprinkler Meters are to be Installe Ahead of Domestic Meters on Water Line Credit WILL NOT be given for Deduct Meter; I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR I SEWER & WATER PERMIT ; CfTY QF EAGAN 3830 Pilot Knab Rd. ? ? Eagan, MN 55122-1897 i ? DATE FER 14, 1992 > ' OFFICE USE OMLY METER # Vf1 S-0 PERMIT OATE 02f ZO/92 CHIP # 4/Z 7 i? o2 .3 7 PERMIT # 12558 METER SIZE S sPA) sY B.P. RECEIPT #l, ? ??Y ?? ISSUE DATE S"' /g '! A B.P. RECEIPT DATE 02.L201 92 - PRV - BOOSTER PUMP I SITE ADDRESS 11404 nS'rFR t]R ; LOT __T_BLOCK _LSECISUB OSTER APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ ZIP ZIP PLUMBER: J BARR PLBG ADDRESS:_ 6780 flARCWK TR CITY, STATE IFFVER GROVE !ITS Mr! ZIP 55077 PHONE 4 ?-:- ' - ?I OWNER: VALLEY INVESTMENTS CONST ADDRESS_ 2401 i_F.XTAi(;IOta AVF g I? CITY, STATE IriEI+T[?AT?1 IRTS MH ZIP ? PHQNE: 454-5191 CING DAYS FOR PROCESSING. CALL ENGINEERING DEPT. PERMIT REGIUESTED x SEWER X WATER _ TAPS ' -COMM/IND X RESIDENTIAL __X_ NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be givgn for Deduct Meters. _ , n ,_ , 11 ? I AGIREEO CO/MPLY WH CITY OF r A/? A l1 Illil? lIl'?r[? ISSUED FaR STORM f ', . ? CITY OF EAGAN ????0 ? ? 2 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 O f ??// '3 BUILDING PERMIT PHONE: 681-4675 Receipt # ? /1 - ?l To be used for , SF Est. Value Site Address 1404 OSTER DR Lot t Block i Sec/Sub. OSTER Parcel No. Name VALLEY INVESTMENTS CONST w qddress 2401 LEXINGTON AVE S 0 ? Cily MENDOTA HTS MN Zp ph,,,,o 454-5191 Q Name SAME ? Address ? CRY ZP Phone g ucense # 0004241 I hereby acknowlege thal I have read this applicalion and state that the inlormalion is corred and agree lo comply with'all applicable State of Minnasota SIa1Nes and Ci/ry[p/Jj Eagan QQrd ances. /J l Signalure ol Permitee '/lLILAS OFFICE USE ONLV FEES Occupancy R-3 M_i 2oning R-a, &d9. Pertnit 523.00 (nauapConst V=N Sumliarge 37.00. (Nlowahle) V-N plan peview 340.00, # oi Slories 48 ' Ucerse 5.00 Lengih Depth 381- SAQ City 100.00 S.F. Total - SAC, MCWCC 700.00 S.F.FOOtprinis - (?7$.00 On Site Sewage - ?Nater Conn On Site Well Waler Meter 95.00 MWCC Syslem X ?ct. Deposit 30.00 ciry Water x PRV Required - S/VJ Permit 30.00 BooslerPump - SlWSurcharge •50 Trealmem PI 300.00 APCROVALS qoad Unii 380.00 A Building Permit is issued to: _YALLEY Ild1ESTMENTS Planner - park Ded. on the express condition that all work shall be done in accordance with ail Councii applicable State of Minnesota StaWtes and City of Eagan Ortlinances. Bldg. On. _ Copies Building Otficial , ?n Variance _ TO7AL 3,215.50 3?r? ;EQUESTrFORoEP ECTRI?CA?LbINSPECTION I [? .?G1R ? "X" Below Work Covered by This Request E6-00001-08 1,95,23F `a a ew? Add Pep, rypeolBuiltling ApplianceSWired EquipmeniWired Home Range Temporary Service Duplex Water Hea7er Electric Heating Apt. Building Dryer Other (Specily) ' CommJlndusirial Fumace Farm Air Contlitioner OtRer?sUeciry) Gonvaomr's Femarks: Compute Mspection Fee Below: u Fee k ServiceEniranceSire Fee # Circuds/Feeders Fee Swimming 0 to 200 Amps ki,( 0 to 100 Amps ? j Transform E Above 200 _ Amps Above 7 0_ Amps SignS Inspector's use Only, O AL Irriga?ion n 9, 5(/ 1 Special Inspection f 9 AlarmlCommunication NECTED IF NOT THIS INSTALLATION MRD Other Fee COMPLETED WITHIN TH . I, the Elechical Inspector, hereby Ro°q"-'" ate? ??? ? certity that the above inspection has been made. ? oate _ L? O OFFICE IISE ONLY TM1is raques vaid 18 montns imm p 43618 Request oale -? Fire No. Raugh-in Inspetlion Requiretl? ? Ready Now ?"MNill Notity Inspector F tl ? ?iWM1 0 '/L 3 'Yes =NO an ea y Ii licensed contractor ,] owner hereby request inspection of above electrical work at: JaE Atltlress (StteaL Box or Route No.) ClyS Seclion No. Township Name or No. Fange No. Counry ? D? w Occupanl(PRINT) n r ? J ?M "Jdl l ?? Phone No. 9/ ?/. ?n? M.ei1 5 , ia -$J Power Supplier Atltlress rvsP 30oo mc'Ai,-,-00 Elecmcal Convacto: ICOmpany Name) Et - - ConVaclor's License No. 7-, ?o Maihng Adnress tCOnrcactor or wner Making Installation ?aS??? /i S S ,,, ? 03.3 o ANpo:izec Si we ICO iac? ??Owner Makin Installatior.? PM1One Number MINNESOTA STATE BOARD OF ELECTFIGTV THIS INSPECTION REOt1EST WILL NOT Griggs-Mitlwey 810g. - Room 5193 c dEHCCEPTED BYTHE STATE BOARD 1821 University Ave., St Paul. MN 55106 UNLESS PPOFER INSPECTION FEE IS Phone (612) 642-OB00 ENCLOSED. HOUSE HEATING TEST RECORD ADDRESS lqoy os 7-?? b „ APT.-FLOOR CITY OCCUPANT HEAT LOSS SOLD BY Electrieal Werk By TYPE OF HEAT GA-FA _L-HW -STEAM _SPACE HTR. -UNIT HTR. OTHER GAS D SIGN GONVERSfON MAKE `7 0 -MAKE OF BURNER Modal 020 - L Model Sxial . Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERM057AT? ?'J Heat Plug Vent Sizs Valvs KIND OF LINE SIZE NO E ? Limir V L ? R.gulnror Draft Hood Limit Satting Fan Setfing Pilot Type k? Pilot Make Pilot Modsl 3) C Pilot Timing L.W. Cut Off rr ?- Prossure 33?L JJ Psrcanf CO2 Inpue CFH '7f L41 Percenf OZ Stock Temp. - ??o Pereent CO Form 235 DATE HTG. INST *3 21 y SUBURB OWNER INSTALLED BY dD Gas Lins By ?a PA ri- Filtera $ize Nu?nbar Chimnsy Location Inside ? Ou}aide -7 Chimney Construction ? Smoke Bom6 Wiring Droft , Tsst Taq Door Pressure q Liyhtiny Insf. Date Tested Company Test' g O` . c' ? ?__ Nama o{ Tester -7? (1 rT. AddresL4 1404 OSTER DR Lot 7 Slk 1 Sec/Sub OSTER ADDITION These items were/were not complete at the tlme of the Final inspection. D[.• S Z 2, Yes No Tnsperfor- Final grade (6" from siding) ?I Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded gzass Trail/curb damage Porch Sasemant finish Deck Please verify with the builder the ramoval of roof tast caps from the plumbing system and the shut-off of water supply to the outside lavn faucet before freeza potential exists. ? naKitoxrtn White - City copy Yellow - Resident copy Pink.- Contractor copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construction ReauiremenU • 3 registered sAe surveys showing sa. R. of lot, sq. R. of house; and all mofed areas (20%maximum lot coverage allowed) • 2 copies of plan showiig 6eam 8 window s¢es; paured found desgn, etc.) • 1 sel ot Energy Calalations • 3 copies of Tree Preserva6on Plan if lot platted afier 711193 • Rim Joist Detail Oplions selection sheet (hldgs with 3 or less units) DATEC/JLy1??? RemodeVReoairReuuiremenh ?Q, n.) . 2 wpies of plan I - ? • i sel of Eneryy Calculatians for heated addi6oro • 1 site survey for e#erior additions & decks . Indicdte if home served by SepGc system for additions VALUATION SITE ADDRESS /-/'0y DSAEr a. MULTI-FAMILY BLDG _ Y 1i1f TYPE OF WORK AJe40 nea FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT /YJ_ .4A.r c o e D C, o n4s-k, STREET ADDRESS 33// L/A je Cj irr-Jr S.G(/. CITY & c STATE // ZIP ?'Sa'?,y2 TELEPHONE # J5,. - ,2.2(0 -,UDICELL PHONE # 6/2 -634 -S4 7.2 FAX # -? i'D_30 PROPERTYOWNERf)A/1I Z?in•i? TELEPHONE# 4/V/D ^ -4 --'_"'."".-----------'-------------'------.__._"_""---'------------°_'--°-----."'...-- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINVE50'1':1 RLZES 7670 CA1'1:GORY 1 MI (J submission [ype) . Residential Ventilation Category 1 Worksheet Submitted • I • Energy Envelope Calculations Submitted Plumbing Conhaetor: _ Phone # PlumUing system includes: _ Water Sottener Lawn Sprinkler _ Water Heater _ No. of R.I. Baths No. of Baths Mechonicai Conhactor: Mechanical system ineludcs Sewer/Water Contractor: Air Conditioning Heal Recovery System Phone # Phone # JUN 1 8 2UOZ P'ce: $70.00 ----------------------------------------------------------------------------°------------------------------°------------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY .ow l ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ?18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous O 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 E#. Alt - SF ? 36 Multl ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding x 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitton (Entire Bldg only) - Give PCA handout to applieant Valuation o O Occu anc 9 3-4Y_ p y MC/ES System Census Code !i1;q Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered . Type of Const ?W/ Width REQUIRED IN SPECTIONS Footings(new bldg) FinaUC O ? Footings(deck) ? . . Final/No C.O. _ Footings (addition) Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final - Fran'mg _ Siding Stucco Stane _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/repfacement) _ Insulation _ Reraining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?- Approved By , Building Inspector ?4z,? ? ? 0-70' ??S ? ..t ? S?. ?'.Y'?X (?' f? s?{?2?r5'??St'"g????'4s A . Y I2p {d`?' d . V'? a "A"t ???i 17.? t??,i u. ?yq? euh ? ?.?," ?",. `«a ? ?'?p?'?' ? 1S`' ?•mN?".?'?y7x"S"f ,eV . t?4? yd dt ?`tPv??c+? 1 r{ F&a ? ?? -.° ? ? abR, a' ? c 1 '??.'b54.''4r .? F. ? 60ELMAR ? t?4 y u A?.u? 4 _ 6ytr z . .- !E • ' LANDBURKYORS.IN6 iMYN1w?A UnM Uw9 of ?Ir BtN? ef MNnwroU . i? 3svP. gt s,.? p}F? ?' ,? TP7476080U7HROBERTTRRIL : ROSEMOUNT,MINNESOTA55088 _ 91Y/I23-1788 +.. F ?^' ?r . . .. . . . . . ' r.,k.'. S',URVEYOH'S CERTIFICATE SCAYJEt n199°49'37"W .R ? sb O r fi ? , p• , ? (!\ ' ?- `?' Vq ? a < ` a.?'" ' ?Y ?z? ?° :'a t? . , '.ofgd { q?,, i ? V } 4 a r i? ?sta l? f ?i .? • ?. ? ? ?4??M'?` ? ?.?#? ? 4 d - ,'. ? '? ,' rt n : ?qa.?,.t?? y' ry' f . r. ,. ?`- ?/?O ? ?/ ? M V •. )` / . ? :' ? ,.. ? 999,64-,? N T'y ? t? 96• ?.G , s? x, O ?. . ' . . .. ? - O \ ly ?, •?y? \ 1 ?,?y 1a': o Denotes Iron Monvment o Denotes Set Wood Rub ?'r,r•`?' . \ ? 9KA Denotes Existinq Elevation ???•• \ -. ?Z ? Denotes Progoted Elevation -'rna h y < h "Y?" ? y i?-rt:.?+ #.?{ M •'? ? ? ? ? A "?i q ?j, kn?t $ ?s PROPC7 Eti GARAGE FIAOR ELEVAT70tV? :, ' .`crire? q004H87149 37,"M?i i .? PROPI?SED TOP Or BLOCK ELEVATION `J .. , 3 . . .? T 0 . PROPOSED LOWaST LEVEL ELEVAPIOPI .? ???SKYuNE ? ? ? 17 i . ' ' . ;, ?. B .. ?: ? V DSSCRIPTION q ? ?' LOT? 7, BLOCK QSTER ApbYT10N, dc?j ? o? recorded plar therp0A94IiiMWkOTA C6t1NTY,?s?1`A'""N?'??Na NE SQT??? ?1 hereby cerlfly thallhis survey. pian, or rapon wss preparoeDymeorundxmydirxteupervisioasnd ,??'rlkd DELMAR H. Inet 1 em a auly RepblereA und surv6yor unaer Ihs lewa of the Stete W Mlnnesola. .. ? £ SCH WANZ 140 . 1-17_92 ?< - 8625 - ?Q,?,? Deimar H. schwenz Osted '9 • y?,??:.. Mlnnesote ReglstrsNOn No. 8825 .,?? SuRV(c RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN ???? 3 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 C) ?c -- NewConstructian Raouiramenis RemodeVReoair Requirements • 3 registered sRe surveys showing sq. ft. of lot, sq. @. of house; and all roofed areas . 2 copies of plan (20°k maximum loi coverege allowed) . 7 sel of Energy Calculatians for heated additions • 2 copies ot plan showing beam & window sizes; poured (ound design, etc.) • 1 sde survey for ezterior additbns & decks • isetofEnergyCalculations . Indicate'rfhomeserved6ysepticsystemforaddNons • 3 copies of Tree Preservation Plan if lol platted after 7/1193 • Rim Jast Detail Oplions selection sheet (bldgs wilh 3 or less unik) DATE ?/? /D oL VALUATION SITEADDRESS MULTI-FAMILYBLDG _Y XN TYPE OF WORK?QWOF 9? R?_S??I `? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS /yN A.4-&OT?iSt A?. CITY?TAT?/I?I ZIP "SSOS`?'? TELEPHONE 0S<?`ffa'_7000CELL PHONE #61,2- 7/0'912-7 FAX # PROPERN TELEPHONE# -------------------------------------- -------- ------------------------------ ------------------- COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNF:SO'CA RULF:S 7670 CA1'EGORY 1 MINNESOTA RULES 7672 (4 su6mission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: ____ Plumbing system includcs: Mechanical Contractor: Mechanical systein includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Phone # Phone # I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinqricesr, _ Signature of OFFICE USE _ Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Pee: $90.00 Fee: $70.00 M?' "?-?'S ? I U and Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4lD2 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Foo[ings(new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plwnhing Foundation HVp,C _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests °Final _ FIammB _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry sac Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total J . y '.x _. REQUIiiEMENTS: SINGLE FAMILY 1992 BUILDING PERMIT APPLICATION CITY OF EAGAN 07O'1 cl 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SEfS OF ARCHI7ECTURAL & STRUCTURAL PLANS, 1 SET OF SPECtFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING QAY OF MONTH IN WHICH REQUEST IS MADE Q LOT CHANGE IS REQUE8TED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CqNTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ? To Be Used For: 5 (bgfL)cS_- Valuation: ? DaYe: /- 30 - 9.2- Site Address lzfoi-l 7T?p_ Lot 7 Block ? r]Nb oDO FFICE U E NLY ? P l S b d Occupancy Bldg Permit arce / u S Zoning R-1 Surcharge Actual Const v- N Pian Review Owner Allowable V-n{ License Fee # of stories SAC, City Address Length SAC, MWCC Depth 38' Water Conn. City/Zip S.F. Totai Water Meter FootpriM S.F. Acct. Deposit Phone S/W Permit On-site sewage S/W Surcharge Contractor JJO-ST i-5 On-site well Treatmerrt PI. s MWCC System i/ ? Road Unit Address [ C nl ;?? F_ City water v Park Ded. . PRV Trail Ded. Ciry/Zip IXE4,?0?? Booster Pump Copies Phone License ?'? r APPROVALS SUBTOTAL Penalry Planner Lot Change Council TOTAL Arch./Engr. Bidg. Off. Varianee Address City/Zip Code Phone # Sewer/WaterLicensedContr. 4 r sewer/wa r permits is two ys once area FEES bl)s,ooi 30,001 Processingtime . ? " agrees that all work shall be done in accordance with ignature Permmee ' il applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ? . VAIL?ATION - • ? GARAGE Z2xz.z= y8y x is ='7Z (, ca 13 s r+ r. Z? K 38 = ?9? ??2Kty= 13??oB I sT FLoo2 ?.? 135?rs'1= =;;,=-°I "12 `?93K 53= SZ?G2q ?-_ ?3,yq? -a ?2 7 9,000 ? CERTIFICATE OF SURVEY FOR: JTM WiLLIAPAS ' DEI_MNR H. SCHWANZ LANOSURVEYOFS,INC. RegiftereU UnCer Lewe ol TM1e 3[tle ol Minneaote 14750 SOUTH ROBERT TRAII ROSEMOUNT, MINNESOTA 55068 612/4231769 J ?do O DP.ilOt2? ITOP MO[lU[rt211t 0 Deiiotes Set v9ood Huh ? f o / 5d' ?"aq?• „n ? • / ? .? ? c7 ? `j? r P N`??, ,? r,A' SURVEYOR'S CERTIFICATE IJB9°¢9'37"W a=.., m. ?,.30 ?' ri.5 \ ? S -- ----- ----a. -- in ?d. -n i ? ?. 41 1, i ? ? `fk?d Denotes Exi.cti..nq Elevati.on (D Denotes PropoGed Elevation y i. i ? . '' ?.. PR020S^aD GARA,E FLOOR ELEVATTON ? ...."._ PROPOS50 TOP OF BLOCK ELEVAT70i7 YL?g, L/ PRO"OSED LOI"'?T L?V?L ^LF'A [7 t ? f? ? I ? N SCA.r,f;: 1" = 30' ?4 N4 , T ? 3 0 ?o O o I ? ? ? J Q. 9OD`? 15.00 To' N81°4`?' 37"W t YL.. .. .. ? ?V TIOt7 Z KYLI . > - , ------ - f}S .... _"? ? IEGAL DESCRIPTION Da LOT 7, BLOCK 1, OSTER ADb7TION,acawo recorded plat th-?reo,tyi_iDA$COTA COIINTY, MINNES?EP'T 1 hereby certify thet this survey, plan, or report was '•;`i»'?;, prepered by ma or under my direct supervision and ??-, ?LLA?9AR H. y? that I em e duly Regislered Lantl Surveyor under ? f the laws of the Stata o1 Minnesota. (, ?CNWANz ???? II r/?!?, 1?A/? V,?\ %?" - U625 - ` = oelmar H. Schwen: Dated 1 17 g2 ???'• ?.¢.MinnasWe Re9istretbn No. 8825 %. ai.[•._ :5?_.,.` MINNESOTA SrM NERGY CODF CALCULATTONS ' BASED ON CHAPTSR 5 OF THE ??/7 ? . M49EL ENERGY CObF,_-1,983 EnrmTnu • Adoption Effective Owner_ Phone Date Site Address ?? 0?-j contractor? Building Classifioation: Type A1 (Sinqle Family & Duplex) 7l? Type A2 (Residential, 3 etories or less) (OVer 3 etories) (vther) HoTfi: ComnlPto pages 3 and 4 firat, GENERAL TNE'O MAmtnN 1. euilding Perimeter?47;3e.7k+9F_4T.?J 2. Wall height (grovnd to eave) ti ft. 3. l. X 2. (above) groes wall area s.ft. 4. Building dimensions (L) °"" X(W) =9U_S sq,ft.roof & floor area 5. Sq. foot area of rim joist - F o jo,1?size (2 X d? X f?i'G (Perimeter) _ ? ?1vsq.ft. 6. Doors - Area ???' g 12 ' Thickness in U. factorA Type of Construotion Perimeter ft, Manufacturer 7. Total door's perimeter ft. S. Windows : Manu cturer t gtate approved U factor t?+" ? TYpE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL „',?- ,?+????? l EACH UNIT3 SQ FBET t 9. Total sq.ft. Glass `I a 1452 10. Firep2ace area: Width X Heiqht 11. Exposed foundation: Height X Perimeter??X??= 1?eq.ft, COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW ICON$TRUCTION, MAJOR REMODELING AlID BUILDING3 BtIN(3 HOVED {VH$RE ENERCiY, OTHER THAN THE MINIHAL CODE ALLOWANCE, IS USED. -1- 12. framing area = lo% of gross wall area. ,13.Gross wall area??i?? sq,ft. Window area A`?? sq.ft. U windows Rim joist area 42 "+` itCrlq,ft. U rim joist= 4o4C'? Door area A_ S?1 ? ?(a sq.ft. U door area= t ``T Other doors area A??1pzsq.ft. U other doors=?"?1 Exposed fndn A S? W sq.ft. 0 foundation= 1('-M' Framing area AL 1 sq.ft. U framing area=lv"T % Nat wall area ALy, ft. U wall= V0 % (17B ) TOTAL . . . . . . . . OxA =????62 UxA UxA = ? ? I UxA = I? UxA = r d ? UxA UxA l1xA 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowak (13. above) x 0.23 (A-2 other residential) x .23 (Other buildinqs) x .28.(over 3 stories) ????? U Code oUH must, be la?ger than or same °LVp'1t? F. A as 138 above 15. Ceilinq framing area (A£) equals 10% of ceilinq area 15A. Gross ceilinq area =(L) .--* x(W) _?L sq.ft. 158. Joist area (Af) = 10% ceiling area =?9'ljf Bq,gt. 15C. Net ceiling area (Ac) (15A - 15B) _014 t 9? Sy,ft, U ceiling x Ac =_X !ov U framinq x Af = 15D. TOTAL U X A ............................. 16 Ceiling area (15A) x 0.026 (A-1 eingle family & duplex) = allowable llxA/Code x 0.033 (A-2 other residential) x 0.06 (other) A(15A ?1?" x U Code ?o G+? oTUH muat be•larger than or same f F. ae 15D above NoTE: Use U and A values obtained from paqes 1, 3 and 4. CERTIFICAT?oN: I hereby certify that I have calculated the °U° faatoza and "R" values herein and that the buildinq here described meets or exceeds the State of Minnesota Energy Cvnservation Act. Date signature -2- ? ?3z v I ?t?! ?? to`I k?? Co-?- 3?-?=??j?- L?a? =°( 2 r? C?? cf? -7 'Za i Y4. ? ?\-???-+.n S 6rl Va Cp= Cp ? 0 X Cp"c. 24x?4?q I a x 4 = ?,q.co ?ox"Z = 0;0? 1 O oo-? 1 o 20t 0 0(0 ,?.i cta,o 4o 9 l,l02 WALL SECTION STUD SECTION 24D WALZ SECTION. R1M JOIST u vALut UALcuLa n oKs R VALUE Inside ait fllm .68 Interivc wall •? Insulatlon 11.0 Sheathing 2.0(D Siding ,(D1 Outstde air film .17 R TOTAL ? Instde.air film ' .68 Interiar r+all • 45 stud ((p") R= *OW(pr5 (Ftaming) U . R = Sheathing ?S Siding CO -7 . ? Outside air Eiln .17 R TOTAL I a?j Interior aall tion (Wa ll U R i q or wall covering R! or air film R a.17 R TOTAL ln[ertor?alr "film R= .68 lnsulation 101•0 ? ?---' '1? tnch soft wood R=1.88 (Rim U "• +` J015t) ? ?? Sheathing Extetior wall covecing .?? 1 - _. Exteriot air film R?-- .17 . \ R TOTAL Z? • ?CO Interior atr Eilm R= .68 Insula:ton S,O Foundation ZS E:cteitor air filn R= .17 F TOfAL (.? 3 -Exposed 31ock `.?.\; .,\?Grade U UALUE (uall) U - R . ? / , 1 (Fdn.) U = R = ? 3. 'FTi•ING WITH VENTED ATTIC SPACE ABOVE R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.61 ??• d Insulation 44.0 4.38 JoiBt ------- 0.56 Ceiling 0.56 0.61 AirFilm 0.61 42' . I ?O Tota1R . D22j v - 1/R . 022. Window infiltration 0.5 cfm/lineal Residential door infiltration 0.5 requirement Non-residential door infiltration foot of crack cfm/square foot or door and minimum code 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.8 Ub 12" lightweight block = .32 R 3.1 Ub 12" lightweiqht block insulated cores = .12 R 8.3 U single glass = 1.13; with storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and-ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. A CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # D .S MUf7? A"I1' DATE: f?-- R,E$ID$NTIAS." PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. --------- WORK --------------- DESCRIPTION --------- ---------- --°°------ --------------°---- COMPLETE THE FOLLOWING: N0. FIXTURES EA. NEW CONST ? ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 ? BATH TUB 3.00 ? LAVATORY 3.00 OWNER NAME: V e? i(a.i e?hi4-e:t3 ? KITCHEN SINK 3.00 i LAUNDRY TRAY 3.00 SITE ADDRES S:? O ST? Y 1 9?^ _ HOT TUB/SPA 3.00 L WATER HEATER 3.00 LOT:? BLOCK / SUBD. ? i FLOOR DRAIN 3.00 / GAS PIPING DUT. INSTALLER: 6.1 S7` ?l,e. Gtiv?i'e? ? ? (MINIMIJM - 1) 3.00 ? OPENINGS ROUGH 1 50 ADDRESS: 1420-.?. ?W? OTHER ? WATER SOFTENER 5.00 CITY: Y1?. R-njo'fct 371+1 ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: ('p b D? r 0 0 j?7- SUBTOTAL ST. SURCHARGE TOTAL .T'.a.? ?, na ? ;, o 0 ? _ tl O ? ,oa ao y so s ?s'S"o .50 TOTAL: S 0 ,4cvO0 aOMMERGIAIMUU$TRSAL?` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND . ......... BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: ZIP: FEES 1% OF CONTRACT FEE. STATE Si3RCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN • ? 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454 8100 )ftGHANICA7.: PEIi?lI'?: FEES ---- -------------------------------------------' WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR OWNER NAME: U 'S.R---L., SITE ADDRESS : ? Li f3 ? D? I?) /\ • LOT: 7 BLOCK ___ SUBD. (`lAU INSTALLER: nnDRES s: 3260 GORHAM AVE OtAZ6 CITY: SALES 929-6767 SERVIq A"1 PHONE #: FOR CITY USE ONLY PERMIT # '0y? RECEIPT # 0 DATE : 412F?Q=Z ?1 ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00-- 6.00 3.00-- $ a?.ao .50 S ?7. Sa IJ -.6 -'- 37 r y SIGNATURE OF PERMITTEE RAMME&GTAL INAt1S'`RXAI.:;PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, 1...... APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARR NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PP.QCESS°D PIPIP?C _ $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN ;)-a ? j 2OWgUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4875 . ? New ConahueHon Reauiremenh Remodel/Reoait RewlremeMa ? 3 regdateretl alte wrveya ahowing sq, fl. of lot, sq. fl. d house 2 copiea W plan and pp roofed areas (2096 mmAmum tot covemae allowetl) 1 aet of energy ailcWaNOns lor heated adtllflona ? 2 coples of. plaru (ahow beqm d wlndow slzea; poured Ind. dealgn; etc.) 1 aita suney for axtedor aqditlona & decks > 1 aef of energy calculaflaiE > 3 coplea of hee preaervaBon plan it tot plaMed aller 7/1 /93 DATE: CONSTRUCTION COST: 00 DESCRIP'fION OF WORK: M?`?-• A?? Ctx?x? STREETADDRESS: 1LA0A l J--A- e-C' 'DC LOT: ? BLOCK: SUBD./P.I.D. N: Name: ic?fl 1t1z u\ Phonetl: IA PROPERTY tast Flrst OWNER Sheef Addreas: 040?-k CS?C.c' Clty ? Qac?.r State: ?l'ltJ zip: 5`? ? al . company: 50CDOJ Qpnsk?,cx) --J7nc. PnoneC -7(?3 '1Ss?-ld?to (area code) COMRACTOR street naarow. ?.ne- uce?? 'V'a4 Exp. c?3-31-0? cih+ srare: (Y11J zID: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheet CBy State: Sewedwater licensed plumber (If Installirw sewedwaterl: Phone #: Lp: I hereby acknowledge ihat I have read Mls appiicafbn, sfate thaf Ihe iMormaHon is cortect, and agree to comply wHh ad appacable State of Minnesota Stahrtes and CHy of Eagan Ordinances. Slgnature of Applicanh OFFICE USE ONLY Certificates of Survey Received _ Yes _ No DEC Z S 2000 D Tree Preservation Plan Received _ Yes _ No _ Not Required 1- Registration #: OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF DweAing ? OS 06-piex ? 17 Garage 0 22 Poroh/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-piex ? 18 Deck ? 23 Porch (screened) ? 04 02-piex ? 10 OB-plex ? 19 Lower Level ? 24 Stortn Damage ? 05 03-plex ? 11 10-plex Pibg _v or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory Bk1g. WORK TYPE ? 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition , ? 37 Demoiish (Bldg)• ? 44 Siding 0 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolitlon permit GENERAL lNFORMATiON SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire 5prinklered Variance ? 31 Ext. Ak - MuIG ? 33 Ext. AR - SF ? 36 Mutti Permit Fee ? 1;15 Surcharge 2;?o Plan Review License MC/ES SAC City SAC W ater Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: -) 9 (P . a l Valuation: SAC Units % SAC CITY USE ONLY PERMIT #: Hqq]"i RECEIPT DATE: MID£NTIAL 1VIECH"ClEI. PERMIT ?PPLICATION crrYoF EAsM S$SO PIWT HAOB iID EA6AA MR 55122 651-681-4675 Piease complete for: ? single family dwellings townhomes and condos when permits are requi:ed for each unit Date: \ - D'S `(D I SITE ADDRESS: I4C4 " P_C?_ n c?:3 (?? I S OWNER NAME:?r-??? INSTALLER NAME?? "Z)??C- STREET ADDRESS: t'4-1 ? TELEPHONE#:1=-A - -4`-'-1 LP (AREA CODE) TELEPHONE #: ? U? - __I?> (AREA COOE) CD,L-(-? 1i ?C CITY: D? STATE: Place a check mark next to the nermit work tvee ZIP: c7,,c?,,q4C1.) New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existinq dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Natureofwork:fl'l-?'?? State Surchar e $ .50 Total cS? Reminder: Cadl for dnspectians. V? S NA F PERMITTEE Opdated 1/Ol CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAL M$CHA1VICAtL PERMiT APPLICATIOR CITY OF EAL6AN 3$30 PILOT KNOB fiD EAL6AN,14IR 55122 , 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CIT'Y: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank _ InteriorImprovement Remove U.G. Tank _ Processed Piping Specify Nature of Work When instafling/removing underground tank, cald 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of coniract pr.cz OR $50.00 minimuni fee, wnichever is greater. - - ' Underground tank removaUinstallarion = m;n;m„m fee Contract pnce: $ x 1%_$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNA'I'URE OF PERMITTEE PHONE #: (naen coDa) Updated 1/Ol PERMIT # ?! "1 t1 / c? RECEIPTDATE ;IZ)_I V, RnIDEN7LAL PLUM$INfi PEgM1T APPLICATION crrY oF EAsm 8830 Pu.ar KNos su E?ssx, Mx $sYSs 651-6$1-4678 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system ?. SITEADDRESS: OWNER NAME:???? iELEPHONE #W:??'l (AREA CODE) INSTALLERNAME:?17i? TELEPHONE#_ LL3 STREETADDRESS: J-??? rC_:?_ (AREACODE) CITY: STATE: ZIP: ?--??- 7 Place a check mark next to the eemit work t e New residential dwelling unit under construction and not ownedoccupied $ 90.00 Add-on, modification or alteration to existinq dweiling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ . lawn irrigation system • waterturnaround Nature of work: Septic System, new/refurbished - $ 225.00 a ircludes Ccunty & Co.^.sulting !r.spec+.or fees • requires MPC license State Surcharge $ .50 Total $ ?' Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this appliption, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsi6ility to notify the property owner that the City of Eagan assumes i'dbility for any damages ra sed by the City during its normal operalional and maintenance activities to the facilities constructed under this permit wit ' Cit pertylrig ?way/eas ment. SIGNATUR O PERMITTEE Updated 1101 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130183 Date Issued:04/09/2015 Permit Category:ePermit Site Address: 1404 Oster Dr Lot:7 Block: 1 Addition: Oster PID:10-55400-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Patty Arneson 7803 Drake Rd 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 - Daniel S Zarich 1404 Oster Dr Eagan MN 55121 (651) 278-7720 Arneson Heating & Cooling Llc 7803 Drake Road St Paul MN 55125 (651) 459-3360 Applicant/Permitee: Signature Issued By: Signature