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>AL 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