1502 Palomino TrSEWER & WATER PERMIT
CITY`OF EAGAN .
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
leb.s,1942
OFFICE USE ONLY
METER # PERMIT DATE 02I12/4I
CHIP # PERMIT # 12SlS
METER SIZE B.P. RECEIPT # C 017233
ISSUE DATE B.P. RECEIPT DATE 02L10L92
- PRV _ BOOSTER PUMP
1302 Palomina Trail
SITE AQDRESS
?? !rW"d LWYWnS
BLOCK
LOT SEC/SUB
APPLICANT: Joaa pA M. Miller Conat Inc
ADDRESS: 18133 Gdar Av
CITY, STATE Fa n?ton ZIP 53024
PHONE: 431-2D0 1
PLUMBER: ('-4nz'vya°
ADDRESS:14175R6bert 8t
CITY, STAT? ?Oo?mt ZIP 5068
PHONE: 4
OWNER: -
ADDRESS: -
CITY, STATE
PHONE:
ZIP
PERMIT REQUESTED
? SEWER x WATER - TAPS
- COMM/IND X RESIDENTIAL
_U NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
? ?.?'.`-?l?iP. t; ? •
I GREETO COMPLY)*ITH CITY aF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STURM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN ,,?????
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?, ?„
PHONE: 681-4675
BUILDING PERMIT Receipt # ?
7o be used for SF Dj'''G/GAR Est. value $154,000 Date FBB 10 jg 9Z
Site Address 1302 pAIAHINO tE
Lot 10 Block 3 Sec/Sub. _
Parcel No.
J05EPH M !lILLER CONST II+iC
wAddress 18133 CEDAR AVE S
? City FARMIHC?'T4H MN Zp 55024
Phone '4}6doeft 6 3
cc Name SAME
0
F- Address
citY ZR Phone
# 0002431
1 hereby acknowlege that I have read Ihis application and state that the
information is correct and agree to cQ4n ply with all applicable State of
Minnesota Statutes and City.elfEaT?pFdinan?5.
Signature of Permitee
A Building Permft is issued to: JOSEPFi !'1 HI L[.ER CONST
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 ?
R-3 ?C-t FEES 9
occupancy
Zoning [t-1 Bldg. Pemrt 829.00
+
(Actual) Const V-H Sircharge 77.00
?
V N (Albwable) - Plan Raview 539oOO
8 01 Stories ?r ? 5.00
Langth
?f
100.00
Depth SAG City
S.F. Total - SAC, MCWCC 700•00
S.F. Footprints - 675,?
On Site Sewage _ water Conn
On Sile We11
? Water Meter 95.00
ti+wcc sysiem
?-
?ct. Deposit 30.00
Ciry Water 30•00
PRVRequired _ S/W Permit
Booster Pump - S1W Surcharge • 50
Treatment PI 3W• 00
APPROYALS Road Unit 380.00
Ple"^er - Park Ded.
Council _-
BIdg.ON. - Copies
3,760.30
Variance - TOTAL
I I
Pemiit No.
Parmit Holdar
Date
Telephone #
S/W I - i
PWMsiNG
HvAC
ELECTRIC
ELECTRIC
InspeeNon Date Insp. Commenta
Footings I
Fourxlation
Framing
Roofing
Rough Plbg-
Rough Htg.
i?,i.
Fireplace R3/57-/J? ??O
Final Htg.
o? T?i
Final Plbg. Plbg, inspeclor - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ? - Z b
Dedc Ftg.
Dedc Final
1
Well
Pr. Disp.
92
-3 3
Y y
• ? ? y
t • ??.
(gex#tfirate of Orrupanry
Citp af (tagari
lurpwrMumt a# suning jnwrrtiun
This CeWficate issued pursuant eo tire requinements ojSection 306 of [he Untjorrn Buildtng
Cade cerlifytng 11rat at 1he tune of isurance rhis structure xns in rnnip7iance wftJi 1ke various
orrlinawrs of the Crty regulatutg building cautnuxion or use For the jollowutg:
t)waam6cam. 1502 PAi!lMrAYI lRATT. ekig. iamk No.
OOCUPO" 7* R3/M 1 Zoeing naM;a RI ryw com
O.,,,,.f Mdm ,]OSF.PH M M.iER tiOIJSf IN" 18133 QM AVE S. FAiam??Q
DOMM Add= 1502 .RAID-CU IlRAII, Lomk L10, B3, ROaJOOD DOWNS
? / ppc S/F1Qz
&aft omcw
POST IN A CONSPFCUOUS PLACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
Feb,5,1992
OFFICE USE aNLY
METER #.? -6/717-3 8 PERMIT DATE 02/ iR /92
CHIP #Qa2 PERMIT # 1253S
METER SIZE ? u B.P. RECEIPT # C 017233
iSSUE DATE CL` 6'?Z- B.P. RECEIPT DATE 02/10/92
_ PRV - BOOSTER PUMP
SITE q[?DRESS 150.R Palosino Trail LOT ` BLDCK SEClSUB '
APPUCANT: Joeeph 14. ;ii.ller Const Inc
ADDRESS: 18133 Ce =r °
CITY, STATE a. ngton ZIP 55024
PHONE: 431-2001
PERMIT RECIUESTED
_Z_ SEWER x WATER - TAPS
COMMrIND
-t-- NEW
X RESIDENTIAL
- EXISTfNG
Gens- yan Lawn Sprinkler Meters are to be Installed
PLUMBER: R ? Ahead of Domestic Me#ers on Water Line.
ADDRESS:14175 o Ert 3t Credit WILL NOT be given for Deduci Meters.
CITY, STA4E Rosemonnt ZIP 55068 a
, _ ,/i,
PHONE: 2 GY?=K ?-
I GREE TO COMPL ITH CITY OF
OWNER: _
ADDRESS:
CITY, STATE ZIP 1C 'LA.-
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROdESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
G/
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
yy f??1J 3830 P'651-881•46 5- 55122
New Constraction Reauirements
• 3 registeretl sile surveys showirg sq. h of bt sq. R W house; and all roo(ed areas
(20% maximum bt oomage allaved)
• 2 wpies of plari showinp heam & window sizes; poured found desgn, etc.)
• 1 sei of Energy CalcLIa6ons
• 3 copies ol Tree Preserva6on Plan if lot plaGed after 7/1193
• Rim Joist OeUil OpUons selection shcet (bldgs with 3 a lesa unils)
DATE
.;JB SITE
?I
;- k 7, 7 S
RemodelRteuairReauiremeMS -
. 2 cUpies o( plan
. t sH of Energy Calala6ons tor heated addiGore
. 1 site survey for e#erior additions & decks
?,y ?
VALUATION (EXCLUDING LAND) /?1'I s/ / _
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ?UaV
TYPE OF WORK (Q-e -
APPLICANI?
ADDRESS
PAGER #
FIREPLACE(S
'v
PHONE #
FAX #
) _0 _1 _2 _3
I sY
PCODE ST/?S
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanicai Contractor:
Dlechanical S}s[em Includes:
Sewer/Water Contraetor:
_ Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcant
Certificates of Survey Received _ Tree Preservation Plal? e eived _ Not Required
CELL PHONE #
_ VVater Softener _
_ Water Heater _
No. of Ba[hs
Phone #:
I.arvn Sprinkler
No. of R.I. Baths
Updaled t/07
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-piex O 76 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - MuIG
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 78 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-piex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Watet
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By
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
Building Inspector
DATE: FEB 12, 1992
RE: 1502 PALOMINO TR (JOSEPH M MILLER CONST INC)
?C_ Your Sewer & 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.
_ Your Sewer & Water Permit for the above property cannot be completed for the follo.wing
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 - 454-5100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, EIECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
BUILDING PERMIT
To he used for SF D
CITY OF EAGAN '?D2OO92
3830 Pilot Knob Road,'P.O. 8ox 21-799, Eagan, MN 55121
PHONE: 681-4675
Receipt # o
Est.Value $154,000
i s2?
Site Address 1502 PALOMINO TR
Lot 10 Block -3_ Sec/Sub. SHFRWOOD DOWNS
Parcel No.
¢
w
?
Name .TOSEPH M MILLER
qddress 18133 CEDAR AVE
City FARMINGTON MN Zjp
Phnna 431-2001
? Narne SAME
? Address
pg CiIY ZP
Z Phone
c? Ucense # 0002431
I hereby acknowlege that I have read Ihis applicalion and state that the
intormaUOn is correct and agree to comply wRh all applicable State ot
Minnesota StaWtes and City? Eagpr inanc.
Signature of Permdee T O
A euiidin9 Permit is issued to: .10SEPH M MILLER CONST
on Ihe ezpress condition Ihat all work shall be done in accortlance with all
applrcable State of Mmneitmiq sota Statutes and City of Eagan Ordinances. Bmltling Otlicial 1 d! ?
OFFICE USE ONLY
-- -- -FEES
Occupancy R-3 M1 829
00
Zaning $-1 Bldg. Pertnrt .
(nctuap Const V-N Surcreige 77.00
(Allowable) V-N panReVaW 539.00
# olStones
58'
License
5.00
Length
Depih A-2 ? SAQ City 100.00
S F. Total - SAC, MCWCC 700. 00
S.F. Footprinls -
On Site Sewage _ '/?ater Conn 675.00
On Site Well Water Meter 95.00
MWCC System X
30
00
X Acct Deposit .
City Water
PRV Requrtetl _ S/W Petmil 30.00
Booster Pump - Sfyy Sumharge - Sn
Treatment PI 300_ nn
APPROVALS Road Unit 380.00
Planner - park Ded.
Council
BItlg.Ofl. _ Copies
Variance - TOTAL 3, 760. 9
0
Address:1502 PALQIM IRAII. LoC 10 Blk 3 Sec/SubaERWOpD DWNS
These items were/were not complete at the time of the final nspection.
J? lp f
Date: Yes No
Fina1 grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish v '
Deck
Please verify vith tha builder the removal of roo£ test caps from the plvmbing
system and the shut-of£ of water supply to the outside lawn £aucet before
freeze potential exists. ?
PELYLlEOWRP
White - City copy Yellow - Resident copy Pink - Contractor copy
0/?
J 14824
REQUEST FOR ELECTRICAL INSPECTION
P, See mslrucllons fo r,wmplelmg jhis lorm on back ol yellow copy
X" Below Work Covered by This Request
?.DV` 7-2a1
ew Rep ofBmlding AppliancesWired EqwpmentWiretl
T g ange Temporary Service
Water Heater Electric Heating
ing Dryer O[her (Specity)
Comm./Industnal umace
Farm ir Conditioner
Otner(syecdy) ConVacIDrS Remarks
Compute /nspection Fee Below
R Other Pee # Service Entrance Size Fee # CircurtsiFeetlers Fee
Swimming Pool 0 to 200 Amps 5 0 to 100 Amps 71
Transformers Above 200 _ Amps V00 _ Amps
SignS Inspenor5 Use Only TOTAL
Irngation Booms ?'
?
Special InSpeCtion
V?
Alarm/Communicanon THIS INSTALLATION MAY BE 00DIS ONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 M ?
I, the Electncal Inspector, hereby
td
h
t
i
h
b Rough-m
cer
y t
a
t
e a
ove
nspection has
been made. Final ? ? oace
OFiICE USE ONLY
This reQUest vaE 18 months Gom
3?;J? Y?- /Gu? O /,5
J 4824 /o 133
Request Date ?
L(L/iL
7ep
2
20
1992 Fne No Rough-in Inspectwn
Fequi?g6? ?''!
? Ready Now ?WViii Notiy Inspeclor
v
Whenfl
tl
,f
..
L
l as GNO ea
Y
I licensed contrector ? owner hereby request inspection of above elecirical work at.
Job Atltlress (Streel. Box or Route No ) City
1502 %a2om-iao 7z¢i2 Cagaa
SecOOn N. Township Name or No
Range No
County
I vakota
Occupant(PRINT)
aoe (7'LUea Komee Phone No
431-2001
Power Suppiier Atltlress • •
17¢kot¢ EPect2ic fa2mili (IN 55024
Eleclhcal Comracmr (GOmpany Name) . ComracrorS License No.
17idiaad Uect2ic • 049610
Mailing ADCress ICOntrecror or Owner Making InstallaLOn)
7803 172nd St. Gl. Lakeuie_9e,l7N 55044
Aumo
ze ign wre acro ner Mak Phone NumEer
:
? 432-6688
MINNESOTA STATE BOANO OF ELE RL'?I Y THIS INSPECTION REQUEST WILL NOT
Grlqgs-Mldway BIOg - Roam S-173 BE ACCEPTEO BV THE STATE BOARD
1821 Unrvenfly Ave, SL Paul. MN SSt00 UNLE55 PROPEF INSPECTION FEE IS
Phone(612) 662-0600 ENCLOSED
c-
2006 RESIDENTIAL BUILDING rExnuT arrLicaTiorr
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuchon ReauiremenGs
3 registered site surveys showing sq. ft. of lot, sq. fL ot house, and all roofed areas
(20°h maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy CaICWaUOns
3 copies ot Tree Preservatron Plan i( lot planed aker 7f7193
Rim Joisl Detail Op6ons selection sheet (6utldings with 3 or less uniLS)
Mmnegasco mechaniral venlilation form
Date
Site Address
r-)
Description of Work
Multi-Family Bldg _ Y )( N
Property Owner
S
SWa??
fcr cem u.ZG-.(
t ; SS?
lO?f?ps . a.!
Office Use OnN
Cerl of Survey Recd Y_ N
Tree Pres Plan RemJ _ Y_ N.
TreePresRequired_ - _Y _N
On-site'SepticSystem _Y _N
UniUSte #
Telephone#((,O'' ) (oe1r7,O
Fireside Hearth & Home
cootractor 14399 Huntington Avenue
Address Savage, MN 55378 ,l citY
scate 952.736.7761 MAY p
_ License #20512060 Telephone # ( ? ? ) I ?
L/
BY
COMPLETE THIS AR ONLY O ONSTRUCTING A NEW BUILDING
Energy Code Category
(J submission type)
.
1 _ Minnesota Rules 7672
1 Worksheet • New Energy Code Worksheet
Submitted
• Ffiergy Envelope Cafculations Submitted
In the last 12 months, has the
_ Y _ N If)
Licensed Plumber
Mechanical
S ewer/ W ater
Eagan issued a permit for a similar pian based on a master plan2
e and address of master plan:
Telephone # (
Telephone # (
Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved pl a197rk wluch requires a review and
approval of plans.
??1-?r? 1?C?, 0 0
Applicant's Printed Name Appli t's Signature
RemodeVFteoair Reauiremen4s
2 mpies oi plan showing foo&ngs, beams, joists
1 set of Energy Calcuiations for heated addiUOns
1 stte survey for additions 6 decks
Addrtion - indicafe if on-sife septic system
Construction
LIljC7 j1A I U
i-(IAAt,?6-
Fireplace(s) / 0 _J?,1 _ 2
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
DesGriptiOn: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheehock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Dram Tile Okher
Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final
_
_ Framuig _
_ Siding _ Stucco Lath _ Stone L.ath _Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Buitding Inspector
PERMIT
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 675-5675
Permit Type:
Permit Number:
City of EaPFflilIl Date Issued:
Building
EA070989
10/OS/2005
Site Address: 857 Sudberry Lane
Loh 5 Block: 1 Addition: Sheffield
V?
PID: 10-67600-050-01
Use:
Description:
Sub Type: Fireplace
Work Type: Gas Insert
Description:
Census Code: 434
Occupancy;
Construction Type:
Zoning:
Square Feet:
RCIIl`dCkS' Improvements to the home require smoke detectors in all bedraoms.
? Call for required inspechons: fireplace air test & final. (sn)
Fee Summary: vaiuation: $2,000.00
BL - Base Fee 69.00 0801-4085 Sureharge - Based on Valuation 1.00 90011195
Total Fees: $70.00
c:ontractor:
Fireside Hearth & Home
2700 N Fairview Ave
Roseville, MN 55113
(952) 890-0758
- Applicant - I Owner:
St. Lic.: loan Marie Worlman
857 Sudberry Lane
MN 55121 651-688-6925
I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Arr-"
Applicant/Pcrmrtee: Signature Issued By: Signature
un 59a ? .?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required Cor each unrt
Date?0 /;M_/Cn
Site Address ),7)0 a P( j( )/ ' I 1ff
(L? I Unit #
j7Er
PropcrtyOwner IJQx 4 W)nc/ Telephone#(&51
Centractor
Street Address 4y
City ? 1/l. Y Y I O V ? I I V
lJ)? 13
State Zip 57 Telephone #/ Vj -I l,l/lJ
Bond#:
?? aq?G g?a?
?
Eapires: d?-,?) U'?
Thc AppGcant is _ Owner _)?Qontractor _ Othcr
Add-on or alteration to eaisting dwelling unit $ 30.00
furnace _Additional _ Replacement
air exchanger
? airconditioner _New
-Aeplacement
other
State Surcharge $ 50
Total $ ?G .
I hereby apply for a Residential Mechanical Pernut artd aclmowledge that the uiformation is complete and accurate; tLat the work will
be in confonnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pemut, and work is not to start without a pernut; that ihe work will be in accordance with the
appEM lan in the case of work wluch requires a review and apprwal of plans.
Re,Yl V 17, . n
ApplicanYs Printed Name A ica t's Signatu ? !
2005
L
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
mulh-family buildings when separate pecmits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if appticabte) Previous Tenant Name
Property Owner Telephone # ( )
Coutrxctor
Stmet Address City
State Zip Telephone # ( )
Bond Eapires:
The Applicant is _ Owner _ ConVactor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove '"see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"*When installing/removing underground fank, call for inspection by Fire Marshal and Plumbing Inspector
PCrmit F¢¢s: $70.50 Undergroundtank installationhemwal
$SG.Si] Minimum (includes State Surcharge)
or
Contrac[ Value $ x 1% _ $ Permit Fee
• If pemat fee is $1,000 or less, add $.50 => $ Stale Surcharge
If permit fee is over $1,000, add $50 fot
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Peimit and acknowledge tha[ [he informauon is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes, that I understand this is
not a pennit, but only an appGcafion for a pecmit, and work is not to start without a permit; dia[ Ihe work will be nt accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Prurted Name
ApplicanYs Signaturc
Approved By: , Inspec[or
f 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
(d ? ? `? b City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConslNdion Reaviremenis RemodellReoair Reauirements
3 registered site suNeys showing sq. ft of lot, sq. ft. of house, and all roofed areas 2 ccpies oF plan
(20% mazimum lot coverage allowed) 1 sei of Energy Calculafions for heated adcritions
2 copies of plan showing beam & window sizes, poured found design, elc. . 1 siie survey for add'Nons 8 decks
1 sef of Energy Calalations Addifion - indicate if orvsite septic sysfem
3 copies of Tree Preservalion Plan iF bl platled afler 71153
Rim Joist Detail Options selection sheet (bldgs wdh 3 or less units
'z
,P `7 p.?? lo - i. ?-U y
6ffx04S3niv
CeifotSuiyeyRee'_Y' _N
TF9e?P?e9 AI?#iBi;d':::-:
TrCe PreS;R?SiWred
ORS71ESeP11E.Sy3i3n1.: ' _Y?_.?}
Date fQ_I Z 7- Construction Cost
Site Address ?? O 2 pc /1--? m UniUSte #
G-G2 ct ?l/ 25 Z
Description of Work /r?elUdc? r?i i^E? b?o cio. lP ve=z
Multi-Family Bldg _ Y_ N Firep?ace(s) _ 0_ 1 _ 2
Property Owner /??;?e?m Telephone #(6Sf ) E> Sg - 7 72 7
Contractor
Address CitY
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeo:v 1 _ Minnesota Rules 7672
Energy Code Category . Residential Venlilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submltted
Have you previously constructed a building in Eagan with a similar pian? _ Y
fee applies.
Licensed Plumber
Mechanical Confractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #(
N If so, 25176 pian review
I hereby apply for a Residential Building Permit and acknowledge that the informatio - te;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a 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 ofplans.
12crve- Lc??s? ?
Applicant's Printed?Iame Applicant's Signa7ture
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-pleac ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)w. 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolkion (Entire Bidg) - Gi ve PCA handout to applicant
Valuation Occupancy MCES System
Census Code L'( 3q Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings(addiUOn)
_ Foundation
Drain Tile
Roof Ice& Water Final
? Fratning
? Fireplace _K RI. ?? Air Test _X Final
Insulation
REQUIItED INSPECTIONS
Final/C.O.
? FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ S[ucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: % ?i , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
L L 17,.- ?C 0 r.? z7
? ? v'.?
PLUMBING (RESIDENTIAL)
Permit Application
? City Of Eagan
I 3830 Pilot Knob Road, Eagan Mn 55122
9? Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
/ - I ?
Date/?/Q
Site Address G- 6/7ux?a /5;i? Unit #
PropertyOwnerC /6 E Telephone #(?$r?j-
?7"--
/
Contractor 0
Add ress City
State Zip- 0,?Telephone#
The Applicant is _ Owner X Contractor _ Other
Septic System New _ Refurbished Submit 2 sets ot plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebwld $ 30.00
_ Lawn irrigation system
? Water softener _ Water heater $ 15.00
X-Ireplacement _ additional
-
1
$ 50
State Surcharge
Total $ ?
u -- '
I hereby apply for a Residential Plumbing Permit and acknowledge that4e informaYion is comp7efe and accurate; that the worl: will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand this is ncit u
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wiih ihc
approved plan in the case oFwork which requires a review and approval of plans.
l /??CY ? i?.Q? -
Applicant's Printed Name plicant's Sig ue
CITY OF EAGAN
n 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
, ....
----- ------ -------------------------------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: A,t?t
SITE ADDRESS : v 5 a oa ?o7k-*?n-o 1.i.cu-Y
1 nT •/ U xr nru 3 SUBD.
INSTALLER: GENZ-RYAN PLUMBING & HEATING OaMPANY
ADDRESS: 14745 South Robert Trail
CITY: Rosenount ZIP: 55068
PHONE #: 423-1144
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
?- GAS OUTLETS - MINIMCIM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
FOR CITY IISE ONLY
PERMIT #
RECEIPT
DATE:
TOTAL:
DWELLINGS &
$15.00
24.00 ?
6.00
--: 88 6
dT
.50
/' - - ? - ? ?'/ SIGNATURE OF PE ITT?
POMMERCIA?.?INbU$TATA7:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
.
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE
OWNER NAME:
FEES
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
3830 PIIAT KNOB ROAD
' EAGAN, 2iN 55122
PHONE: (612) 454-8100
..
tizuB?t?G?
W
FOR CITY USE ONLY
PERMIT #
RECEIPT # O O 3
DATE: ?-
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FDR EACH IINIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK ? SUBD.
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount, MN ZIp: 55068
I :ONE #
.
S
PERMITTEE
TOTAL: S _?o CIVr
SUBTOTAL $ fj/Y.S v
ST. SURCHARGE .50
qOMMERGiAi:??ATDi1'STPf:2s` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIZLDINGS AND
? MULTI-FA1fILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWiiER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1$ OF GONTRACT FEE.
STATE SUACHARGE - $.50 FDR
EACH $1,040 OF PERMIT FEE.
$25,00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL;
$
(SIGNATURE)
DWELLINGS
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
/ SHOWER 3.00 ?
_?3 WATER CIASET 3.00 9_
,;Z BATH TUB 3.00 Ga LAVATORY 3.00 ?-1`
KITCHEN SINK 3.00 3'9
? LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
% WATER HEATER 3.00
? FLOOR BRAZN 3.00 3
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 ?3 ?
? ROUGH OPENINGS 1.50 4.Sv
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKI.ER 3.00
CITY OF EAGAN
0•A
?•.fl?
82J•OJ?
7.1 , 00+
539•OOt
2,315•5U+
3j'I6J•50>F
BZ3•00+
77 ,0p+
539•00+
2,317•70F
3y 'T59°5U*
SA UJ4
- 1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
REQUIREMENTS: 90041
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SEf OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SEfS OF ARCHITECTURAL & STRUCTURAL PLANS, i SEf OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QEt LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
TO BB Used For: New xome V8lL8U0l7:? Dete: Feb, 5, 1992
Site Address 1502 Palomino Trail
Lot lo Block s i5y, ooo`
Occupancy
Parcel/Sub Sherwood Downs 2oning
Actuai Const
Owner Allowable
# of stories
Address Length
Depth
City/Zip S.F. Total
Footprint S.F.
Phone
On-site sewage
Contractorlosea M Miller Const Inc On-site well
MWCC System
ACIdfBSS 18133 Cedar Av s Ciry water
' PRV
Gliy/ZIp Farmington 55024 Booster Pump
Phone 431-2001 License 0002431 APPROVALS
Planner
Council
Arch./Engr. Bldg. Off.
varianc8
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr.
for sewer/water permits is rii
Processingtime
= agrees that ail work shail be done in accordance with
Rz3 M-I Bldg Permit
R- I Surcharge
v-N Plan Review
V-- .T License Fee
SAC, City
5B SAC, MWCC
42, Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatmerrt PI.
? Road Unit
?- Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
2 SzD.S
all applicable State of Minnesota Statutes and City of cagan Ordinances.
VALUAT14h4
..?.?
G ARAGE
3Z k 1169
0 x ('ZZ)
? xi2? Cz.y)
?? x 6 = C?y)
6q8 x 15= lo 410
?
aexa°?= ???
a?k ?r?= 336
3s y z =
119'7 X ly =
I ST ?LopR
---- ?
-----
13SMT. = 119'l
C)
J2?3X5?= 651349
qZ8
?fX2 = l?
? x 35 = 70
6X? = 3b
Y,`G= 2ge
-------
I
IS 3 o? )
r r
P. kJ2
?* ** .
CER LPMDSUA`/EYr
'qno FLAnNEFt3- •
T ?
* ?ngi* eerirtg,..
*?,*
t f Survey for: J
/
?°o x 879./z
r
i
d
//ta
Certifica e o - i
House Address: 150 alom+n Trail,,._E? MN
Model Name: Revised Vand_ erbit?
?
?
\
-14' g1g0 l/ ? y?O e?s \? ?? ?\\
/ v ? 9\ -A9S
`° S` ?? \\
? 79.
3s#G,
F
O ?
? ry?
_ ? ? 8a \ "`?•- sevvtc \
o0t " ? glb,g o.p \ \
? \ \
4
'?` 06/
Iz- Cii •t??o// 19.1 ?6 cv L 2' \ \
{? \ \
Q
878•?' \\ e 878,os??,
30 / ? 1?6j\ ^ ss? ?s \ ? ?. Q,\ \
ti
ycj
ti Q\a0 *
1 ?eo r ,? °?>
r
879,38
x ? 1 n
c ? ' i \,1
po
DK
?a :P C0
5 ?
/
g1 /
1 ?f ?^
Iv
,
683,1
• 900.0 Denotes Existing Efevatian
• aoo. Denotes Proposed Elevation
Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction
--o--- Denotes Monument
?•? : . ?,
_ r
+? s
2422 Enterprise Orive
Mendoxe Heights, MN &5120 ,
(612) 681-1914
\
\
\
?
?
\
\
\
l i??° p .n
'J??.
_-?--_--
?;.?t-7? FN:I1?'LER,I?:G v;c,r1
PRdF??S?D HOUSE ELEVAIION
Lowest Floor Elevation:973•16
Top of B1ock Elevation:6131.26
Gordge Slab Elevation: 500-93
e- Qenotes
LOT 10 Offset Hub
, BLOCK Bearings
3 shown ore assumed
SHERWOOD DOWNS
Da,KOTA COUNTY. MINNESOTA YJ
rpg o? Un(ler my dir6ct SUpervfsi? nd ingi I am duiy Regiylervd Land Surveyor
1 herebV certiFy thet this sUlvey, plan Ur report wa?s g[r(?g?1ared bY
und¢r the laws of the Stet4 cif M4nnssol0. Dated this.J? dey of 'A•p79-f-^' ?
?
Scnle. ?Inchc?o08t R BEATB.SIKICH??.S.A6G. 0.14891
la
90206.55
L-cr A???Jico??l
S.+'-??7kc1?
. iiuiUCSUin stnt?i Cu?tinY cuuk cn?.?u?n???n?>
. .' 11UUGL.@IICIIGY COUE 1903 tuill_rll ,
. ' AJo??t?on C((ectjve ?7t7??t'. . .
. . . . ? .
. . ??
• 1'
. ?_.-, --•. ?-- _
?t9o-3a3.
U a t
Oriucr
L ?. k '3
AdJress c?
l?`?=•L?----=???i,'r7YPe A2(Resldentlal). .
Canlractor
Po???lly G.6k'Plex)-_t?.- (3 stofles of essr •
UuIIJI??g Classl?(Icatloil: Ty'pc ?1 (511191C ' 3 starlcs)----?.
s anJ h fli'st. (Otlier),-._.?----' • • •
Com Ictc ia c ? , . .
. , , .
I
GEIIGRAL IIIFOIt11ATIUlI .? N?• v' . . '
. .
P r i l r. G ?Q- ?Y-
1. oullJinq cwcc . , ?
V1 ft. , •
2. 1Jall I?elyht (9rouuJ Co cave) 2 • . ? ? ?,
,aII area?? ? .
ft.2 I'ooF -t, [loar erea
}. I. x 2. (al,ove? gYO55 w
' ? X ?iJ)_..?__-- ^ • .
K)
11. (lullJln9 ? 2
_?? ? r c
1
F l x
Rlw u?st area .,•'
5,. 5quarc foot orca of. rlin Jolsl oor Jolst slr? (
. J??l g pc?'Imcler' °
... . ' 12 ??J?? . , ' ' • .
•' '
?
. ..?: (? • • ,
' - nl'ed l I/o.i1
•(,. u6ors . . f,?. u (actoC?.__i,crlii?cteY ' •
' j h I c Ic n c s s- __-_----?-'
? TYPc i?f Cons[ruc[Iojl
. Ilanu(acUU'cr ' ' .
. .?t.
]. 1ota1 door'S ?eflmcleC , ?
???L-----
a d0V15; II???u(acturcr
??
U (aclor
S12E' NIEA (f1.2?
! • lYt'E • EACII
? _----------
_?-
State approvcJ,
IIUI10CIl oF
ui{l7S
?---
----.-
-----T
?
i
??_ ?1?-' ? • ?
Z G1as ? 1757.`?? .. • ? fl.Z.
. ,
9, lolal ft S
, X?lJ • .
10. Flrcplacc ?ica;? Nidth X hclght °?------? • a i?'? ? ' it.2
. . , j 1 1 <' ? L rtr-?T IICS i
Ile ???[ X I'efline[ef14P?1. JOl??ItU1?EjjjG /?f?ui??? 1
11. Ex9oScd fo????,otloii: iJ , .
FOII'l1EliSYR?aU111E IUoI?Iltnl.?ClouE Al`LI O X IAI,ICE,?IS tl5f4.
C{OVEOE?111E111E EIEIIGY,
- ?.. ,
TOTAL FEfr Z
12
13
?
Fra?ning ar?ea ° IOX,uI yruss uall aica.
• '?'7?U?? 62
' 2 .
Gross tiiall area
. r, rt:
511itd ori area A_
? f t.z
plm Jo'IsL area n__ 2.
c iU fr.
• Ooor arca' A?_..-I • z
.?.?? , U rt.
FU?eUIa?S?area ?- ?L,------?-(t.2
Exposed?(oui?dallon•A
2
FramluO arca A-?l I? ??(??2 f t.
area A ?? •
(L.2 ' G?9J??•j .
I
..?
Ile! riall • _' , • (???)
, ?j(?j U 'x A °,_?.--•,
U xlhJori?
1 1 V 1C ?1 .° 1? . . .
U r{ m J o I s t ayt -.JF?---- . •.
? , G "_ U •x A ' ' ?._ "--? --
U dooY area ' I l I ??L
?_-L u x n °;--
U FU?epl??e•° ? . a ?'???_ ,
U(ou nda t 1 o n° ?? LO U xA --------
??;? .
! 0?5 u
U (i'aminc? aroa ° ? zI ?J!'_?
? ? U x ? '.?---?
U wal 1
A
lOIAL '. . . . .
• '', 1 . alluYiable U x A/Code .
.. ,
f
1q, Gross wall area x 0.11 (n-1 slu9le ainllY L J??Plex
(13. above) X•p,27 (n-Z qU1er reslJetiClal) . . , .
:x .23 (Otller Uulldl195 ) ' pTWI. Ilust be lar9er Uiait
.• X'.2U (Over 7 slorles) • . J ajLC I??--or. 13B above_,?-
°
u cQde.?_A ? .?- .. ? or the..?sama as) .
" ? ecuals 107C of ccilin9 area 15: ? Ce111n9 (raining afca
. • ' ? ?- x ??? ' ? . , . .
ISA. Gross ccllln9 area ° l • , • O (t.Z.
156 , Jolsl ai"e5 (Af). ° IU: ce111n9 arca ° n?? ft.2 ' •?
ISC. Ilet cell Ing area (Ac) (15A - 151 ) 7_ ` p '. (. I ? ?1?? • .
O C
? p•7,?_ x -,?.?Z-- . . .
u«tiiti9 x n CQ.__--- • 0 1 ? .
U fru?ulug x A f°, l-- .......:.......?. ?1 ? . . ?
15u. TO1nL'u x n ? ........................ ,
djiilex - coJc II110Y18bIC U x
? • •
i•ea 15A) x 151u91e fomlly S
IG. Cc111li9 a ? 0.026 (?-1
' . x 0.033 (11-2 other resldential) : . :
x 0..'06 Iollier) .?n,? G1? pbUll I•lust be lar9er Llian..150 (abo%
(o r tli,e• sameN.as?. , .
? o rlg 1_° ?-----
' xuSc - . ,• , .
?ls?l ? ? •
ll anJ A values obtalneJ (?-ow pages l,• 7 n?? ?•
IIOTE: Usc ?'U" factors ond "P'? `?alucs
CEIITIFICNIOIIJ I here?y ecrll(Y II?aC 1 have cnlculntcd tl?e '. .
fefe?n?anJ lL'ut Ihe Lull?ing IioYu 'descilbed mCcls oY excecJs tl?e $tate of 11lnneSOta .
EncrJY Lonsefval?yn Ac[. , . • '
.
519na[ure .
ale • . ? , • , . ?
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FEB ? ? 2009 , ----? 410, City of Eapn I Permit# ?
?
? Permit Fee: ?Q '
3830 Pilot Knob Road ? I
Eagan MN 55122 ? oate Received: ?
Phone: (651) 675-5675 ? I
Fax: (651) 675-5694 ? Stae: i
?-----------------'
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: SiteAddress: 15V L PGZ'( Din I YIo -T06 /
Tenant: Suite #:
RESIUENT / OWNER Name: DeiDifCj VW roncii Phone: {? 1
6?'+
Address / City / Zip: ? / r '
CONTRACTOR Name: License #:
???
Address: oil
City: 3670 Dodd Rd. #100 State: Zip:
?
?
Phone: Contact Person:
/
TYPE OF WORK Replacement Repair _ Rebuild Modify Space _ Work in R.O.W.
_ New V
DescN tion of work: a
PERMIT TYPE RESIDEP(TIAL
? Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
(_ RPZ /_ PVB) (_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) v?
TOTAL FEES $? ' G?v
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wtn tne oroinances ano cooes oi nhe Cily o?l
Eagaq that I understand this is not a permit, hut only an applicalion for a permit, and work is not to start vnthout a permit; ihat the work will be in
accordance with the approved plan in Ihe case ot work which requires a review and approval ot plans.
__ ? ?,+??
x
x
ApplicanYs Printed Name Applica, Signatur
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA102494
Date Issued: 12/20/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1502 Palomino Tr
Lot: 10 Block: 3 Addition: Sherwood Downs
PID: 10-67670-03-100
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector.
952-445-2840
Renae Freimvald
2200 HNoN- 13 W
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Valuation: 5.478.00 Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Genz Rvan Plumbing & Heating David A Wroge
2200 West Highway 13 102 Palomino Tr
Burnsville MN 55337 Eagan MN 55122
(92)767-1000
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106562
Date Issued: 08/28/2012
Permit Category: ePermit
Site Address: 1502 Palomino Tr
Lot: 10 Block: 3 Addition: Sherwood Downs
PID: 10-67670-03-100
Use:
Description:
Sub Type: e-Reroof & Windows/Doors Construction Type:
Work Type: Reroof & Windows/doors Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
COmmentS: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Windows/Doors: If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or
ceiling joists are exposed,
Fee Summary: BL -Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195
Valuation: 8,000.00 Total: $166.25
Contractor: -Applicant - Owner:
Exteriors of Excellence David A Wroge 17594 Fieldfare Way 1502 Palomino Tr
Farmington NIN 55024 Eagan MN 55122
(952) 239-0560
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.
ApplicanvFermltee: Nignature issued tiy: NIgnature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118057
Date Issued:10/25/2013
Permit Category:ePermit
Site Address: 1502 Palomino Tr
Lot:10 Block: 3 Addition: Sherwood Downs
PID:10-67670-03-100
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David A Wroge
1502 Palomino Tr
Eagan MN 55122
Exteriors Of Excellence
4580 Scott Tr
Suite 204
Eagan MN 55122
(952) 239-0560
Applicant/Permitee: Signature Issued By: Signature