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890 Park Knoll Dr• CASH RECEIPT ? • _ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 w R6cKIVED / RROM AMOUNT $ f, . DOLLARi toe BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You f/ p SLDG. C PERMIT N0. ? ` e ?j? z 01-3210 01 '422 , Bldg. P r f l n ~ -3 P a Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? 01-2155 Surcharge ?S 17-3$60 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. 6i ? ? i L v e-i cJ TOTAL V• `- ?' ? CITY OF EAGAN ` ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 13325 PHONE: 454-8100 BUILDING PERMIT Receipt M To be used far !>F ilwG/GAR Est Value $73+U00 Date MAkCH 10 ,19 87 SiteAddress 890 PARK hN01.L Dn Erect ? Occupancy X3 Lot } Block 2 SeciSub. PARK KNOLL ADL Remodel ? Zoning R I Parcel No. Repair ? Type ot Const. y Addition ? No. Stories ' W hlame JnSEpH MILLE[< CUNST Move ? Length 4*? z 18133 CF.DAR AVE SO Demolish O Depth 46 3 Address Int Impr. ? Sq. Ft ° City FARtlItiCT?ne 692-1010 Install ? ? Z o Name S -41tE 0 a Address t W w W U0 a= t W Iherebyacknowledgethatlhaveread information is correct and agree to c( Minnesota Statutes and Citv of Eaaar Signature o( A Building Permit is issued to: atl work shall 6e done in accoi Building Official Assessment Water 8 Sew. ' Police Fire Planner Council ithatthe State of Bldg' Off. ?SEPN !lILLER CONST with all applicable State of M Var. Date e?.. . s-. Permit 'r ?"'•"" Surcharge 3 ' 0 Plan Review 204.50 SAC 625-.--00 Water Conn. 525.00 Water Meter b 7• UO Road Unit 305.00 Tr. PI. 180.00 Parks Copies r_._? i ? • - on the express conditlon that Eagan Ordinances. PermH No. PwmN Molder DoN TNpAona N PlumWn9 .'? h' ?4` t H.Y.A.C. L;l Electric V 911 ,2 I S sanener Inapecdon DMe Insp. CommMls FooNn" I ?./77 (v.? Footlnpsll Foundadon Preminy RooNny Rouyh Plby. Rouyh Mfq. ? Insul. L- Ffnplace 07 0 j D Final Hty. /4 ? • Final Plby. Bldg. FMaI CerL OCC. y F L!' ? Deck Fty. Deck Frmp. WNI Pr. Dlsp. f . - . . . • PERMIT # ? ,• ? ? ' • . MECHANICAL PERMIT , RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ' ? l BLDG. TYPE WORK DESCRIPTION Lot - Block Sec/Sub Res. New - ? Name - r ,. i. , Muit Add-on Addr t y • ',? Comm. Repair Other ! c City Phone _ FEES ? Name RES. HVAC 0-100 M BTU -$24.00 c AddfeSS ADDITIONAL 50 M BTU - 6.00 ? o . City Phone - UDES A/C ON NEW f i CONSTRUC ON GAS O TLET INI UM PER S (M U M - 1 PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE APT BLDGS: - COMM RATE APPLIES forced Air (?? gT?}.,- . . TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MIMIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 Vent CFM ? . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other r-. FEE: -------- , - ? S/C: _ -'?• SIGNATURE OF PERMITTEE t roTAL FOR: CITY OF EAGAN _.? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAI Site Address Lot J 81ock Name ? Address Name FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES ? MINIMUM - RESIDENTIAL FEE - $12.00 ? MINIMUM - COMM/IND FEE - $20.Q0 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES PERMIT # RECEIPT # MN 55122 DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Cbmm. Repair Other FiES. PLBG. ONLY - COMPLETE THE FOLLOWING: ? T FIXTU RES TO?L g ater Closet - $300 ? ath Tubs - $300 vatory - $300 hower - $3.00 --/-Kitchen Sink - $3.00 -5 ? ,,Urinal,Bide, - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 .? Water Heater - $1.50 ? -S Whirlpool - $3.00 ? __Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ?Rough Openings - $1.50 SIGNATURE OF PEfRMITTEE FEE: a ? v - STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: -- ? *`• 4, + (gtr#ifiratr u# (Orrupanry Citp of eagan frpwrtmpnt nf luilbing Jmprrtimt This Cem'ftcate rssued pursuant to !he requirements of Secteon 306 of the Unrform Building Code certiJying that at the time of issuance this slructure was in compliance with the various ordinances of the Crty regulating building constnecnon or use. For the following.• ua Qa?ifiarioo B1dg. Rrmii ]Vo. O-UPMXY TYPe R3 Zooing Dinlritt '` I Type ConN. owoero(ew7ding Yi? 7?"4I Y?}f'r Aadrae 1f'•-=? o';I; P .,Sr? g,,da;og qddren P43RY, f'?r?J. "rT'. r; t.. a;iy 12, S1. PATli': :aX]CL Datc JL"E 19, 1987 Bw'ldiog Officirl POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: Dete: 5 -- 6' 3830 Pfbt Knob Rosd Meter No: ?1 5-3 / 99, Siza 8 y P.O. BoY 11199 Reader No: 0.3? GI/S?g Date: S Eagari, MN 55121 ?o_? `.111•ir Owner. Const. ? z ''ar-? .=.c 1..!- _< '-.n. Site Address: ' Far c_no r. ve L _, r IYII IVQI. - - Conn. Chg: 52?. 0'Jncl VVARi, Zonin; ! -:,1 "Tn Acct Dep: o? Permit Fee: ' l ? ??11i'??- ?LLC' ?;?L • ?? Surcharge: d EE)r ??r??ply with ifie Clly oi Eayan Tr. Plant ??' ?-' • ? rdinances. Meter. Misc.: By ? I WATER SERVICE PERMIT CITY aF EAGAN SEWER SERVICE PERMIT 3830 PliotoKnob Road i p p, gq,? h1 gg ??6? PERMIT NO? 5-6-87 EagaA, MN 55121 DA7E: ' Zoning: Rl No. of Units: 1 Owner. .Toe r`_iller Const. Address: , SiteAddress: 890 Park 3 B2 Park Y,nol_1 Addn. i Plumber. P1vmouth 3 3--10-More7cfiMsg call utilitleS 100.00pd I agree to compiy wkh t1?TFR"QLEC1q?4"AfnHWrge: _ 525., 00Pi Ordioancea. REQUIRED Account t: ? 5 ?10Pd W(nit?? gy Surcharge: harges: j "'i y, `?? 2 f. T t Dabe o1 Insp.: o a ? Insp : Date Paid: CITY OF EAGAN 3830 Pqot Knob Road P.O. Box 21199 Eagan, MN y5121 Zonirfg: Ri Owner. _ Addr---- Site Plun . ? 1 i SEWER SERYICE PERMIT j PERMIT NO.: 1) c 15 0 - 5- _ I DATE: No. of Units: 1 er Conet. ! 1 agree to comply wlth the dry of Eayan Ordlnances. BY Date of Insp.: Insp.: Connection Charge: 525_00;kd ' Account Deposit: 15. OOnd ? Permit Fee: ?0. 00pd _ Surcharge: - S.L).Fd Misc. Charges: Tatal: Date Pald: ,? ' `"a?[,'?¢nws. . ?J• ,.7.4 . T.T?'<... _ CtTY OF EAGAN Permit No: ?71 0 Date: ? 5-87 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Fieader No: Date: Eagan, MN 55121 Owner. Joe '?!iller Goast. SiteAddress: ar .:no ve ., 132 ar K 0 1 c n. Plumber out € Conn. Chg: 52 ?.• OOpd Acct. Dep: " 15• Odpd Permit Fee: I0• 00Pd Surcharge: • ?0pd Tr. Plant IFO. Wrd Meter. 67 nr..4 Zoning: _ No. of Units: I agree to comply with Ihe City of Eagan Ordlnances. By Ri WATER SERVICE PERMIT CITY OF EAGAN N 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 13 5 g- To he used for SF DWG/GAR Est. value $73,000 Date MARCH 10 19 87 Site Address $90 PARK KNOLL DR Lot 3 Block Z Sec/Sub. PARK KNOLL ADD Parcel No. W Name JOSEPH MILLER CONST 3 Address 18133 CEDAR AVE SO ° ??ry FARMINGTMne 892-1010 o Name SANE = 0 s Address ? City Phone ? www Name r ? ? Address a w City Phone I hereby acknowledge that I have read this appl ication and state that the information is correct and agree to comply with, all applicable State of Minnesota Statutes an ry of EOgan QrE i?Fces. Signature of Permitte ?t'"`--? A Bwlding Permit is issued to: SEPH MILLER CONST all work shall be done in accord ce with all applicable State Minnesota Building Official Erect 13 Occupancy Rj Remodel ? Zoning R i Repair ? Type of Const. v Addition ? No. Stories Move 0 Length 1a) Demolish ? Depth4o Int. Impr. ? Sq. Ft. Insiall ? Aoorovals Fees Assessment_ water & Sew. Police - Fire Eng. Planner_ Council Bldg. Off. Var. Date Permit w " • -' Surcharge 36.50 Plan Review 204.50 SAC 625.00 Water Conn. 525.00 I Water Meter 67.00 Road Unit 305.00 ? Tr. PI. 150.00 Parks . Copies TOtal ' ?? on the express condition that Ciry qf Eagan Ordinances. REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os, ? Sea instructians tor eomolelin9 this farm an beek Dt vallow copy. "X" Below Work Covered by This Request , aaa7+Rep.I 1v?0e of Bwldma Aooheneea Wirad Equiumenl WireO ? M Fee Sarv lceEntrenCeSi:e # Fae Fexders/SUbleedars N Fee Cvcwts f. tN 0 to 200 Am s 0 to 30 qm s 1 33. CO -2 tn 30 Am Above 2 0 qmpy 31 to 100 Amps ,5? pV 31 to 100 Am s Swimming Pool qbove 100_Am s Above 100_Am s Transiormers Irrigation Booms p Partial.'Other Fee SignS Special lnspection g ? TOT 'V FE .d ? Nertarks ONough-in ? 1e I, the Elecvieal r ? Insoector, hereby Final ? ?^ r • DAte ceridy ?het 2he above / inspe<tion hes baen /R ? L d mede. ttih repuest vold 18 monHm irom ihis request w,d 78 momhs from C _97218 J?111 rr ? 41- a'??? I IVYes l.._?ryp .. I??adY NowAWi [or llWh N eon ulYFeaAInY ec I Li[ensed Eleclncal ConVactor 1 herobY repuest inspection ot above ? Owner electricel work inatelled at: Street Address, Box r Route No. l ? ? ? C ity E ar7 d nol a ah ecUOn o. Townshio Name or No. ange No. Count Z. kaf2? Occupant IMiINTI J 6&I M+ ll er Phone No. Powe, Svpvher 6a ko4-a. E/ee. Atltlress ?30o aao-th Electncal Contractor ICompeny Namel /Vlicllahd Elec4vrc? Comractor's Lmense No. MailinB /?ddress (COnhactor or Owner Making Instailation) a5oo W i2q ?d 4-a Qurns vr (l ff-, Authonze ignaWre (Contractor wner Mzkmg InstallaLOnl Phone NumOer MINNESOTq STATE BOAND aF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT Origps-Yidway Blde. - poom N•191 BE qCCEPTED 0Y THE STATE BOAXD 7841 Univernitv Ave.. St. Peul. MN 66104 UNLE55 PflOPEN INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED, 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?qq.as New ConsW ction Reaui2ments RemadeVReoair ReauiRmenis Mfice Use OnN 3 registered sRe surveys showirig sq. tt. of lot, sq. ft. of house; and @II rooted areas 2 copies of plan CeR of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 7 set of Energy Calculations for healed additions Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam 8 window sizes; poured found design, elc. 7 srte survey far additions & decks Tree P2s Required _ Y _ N 1 set o( Eneigy Calculations Adddion - indicafe ifon-sile septic sysfem On-sfte Septic System _Y _ N 3 copies of Tree Preservation Plan if lot platted afler 117193 Rim Joist DetaU ODtians selection sheet (6uildings with 3 or less untts) Date_,? Q;?;_ Constructioo Cost Site Address Unit/Ste # Description of Work . ? VJ ` Multi-Family Bldg _ Y?N Fireplace(s) _ 0 Property Owner TL?N \ Q iovs O?S ?-tJ Telephone #(?S Contractor . Address 7z%XCzt ' City State Zip 1, 3 Telep6one #6..S ? (oq C) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheel (4 submission type) Su6mitted Submitfed • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 plan in the case of work which requires a review and approval of plans. :S?ra. ApplicanPs Printed Name Applicant's Signature ? ? ? Z? , OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg x 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. (4sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbp_Y or_ N O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior \/b 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demofish Foundation O 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windo lDoors ? 34 Replacement •Demoli8on (Entlre Bldg) - Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings(deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ B rick _ 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 rotal Building Inspector J 'L? . 2S? ? I ? J RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 NawConsUuction Reaulremenla RemodallReoair Racuirements • 3 regislered site surveys showing sq. ft. of lot, sq. tl. of house, and all roofed areas • 2 copies of plan ? (20% maximum lot coverage allowed) • i set of Energy Calculal'rons for heated additions • 2 wpies of plan showing beam & w(indow sizes; poured found design, etc.) • 1 site survey for enlerior addNOns & decks • lsetatEnergyCalculations . Indicaleithomeservedbysepticsystemforadditions • 3 copies of Tree Preservatbn Plan rf lot platted afler 717/93 • Rim Joist Detail Options seleclion sheet (hldgs wilh 3 or less unAs) DATE 15'?10 ?0c;?) VALUATION ? VOC7 SITE ADDRESS PROPERTY OWNER MULTI-FAMILY BLDG _Y A,N _ FIREPLACE(S) _ 0 _K 1 _ 2 FAX # TELEPHONE# COMPLETE THIS SECTION FOR KNEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUL,ES 7670 CATEGORY 1 7l??BI ?,?qT (4 su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • o e orksh $? ub • Energy Envelope Calculations Submitted M 0 2002 U ing Conhactor: Phone # Plumb Plumbing system includes: Water Softcner _ Iawn Sprinkler Fcc: $90.00 Water Heatcr _ No. of R.I. Baths No. of Baths Mechanical Confractor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Rccovery Syslem Sewer/Water Contractor: Phone # ------------°-----------°-------------------------------------------°--°---------------------°-----°---------------- 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 Or?ina?? ? S(gnature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-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 ? 30 Accessory Bldg ? 31 6ct. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Glve 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 _ Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Ftanilng _ Siding S[ucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Building Inspector Total 4G9•OU+ ? 36•50+ ? 20%•5U+ ? 6'L5•OU+ szs•oo+ E,7•OJ+ 3U5•OU+ 180•UU+ 2) 352•00* , 3uS 2,- 1987 BQILDING PBRMIT 6PPLICAYIOH - CITY OF BAGAN SINGLE FAMILY DWELLINGS INCLODE 2 SETS OF PLAAS, 3 CERTIFIC9YBS OF SQRVSY, 1 SST OF ENERGY C9LCOI.6YIOHS NO'PE: ADDRESSES FOa CORBER LOTS - CONTRACTOR/HOHEOHNEH MQST DESIGHAYE WHICH ADDRSSS IS DESIRED. NO CHANGSS i)ILL BE 9LLOSiED ONCE BOILDIflG PERMIT IS ISSOED. HQLTIPLE DWELLINGS - BFSIDENYI9L RSNTAL [AiIYS FOR SALE UBISS INCLUDE 2 SETS OF PLANS, CExTIFICATE OF SQRVEY - CHECK iiIYH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAIERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIDNS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND' y 3,Q00 To Be Used For: Valuation: -T `?5?? Date: 3`-Y"27 Site Address n.." kh(y-a LA,_ Lot 3 Block On Site Sewage_ MWCC System ? Parcel/Sub On Site Well City Water Owner 9ddress City/Zip Code Phone Contractor6n Address (i,c14, •:i- City/Zip Code ?CLNYVW?'?G'1?r1/?"Q?} ?-Phone ?01 a- r o? ? Areh./Engr. Address City/Zip Code APPROVALS Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off APC Variance Occupancy K 3 Zoning R I Type of Const -r? (Actual) .Y- (Allowable) ?- # of Stories Length 40 Depth 4(0 S.F. Total Footprint S.F. FSBS Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAI. Phone # cQ o x sb _ S? SG(s c) 1Z: ?' ?2 - I 4-¢ ? SE - g ? z ? x? _ q o x 5? = 2? zc? So? x ? 2 - 6?0'7 Z 7z4- 24 ., , One or Two All Other CITY OF BUILDINa DEPARTMENT k:7Q'ERIOR ENVII,OPE AVIItA(iE "U ll COMPUTATION (To be submitted with building permit applica'tion) Family Dwelling Owner Sf.te Addrese Contractor ,a?f^it dlL?',x l:oNST Date 3-/477?4, Phona n'1? JC.1}?rl 1.? LIFEkI, :'t:ET OF E:C:'OSED FWLL O0pf- ?7hL6jET ft. above grade. s0 1bTAL EXPOSED WALL ARrJ1 SQ. FT. 0 ;,^UL COP:S'PRU-_TIOt:: "U" Value x Area ?'FAr?C IIU I, . Oq.3 x s2. ?e tail ' eoNe, ,?u„ ,J4o X s2. :el erence R?? .D4l? x SQ. from nu" x S . attached IIU" x SQ. sheets nUu_ --x SQ. 7:II1DO'N5: "U" Value x Area FT.M05.70• 60•94 (U) (A) FT. 93.F3o= 17, ](U) (A) FT, IJ , 2p= (U) (A) FT. _ (U)(R) FT. _ (lT) (A) FT. _ (U) (A) ?iu':e & Type I?4yL. 6SN1'T "U" .sZ x SQ. FT. 110-90 = 57.101 (U) (A) It 11 ilUto x SQ. FT. _ (U) (A) n a ntjn x 5q. FT. _ (U) (A) ° n IOUIO x SQ. FT. _ (U) (A) IhOORS: "U" Value x area ?ir':e & Tyoe 577_- ltLSUL. flU" .14 x SQ. if ifull .47 x SQ. n n uUv x SQ. u n nUn x SQ. rJTq7,S I5;10•50 SQ, avsxaaE "u" TOTkL (UMA) VALvES , W.q?a _ DI VI DED BY TOTAL S'I,L AREA I SI? SO 1007 ? AVi;RAGi; "U" ,715 or less for 1&2 family dwellinge ROOF/CEILING: TOTAL AREA: FT. Z.oo = s $g M(A) FT. 42,00 (U)(A) FT. - (U) (A) FT, - (U) (A) r'T. /(oI•165:1 (U) (A) Detail reference "U'l OZS x SQ. FT. 00 = ZS.00(U)(A) from @lUll x SQ. FT. ? M(A) attuched sheeta. "U" x SQ. FT. _ M(A) Describe onenings igUit x SQ. FT. - (0)(A) in roof. nQu x SQ. FT. - (U)(A) TJTpL M(A) VALUES DIVIDED BY Z? TT?I.4j 000 N,ft ZS•Gt7CV?A> •/DO - '1'.i':f.L ROO:'/CEZLIi:G .'1:-7p /1,10000 .OZ.? ?- AVERAGI; "Ull .025 for ventilr.ted roofa. ? . --wa1.L srx:TZON-- DeteTmining 1#II" valuea at Rooft Wall, Rim, and Coac. Block ROOF/CEILINti t.) Interior Air Y'ilm 2.) 5/8 0, ayP. sa. 3.) Inaulation 4.1 5.) Exterior Air Film (STILL) (R) VALUE 0.61 .56 38•00 .67 ' ^U" c 1/R= .OZS i'OTAL (a)= 39•78 ' WALL 6.) Interior Air Film 7.) P GYP. Bd. 8.) Insulation 9•) Z5/3z-" BwLT-l:ilE 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0.68 .45 lq.oa z674 .17 nUu = 1/R= . ?t}3 TOTAL (R)= Z3.0 I RIM 12.) Interior Air Yilm 13. ) Insulation ty.) 2'l Fir Rim Joist 15. ) Z-53e Bu![T- RiTE 16.) Masonite Siding 170 Exterior Air Film (R) VALUE 0.6$ 19.Oo 1.88 Z.67 .17 "Ull = 1/R= .? TOTAL (R)= 24," r FOUNDATION 18,) Interior Air Film 19.) 20.) 21,) 12" Cancrete Block 22.) VivDER- "P-,. 23.) Exterior Air Film "U" = t/x= . ?40 r ? (R) VALUE 0, 68 1.28 S• 00 .17 TOTAL (R)= 7.13 14.so x C??.tllotZ4+Z4) _ 14z1, o0 9.so X (Jztr2+17) = 359•570 1 SJO. so ? .(n?X C34+34+-3(0+3?) = 9?.g?? n? ?o/sT •g3X ?34+34?-3(ot3?? = !l?v,Zo? lloX3co _ 4,o X Z = zo x3c? = S.o X 4 = z4X349 _ ?•o x 4 = Zo X 48 = (a•7 Z4x4g = JV o X 4 = T)c2oKs -- 3° s-rL. . Z $ 5'Tt.. • ? = ?7to Kcor z 4 X 34 = 12 x !Z = sx 8 = Zl.op Z!•b0 4Z, o 0 g4.oo? gllv /4-4- 40 1,000 ?K' 8, oo zo.oo 24.00 Z&•So 3Z.oo 1la• 80 + NEf WA?C.. EQJSk-S 6,Ke--? W,4LC! G-ESS L'oAPc., 93.So lllo.zo „ w?w'S Ilo.go „ Doo?.s Sg.oo 1 S)O.So - -?o¢ 8a 1go5. 70 -?-- GOLD COPY PERMIT RELEASE FORM PERMIT # cJ I ( d ADDRESS RkAk PICKED UP BY ? -????--- CITY OF EAGAN APPUCATION FOR PERMIT SEWER AND/OR WATER CONNECTION rO?1w,: PA1T1fM QF FEE AT TIN1E pF ArriacAMorr noFS Nom cocsrrivM APPROVAL OF PE[2NiIT. INSPDCPION OF SEM ADID/O2 IM'CER aSTAr.ramrpNS WII,L NOT BE SCfIID- cn ID vrrriL PERIffT fms sM APPRC3VID. ------------ , P ease Print) 1) PROPERTY ADDRESS: Wl?r8 %?qfk emle /i .- LEGAL DESCRIPTION: 3 Z , "- n e IF EXISTING STRCCiL'RE, DATE OF ORIGINAL BIIII,DING PERMIT ISSC'ANCE: - - (Nbn Year) PRESENf 7ANING/PROP0.SID L'SE: ? COPi,]EItCIAL/RETAIL/OFFICE SINGLE FAMILY Q IPIDCSTRIAL [:-j R-2 DCPLEX (7Fm C?nits) f-1 ZNSTZZL'TIONAL/GpVERtzENr ? R-3 ZOYJNIIi0L?5E (Three + Units) ( Dnits) . ? R-4 APARZTENP/CODIDOMINIL'M ( C7nits ) 2) NrE: lfe - m; G?z ? co,-s -?- awoREss: ! 8 t 3 3 CITY. STATE, ZIP: 4 ? -- PHOME:_WSY 3) u r ?• NAME:_ ??7 ?fto UfL. ??S .t , aonRESS: l413?5' aa 72,0 4? ,ci • CITY, STATE, ZIP: f ? !WA-l PHONE: SS 4- 3 4 7 J MASTER LICIIdSE# 1H zs („? Active bcPired Not recorded S Initial 4) •?« • • i?• - NAM: 5'nrm ? Lk ?.?7 ? ADDRE55: • CIT7, STATE, ZIP: PHONE: •5) ?'? ?? r• ?+• : a • o? a?, ' g-CONPll?X,'rION 7O CITY SEWII2 Q--epNNECpION 7O CITY WATER OTHER '. 6) ?? . .. ? i. HOLD APPROVID PERMIT F'OR PICK-OP BY ONE OF ABOVE ---`-- -'- C3 PLEASE MAIL APPROVID PERMIT T+0 1. 2. 3. 4, ABOVE (Circle one) 7) PERMIT # ISSOED Pd w/Bldg. Permit $ $ (o7rro $ $ $ S S SLS?o`D $ S ?v Z s ? $ $ --$ FOR CITY USE ONLY FEES: SEWER PERMIT (INCLODE SURCHARGE) $ WATER PERMIT (I[VCLUDE SL'RCHARGE) $ WATER METER/COPPERHORN/OC'TSIDE READER $ WATER TAP (INCLC'DE CORPORATION STOP) $ SEWER TAP $ ACCOLNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ wac $ SAC $ $ c TRUNK WATER ASSESSMENT - TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $_ d e) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 13 / 7' OJD $ , 0---e) TOTAL / 3?''? - `73/V/ RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC Q ROADWAY" MUST BE ISSL7ED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: jlto_? ? TITLE: DATE: ? ?v-? 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. )_ 1 ? D t a e Site Street Address pn,? K I? ri o ? ? ? ? Unit # Tv-m V150T) Telephone #(?) 7 ST 2? I r O P t wner roper y Contractor lIi l e4vv r KS Telephone #((,?J)??5 3 Address ..^ b G{d City State LIN Zip 1515 12 V Contractor _Other The Applicant is: _ Owner Aiterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener andlor water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener i Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 $' ? V) O Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved.,-,.,, _ /-,.I tAi lidu ' I ? d L ApplicanYs Pnnted Name A I canYs Signa re F FEB 1 0 2005 ? 2007 RESIDENTIAL PLUMBING PeRmiT aaPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Dl-co r nlo4c fnr mr.rlifn?4i..nc }n c ic4inn r cirlonTi?l rltnicllinnc SO1 `-> d Date 1 ?1,0 Site Street Address ?90 8/aL A??// Ar/UL Unit # ?QJ7 Telephone # l 5 ?j P O t 041 , roper y wner i hone # ((? 7) ' o Tele ? p CoMractor P State '!r Zip "5 Cit T # - l 4 y .? O! Address ? z?f /v l 2 The Applicant is: _ Owner & Occupant ?Licensed Plumbing Contractor New _ Refurbished Submit 2 sets of plans and MPC license Septic System Includes County fee _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alteretions to existing dwelling $ 50.00 Add plumbing fxtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. !f you are insfalling onlv a wafer sofiener and/or wafer heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are instalhng. _Septic System Abandonment Water Turnaround (add $136.00 if a " m ter is require ). yOther: V ? k' Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 ,,j? ?'_ e '- D) Surchar St t $ 50 g a e U u P10v 9. ') 7007 ?-? Total -- g .?_. .?.. I hereby apply tor a Kesitlennai rwmbmg Nermit ana acKnowieage mac ine inionncuun w ?ulllN?u « -)? a....-.- .,,v, ,.- work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accolwith the pproved an in the event a plan is required t e review and a iov??I?? ? ApplicanYs Printed Name icanYs Signature Plea? ZeiJ ba?E -6 '700 Qn'V A,re ?. S,P?xI,n?H. ss'??? TRI-LAND C0. SURVEYING SERVICES 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 n°92°J6 143" PL AN FOR: MILLER CONST. PROPERTY DESCRIPTION LOT 3 , BLOCK ? , PARK KNOLL ADDITION uccordinq to the recaded plat fhsreof DAKOT/a Cajmy, Minneswa LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I harsby certify that this survey,plan or rsport was preparsd by me or under my direct supervision and that 1 am u duly Reqistered Land Surveyor undar ths Laws of tha State of Minnesota. Bradley 6r?Awsnson, Mn. Req. No. 15235 Date ? SITE JOSEPH SCALE : I " = 30' PROPOSED GARAGE FLOOR ELEVATION = (Q'Ies,$_ PROPOSED FIRST FLOOR ELEVATION = 1,o& 2 PROPOSED BASEMENT FLOOR 99x8 ELEVATION NOTE * VERIFY ALL FLOOR MEIGHTS WITH FINAL HOUSE PLANS 01112/2012 THU 14:03 FAX 1x,002/006 Use BLUE or BLACK Ink ~ ForOfflceUoe ~ 1 I Penult 1 City of Eagan 1 I Pennll Fee: IL17, I1 3830 Pilot Knob Road 1 Dale Received: / ✓ . w j Eagan MN 651x2 ECEIVEa I I Phond: (661) 676-6676 I stmt: 1 Fax: (651) 676-6694 JAN 12 2012 ! _ 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 Site Address: M was'L Y_Is1 u\\ M v_ Unit I D' Name: Phone: Los 1- Ll "s4- n;J I 1 Address I City / Zip: M th _-iifry t Y_I,lI.b 1\ ~ c t, c o a uJ ~ S 12 5 Appllcant.ls: -Owner Z Contractor Description of work: Construction Cost: 1-r~CNJ2~iQ)_ MuNI-Femlly Puliding: (Yes _ I No Company: (N_Qx_~Q Contact: M i shier tf. Feiss Address: ? an r\ m; > > r,r>_a, ► City: tin p l-5 state: t' t4 Zip: , `5544 O %_U Phone; laf -art Lw 1 LnN a License ZC?j\ ~.'SLa O Lead Certificate ►~A~-o2ln3y_ 1 If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information) bo:\N ) q g11 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based an a master plan? Yes _No If yes, date and address of mater plan: Llcaneod Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFOREYOU DIG. Call Gopher ate one Call at (531) 4540002 for protection against underground utility damepe. Call 40 hours before you Intend to dig to receive locales of underground utillttes. I hereby acknowledge that this Information Is complete and accurate; that the work will be in corn mvnce with the ordinanoss and codes of the City of Eagan. that I understand this is not a permit, but only an applicetion for a permit, and work Is not to start without a parml(; .that the work will, be in nocordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorl=d by a building permit Issued in accordanoo with the Minnesota S1ete OWk#ng Code must be oomplated within 100 days of permit Issusnci. Applicant's Printed Nam. Appilc nrs Signature Page 1 of 3 01/12/2012 THU 14:03 FAX I~J003/006 I DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace ! Porch (3-Sesson) _ Storm Damage Single Family _ Garage _ Porch (4-3eason) _ Exterior Alteration (Single Family) Multi _ Dock Porch (Screen/Gazebo/Pergola) EtteriorAlteratlon (Multi) _ 01 of ^ Max Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES d r':~ II A. q-WVL, _ New _ Interior Improvement _ Slding Demolish Building" _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows ` Demolish Foundation Replace _ Repair `tigress Window _ Water Damage Retaining Wall 'Demolition of entire building - give PCA handout to applicant DESCRIPTION -ON Valuation - Occupancy MCES System Plan Review Code Edition » - SAC Units (25%-100%4 Zoning City Water Census Cods (V Storks Booster Pump N of Units Square Feet PRV i N of Buildings length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: i Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain The Other: Roof. -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: Stucco Lath -Stone Lath -Brick Fireplace: _Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings Backnll _ Final Sheathing Radon Control Shaetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL. FEES Base Fee Surcharge Plan Review MCES SAC City SAG tt Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA103054 Date Issued: 02/17/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 890 Park Knoll Dr Lot: 3 Block: 2 Addition: Park Knoll PID: 10-56725-02-030 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 763-444-0292 Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: SoNvada and Barna Plumbing Gordon T Olson PO Box 188 890 Park Knoll Dr Cedarl\IN 55011 Eagan MN 55123 (763) 444-0292 I hereby aeknowledae 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 I— For Office Use //�/[/� R. t'. B 451/a? \ /L v l 0 C fE ff' d /J 7 Permit#: EAGAN I C EIVED Permit Fee: (tod) MAR 11 2019 3-J/- / Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinqinspectionscityofeaqan.com J 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3/6/19site Address: 890 Park Knoll Dr Tenant: Suite#: Resident/Owner Name: Tom & Diane Olson Phone: 651-454-2511 I 890 Park Knoll Dr Address/City/Zip. E� Cf f'► �S�0�3 a �wu Minnesota Rusco Inc. PC749301 Name: License#. 5010 Hw 169 N New Hope Contractor s Address: Y' City: = state: MN Zip: 55428 Phone: 952.935.9669 Contact: Scott Ziemer Email: scottz@minnesotarusco.com Replacement Repair —Rebuild _Modify Space Work in R.O.W. Type of Work ' —New — — — Yp Description of work: Demo existing, install new shower, vanity, toilet. Water Heater Lawn Irrigation ( RPZ/—PVB) Water Softener Description Add Plumbing Fixtures(V Main/ Lower Level) Septic System Demo existing/ install new Description: New Connection to City Water from Well Abandonment I RESIDENTIAL._......�...__.__ � �m �.�.._._... ._. H._____..... .,. FEES I $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$60.00 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Sco/I Z e,iec' x Scott Ziemer Date:Digitally2019.03signed.06 by Scott15:05:09-06'Ziemer 00' Applicant's Printed Name Applicant's Signature Page 1 of 2 For Office Use t o Permit#: EAGANPermit Fee: /Z2' Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC I%E –trd— (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- 6 4 Staff: buildinginspections(a�cityofeagan.com tt MAR 0 6 2019 L J 2018 RESIDENTIAL BUILDING PE IT APPLICATION Date: 3/6/19 Site Address: 890 Park Knoll Dr Unit#: Name: Tom & Diane Olson Phone: 651-454-2511 Resident/ 890 Park Knoll Dr Owner Address/City I Zip: // Applicant is: Owner X Contractor /; 1� �dl( Type of Work Description of work: Bathroom Remodel - See drawing for more information Construction Cost: $9,550.00 Multi-Family Building: (Yes /No ) Company: Minnesota Rusco Contact: Aliyah Leier Contractor Address: 5010 Hwy 169 City: New Hope State: MN Zip: 55428 Phone: 952-935-9669 Email: aliyah@minnesotarusco.com License#: CR002173 Lead Certificate#: NAT21315-2 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublic if ou •rovide s•ecific reasons that would •-rmit the Ci to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xAliyah Leier X � Applicant's Printed Name Applicant' ignature DO NOT WRITE BELOW THIS LINE � C f`�ir1 Kio6I/ 10/' ei/S1/ SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous -- 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION .e.' Valuation 2 Occupancy 4.,10",4,- MCES Systemstem Plan Review Code Edition 'A, , , / 5/ SAC Units (25%_ 100%L) Zoning f City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) / Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS T( Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control 7 Shower Pan Other: /.1Reviewed By: 1 , Building Inspector RESIDENTIAL FEES Base Fee riti'li ( �. .Surcharge '1, 'Pln Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge nom00 -)Treatment Plant � yjl Copies TOTAL Page 2 of 3