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1604 Park PlRESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 157 Z? 3830 PILOT KNOB RD - 55122 651•681-4675 New Construction Reauirements • 3 registered site surveys showmg sq. ft. of lot, sq. ft. of house, and all roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & window srzes; poured found design, etc.) . i set of Energy Cakula6ons • 3 copies of Tree Preservation Plan if lot platted aker 711/93 . Rim Joist Detail Op6ons selection sheet (61dgs with 3 or less umts) DATE JOB SITE ADDRESS / (D U`f' ! C.[ I K ? IF MULTI-FAMILY BUILDING, HO/W MANY UNITS? PROPERTY OWNER ? ? _i7Vl?ll`J I?f TYPE OF WORK APPLICANT ADDRESS Q-'96I O IF PAGER # 0 CELL PHONE # FIREPLACE(5))<- -0 _7 _2 _3 ? PHONE# ?I?7-?'i7-p?n7dl ZIPCODE _ FAX # ??iL-yv.3 - ??s? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilaiion Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbino Sys[ctn Includcs: Mechanical Contractor: V[cctiruiical Svstcm Iucludes: Sewer/Water Contractor: -- Air Conditioning Hcat Rccovery Systciu All above information must be submitted prior to processing of application. Phone # Phone # I hereby acknowledge that I have read this opplication, state ihat the information is all applicable State of Minnesota Statutes and City of Eagan Ord/Cr?ces. Signature of Certificates of Survey Received Water 5oftener 41'arer Heatcr _ No. oF Ballis Phone #: I,awn Sprinklcr No. of R.I. Batlis Tree Preservation RemodellReoair Reouirements . 2 copies of plan • 1 set of Energy Calculatwns for heated additions . 1 sde survey for extenor addiGons 8 decks VALUATION(EXCIUDINGLAND) -? 755-4• 06 Pee: $90.00 Pee: $70.00 agree to Not Required _ Updated i101 OFFICE USE ONLY ? 01 Foundation 13 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 O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (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 (Interior) ? 44 Siding ? 32 Addition O 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 Width REQUIRED I NSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footmgs (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundadon HVAC Drain Tile Roof _ Ice & Water Final Other _ Framing Pool Ftgs Air/Gas Tests Final _ Fireplace _ R.I. _ Air Test _ _ Final _ _ _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) 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 , . . CITY OF EAGAN A c ? t---' _-- ?I ?J 3830 P-iFbt Knob Road, P.O. Box 21-199, Eagan, MN 55121 , BUILDING PERMIT 1?`? •?j i PHONE: 454-8100 ReceiPt # ??i."i To be used tor SF DWG/GAR Est value $68,000 Date AUGUST 27 iy 86 Site Address 1604 PARR PLACE Erect 19 Occupancy R3 Lot 14 Block 4 Sec/Sub. HAMPTON HTS Remodel ? Zoning Pn Parcel No Repair ? Type of Const Vn . Addition ? No. Stories W Name FRONTIER COMPANZES nnove ? Length 40 z 3908 SIBLEY MEM HWY H,I.pG E Demolish ? Depth d?? o ? Address City FAGAN Phone 454-0433 int. Impr. Install ? ? Sq. Ft = o Name SAM ? ¢ Address 1" City Phone F W Name_ ? ?z-y Address i Wz City - Assessment _ Water & Sew. Police Fire Eng. Planner I hereby acknowledge that I have read this application and state thatthe Bla9 ? information is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. APC_ i Signature of Permittee ? r_, Var. D, A Building Permit is issued to: FRONTIF.R COMPANlES all work shall be done in accordance with all applicable $tate of Minnesota Statute: Permit Y " , ' Surcharge 34. Plan Review 16$. SAC 575. water Conn. 500. Water Meter 63. Road Unit 290. Tr. PI. 156. Copies Total $2,12 4• on the express condition that Clty of Eagan Ordinances. Building Official PermR Na. PortMI HWeler Data TNephone k Plumbiny M.V.AC. r/ O .-3r2 /C/'?2 .34(c+ Ekmbic Lp q,56 `) 4f /?c rc ' ! ?? , CC'' So1lsner InspoeUon Dals Imp. Comments Footlnysl Footlnps II Foundatbn Frsmloy AlI a Rodlnp Rouyh Plbp. Rouyh Htp. Inwl. (d Finplsce FinM Hty. } ( FMN Plbp. / JIi-4.? ? , ?!J , 91dy. Final i GA. Occ. .>o C Dack Ftq. Oack Frmq. VYell Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 ?. S Date Issued: ?10)`I f. ? (612) 681-4675 SITE ADDRESS: t APPLICANT: f f1hF I'1 ':. (t Vt . , iiiif•II• ! ??;I 1!i s ii?S ?? ,. 1 ? ?, '?,idf', ? PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .• . .A ? ( I ? ki: F1NR} `, . A i 1'/1kA I f f't i! 14 I 1 I 1• ttiU I('I 10 1 111, IiN'? I 1 I ? 1{: i 1 ii! l.11112 f 7 ---------------- ---------------------------- Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIF TEST FINAL PLBG ? FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL ' DECK FfG i oFCK ? 1 _ I ? ? ? ' iJi'??`?7 ? ' ?- ?v?3ti N?o?F-1'i,v? ' ' hb17'l6'wN0r-Tb 044zL Foe. 19W+t, _AAV21?° CITV OF: EAGAN 3830 P.llot Knob Road P.O. Box 21189 Easjan, MN 55121 2oning: R1 Owner. - T.`Y'Qn:t ier Midwect Address: Slte Addess: Par Plumber: ? tgr um Meter No.: 5-1 A W10gi11 ca c;,e- Ze?'I Rac A __. 1'L .nuC _ Gl F Read6r No.: P 11, 1 agree to comply By ? Date oi Insp.: WATER SERVICE PERMIT PERMIT NO.: 8078 DATE: No. of Unlts: 1 Hampton Heights ?.? 00 . c?Opd ?''..?rge. Opd - P?A?{t Surcharge: - Misc. Charges: Total: Date Paid:- TP T?OF EAGAN ? =VICE PELW 30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121 DATE: ninp: - "2 No. of Units: Addross: 1604 Par1' pl ac - - ., ? -W - ber. "t? `t--'• - M te eemmihr wa 1V C11Y of !sp¦ Connecfian Charge: • weem Acaount DepoNh Pomdt FN: Surrhorqe: MSisc. Chorpas: of Insp.: Total: Dioft Poid: I CITY OF EAGAN (v - 12531 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 / - PHONE: 454-8100 ?C -' BUIIDING PERMIT . ' Receiptu 7obeusedfor SF DWG/GAR Est.value $68,000' Date AUGUST 27 ,19 _86 SiteAddress 1604 PARK PLACE Erect IN Occupancy R3 14 4 HAMPTON Lot Block Sec/Sub. HTS Remodel ? Zonmg Pn Parcel No Repair ? Typeo(COnst. 14n . Addition ? No. Slories W Name FRONTIER COMPANIES Move ? Length 40 o Address 3908 SIBLEY MEM HWY, Demohsh ? BLDG E ? Depth4?Q F City EAGAN phone 454-0433 ?nt?mpr. Install ? Sq. t. a o Name SAME Approvals Fees $a Adtlress Assessment Permit $ 337.00 ¢ ` Ciry phone Water & Sew. Surcharge 34.00 ? Q Police Plan Review 168 . 50 Fw Name Fire SAC 575.00 ¢z nddress Eng. WaterConn. 500.00 <w city phone Planner Water Meter 63.5t Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationand statethatthe Bid 8/27/86 off PI Tf 156.00 information is correct and a ree to com I with II I . . bl St t f 9 . . g p y a app ica e a e o Minnesota Statutes and City Eag n Ordin n? g cRS.?, APC_ Signature of Permittee Var. Date_ ? 1 A Building Permit is issued to: F NTIER COMPANIES all work shall be done m accordance with all aool?ble;gtate of Mmnesa S-fatutes arn Total $2. 12 4. 0 0 on the express condition that City of Eagan Ordinances. Building Otticial CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Num6er: Date Issued: BUILDSNG 027500 05/10/96 SITE ADDRESS: P.I.N.: 10-31900-140-04 1604 PARK PL LQT: 14 BLOCK: A MAMP70N HEIGHTS DESCRIPTION: (INCI. pECK) ermit Type SF PORCH jk I;k Type NEW 434 RLT. RESIDENTSAL -...?:mt,-'"?c ?y '.rw? '14?A ?s;i?3 - 4R ^.'@` a ?ILt tRt ° ?..i.'C ?v?$ 19I ?> nf ? I ?4u 3J %P ?.', ?? f x s;p amee!re?r??kr ree.rcrxv <i;4ra , 'rr;a R;,e? u? ?°. se .?°e ?atab ?d A 3 ,a? r„?,ii?+iv sn?? REMARKS: A SEPARATE pERMIT I5 REQUIRED FOR flNY ELECTRICAL WORK FEE SUMMARY: VALUflTTON $7,000 Base Fee $124.75 Surcharge $3.50 Tatal Fee $128.25 CONTRACTOR: OWNER: - Applicant - LOVE STEVE ? ' 1664 PARK PL EAGAN MN 55122 (612)683-7586 r ,hv rx?hy ?_pisli?A??atistate th??t ='the i,ry??fv{??r?m?tiurtJ;;_is?n?yr?}c?e?tp?.I??s?y'?/?nzt, .yd'1Ch aPp?lica6le;, ?State ?if ,Mn j? , r? ?J*Lf?4u ?a fvo SV L ?.k.c,f,? I APPLICANT/PERMITE NATURE -?UED BIY ?S NAT E I - CITY OF EAGAN 3830 PILQ:T KNQB RU - 55122 41 '?i,?' 14,41)0 1996 BUILDING PEaMIT APPLICATION (RESIDEN7IAL) ?r' 681-4675 C?,C?;,(f -A UReeair ReauLremen ? 3 registered sile surveys ? 2 copies of plan ? 2 eopies of plan9 (indude 6eam 8 window sizes; pourad fnd. design; etc.) ? 2 sile surveys (exterioi addidons $ decks) ' ? 1 energy calwlatlons ? 1 energy calculations (or heated additiona ? 3 eopies of tree preservation plan it lot platted aRer 7J11/93 required: _ Yes _ No DATE: c?'?,/9(n CONSTRUCTION COST: DESCRIPTION OF WORK: o4- :,? 4`',,? V-,-`"'` STREET ADDRESS: ? b°4 -:;L? • ' l0T -? BLOCK SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: 1?e- Phone #: &9S,-2'E-K6 wr rmer Street Address• l?? 'EL4L '?\? City: S? State: M3 Zip: ?j i2-?- Company: ' Phone #: Street Address: City; State: Company: E=i41' Phone Name: License #• Zip: Registration #: Street Address- City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and Ict 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 Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree PreservaGon Plan Received _ Yes _ No ?l?C?f?OMC?DD m Y 03 1956 p --- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? ? 02 5F Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 9(04 SF Porch ? 09 12-p?ex ? 14 Fireplace ? 0 05 SF Misc. ? 10 = plex GiV99, 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION 0 36 Move ? 37 Demolition ... . `"?+ q. 16 Basement Finish 17 Swim Pooi 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. R. Booster Pump Length sq. ft. Census Code. y.3Y Depth Footprint sq. ft. 5AC Code ? Census Bldg Census Unit a APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter ? p/K/?/ ` 1?6 K 30 = S a 5 ° Acct. Deposit o 0 ?EGL- S/W Permit SMl Surcharge Treatment PI. ? 0 DO Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units ?S ? ? ----? - 798 _ BIIILDING PERlIIT APPLICATION - CITY OF EAGAN NOTS: ALL CpHTRACTpRS MIIST HS LIC@iSED iTITH TH6 CITY OF EAGAN COMMERCIAL SINGLE FAMILY DiiELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & 5TRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For :Valuation: Date: -C:c.J• ? Site Address OFFICE IISE ONLY Lot 1q- Block S? Ereet g Occupancy ? Remodel Zoning p Parcel/Sub Repair _ Type of Const ? Addition # of Stories Owner??? Move ` Length /210 Demolish Depth Address Int.impr. Sq Ft City/Zip Code Install ---------- ---------------------- Phone APPROVALS FSfiS Contraetor FfY0NTIER COMF'ANIES Assessments 3908 Sibley emoriz Water/Sewer Address Eagan,M N 55122 Poliee City/Zip Code Phone Arch./En Address City/ZiF Phone 4 Fire Engr Planner Council Bldg Off 'b-? APC Variance Permit Surcharge Plan Review SAC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 337 ?b ,._.7 ? 80TE: ADDRESSES FDR CORAER LOTS - COATRACTO&/HOMEO{iNER MOST DFSIGNATE WHICH ADDRESS IS DESIHHD. NO CH9NGES TiILL BE ALLOiiSD ONCE BQILDING PERMTT IS ISS[TED. ' ,/.• ?V _ .i?i? ?I\? _l. f? ..i i? Si7E ADDRESS: ECOhiRKTOR: rec> ?i r ???.IT•?i`ll ?! r?l_'YMIY ? ? `?-- ? ? Determine w:,rking squl,-e fnc'ir;e of each ?. Total exposed wall area....C,L sq. 7 2. ic,tal roof/ceiling a;-ea.... s;. `?. ;. Te.al expesed wall area a. 'o,=_' vrc'.1 w inCo?n? ar?a ........... ............ .. b. TO?3i d00^ ]1'23 .............. ............ .... ....... .......... ...... ?7 c, lotal slidinc g', zss door ar ea ................. .................. - ? L d. 7ctal fireolace wnll area .................. ... .................. - e. Tctal wall framing area (averanC- lOw) I ...... ... .................. ? Z°d?•J5 (Am f. ?otal rim jois± area ........................... .................. g. net wail area above `loor...2-?} .......... .................. C 5?D h. wai) area above rloor ................... ......... ? A i. wall area above floor .............. .... ........ ........... j. frame wali area at 1a.M2_ticr........ .......... ....... .................. To*_al e;:pccec k. 7o:a1 fevndation window a?ea .............. .... . . ?•?--? 1. ?otal net ouncation area abo?e ^........ . ... ? -"- De:ern,, ne ?uvalue c? ea??r w,., -?-? 4 5 = l ?e ? ? ? 71 r3 ? ?-- . - Y. "LI"J? - -- ?? . -..-. . . ., . - _. ' r.:,?, , . _ ,. ....; .. . ... . . >?t../`J?=r'??:rd?•-: !J,• ^U'? ?,... ;g?. . ,,n ?,.?-r",??, ...? = . : . ., ? . ., ,....,, .- • , _: •??..e.. _' . , e . .. , _ .. ? . _ . . h ., ? • - . .:.. . , r. . ... ' : _ ._ , .., . .. ' . ,.., . . . . . . . - . . , . x ',ull i x if is tne sam: k, .?.? X , u?? Ls,. or 'e>s .Zhan item X :Vn6cVc T'?? :Il°_, ic*,en: of S5C oGD6 C 3 , ? ' ? . ....... ..........................ictal ? ? _.. .: ` ?iic;r `'. ^c, Jn G C_ ? ? :fl. To:41 Sr:Vl] j?:l? cr C'd ............................ .,. Tc_ai roo_`/c_i1=n(? '-._,._ng a_es (rivcragc 102) .. ? e. Totai nec i::s?.laced _-oof/cei=Ing area........... , Deternine valu^ for each roo`/CC`_1i?g ., r^:icnt m. ? F „u,. _ ,;. c,3 • It; x .l,;,l .oZq__ _ Z. G 71. Z x ............................. az if tota.l o_ is ti:=_ Se_..?_- as, e:: less ,.^an vo-c have ^et -hc-: _„_^_nt o° SriC' 60C?6 Alte=nate &.;i1c_nc Enve:.Dne Des_nr, 2b ..:'ilize tne tota: er.velone spst??;. :nethod, *_ne values est:.blished by th_ s:un o£ ;.tems 03 und t!9 shclll not bc r,reHtcr thln the siLT, oL i=ems ;fl and 112. ,. ,. ZAn.o3_ T 4 . 7. Czb 1 ?., „ . . . . .. - ? .. ?'' - . . < . ,.. .. ?° '... : .. -- ... . .. =.? ?;'::. . _ , .:. ,.: _, .. . . ;..: ?.>..., .> >,a. - . .. - . ,. . =- ._ -. - . .. ,,•si:- - ``*`•:?.:-.?::..? ...,. ..: . . . .. .? . . . . . . . ? ? ?;.. -?. ?'.. . _ . ? ... {ie: . . ? .. . C.:. . _ . ?w ..` •, , • ..r. r..'. ?'..:... ? ' . f : .?`'••?' • r' . , C R : .. ?`. T?' . .? ?`.. . . . . t. . • ..:?•!'. '?.• ' i'Fi .. ? ? ?. . .. ?:?:....' . . ? . . . . . . . : . - . _ . ? L.. ' . . . ? . . . •'{?•' ' - ,.-. P( ;4 Q .w B L? r? e-AL FT. eXp cs`D WALL a LOG{<l ; S zf,6 co 4 &* z= l '50•Coco 4ot14 + 5 ?.4-cm- .? lV?. ?tm ?:uLLi r V vti ;?«.--? 'x?>oScD wA LL A??-E-A - 75• 3 3 ?-,Q EE S = ???• : g:p ?' --------? y 4:z' - ?uLL I `, E? -, ? ?3 = 1l?9 -v ? ??E? • ? ?? ? ' ^ ? ?? -7N ? = Z ? :? , m '¦' i -- . „ -... =v, JfS=D r =-I L(UG . . . .. ?...:?. ..... . ....."i,': .-?. ' ?_ , .'x:• .f _ ?J1 m. ?•:+: ?.??.?.?,., _ . . . .,::_;::_ . .... _`?.: ?,°zj°a;,z.? _ ,ni?:;:?:?.? •. ? _ _ /? y? ??.i'.i?r . : ?.?. ? ? i''?• .. . ? F .` . . • . ? . ' . • . . . . . ? ?,?C..l::. W.: ?? : ::. ?j ..?. /?.??r?Y???3b• ?. . . . . . . ?µs????. ? • a= 6 i?; ??.V?'f 0???•, . .. i..? M /??i1?. Qy -??/ ?fp{ .: .'-:?••i?.ti:' -:f`."s1?W 'y.•?i•.: •.. .Y. ,/ i.? _ :•'tP.1CA...???+t'.... AY.. ti?4? ,l:'::? ..r:??.:'T.,3rp . . _ ? . . . . ? t ? ? ?(J /?{ t}'Y e r ? •• ( ?S•'?? L 14 BL 4 CITY USE ONLY RECEIPT #: ? a I D?? I SUBD. -` Ia?Vv vol 11 RECEIPT DATE: PERMIT # 1999 PLUMBIN6 PER141T1' (ftE.StDENTIAL) CITY OF EAfiAN S$SO PILOT KNOB RD EAfiAN, MN 55122 (651) 6$1-4675 Please complete for: > single family dwellings Y townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ G85 i ifl Outlet ' minimum -1 3.00 X = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 . x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x $ -' ? Watef Softener if dwelling under consVuction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ 50 Total --? --? ----> ----> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------------------ -------------------------------------------------------- --- --- I hereby acknowledge ihat I have read this application, slate that the infortnafion is covect, and agree to comply with all applicable City of Eagan ordinances. It is lhe applicanPs responsibiliry to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maintenance activihes to the facilities constructed under this permit within Cdy propeRy/nght-of-way/easemenL SITE ADDRESS: I4-C17 JGf(lGG eleCG l?tCjlfG? ./u!/1? 5-s-1- 7/v OWNER NAME : STL?/'L G6?/`'C- / TELEPHONE #: (AREA CODE) INSTALLERNAME: TELEPHONE#: STREET ADDRESS: (A REA CODE) CITY: A l"7/i6tT UI STATE: ZIP: / SIGNATURE OF P/ERMITTEE 81 O fVl/a?' suAVEYinio SEFtVICEB 3908 Sibley Memorfal Hfg Eagan. Mlnneaota 5512 Phone: (612) 452-3077 e---, 14 S '-- \ GALE: 1V= 40? hwgy 2 L:;'r •L3 :c:-; •t? ' =3 N ? ? I Z? 1 V 1 + •V 1 ? J / 9 I ? ? CERTIFICATE rOR; MOME PV4 f)El1S ? LANb(IEVEIOPFHS ? pEAtiURi ?i COMPANIES MODEL: CAM BKIDGE i?EV .0 ? .\ / DRAINACqE ?'ears M T? Lo-` 14 ? Sia.ox ' ? ? 6> O Y 3 ??O .???. ? ,...r ? ^ J /? ` ? \?5.--• ?., . .Y87$,?i ?9 ? i.i ?o . ..?jF,°' ? /7• ?'?' ;,c;"I' ' WAYNE D. CORDES - 14675 - I _LEGEND- 0 (knotes Irm Mornurent m (knotes N'ocd Hub Sef „ 871.0 Denotes Existiry Spot Efevation („ :wW-) (knofes Proposed Spo{ Elevat ion ,„--- Oenotes Drainage Direction -PACpER1Y DESL"RIPf IlxV- LOT ?'f" , BLGY'K d" HAMPTON HEIGHTS accordirg to t?r recorded plat thereof, Dakota Comty, yirmsota Lr?? p ?? hh? ?\\ 4) ? . o ? x o'l.0 PAR K ? p?,l?GE ? PROPOSED 6ARAG£ FLOOR £LEVAT/ON = g?s•? PROPOSED Top of 81ock ELEVATION - 87?•3 PROPOSED BASEYENT FLOOR ELEVAT ION ? 87Z. Wlo NpTE. Verify all floor heights with Finaf House Plsro. ;aUWEvioRS CEHfIFdCATILMf- I hereby certify thst this survey, plan or nport wss prepsred by me or vder my direct superv isicn ard thaf I em e duly Registered Lard Swwyar urder the lews of fhe 5tate of lfinnssota. 61y)-p- Oate: $/ ZzIB? Wayne Cordes. Winn. Reg. No. I4575 r . 810 MA SURVEY1NG gERVICE9 3908 Sibley Memorial Hiphwey Eapan. Minnesola 55122 Phone: (612) 452•3077 SGAL E : ("= 40? \ ;.:i'r •Z.? ? .- •t•? ? c ; 3 ? ? N 1 ? It ? w / 9 ? I, \ 2AX y / / ?? s83 a DRAIFJAGE -? UTI?IT`( ? ?a ?ensM "T, l-o-r 14 e. ` 87lAx ` is 0'a?9 n? ` WAYNE D. CORDES - 14675 - _LEGENO _ a (knotes Iron Maxnr.nt Q fknotes Mad Hub Set x 87(•0 0.nofes Existiig Spot Efevatian („ =wW.. ) 0lsnotes Proposed Spof Efevatian r- Denotes Drainage Orracfion .PACpER1Y DESCRIPfIfxV- LOI ?q" BLCC'K 4' HAMkTON HEIGHTS accord irg to tM rxcrded plet thereol, bakota CoLnty, Yimesota HUSE CERTIFICATE FOR; ? NpMEPVilOE111 . UNODEVElO{'FRS ? HEALipq$ er ?. zR4NF COMPANIES MODEL: CAM BKID-r+E ?O ? • .f ?? ?...1 1 1.? \ I? lkw ! ? ?\C 10 + ? ? . O ' o: 0 1 . v? hy ? ? ? w PAR K ? f?I?GE PROPOSED GARAGE fL00H ELEVA110N = S 75•U PROPOSED 7op of Siotk c'iEVAiiON- 8115-3 PROVOSED BASEMENi fL00R ELEYAlION- $l2. wlo M7TEy Verify a11 floor hei9hts with Final Haue Plans. AIA/= CFRTIFICATIa+L- i hereby certify thet this survey, plen or nport wsa prepsred by me ar u'der my direct supervisicn snd lhat 1 am a Duly Registered Lerd 5vrveyor trder the lews of the State of Winrwsote. `-O?t?-- Date: $/Z-da(- Mayne . Cades, Ifim. Reg. No. I4575 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA106909 Date Issued:09/17/2012 Permit Category:ePermit Site Address: 1604 Park Pl Lot:14 Block: 4 Addition: Hampton Heights PID:10-31900-04-140 Use: Description: Sub Type:e - Water Heater Work Type:New Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Mike Bujarski 6159 115th Ave Clear Lake, MN 55319 763-286-5615 Valuation: 1,100.00 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - RANDY W TAPSON 1604 Park Pl Eagan MN 55122 Sams Plumbing 6159 115th Ave Clear Lake MN 55319 (763) 286-5616 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA106910 Date Issued:09/17/2012 Permit Category:ePermit Site Address: 1604 Park Pl Lot:14 Block: 4 Addition: Hampton Heights PID:10-31900-04-140 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 Mike Bujarski 6159 115th Ave Valuation: 2,400.00 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 - RANDY W TAPSON 1604 Park Pl Eagan MN 55122 Sams Plumbing 6159 115th Ave Clear Lake MN 55319 (763) 286-5616 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit 411100 City of EaRd Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I ~i I Fax: (651) 675-5694 I Staff: 7 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 4 Phone: Resident/ ' n Owner Address / City / Zip: ~L 0 P4 r !L Applicant is: Owner Contractor Description of work: a C_ 6L - t °d- ~,3 e J ,'.J,0U Lj _f Type of Work Construction Cost: A9 d ca Multi-Family Building: (Yes / No Company: ~iJ e- c t , /y Contact: /,e.A1c~ aGt J / nee. J „~Nc_ . Contractor Address: U 13 y City: J,-) t1r_ StateY/)YA,)_ Zip: S S J Phone: 4 s-a - 413 s" `o / Y f- License G, p 02 O11_)- Y Lead Certificate / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: MOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to _ conclude that they are trade secrets. 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. 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. x 6 c.n.~ c- G~ e x Applicant's Printed Name Applicant's Signature Page 1 of 3