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1142 Parkview LaneCITY OF EAGAN f-4 ? Remarks Addition ChPS Mar.A2nd Additirn Lot Bik 3 Parcel-1p_17151 ..170 nz Owner street 1142 Parkview Lane 5tate Eagan. hIlV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (pU -t, 1982 2239.76 447.95 5 895.91 A013259 12-8-83 STREET RESTOR. GRADING ?I 1981 12 25-.39 5 2S.41 A013259 12-8-83 SAN SEW TRUNK 19 73 ASS. 7. 79 20 62.32 A013259 12-8-83 * SEWER LATERAL 19$1 4078.76 -- ?. 7 r1_ 5 815. ?6 ?? ?? WATERMAIN *WATER LATERAL 19 1 WATER AREA 1981 280.00 1 56.00 S $6.00 A013259 12-8-83 STORM SEW TRK 1951 438.40 _ 87.68 5 87.68 A013259 12-8-83 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450.00 0 11 BUILDING PER. SAC 11 H PAR K CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DAT 19 eeccrvso -- - ? ? _ / FROM AMOUNT $ & DOLLAR$ 1 oo ? CASH ? CHECK FOR 'ir White-Payers Copy Yellow-Poeting Copy Pink-File Copy Tha ou BY Receipt J .. PLUMBING PERMIT Permit No, CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. ? 1. Date 43 2. Instaltation Cost Lot Blk. - Tract 3. Job Addres ? r 4. Owner /j1Eti ? U? A I r ,_.r ,;?1?! r ri 5. Contractor 11 1 1 i 16 r+ ? c Phone f,ii ?"•; i/ / 6. Address / f'i4rlc' p utt ' i 1 7. rilty?'? iJ Stet@ l?/? ZIp j 8. Building Type: Residential o", Commercial ? Institutional ? 9. Work Description: New O Add ? Alter Zi Repair 0 10. 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory ? Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray F{oar Drains Drinking Fin. Sfop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed Rough Inspections: Date Insp. This is your permit when numbered and app Approved for c?..e? Date OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 4; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 --- ? ? ? ? I-N ?,?-? i ? c• SITE ADDRESS: I APPLICANT: II I t EANr ;•??,-??; , . ra tUN',I ? Ils • Mr'9V I rl', I . aali ? ?. I .• 1 ; :??1 . . . . ? .? PER IT, UBTYPE: TYPE OF WORK: ??,?? ? i-r:rAIR 11 f Vtfur- Permit Na. PPrnelt Holder Date 7elephone # ELECTRiC PLUM[3iNG HVAC lrsspeCiion Oate insp. Comments FUUTINGS FOiJND FRAMING FIOQFING FIOUGN 1'Ll1MBiNG Pl_[3G nIR TEST ?----- RUUGH ' ----- - _ - - HEA?ING I ? -- - - - --- ----------- - - , t,s s.-c ? ST - -- --- -- --- - - - - - --- - ? iN°•UL l...-- -- -- - - - -- c-?1•P 2oAi ? I I - - - - ----- - - - - - r , ?r=,°LA!?E 1 k:ST FR•JtaL F`,&,G - - - -- f -N AL HTG ! _ .. I f -- - -- - _ i ; ,oi 1 - - - - - - - -. . -. ! crw4? / jrG f{_ii/L -- ' ? ? - -- -? ? a ! I ? ? . ? i 9 3 ? , ? • .4 „ cirr oF E?GAN • 3795 'ilat Knob Roed Eeyan, MN 55122 PHONEt 454-8100 BUILDING PERMIT Receipt # To bo wed ier SP Dt,'G/(',AR Est Volue $65,0 00 pme S eptetrber 2 b 19 . , , Site Addrcss 1142 Parkview Lane Erect ? Occupar?cy P`?3 Lot 11 Block 3 Sec/Sub. Ches Mar East 2nd A?ter p Zoning ?-1 10--17151-110-03 Repoir p Fire Zone NA parml # J Enlargs O TYPe of Const. n ? ac Sunsiiine Construction Co. Nome Move ? # Stories ? ?r? 1466 Richard' a Court De?„olish ? Length 44 ,,,__Ta?,,Fr 55122 454-7485 Grode ? Depth 4$ Sq. Ft. W. N?ner Approvals N Fees ome o ,-{ "'Asseument oU Permit - •. ? • ? ?) Address U? Water & Sew. Surcha r9e 32 ' -'i, ~ Cit Phone Polite Plan check 154 .0 1 ?°C Ncme WW Ffre SAC 525.00 x? Address Eny. WaterConn. 450•Q? <W Ci Phone Pla?+ner Watar Meter 60. 0Q Council Rood Unit 250 - 00 I hereby acknowledge that 1 hove reod this opplication ond state that Bldy Off - the informotion is correct and ugree to comply with oll upplicable . . AP? 71 Totol ' s'' State of Minnesota Statutes and City ot Eagan Ordinonces. Siqnoturc of Permittee uns;iine C A Building Permit Is issued to: oll work sholl be done in atcordonce wlth oll opplicabla n the express conditbn thnl of Eeqan Ordinancea. Buildirq Official Permit No. Fermit Holder Misc. Permii No. Holder m6i ng F -- .V .A.C. o Well Water Disp. Sewer Electric Inspection Date Insp. Other Footin9s i..;,-i? 6, a- o,c /cqc ?>Ic? p E. u.?ll (tiaU Z?14l? ar i v\ s C?? 6??`n t Foundation Framing , ; Rough Plbg. Rough HVAC Insulation Final Plbg. ? Final HVAC ;? Final Water Describe Location: weu Z,; se„er Pr. Disp. Reoeipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spacea S1C ' - Type or Print legibty • -;T-, 1. Date 2. Installation Cost L V,J?;7,? j r- 3. Job Address/z,?12 9 Q?Lot1_Bik. 3 Tract ? 4. Owner ? ' 5. Contractor LG' /1 P(// Phone 46//` 1 g 6. Address / r' ! 7. City r Cf Kt State Zip 8. Building Type: Residential t] 9. Work Description: New 6 Commercial ? Institutional O Add ? Alter D Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield i Bath tubs p Se tic Tank Lavatory p Softner ? Shower Well ? Kitchen Sink Urinal/Bidet Other%? r' y- r / Laundry Tray 1 r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wiT all ordinances and codes governing this type of work. ? Signed : 2 for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _-_' 4'• CITY OF EAGAN 454-8700 Re ceipt MECHANICAL PERMIT Permit No. CITY OF EAGAN _ Fes , fill in numb8red spaces S/C Type or Prin[ legiWy Tot. . 1. Date l/3Ld ? 2. Installation Cost 3 J b Address r : Lot Blk ? Tract . . . - o - ?i 4. Owner :•?l ?s?i?tlt ? ? - 5. Contractor < Phon e •- 6. Address /J '- Ac 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional Cl 9. Work Description: New EY Add O Alter ? Repair ? 10. Describe Fuel Type 11. No. Eqipment 8TU - M. Ea. Forced Air No. EQUiament CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other ° Air Cond. Mfg. - Gas, Riping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Box 21191 i, MN 551 Address: Road SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: I ir Las [ -na 9- 2-7 _F? 45 100.0f) P : • to essy* wilh eM Cky oi E.9o¦ Connsction Chaqe: 425.00 pd onas. Accoumt DepoWt: ad Permk Fee: 10.00 Surcharye: .' 0 Mtsc. Chorom of Irnp.: Totol: ? Doh Pald: I .? CITY OF EAGAN 3830 Pilot Knob Road WATER SERVIC E PERMR P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 3 Zonirg: 'I No, of Units: i Owner. 5unshine Cor.st Address: Sih Addmu; 1142 Parkview La::e L11 F3 Cner. '.ar %?.ast ttd Plumber. L'3b.CY11Ze P13,: Mensr No.: comecrion u,arge: 450.00 )a ? Size: AcoouM Depasit: Reoder No.: Permit Fee: 10•00 :)d 1sym !o oonsply wh6 IM CMp of Eaoen Surchorge: .30 :xj Ordieonae. Misc. Charqes: 5{1.00 pd raeter Totol: By Dare Poid: Dote of I nsp.: I nsp.: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN IP` 3830 PILOT KNOB RD • 55122 651-681-4675 New Construction Reduirements • 3 registered site surveys showing sq. fl of lot sq. ft of house; an?ll roofed areas (20°h maximum lot toverage albwed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculatlons • 3 copies of Tree Presenalion Plan if lot platted after 7/1193 • Rim Joist Defail Optlons selection sheet (bldgs with 3 or less units) DATE 6-A 61 OOI JOB SITE ADDRESS 1142, OJ1kV I.Q.I IF MULTI-FAMILY BUILDING, HOW MANY UN : ? PROPERTY OWNER TYPE OF WORK 1 APPLICANT AW' D ADDRESS SSS$ a i! PAGER # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNF.SO'CA RULES 7670 CA'CEGORY 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: Mechanical Contractor: Vlcchanic.il Systcm Includcs: Sewer/Water Conhactor: Air Conditioiung _ Hcat Rccovery System FIREPLACE(S) _ 0 _ 1 _ 2 ?/PHONE# ?I?'9?7'9449 YJ/Y ZIPCODE 55-311.3 Fax # 967A • 935• 95#V Phone # Phone # rce: $90.00 Pec: $70.00 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 correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ce?. Slgnature of AppUcant ? ? & Certificates of Survey Received _ Tree Preservation Plan Received _ t Required _ • Updated 1l01 CELL PHONE # _ Water Sol'Lener 'Water Hea[er No. oF Baths I i RemodellRepairReauirements I • 2 copies of plan 'I" - ------ -- 1 set of Energy Calcula6ons for heatad addi6ons • 7 site survey forextenor addifions 8 decks U?-r . Indicate if home served by septic system for additions I -?---7-d? VALUAfION ?oo Phone L-tVVI1 SnRI1klCf No. oF R.I. 13aths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelliny ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation _ Census Code _ SAC Units _ Nbr. of Units _ Nbr. of Bldgs _ Type of Const _ W idth G 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors `Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MCiE9 System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinkiered REQUIRED INSPECTIONS Foo[ines (new bldg) Footiit2s (deck) Pinal'\o C.O. (ad(titioii) Plimlb Foundatiun llrain Tile Rouf Ice & ?Vater Final Other Pranun- _ Pool _ Ptgs _ Air/Gas Tests _ Pinal Fireplace _ RI. _ AirTest _ Final _ Siding Smcco _ Stone Insulation _ ?L'indows (ncevireplacement) 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 Total ? 07 05-plex ? 13 76-plex ? 08 06-plex ? 13 Fireplace ? 09 07-plex ? 17 Garaye ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Levei ? 12 12-plex PI6g_Y or _ N FitiaL/C.O. _ .O. _ iog H?:4C ? 30 Accessory Bidg ? 31 Ext. Alt - Nlulti ? 33 Ext. Alt - SF ? 36 blulti Building Inspector er#iftrtt#e of (?9rru?ttrir? Citp of (eagan Brpttrfmrut of 1.?uilding Insvpdiun Tbit Cntificate irrard purlurtnt to tbe nquinmenu of Settion 306 o/ tbe Uniform BHiJding Coda rnd fying that at the timc of iatnarut lhit thurture mai in rmnplianre witb thc variaru ordinancrr of tlx C#y rrguloting building corutrrution ar utc. For thr fo!lowing: SF DWG/GAR o-warivu R3 Typc.?? Vn a,o,,,r?dft Sunshine Const. Bad,,Add? 1142 Parkview Lam eWwmsarow .. BIEyP?tNO. 8518 _F;. z. NA zo??x Rl ,,d?1471 Thomas Lane, Eagan =l,?,u,rLot 11 Block 3 Ches Mar By: East 2nd o,,,, November 23. 1983 IIII I III I II II IIII In REQUEST FOR ELECTRICAL INSPECTION Minnesota Stafe Board of Electricity : 1821 University Ave., Rm. S-128, St. Paul, MN 55104 * 0 2 0 7 4 ?X Phone (612)642-0800 8/(? • ome Duplex Apf. Bldg: Other ew Addn ommercial Indusfriol Farm Remod Re air Air Cpnd. Htg. Equip. Wafer Htr. Load Mgmi. Ofher. D er Ran e Elec. Heaf Tem . Service "k' above the work covered by fhis request. Enter remarks in fhis space and on the back o( fhe white copy only. Calculate Inspection Fee - 7his Inspection Request will not be accepted without fhe correct fee: ' OTher Fee 3R $ervice Entrance 5'ae Fee # Circuils/Feeders Fee Mobile Home Pork Siall 0 fo 200 Amps 0 to 100 Amps S- Sheet Lig./Traffic $ig. Above 200 Amps 0 Amps Tfans{ofinef/Genefotof INSPECTOR'SUSEONLV TOTAL • $ign/Oufline Lig. )(fmr, ? Alarm/Remofe Con}rol Swimming Pool I hereb cerA fia11 im ecled Me eletlnml inslailotion desoi6ad hereln on the datas xw?ed IrrigBtian Boom Rouqh-ln eciallns ection $ p p F,^a Inve#igative Fee THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2 O 1- 4 0 3 0 PLEP.SE PRIM OR TYPE OFRCE USE ONLY This requesl .old 18 monlhe iram volidolion dak pnnkd in fiis b'ox/. /- `q??//? d Request Dol 9, g- Rough.in inspection required2 ? Yes o no? m?r ?an a ?m,P«m..,n.?eaaY1 T' Inepecfion Olher Thon Roogh-In: 0 Reody Naw iVill Gall Dare Ready: ?\ I, Kli<ensed con}rador 0 owner hereby request inspection of ihe obove elecirical work af: bb Pddsmss ?Slreet, Rouh Nn) /? .2z- Ciry Zip Code 5«10o0 Na. Township Name or No. Ra,e No . Frc Na. Counry pcrypoM '-S? o ry- ?srt o s r n.s?l Phone No. ?87- vsy.? Pawer Suppliar Address EI«fic onhaWr(ComponrName) ConhacrorLicenseNo. (7 Ag-oo3is' MamrLic.No.IPlantElzt.Only) AAoilinB ?drass ?Canhacbr or ner PeAaeminq ImMllafion) 7 ? Ne- ?T- /wthorized Signal?u?/{c?,,ho` Own Inskll • n) C?? (/??i?-fil?.G Plwm No. 7 D.? ? EB-OWOIA-10 6/95 $T EBO OVY•SEEINSTHUCTIONSONBACKOFYELLOWCOPY s Feque Date Fire No. Rough-in In ' )lsetion Requir9tl? 'J.ree U-_?. e'y Now C7 Will Notity InSpBCtor When Reatly7 I -_IVr' .erfsed contractor ? owner hereby request inspeciion of above electrical work at: Jo0 Atlb53ss/lSpeet? or Roule C? / r? t Clry Section No. Township Name orNO. Range No. Counry Occu.pant Tj Pltone No. ? PowerSupO r Atltlress Eleclrqal /Cf?v)atlor 1 pany ame) CoMredor's Lke/nJse No. 2'J Mailing Atltlress}Contractor or neOr Making tal tron) ? / YiN lR ?`„ V?? ? AuthorizeC Signatura (GOmratlor/O r M ' g Inslalla P?one NumOer ? ? MINNESOTA STATE BOARD OF ELECTNIGITY THIS INSPECTION REOUESi WILL NOT Grlggs-Mltlway BIOB. - Room 5173 C,- BE ACCEPTED BV THE STATE BOARD 1621 Unlversity Ava., 51. Gaul. MN 55100 UNLE55 PROPER INSPECTION FEE IS Phane (612) 642-0800 ENGL0.SE0. /089? d 08351 REQUEST FOR ELECTRICAL INSPECTION ? Sae instmclions for comRleting tnis lorm on back ol yeliow copy "X" Below Work Covered by This Request ,:?? C- ?S ew Add p. TypeofBUilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Elearic Heating Apt. Builtling Dryer Other-(Specity) Commllndustrial F urnace Farm Air Conditioner Olher Ispetityl Contracmr§ Remarks', Cofnpute Inspection Fee Below: k Olher Fee # ServiceEnirence5iie Fee # Circuits/Feetlers Fee Swimming Pool 0 to 20D Amps / o to 10o Amps ? Transformere Above 200 _ Amps Above 100 _ Amps Sig05 inepenor§ Use Only: TOTAL Irrigation Booms J ? u ? Special Inspection ? J ' AlarmlCommunication THIS INSTALLATION MAY BE RD DISCONNECTED IF NOT Olher Fee COMPLETED WITHIN 18 MONTH . I, the Electrical Inspector, hereby R°ugn-in oaie certify that the above inspection has been made. F;nai a?e _? OFFICE USE ONLY This request voitl 18 months Irom LF9 ucensea tiec,ncai bonilacwr I hereby repuesi inspaction of above Owner electtical work inslallad at Street Address. Boxp? Houte No. City _ -l1 DzXh?,vi Qu? ? Lav?? ecLOn o. Township Name or Nn. Hnnge No. Coun1Y OccupantlPfllNTI .; Phone No. Power Sup0lie r Atldress / ' Elec?'cal Coctor IComOany Namel CX7(S`XJL Contructor's License No. Mailing A ress (Contractor or Owner Meking InstailatioN . `155 µ`!''- - IJu-) KI AuMOrized Sienawre IContractor Owner aking Installatfonl Phone NumOer Q.ok --?g99 MINNESOTA 5TATE BOARD OF ELECTNICITY THIS INSPECTION PEQUEST WILL NOT Griggs-Midway Bltlg. - Noom N-791 BE ACCEPTEO BY THE STATE BOAPO UNLESS PPOPER INSPECTION fEE IS 1827 University Ave., St. Paui, MN 66104 pF-- 16121 297 2111 ENCLOSED. This request voitl b3r ckes rUa0- 78 months fram - REQUEST FOR ELECTRICAI INSPECTION ee-ooooi.w ?.. ' See instructions for completing this form on back of yellow cooY. ?R I "X" Below Work Covered by This Reqirest j1 3 g 4?'q AAd Rep. Type o} BuilCing Appliancea Wiretl Equiument Wired Home Range Temporary Service Duplr,x Water Heater Lightiny Fixtures Apt. Buildinq Dryer Electric Heatin Cortxnercial Bldg. -K Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm t. Peu y D?her ISUecffyl t er Succily . Other Comaute lnsoection Fee Below % q Fee Service EntrenceSize d Fee Feedars/Subfeeders # Fqe Ci,cuits 0 to 200 qm s 0 to 30 Am s 0 to 30 Am ps Above Z00 Amps 31 to 100 qmps 31 to 100 A y Swimmin Pool Above 700_Amps Ahove 100_AinVS Transiormers Irri ation Booms iz;b Partial:`Other Fee Signs Speciailnspection Remarks . ? •? T OTAL FEE , in .-.., - Nouph-in IDate . . /a-0 ?. ? insaector, heraby cerfify thnl the abova Final /? ?'"j?e inspection has been //OG 17T, A\ /, meda. lrhIO reGUest voitl 18 monlRS fmm Zb Be Used For Slte AdCZY'eSS: CITY OF EAGAN Include 2 sets of plans, ?- 1 Site Plan W/e1.eVdtiOns & BUILDING PERMIT APPLICATIbN . 1 set of enerT..7 cal.culations. Valuation Date Z C) Y Lot 1j Blocx 3 sec./sub, Parcel #: JU -lZl S f- I16-03 ? oaner: SQHSLt??P raaress: /1-(66 ?,..Gra.•-r?s ?'fi City/ZiP Code= S?lZL Phone # : `-f,5?`f Contractor: g4101Gf Pddress: City/Zip Code; I?ISOJ ? Phone #: Arch. /EnFcldress: City/Zip Phone #: - k OFFICE USE OI?Y Erect Occupancy ?a Alter Zoning f(-? Repair Fire Zone Enlarge _ 7ype of Const. Move # Stories Desrolish Front ft. Grade Depth ft. APPROVAL.S FEES Assessments Water/Sewer Police Fire EYig. Pexmit Surcharge Plan Check / ,.. - ! SAC Water Conn. ?! 4• Council ... Road Unit % 5'7-- ?ey Planner Water Meter y,t !^ Bld j2D3 ?b4?-s?r? 6h2APCg. Cocle: tiJ+l) ,SS7LZ? Off. ? i ? BUIIDING PERMIT N? 8518 Recelpt Te 6e used fe. SF DWG/GAR Esf. Volue $65,000 oare September 26 1983__ Site Address 1142 Parkview Lane Erecr AR Occupancy R-3 Lot 11 Block 3 Sec/Sub. Ches A13r East 2nd Alter ? Zoning R-1 parC6l # 10-17151-110-03 Repair ? F7re Zone NA Enlorge p Type of Const. Vn a No? Sunshine Construction Co. Move O # Srories Z Address 1466 Richard's Court DemoHsh ? Length 44 9 Ci Eagan 55122 phom 454-7485 Grade ? Depth 48 Sq. Ft.- w Name OWRer Appeovals Faes Ou Addross Assessmenf Permit 328.00 ul Water 8 Sew. Surchorge 32.50 Ci Phone Police Plan check 164.00 wW Nome Fire $AC 525.00 ?Z Address Eng. Wafer Conn. 450.00 `W O phom Plonner Water Merer 60.00 Council Road Unit 250.0(1 I here6y ackrwwledge that I have reod this application ond state that Bldg. Off. the inlormatiDn is CorreCt and agree fo Comply With oll aOPliCOble 109.50 $tote of Minnewto Stotutes ond Cify of Ea9on Ordinonces. APC Totol . Signature of Permittee unshine Construct' A Bullding PeRnit ts issued to: o exDress condifion Ihm all work sholl be done in accordance with oll appliwble Statn of Min esot .? -r City Eagon Ordinances. rKA Buildinp Offidol CITY OF EAGAN 9745 Pllaf Kaob Raad Eegen, MN SS122 PHONE: 454-8100 ,.,2006 RESIDENTIAL PLIiMBlNG PERnnIr aQPLscArroN C1TY OF EAGAN ? 3830 PSLOT iCA10B ROAD, EAGAN MN 55122 851-675-5675 ;e cornpfeYe for modifications to existing residentiai dweilings. ! Stre res? Unit # erty Owner Telephone # "74 :ractor ' 1 n Telephone # ???[' 'J • ? ess ? ? City StaYeft- Zipc_- Applicant is: _ Owner ,K ContracYor _Other ic System _ New _ Reiurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 rations to existing dwelling $ 50.00 Add plumbing fixtures. This fee mctudes installation of a water sofiener and/or water heater at the same iime. If you are insfalfing anlv a wafer sofYener and/or wafer heater, do not complete this section; move to ±he next seciion and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $130.00 ir a 5/8" meier is required) _Other:n_ -.. ater_$oftener new NJafer Heater ? replacemeni $ 15.00 Lawn lrrigation _RPZ _PVB _new _repair _rebuild $ 30.00 :e Surcharge 31 NOV 0 g 2006 $ 50 reby apply for a Residentiai Plumbing Permit and acknowledqe ihat the informatfon is complete and accurete; that the will be in conformance with ihe ordinances and codes of the Gi'[y of Eagan and the plumbing codes; that t erstand this is not a permit, but only an application for a permit, work is not to siart without a permit and work will be in xdance with the approved plan in the event a plan is required to be re ' wed and approved. ? ,IicanYs Printed Name Applica Ys Signature %q4D 2045 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN -. : 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease ccrttplete for modifications to existing residential dwellings. ;s06 date , I (? ? W1Q.. Unit i{ Site 8b'eet Address I'? 1) l?&D Property Owne? ? rLL? t Telephone #(??q ??S • ? 9 g-3 CoMractor \J '?0 Tele hone# (9?) p Addt'ess '21 S C7 ?1' P4 CK ? ? P t0 N Zl V iSt 32YY . a y . p - The Applieant is: _ Owner ? ntraetor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener andlar water heater-complete next sedion if installing these appliances). ,.,_Septic System Abandonment _ WaterTumaround (add $125.00 if a 518" metef is required) Other. -- ? - J _WaterSokener ?-AWaterHeater OC.? 11 L?j'JJ $ 15.00 new 2s-nplacemeM Lawn I?rigation _RPZ _PVB _new _repalr ^rebuitd . $ 30.00 SWte Surcharge $ .50 Totat a ? s I hereby apply for a Resideniial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be, in conformance with the ordinances and codes of ihe 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 ccordance with the appr plan in the event a plan is required to be reviewed and approved. Applicant's Prited Name ApplicartYs Signatur ?tJR1/EYOR'S ?__. N CERTIFICA'fE ' s\INE COPISTRUCTION COMPANY ? \ /SF [?' I\ 0+ r < N ? '4 E 0 ? V p6 ? \ ^ja s 30 93 ` ,/ P , i / ? //T ? ?? / ? ? y / ? "r93 `` ? / ? ^?? 00 / L O T 4r') \ ? / B ?s 3 ?: es 2 /?6 x9' Tr? T9/5.;?1 0 a ? 4> ? c ?r 2 ° x'92 R?'OO ?SO ?HpUS? j i 4 1? I ? -r-, {'r9?_ ? ?'ORA/NAC,E 6 UT/L/TY EASEMENT PfR PLAi 93s9 / ? - - b ? \ 5.00 ??'i; ir,'r"v 3$ 44 ? ?5J h .? - C? (40 C ` - ? i W M ? ?- \ ? l \ / -?--- DEn(OTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 0 DENOTES IRON MONUP1ENT FOUND PROPOSED GARAGE FLOOR = 919 C FEET X000.0 DEPlaTES EXISTIN6 ELEVATIOf! PROPOSED LOIJEST FLOOR = = 9!% FEET (000.0) DEFlOTES PROPOSED ELEVATIOM PROPOSED TOP OF BLOCK = 92?? FEET I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A Sl1RUEY DF THE BOUNDARIES OF: Lot 11, Block 3, CHES "'AR EASi SECO^1D P.DDITICf, accordinn to the recorded plat thereof, Cakota Countv, NIinnesota AND OF TIIE LOCATION OF ALL BUILDINGS, IF ANY, TNEREON, ANC ALL VISIBLE ENCROACHPIENTS, IF ANY, FR0M OR ON SAID LAND. AS SURVEYED BY ME THIS 5T!I DAY OFJU:"%E 1983. SiGNEU: JAMES R. ILL, INC. BY: HAROLD C. PETERSaN, LAND SURUEYOR PIINPJESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JqMES R. HILL, INC. 83273 58/17 Ptanners / Engineers / Surveyors FILE NO. 8200 Numboldt Avenue South FOLDER Bbomington, Mn. 55431 e12-884-3029 . Wenihcrsttips A Guide V,'ipdo?a 1 -Doon I Referec« Out. Wall Ya- o ? Yee-No 19 _ \ F1•1 FoV'e?R Room Length ?` ??+ Width wi own ec? and Doon-Cractcaae end Area Comtructioa No. V/aN Ceiling Roof Floor Kind ??-- f kighe 'Nd' II -? F1.I Kt`c Rmm W;nAnw. xnd DmrL--Cf. Na WIdW o[Dana Height ofyan, Nu. of 115hb 1' d' b " „ " O d fe p Coef. &o IaGltrati on I Glaee °?5p 2 Fsp. wall Net exp. wall Int. wall Floor CeJ. L4 lotal BtU. ReQuircd sq. {t. E.D.R. or sq. ins. W:A. Lender erea \ Fl.1 U Rooml LenqthZ,?Yl" Widthky'd' Height B? C' Wi ndo.n a nd Doora- --Crackage and Ares No- WIEtp ofDene HNQ?t oty?n• No.of II.Tb Llneqlt. olenek A?w q.tt 1b11 \OI Coef. Btu tnblaauon o \ 60 Clas+ iem Fsp. wall 264 Net ezp. wall Int, wall Floor ceil. 30 12 2.. TotalBtu. 1 6PI¢j Required sq. ft. E.D.R. or sq. ins. W.A. L.eader arce Fl. Dm Room I Length \% Width 000 1 Height 'oll Windom and Doora--Crackage and Area Coef. Btu Infiltration Glau Ecp. waU ? Net exp. wall ? 2, lnt. wall F7oor Ct7. ??p I Total B:u. Required sq. Ft. E.D.R or eq. ins. R/A Leader teea -'t"a+AL- 14 /L- = 5 o,4bZ B--u Imalation How t{Yo? Width and Area No, WIGtG a( D.ne 1{al[O[ ot peu No.o! II(hU Llvwllt. ef en<k Ar" Q. [l. 2 )Il 1 1 3 y i Coef. Btu Lifiltration i4O 1 Glan ? Exp. wall Net e:p. wall lnt. Weu F!oar `"I . TMnI Btu. Required sq. ft ED.R. or sq. ins. W.A. Leader area \ FI.I *L ? gD Room ILensth I?2O"Width +`ld' Height b°(f wi ndows an a uoors -A,raeca ge aoa eue a No. WICN of pane Height nf pam No, o[ IIfPU Linul fl. Ot traek Aroa p. [t. Z 1 N \ d1 ` • II Coef. Btu WilVatwn GlaSa SO 00 Exp. wall Net exp. wall Int. wall Floor Ceil. ? Totai Btu. Required sq. ft. E.D.R. or eq. ins. W.A. Leader area R?V Fl.IAZ (iU Room I Leneth 1'ZCf ' Width ?I Windows and Doors--Crackaee and Arca Infiltration Clase Exp. wal: Net exp. wall Int. wall Floor Beu ' II Reqaired sq. ft. E.D.R.,or sq. ine. W.A. Leader area ?5M gt,looM ' Weathrrrt ' AS.[i u. idVe E. ? Conttivetion No. inwletion C 11. P,`i? n I Daon Referenu Out. Wal1 Int. WaH Ceiling Roof Floor kind How Applied es- o Yes-No 19- I F1.1 ?ft bp Room Length\1o?014 Width\(}'lati Fidehtf3%011 IItpFl.? AW Room?LenHd+yO0"' Width2y'd' Heighta_O!! Windows and 1?oeis-Crae7esve anel Ann lL:..,i...... ..,.1 IL..,.?l..?kree and A=ta No, Wldth ofyana Hel(At o(y?n. Nu, ot Il.bb Llnql (L otertet An& p.tf. Z Zb` " Cocf. &n Icfiltratian Lko o Glasa Fsp. wall U Net exp. wall 2 Int. wall Floor Ceil. h Tota1 Bta Required sq. ft. E.D.R. ar sq. ina. W:A. l.eader area and Area Na, Wltltn of 9are Htliht of Dane No.ot Itghb L1eeaIlL o[ emCk Aru p. R. ' Coef. Btu IOffltIB[IOO CJaa Esp. wall Net up. wall t,.t9 1at. w8u F7oor Ceil. No. wmN otwre He1gm otpyps :vo. of Iishb unaa] fL otwaek w.e. q.fl. Coef. Btu In6ltration Glass Exp. wall Net ezp. wnll Int. wall Floor Ceil. 'z„ lolal kf;u. . "]?j Required s,;. ft. E.D.R. or w. ins. Wr4. Leader area N. WIAIE otD.oe If.lsal otDaeo, ilo. o! Ilfpu Lleol [6 e[anek Are. ep:fl. 2- v „ ?6„ u b Z, p„ LnL ? ln - Coef. Btu ?tratioo OC) 0 Glaa 0 a UOd. Exp. wall U,L . Net tip. wall W. weu r,?T t Flaa. t? . 3 TotalBtw STU N !. Requircd aq. &. E.D.R. or aq. ine. W.A. L.eader are? Fl.l Raomll.eneth Width Heisht Wt ndows an a Uoort -1-rac[a ge ana nrea No. wmie of Dsee }teltbt nt yAm No. o[ IIiAG Llnealll. OL enek Area p. fl. Caef. tu Infiltratioo G1asa Exp. wall ret e=p. W8u Int. wall Floor Ceil. Tota1 Btu. Required aq. ft. E.D.R. or sq. ina. W.A. Leader aree F1.1 Room I Length Width and no.rs-(_raclcaae and Atta N. W W, h of pane He1gEt oLpan? No. at Ilfhb Unaal [[. e!<nck Arc? ?Y• fL Coef. Btu Infil[ration Glau Eup. wull Net exp. wall Int. wall Floor Cdl. Total Btu. I Roauired sa. ft. E.D.R..or w. ina. W.A. Leader area 1999 BUILDING PERMIT APPLICATION (RESIDEN7IAL) 3? ?? 3830 PIL'OT KNOB RDN 55122 651-681•4675 New ConahucNon Reauirements Remodel/Reoafr RenuiremeMs > 9 regMered sNe surveys showtng sq. ft of lot, sq. R. ol howe 2 eoples ot plan and 21 rooted areas [20% mcximum bt coveraae albwed) 1 set of encvgy calculaNons for heaMd addlNons > 4 copies of plans (show beam 3 window sizer, poured fnd. design; etc.) 1 fHe survey for exfeelor addiHons a dacks Y 1 set ot energy ealculaNons - D 3 coples of hee preservaHon plan B lof platfed afler 7/1/93 DATE: SIdC. ,ff?{ CONSTRUCTION COST: S-r 3L) S DESCRIPTION OF WORK: Fc-? f o? ??t i"uo t}v S-Fodv, 1O-t"qq5- STREET ADDRESS: ! I4a 1 0. v ?? v?'c w 4 LOT: 11 BLOCK: :7 SUBD./P.I.D. C PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: U?t 54 C. Z,% .' S Phone #?bA j ?n ?l & ' D O!o Laat Fksi ' Street Address: 1 I `'W Y'U•viC 00Ct-j LX$.N-.L City ? Fa S 4 , State: ?11 Zip: Company: Y? M-t?.' ca ? iX S? Phone #: ld ?*9 (area code) Street Address: 103o3 LY "jS IR A-,- 5U • License #ID?IS') a a f Exp. City o arti,+-.; }o r State: M h Zlp: 15k4d 0 Company: Name: Telephone #: area code ( ) Sheet Cify Sewer 6 wafer Iicensed piumber (reauired for new conshucfion onlvl: State: PenaMy applles when address change and lof change Is requested once permN Is Issued. Zip: I hereby ocknowledge thaf I have read lhts application, stote fhat the Informafion Is eon et, and agree fo comply wffh all applicabl State of Minnesofa Stafufes and CMyW Eagon Ordinances. Slgnafure o} Applicant: OFFICE U5E ONLY Certificates of Survey Received - Yes _ No RegisfraHon M: MAY 2 6 f°N9 Tree Preservation Plan Received - Yes _ No _ Not Required pu?._?__.- _. ; OFFtCE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) Q 02 SF Dwelling ? 07 5-plex ? 92 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? OS 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE O 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration O 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC dccupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: % SAC CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: ffi1?$3NG PermitNumber: 07/12/96 Date Issued: SITE ADDRESS: P.I.N.: 10-17151-110-03 1142 PFIRKVIEW LANE LOT: 11 BLOCK: 3 CHES MAR EAST 2ND DESCRIPTION: R E R O O F BUftdin.g Permit Type Bw:ild?.ng`?lork Type ,?Census Cod`2, ,r' . . . , '..y i ? _..? ! `\ la_ i ???V? -•a, `' r:¢+.,' REMARKS FEE SUMMARY: STORM DAMAGE REPAIR 434 AL7. RESIDEN7IAL t CONTRACTOR: - Hpplicanti - si. Ll MIDWEST RESTORATION CONST 17842772 000526 1628 HWY 10 NE MINNEAPOLIS MN 55432-2171 (612) 784-2772 OCMS1dAN JULIE 1142 PARKVIEW LANE EAGAN MN (612)687-0543 I I hereby acknowledge that I have read this application and state that the informaticin is cvrr:eot and agree to comply with all applipabie State of Mn. 5tatutes and City of Eagan Ordinances. ? APPLICANT/PERMITEE SIGNATURE ISSU BCSIGNATU? J CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BIJILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruelion Reauirements . RemodeUReoatr Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inelude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) ? i energy calculalions ? 1 energy calculations /or healed additions ? 3 copies of tree preservation plen N lot plaNed afler 7/1J93 required. _ Yes _ DATE: 7/ 1 n?1 DESCRIPTION OF WORK: STREET ADDRESS: )) LOT ? f BLOCK No I L CONSTRUCTION COST: ?00E ;?I'42 L??N 6-??l FN kv ?rn ? SUBDJP.I.D. #: ?o 214" PROPERTY Name: CRQ-'),S N1 /fiA) Phone #: OWNER ?? ??4a AVLvl rine+ C?) L4'11ye StreetAddress? ? 06 j ?5 la-3 M N State ( -vYll Ciry: Zip: : CONTRACTOR COmpany: IIII& Phone #: 79 % -c? 7 7OP- W 10 N.E• H?9h Wa: 2171 Li # .u &5432 Street Address: ? cense : i City: State: Zip: ARCHITECT/ Compa y: Phone #- ENGINEER Name: Registration #: Street Address City: State: Zip: Sewer 8 water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the'nfqrfnation is cqrr?ct and agree to dmply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: , OPFICE USE ONLY Certificates of Survey RecQived Tree Preservation Plan Received Yes No No _ Yes OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 71 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ?- 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning _ Basement sq. ft. MC/WS System Main level sq. ft. City Water _ _ sq. ft. Fire Sprinkiered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S1W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Tocal: Valuation: $ % SAC SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UN1T. NEW CONSTRUCfION ? ADD-ON A/C ADD-ON FURNAC,"E FII2EP CE IN ERT DATE 7 7e FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTI,ET'S (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExIS'rulc CoNSTRUCrioN) STATE SURCHARGE TOTAL SITE OWNER ? CITY: K- /[:' A * i c° /U/ ST. TELEPHONE $ 24.00 6.00 $ 20.00 .50 Q7d ?3D TELEPHONE #: /,q Zf- 0? 7` > ZIP CODE: SIGNATUR OF PERMTI'T 1994 MECHANICAL PERMIT (RESIDENTIAI,) C1TY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALI. COMMERCIALJINDUSTRIAL BUILDINGS. AL50 COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN1T. DATE: CONTRACT PRICE: NEW BUII.DING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ?,."PNMWf FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF P`?l= FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLl) INST. CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMI'ITEE CTTY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. - -------- - - - --------- - --------- - -- NEW CONSTRUCTION X ADD-ON A/C ADD-ON FURNACE DATE ? ?-YY?J?PX Q ,1 q q 3 FEES HVAC: 0-100 M BTLl $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONS7RUCTION) $ 15.00 STATE SURCHARGE .50 TOTAL 1 S. sb S]TF. ADllI2ESS: JI`7`Z PQYK-V I e1/v L-ci-ne, OWNER NAME: JIJ I l? Cx-LZS SYYI?',Lf? TELEPHONE #: ?.? /??0-?"0 8'/ ?,C: (?i?AZur? ??5,0-0 Wcte4 r-e- SIGNATLJRE OF PERMITTEE 1493 MECHANICAL PERNIIT (RESIDF.NTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6514675 CITY: ?t . 1 I?JO? STATE: MPM?tO? ZIP CODE:,'__)5W TELEPHONE #: -I01 1993 MECHANICAL PERMTT (COMMERCIAL) C1TY OF EAGAN 3830 PII.OT KNOB RD F.AGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMAERCL4UINDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OT'I-ER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF C4NTKt1CI" FEE $_ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 CONTRACT PRICE: $ STATE SURCHARGE $.50 FOR EACH $1,000 OF P$RMi't FEE. TOTAL $ SITE ADDRESS: OWIvTER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVReoair Reauirements Office Use Onlv 3 regislered sile surveys showing sq. fl. of IoL sq. fl of house; and all rooted areas 2 wpies of plan Ced of Survey Recd _ Y _ N (20%maximumlotcoverepeailowed) lseto(EneigyCalculationsforhealedadditians TreePresPlanRecd _Y _N, 2 copies of plan showing beam & window s¢es; poured found design, elc. 1 site survey (or addNOns 8 decks Tree Pres Required _ Y _ N 1 sel of Energy Calcula6ons Addition - indkafe itonstte sepNc sysfem Onstte Septic System _ Y _ N 3 copies of Tree Preservatlon Plan if lot platted aftei 711193 Rim Joist Detail Options selection sheet (buildings with 3 orless units) Date ZZ Construction Cost ZD11ded ' Site Address ?RF.9V ! E&? LA Unit/Ste # Z50 GA.%-,o 95 123 DescriptiooofWork Uw?yj Si0%.v{ ? trt.4Yi Rpp1ol-a- u-+i.0-QC+f+?eC (10) Multi-Family Bidg _ Y Fireplace(s) _ 0 _ 1 2 Property Owner ifRA'16 h MiCHL*L F W G°'$ % Telephone #(4?f ) V/ r Contractor w6's7'b7Z14 R ErAa D ELC-R S ;r;uC- # 3B `f 7 Address .Z S 20 We A vG City ST t'R" L State Zip 1C9*11 3 Telephooe # (?j„?) 6 49" holf t COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residenrial 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 pe t, and work is not to start without a permit; that the work will be in accordance with the approved pjwi,,in)the s of work wtAh requires a review and approval of plans. ?aT EI'Ne'at q . LYoti„S ? AppiicanYs Printed Name Applicant's OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-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 Ent. Alt - SF ? 04 02-plex ? 10 08-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 Plbg_Y or _ N ? 25 Miscellaneous Work Types .. ? 31 New ? 35 Int Improvement ?, 38 Demolish (nterior„ -; ?.44 Sding ? 32 Addition ? 36 Move Building ? 42 Demolish' Foundation ? 45 ;Fire fRep9ir ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof IA 46 WindowsfDoors ? 34 Replacement 'Dertiolitio'n'(En;ire Bldg) • GiJe PCA handout to applPcaht " Valuation Plan Review 100% or 25% . ,-. - - Census Code SAC Units # of Units " # of Bldgs ` ' • Type of Gonst , Occupancy MCES System Zoning Cit'y Water Stories Booster Pump Sq. Ft. ' PRV . . . Length Fire. SprinklAred W idth _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ [nsulation 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 REQUIRED INSPECTIONS FinaUC.O. Final/No C.O. _ Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests Fina] _ Siding Stucco _ Stone _ Brick W indows _ Retaining Wall Building Inspector Use BLUE or BLACK Ink r For Office Use n I Permit C City of Eap I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I&ZZ N3 Site Address: 11, `f'42- 17c~ut'~~5tp~,J L~uye Unit Name: C,' i A I Q_EW Phone: Resident/ Owner Address / City / Zip: W42- Dar" I_4tLc.Y1e- Applicant is: Owner X Contractor Type of Work Description of work: t2oec { t~q Construction Cost:1-70 00:Od v Multi-Family Building: (Yes / No Company: S6tg7k OrrS L.LC. Contact: 3rd Address: L S~vSSh City: 1 Contractor State: M14 Zip: ,'o244 Phone: 02,-bto- ZZ67 License Sc (,,37l3V 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: NOTE: 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 the 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~) t~C IL OLX-W\ V_t~a_ Applicant's Printed Name Appli nt's Signature Page 1 of 3