No preview available
 /
     
4712 Pebble Beach Way? (gi 4 tifirKti of (OrrupK??y Citp of Cagart Dpparhtil'1if of BwatItg 3ttlipPttlDtt This Cer?iJuxrle issued pursuant [o [he requirements of Section 306 oJlhe Urrifonrt Building Code certifying that at !he time ojissriancse thisstructure was in rnmpliance with the vnrious ondinanas of !he CSiy regukaing building rnnstnuxion or usa For lhe jo!lowiRg. Ux a.=MCaoa S$ SWn Ifn_ e R era& %ic rro. ? qag ra O=V-r 7Yz R3 /M 1 Zoo* oigria R-1 rra? Ca^a Vtd pW,W Of g.Affig SffNS f'nNSTRTI('.TT[1N Ad& GHY] FATFE,I6V HTTTS 1RF.A(7AN POST tN A CONSPICUOUS PLACE w • . CITY OF EAGAN 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # for SF Di1G/GAR Est. Site Address 4719 PF11115L$ DEAO VAY Lot 1_ Block 3 SeGSub.tPAiRWeY RILLS 12 Parcel No. _ W Name ?s ('-O11STtt11CY'IA11 CO ; Address, 460 FAIRSIwY NILLS Dg ° City ukcM Phone 4%2-3353 Name Address Phone Address Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Siatuies and City of Eagan Ordinances. Signature of Pertnitee - -?-` - ; ' A Building Permit is issued to: SONS (Al1S?RUCTION CO on the express condition that all work shall be done in accordance with all applicableState of Minnesota Statutes and City of Eagan Ordinances. 8uildirg Official ? ? . . ? t OFFICE USE ONLY Occupancy $?3 -*..i FEES zonhg ?t (Actual) Const Bldg. Permit &r3.0O (Allowable) -Y? Surcharge 79-00 * ot stories - Length Plan Review S?-? DePth Q? SAC. City 100, S.F. Total - SAC, MCWCC 6?&RQ S.F. Footprinis _ On Sile Sewage _ Water Conn 66R.W On Site Well - Water Meter 95•0o MWCC System x 30 ? water Gty , j_ . AW . ?Posit PRV Required _ SJW Permit 30•00 Booster Pump - S/W Surcharge - m Treatment PI 276-0 APPROVALS Road Unit 370.00 Planner _ Park Dad Council BIdg.Olf. _ Copies Variance - TOTAI 3• "1. SO ' Permil No. Permit Holder Date Telephone k WATER y / 7 9/ SEWER PLUMBING H.V.A.C. Y % J/ 0?.3 J?If? EIECTRIC Inspection Date In p. Comments Footings I ?1 ? " yI 12-?, e"Ll Foundation ? -7 y141 Z6-4 Framing Roofing Raugh Plbg Rough Hig. ?? ? cj 9?y 1 y( J ??? Isw. -. ZS= 5 t"- A / ( lere ?ory( p ? Fireplace Final Htg. Orstat Test ? Final Plbg. 00 w Plbg. specto r- otifyPlumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Dedc Final Well Pr. Disp. - , - , - h r ? ?r?? ? CASH RECEIPT a CITY OF EAGAN . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE 19 F*cEewo FROM -T - ' AMOUNT t 6 DOLLARS ,m O CASH a"CHECK FM '.I -it- _- 1 .-?-i- . ? ev,?1- < < r Ci 15404 wnns-Paym copy ? relww-aosnis ?ar Pw*--Fle coPy Thank You SEt4fER & YIATER PERMIT CITY OF EAGAN 3830-PilofKnob Rd. Eagan, MN 55122-1897 DATE SEP 17, 1991 OFFICE USE ONLY METER # PERMIT DATE 09/ 17 f 91 CHIP # PERMIT # 11296 METER SIZE B.P. RECEIPT # C 134011 ISSUE DATE B.P. RECEIPT DATE 0711I_L11 _ PRV - BOOSTER PUMP SITE ADDRESS 4712 S°_ AC ?, 1iAY LOT ? BLOCK 1SEC/SUB FA] RY2AY ciILL,S 3Rj} APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ ZIP PLUMBER: ?: •. +?C (•I N1 !?/ ?i ADDRESS: 5910 CHBSTER AVE CITY, STATE 14ORTtiFIEI.i) Y!N ZIP 55057 PHONE: OWNER: SON3 CONSTRUC'tIOaI CO ADDRESS: 4600 FAIRi7AY HILLS DR CITY, STATE EAGAV KH ZIP 55123 PHONE: 452--5355 PERMIT REQUESTED _X__ SEWER _X_ WATER - TAPS - COMM/IND 1:- RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ?=•??? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUEQ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSlNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWEA 8e WATER PERMIT CITY OF EAGAN 38301'ilot Knob Rd. Eagan, MN 55122-1897 DATE SEP 11, 1991 OFFICE USE ONLY METER #YY ?44/ PERMIT DATE 09/17 f 91 CHIP # 0a 3-3 S a °Z ?O PERMIT # 1V96 METER SIZE.'57g-"_-AjS-s B.P. RECEIPT # C 15404 ISSUE DATE /o 1 -73-91 B.P. RECEIPT DATE 7 17 91 - PRV - BDOSTER PUMP SITEADDRESS 4712 Yi:B31,? BEACK WAY LOT 3 BLOCIC 3 SEC/SUB FAIRkTAY fiILLS 3P.D APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ ZIP PERMIT RE(]UESTED X SEWER X WATER - TAPS - COMM/IND X_ RESIDENTIAL X NEW EXISTING ;? ;'?r, ?LU ?,y? ?,-,? 1/ Lawn Sprinkler Meters are to be Installed PLUMBER:. "C`-- "?'??? Ahead of Domestic Meters on Water Line. ADDRESS: 5910 CIIFS`CER AVE Credit WILL NOT be given for Deduct Meters. CITY, STATE NORTHf'IELif r'A1 ZIP 55057 PHONE: I AGREE TD COMPLY WITH CITY OF QWNER: SONS CONST..t-C'LI(::V CU EA N ORD1FlANC ADDRESS: 4600 FAIkWAY HILLS UR ? CITY, STATE EAGAN r7N Zip 55123 PHONE: /,52-5355 SIGNATURE WHEN M ER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: SEP 17, 1991 4712 P8BB1.E BEACH WAY (SONS CONSTRUCTION CO) -X Your Sewer & Water Permit for the above properiy has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed untit further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL IOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 9/a?/9i REOOR ELECTRICAL lNSPECTION EB-00001-08 ? /03/6 ? See s for comple?ing this lorm on oack of yellow copy ?EE'? 1 R F 3 X" Below Work Covered by This Request ew Adtl Rep. TypeoiBuilding • AppliancasWired --? EquipmentWired ? Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building ryer Other (Specify) Comm.ilndustrial 4 umace Farm Conditioner ir Othee (syecify) Gommcror's Remarks: Compute Inspection Fee Below. # Other Fee # ServiceEnlrance Size Fee # CircuitsiFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Amps SignS Inspecmr's Use Only. 'd O TOTAL Irrigation Booms o- yG4.50 Special Inspection ? Alarm/Communication THIS INSTALLATI9N MAY BE OR RED DISC NNEQTED IF NOT Other Fee COMPLETED WITHIN 18 MO t I, ihe Electrical Inspector, hereby Rough-in _R_ac._ certify that the above inspection has been made. F;nal ? oeie / [. OFFIGE USE ONLV This requesl voitl t8 monlhs Irom 0 8 6 3 3/? 3.? 9 3 Raque5t Date Fire No. R qh a Vapectlnrt D Reedy Now X l Notify 9/ 24/ 91 Ves C N. ? I?' licensed contractor ? owner hereby request inspection of above elecirical work at: Jab Address ISVeeL Oox or Rouie No.) City 4712 Pebhle Beach Way Ea an Sedion Na wnsnip Name or No To . . Range No. Counly Dakota Occupanl(PFINT) Phone No. Sons Construction 452-5355 Pawer Suppiier Atltlress Dakota Electric 4300 220 St. W. Farmington, MN Eiedrmsl ConVacror cOmpary Name) Contreotor's License No- Joos Electric Co. AM01895 Mapling Atldress (Conrcactor or Owner Making Installation) ' 2104 Great Oaks Drive Burnsville, MN 55337 Amhorizetl Signalure (COnlramonOwner Making al a1i ) Phone Numb er ? G L- 431 -4755 MINNESOtA STATE BOAND OF ELECTRICITY/ THIS INSPEGTION REQUEST W ILL NOT Griggs-Mitlway Bltlg. - Room S-173 - BE ACCEPTED BV THE STATE•80AR0 1821 UNVersily Ave_ SL Paul. NN 55106 - UNLE55 PROPER INSPECTION F.EE IS Phone(612)641-0800 ENCLOSED. Address: 4712 PFR7LF BFQCH WAY Lot 3 Blk 3 Sec/Sub FAI!b7AY HIIS.S 3RD These items were/were not complete at the time of Che final inspection. 12/13/91 Yes No Final grade (6" from siding) ? Permanent steps - garage ? Permanent steps - main entry ? Permanent dxiveway LII?_ Permanent gas 4/' Sod/seeded grass Trail/curb damage Porch I? Basement finish Deck y Please verify vith the builder the removal of roof test caps from the plumbing system and-the shut-off o£ water supply to the outside lawn faucet before freeze potential exists. ? n?c?c?[o ur?n White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used ror SF DWG/GAR Est. Value $158, 000 N_° 19685 Receipt # ? / J y 410-/ Site Address 4712 PEBBLE BEACH WAY Lot 3 Block 3 Sec/Sub. FAIRWAY HILLS 3R Parcel No. I o I Cd?ress EAO?FAIRWA honeOLS452-5355 I Name _ Address City _ Name _ Address City - Phone I hare6y acknowleqe thal I have read this application and state that the information is correct and agree to wmply with all applica6le State of MinnesoW Statutes and City of Eaga rdin n/c// SignaWre oi Permitee ? ? n euilding Permit is issued to: SONS CONSTRUCTION CO an the express condition thal all work shall be tlone in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. BuildingOflicial ??(Xlq Phone OFFICE USE ONLY Ocapancy R-3 M-1 Zoning R-1 (Adual) Consl V-N Bldg. Permit (niiowanie) V-N . Sumharge M ol Smries Lengih oePm S.F. Total S.F. Footprints On Site Sewage on Site wall MWCC System ciry water PflV Required Booster Pump APPpOYALS Planner Council Bldg. ON. Variante 60 ' Plan Reviaw 45' snc, atY FEES 843.00 79.00 548.00 tnn_nn - SAQ MCWCC 65o.oo WaterConn 660.00 water Meter 95.00 X Acct. Deposit 30.00 S/4V Permit 30.00 0 - S/W Surcharge .5 Treatment PI 276.0 n RoadUnit 370.00 - Park Ded. Copies - TOTAL -S ,b81.?1? Zoos RESIDENTIAL PLUMBING PeRMiraPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?_?OPD Date ?e_rr 1 2.1 / Z o,-C Site Street Address 411 Z ly- Unit # R Property Owner c-"A4tC`r 7%nftoyru 1 Telephone #{ ) 451-49e-0-11 Contractor CNcc...e,,rc Telephone #( ) 65l^69a-`f854 Address 950 Ln91t.L19_A ST. Sa- City 5't_ Ad.uL- State6unl. ZipS$llL 7he Applicant is: _ Owner ?Contractor _Other Septic System New Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 AlteratiQns to existing dwelling $ 50.00 ? Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are instal/ing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total LL_ $ 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. tM tct,1ny_ CeLZ_S-T? IM..Jr..e..l? eok-?;C4 ApplicanYs Printed Name ApplicanYs Signature .?J?9.$1 J 57 a5? 2006 RE5IDENTIAL BUILDING rExMiT arrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone #1651-675-5675 FAX # 651-675-5694 New Conslluclion Reouirements RemodellReoair Reouiremenls Office Use OnN 3 regislered site surveys shovring sq. ft. of IM, sq. R W house; and all mofed areas 2 mpies of plan showing footings, beams, joisls Cert of Survey.Recd _Y _ N (20°hma)dmumbtcoverageallowed) isetofEnergyCelculationsPorheffiedadditions TreePresPlan Recd _YN, 2 copies of plan showing beam 8 window slus; poured found desgn, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y._ N 1 set of Eneigy Calculations Addibon - indicefe if on-s8e sepNC system Onsile Septic Sys@rti _Y. N 3 apies M Tree PreseNation Plan if lol plaUetl afler 7/1193 RimJoislDetailOptionsselectlonshee[ (bWdingswith3orlessuni5) . Minnegasco mechanical ventilation fomi tj n '1 Date QS / d,Z / 0(o Construction Cost SiteAddress Ped?lZ / UniUSte # ? /3 ? ' " ? ? il ?/?+Pt^C=? o/ Description of Work Y-?lnce. /ve? roa n+. h s f" Y r? oD Multi-Family Bldg _ Y_YN Fireplace(s) _ 0 L 1 _ 2 Proper[yOwner 4,59 N.?.o1 Crc,'? 7-Lio2.Ol6nl Telephonei7((py'/) 4`?d8- 07?9 Contractor ri Ty R' -/J.- Address 8.28 Hio/IV /}u-e- City S?. pqa ? State ]/}q /1l, Zip S V Telep6one #((a S/) 2- a s- i y y? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . Residentlal Venfilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submilted Submitted • Energy Envelope Calculations Submitted In ihe 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 Flephone #( ? Mechanical Contractor n nt?? S 2006 Telephone #( ) Sewer/Water Contractor Telephone #( 1 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. &?Z ZY.GU.?I Applicant's Printed Name Applicant s Signare DO NOT WRITE BELOW THIS LINE Sub Tvpes ? Ot Foundation ? ,< 02 SF Dwelling ? ? 03 01 of _ plex ? ? 04 02-plex ? ? 05 03-plex ? ? 06 04-plex ? Work Tvpes r ? 31 New / i / II 32 Addition j- ? 33 Alteration ? 34 Replacement 07 05-plex ? 13 16-plex ? 20 Pool 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 09 07-plex ? 17 Garage ?,Er 22 Porch/Addn. (4-sea.) 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 11 10-plex ? 19 Lower Level D 24 Storm Damage 12 12-plex ? 25 Miscellaneous , Lv?I,? ? G E?Jf/ IJw'' . '"i..tl" .. ? 35 Int Improvement ? 38 Demolish Intenor ? 44 ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 37 Demolish Building' ? 43 Reroof ? 46 `Demolition (Entire Bldg) - Gi ve PCA handout to applicant DeSCrlptlon: WaterDamage_Yes ? Valuation : L-> Occupancy PlanReview 100%or 25% Census Code Zoning SAC Units Stories # of Units Sq. Ft. # of Bldgs Length Type of Const Width _ Footings (new bldg) Footings (deck) 2C Footings (addition) Foundation Drain Tile Roof Ice & Water Final X Framing Fireplace _ R.I. _ Air Test _ Final ?C Insulation Approved By: T-2- Base Fee Surcharge Plan Review MC/ES SAC cicy sa,c Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS MCES System City Water Booster Pump PRV Fire Sprinklered ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. Siding Fire Repait Windows/Doors _ Sheetrock Final/C.O. ?C Final/No C.O. LC HVAC Other _ Pool Ftgs . AidGas Tests Final _ Siding _ Stucco Lath _ Stone La[h _Brick _ Windows _ Retaining Wall Building Inspector C,? 0(L' ? , ??.? ? J Job Site Address: "CATEGORY 1" ALTERNATE FOR ? City of Ea?an ONE & TWO FAMILY DWELLINGS INSTRUC7'[ONS: This alternative may be used for one- and two-family dwelliogs built to meet the Category 1 requirements of Minnesota Rules, Chapter 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U- values; size and type of equipment; equipment confrols; and location of vapor retarder and windwash barriers. More detailed informarion can he found in the Minnesota Energy Code summary sheets available from the Minnesota Deparhnen[ of Commerce. "Cookbook" Worksheet INSTRVCTIONS Step I. Check item(s) that design meets on Minineum Requirements list to the nght Must meat all items to use "Cookbook" opfion. Step 2. Indicate proposed wal] type on table below. Step 3. Indicate Window U-value and source. . 5tep 4. Verify total window (including area of all foundation windows) and door area is equal or less [han a?owable percentage. ' I Ceiling Insulation: Min'vnum R38 with T/x" energy heel; or Minimum R-44 with low hvss heel; or Minimum R38 with R-5 aheathin whrn no attic. Entry Doors: Max. U-value of 0.30 or 1'/." solid wood wi[h storm f9 Rim Joist Tnsulation: Minunum R-19 13 Floors over unconditioned a aces: Minimum R-24 ? Foundation Insulation: Minimum R-10 ? Foundation windows: %x" insulated lass, wood or vin 1 frame Part A. BUILDING ENVELOPE MINNESOTA ENERGY CODE - WHrcH RutES Ma r I UsE ? " Part B. DEPRESSURIZATION PROTECTION Check option used: ? Fuel buming equipment (complete schedules below) ? No fuel buming equipment INSTRUCTIONS Step l. Complete the Combustion Equipment Sckedule below. Only eqmpmen[ with a Y(Yes) may be selected under the "Category P" altemate. Step 2. Complete Exhaust/Make-up Air Schedule on the right if direct or power vented or solid fuel atmospheric vent space heating equipment selected. g?? „'t,•#?°'°?0 d W{4 X`d ! Sf1„?j"1'Lls.p,, 1y??^y Z j1}??q . .. ?•?v I n ? v ? Exhaust onl « .............. ? Salanced eat recover venhlator, airexchan er, etc .... . _._.._ _,.... . . ...? .., . ,. ., s? - snrra; - k 1A. : ?< i F Statement of Compliance: The proposed building design represented in these documents is consistent wi[h the building plans, specifications, and other calculations submitted with the permit application. The proposed building has heen designed to meet the requirements of the Minnesota Energy Code. Appticant (pnnt name) Signature Date Telephone number Part C2. VENTILATION (Submit Part C2 upon complefion of system verificationt) x -------------------------------------------- 7ob Site Address: Permit Number Part Cl. VENTILATION Compliance Statement: Installed ventilation system is io compliance with MN Energy Code and is sized to provide the design air flaw. „? a Z ?'eb"l `-3.; ??/ l?/l Applicant (print name) . Signature Date Telephone number 5Y15? ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 35122 651-681-4675 New Canshuetion Reauiremenh • 3 registered site surveys showing sq. 8. of lat, sq, fl. of house; and all roofed areas (20% maximum lot covewge allowed) • 2 copes of pan showing beam & window sizes; poured touM design, etc.) • 7 set M Eneigy Calculations • 3 copies of Tree Preservafion Plan if lot platted after 711A3 • RimJoistDelailOptionsselectionsheel(bldgswith3orlessuniGs) DATE -?L-- _ Water SoRener _ Water Heater _ No. of Ballis SITE ADDRESS y7Ja - PE?J1? MULiI-FAMILY BLDG _ Y _ N TYPE OF WORK -[Z.?7°+fL UF? ee-?Cr FIREPLACE(S) _ 0_ 1_ 2 APPLICANT /A/G, STREETADDRESS cl??f`PU?L? CITY???"? STATGWN ZIPS?0,/ TELEPHONE #7L3 7?? ?iL PHONE # FAX # PROPERTY OWNER A4145- 00'-)O VA/`3 TELEPHONE # &?16?7!IW COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI.ES 7670 CATLGORY 1 MINNESOTA RUI1;S 7672 (J suhmission Type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Confractor: - Plumbing systein includcs: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. ? ? ? ? i'? '?` AUG 1 9 ?OD2 Fee: Phone # I hereby acknowledge that I have read this application, staie that the information is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan rdinances. ? ? Signature of Applicant OFFICE USE ONLY ui RemodellRe Requiremorft . 2 copies of ptan • 1 set of Energy Calculations for healed additlons • 1 site survey for exterior additions & decks . Indicate if home served by septic system for addi6ons VALUATION Phone # Fee: $90.00 _ Lawn Sprinkler No. of R.I. BatY Air Conditioning Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? DS 06-plex ? 16 Fireplace ' ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ' -. . ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)* ? 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. ofBldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fratning _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacemern) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Peimit License Search Copies Other Total Building Inspector i • 1991 BUI BUT A LICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS -1 11?? COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNIT5 PENALTY APPLZES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQIIESTED ONCE PERMIT TS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS.IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 1 Fam• Det. Valuation: -9faawaft Date: Sept. 9,1991 4411 Site Address -4714 Pebble Beach Way Lot 3 Block 3 Parcel/Sub Fairway Hills 3rd.Add. Ownex SOns COnst. CO. Address 4600 Fairway Hills Drive City/Zip Code Eagan Mn. 55123 Phone 452-5355 Contra Addres City/2 Phone Arch./ Addres City/2 Phone l5$jow? Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S. OFFICE USE ONLY R-3 M-i ?-? V-N V-N 59'?z yN '/z' F. On site sewage_ On site well MWCC System ? City water ? PRV Booster Pump _ APPROVALS Planner _ Council Bldg. Off. 9- /-9/ flS, Variance d ?/ G? FEES Bldg. Permit Surcharge T ,a0 Plan Review ,U B•oo SAC, City 100400 SAC, MWCC O,O O Water Conn. 0i00 Water Meter S'Ua Acct. Deposit 30,00 S/w Permit 30.ov S/47 Surcharge 5b Treatment P1. 2r1??0o Road Unit r13 O'oo Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change ?. TOTAL /Uy-(6-•,l?'YG'?? agrees that all work shall be done in accordance with (Signature of Contractor) l / ? 0 all applicable State of Minnesota Statutes and City of Eagan Ordinances. Y N6 GA2AGE atix.??rz? ?da x BSMT, 3o x32= 960 IoYz,xis % !Sg T-? 1I18 x 14-?: l5652 ? (sr Ft-notz x?'3= 5925"y 2iN`h FLoo2 ---------------- 3dh32 ?- 9& o 13x29'rz= 3,4y ? k Z r 1 G. .?" 13?a x53 = '`72,d /5 0, 6U10 dw 1 S I?, 0v(-) '` RUG 30 191 69:56 TO 4525355 FRDM PROBE ENGINEERING T-539 P.92 ,?i+vB CilH.S?XdCT/Ai/ P ROB@?`.?.?oz G PLflNES ai1JAD iUflY6Y0BS -COMPAN?', INC. ?.,.?? IUUU EABT IABm BiflE6Tl BUAN6VIL4E o MINN6807A 66331 PM 43203090 , Certificate ofi Survey Legal Description: ?ara, B[AC?c.' 8, FA/.?WY !!/LLS AD AO01T/oN, LW.roTi4 Cau.vT,Y M/rVNAsoTA• ecat.e 1 r • so, CLQ:(:,) DEN07ES EXISTING ELEYATION ' (/0¢3,0) DENOTES PROPOSED ELEVATION ... INDICATES DIRECTION OF SURFACE DRqINAGI /0433' = FINISHEa (iARAQ@ FLOOA ELEVATION ? ._. _ . . /a35,83 ? BASEMENT FLOOR ELEVATiON 104.;,b3 m TDP OF BLOCK ELEVATtON ' 30 FX' FRoNT X//LD/N?'s SETBAC,k' L/NE t? i A / /a 0 tiq ? ? > IV ?,. ? 40 . cy ?•w a/ v?,o ? 3a ^ ? ?. a.?? R?,. h? , A, (? ??N ? . 8,? ?_... ... ..; `? . , . . a . ._..... ..... By F p?._,f5 . ?o p . - O /N.4GE ANp Date -?? "'-'•--U71417Y EASEMENT RAGAM E1V IIVEERIIVG DEp r ? I isetaby cerUly Iltat tltila i9 e ttua end outteaf repiesentalbn ot a Iroat of IanJ as sUnwn •nd ds4ctlbad n.twn. As niepaied by'ma on IUIs•lWRday al Avbv5r 0181L, . Mimq Rey. No. . /?0?5 L (/ w .- - 17 - EXTSAIOR.ENV8LOP8 BNBBGY COD$•CObIPIITATION WOAKSIiBET To Determine Coupliance with the Minneeota Fnergy Nde (Sectian 502 of the State Awended 1983 Model Emgy Code) PtOjeCt Title Ftanklin.Mode1., Donnavan Job ? Sit2 AddreSS 4716 Pebble Beach Wav, F.?gan Mn. . 1. EXPOSED WALL CALCULATIONS ARFA VAWE AIFA X A. oPaclue VJall 1. Masonry/Concrete ' d. g a b. x = C. Y ° 2. Foutdat rn Wa Grade) a. -(A-16 x . 01 . ¢.11 : b. s ? 3. Frarne %32 a. insulated Area tfi l5 x 04- ? 103.94- b. Framing Area (Ave. 158 at 16' x) : x ?o ? 4e •11 c. Framing Area (Ave. 108 at 24" x) x = 4. Peripheral Floor Edge/ktim Joist d. 2?•O 7( b. X = B. Glazing 1. windows a.=opst-jr- ak?w1C? ?LObJ E? 31?5 x.38 ' • 138•l b. ?LtDtiNCj? Air4? c7m? 40 x .41 = 18.8 2. Doors x ¦ C. Doors 1. kbocl a. soiid Fpn?V rn?o? 2.0 x .O(o • t.Z b. with storm x ° 2. Metal x ° 3. Overhead x ° 4. Other x ? D. mOTAL WAIL ARFA, sq. ft ..................... 2 l E. TOTAt, of AREA x"U" ......................... .......................... 250.?0 II. ROOF/CEILING CALCULATIONS A. Roof/Ceilinq Insulated Area Il.0 14, Lo x...•OL ` 32•Zg B. Foof/Ceiling Framing (Ave. 158 at 16" x) x ? C. Roof/Ceilinq Framing (Ave. 108 at 24° oc) s .0Z D. Skylight x ° E. TarAt ROOF/c:EirUc r,xFa sq. ft .............. l 9 3$.87 F. TOML CF AIiFA x"U" ....................... ....... .....,................ III. BUILDING ENVELOPS REQUIREMBNTS I TpTAL pREA T4WIM "U• ALLOWABLB (Fina I.D & II.E) (FnOm V.) - (Area x, "U") A. Eycposed Wall : 21 lb X .11 = Zq8 •?18 B. Roof/Ceilirx3: I'194 x .oZ(o = 4Co.to4 C. ToMl, ALLOWABLE HUIIDaJG R-PVEGOPE (Rbtal of A& B above)... ?3+5. lo2 IV. ACTUAL BUILDIN(3 ENVELOPB ACTUAL (P,rea x "[1") A. Exposed Wall (From I.E) 1-56. «D B. Paof/Ceiling (Fram II.F) 35. 8"1 - --? 3 3 ? C. TOTAL AL'iUAL BUILDING ENVE[DPE (Total of A& B) ............ '(Ikets code requtraoents if lass t.han III.C) V. REQUIRED "U" VALDES AIIudS Detached ore and two family dwellings .11 * Multi-Family Residential Buildirrgs .238 (3 staries ar less in height) * All Other ODnstruction Zypes (3 stories or less) .238 * All Other Construction Types (More than 3 stories) .28 ' Based on 8007 heating degree days (lols/St. Paul) Adfust 'U' ralues accordingly for other locaifons CERTIFICATION ROOF'/(EILING .026 .033 .06 .06 I hereby certify that I have oonpleted the above infotmatian and that it oaaplies with tht M;nnesota Statie Enerav Code_ Signature HCSD 3-89 cr?snI/ss2a ? ;. ?; R?$c:"R`??RXcMMM RW*MC; J':>mI;:t r,zrr oF rAr.;nN caSMn::rZz .is TEhM:tNF:!. t+!Ot 033 I!ATE;; 03/1U/fl0 'T'TMEr ;.fl; 1.3.2i ID : N!1>'iE:: hfTF;E t. i1i+!N DC'NOVAN :;2:tr 9001 W2 PAIcI_ LiCH N 0905 205 9001 4712 I'F??;L }iCF; F•J 3,71 . 'r'utal Recr=:i.F,t, An:ouni;° 1A2.75 CF; i.M07 USfiR IUc JAN 2000 BUILDINC PERMIT APPLICATION iRESiDENTIALI . • ' cmr oF eacaN 3830 PILOT KNOB RD - 55122 ? j y a 651-881-4875 c h Conihuctioo ReaWremenla RemotleVReooir RaaWremenh ? 3-C) -c) o ? 3 replslered al4e wrveYS thowinp tq. ll. of lot. W. B. ol houae 2 eoPfes d Dlrni onC gff rootetl areas (ZO% mmclmum bt mveraae a9bwedl 1 sef d anerpy cdcWCMOns lor heoTad addi8ons D 2 copks d Pkma (ahow beam & Mn<bw slxaa: Poured lnd desiqn; elc.) t sile wneY (or exlaAOr eddt8ons ! deCks n t sel Of enetyy cdculaNOtu 9 3 cOples IX tree PreenaHOn P40n M Id platletl aRer 7/1/93 DAlE: 3/7la.o 00 CON51RUC11ON COST: DESCRIPItON OF WORK: 3 S«S6') 4 82CE STREET ADDRESS: ?'*7I 2 PC'X5?3LC? /3C^?l?f f W,+( LOT: d BLOCK: l J SUBD./P.I.D. #: ?61twa.? ?iu&.'ti'f1b AudilinVn - Name: Dor? e Jq? M LC(-f`K2- Phone #: (.5'1- 6P4-d Y4.P PROPERTY wm Flrsr OWNE sireefaadress: N712 ?°C-?S?c.Cf af?-Q4 w-t`,' - cn,r e4? srare: M^1 np: sr/? 3 Company: Phone C _ (area code) CONfRACTOR Sheet Addrass: Licerue 0 Exp. City State: ARCHITECT/ ENGINEER Company: Name: Telephone M: ( ) rneet Clty State: Sewer/water Iicensed plumber (if Insallina sewerlwater): Phone #: I hareby acknowledpe thaT I have read this appiicatfon. afafe Mal lhe ol I?R4hneaoM SMhifes and Ci1y of Eaqan Ordinances. Signalure of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required ReglshaHon #: zw- Lp: b comply wNh aQ opplicable Sfate ?p OFFtCE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 OS-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-piex ? 10 08-plex ? 05 03-plex ? 19 90-plex ? 06 04-plex ? 12 12-Plex WORK TYPE O 31 New -Cle32 Addition ? 33 Alteration ? 34 Repair ? 13 16plex ? 17 Garage O 18 Deck ? 19 Lower Level Plbg _Y or_ N ? 20 Pool -tl?-'21 Poroh (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Poroh (screened) 0 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bidg. ? 36 Move Bidg. ? 43 Reroof ? 37 Demolish (Bldg)" ? 44 Siding O 38 Demolish (Interior) ? 45 Fire Repair O 42 Demoiish (Foundation) ? 46 WindowsiDoors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code G ? No. of Units o No. of Buildings i Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVAIS Planning Building Engineering sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered ? 31 Ext. Ah - Muki ? 33 Ext. Alt - SF 0 36 MuRi 3 Variance Permit Fee f ??) -t ") 5 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park bed. Trails Ded. Other Copies TotaL• ? I q-? -i-? vatuation: $ 60 wo. °` SAC Units % SAC . .Savs C'uv.s?cKriav " ROBC , ?,71N f "`.?x?o2 . ?`ENGINE?fl1IVG ? P?flNNfflf oi1J??p1/P t3UpYiVORf' BK /f9 Pd 6d COMPANY, IIVC. L IUUU LABi 166fi BiRLE7, BUqNBVILLC, MINME907A 66J!! PH Ab3•a0V0 Certlficate of Survey ?z??° y L oK , Lega es ption: z?&rj, xocK a, FA/•?si'.Iy 111!15 .9W AoD/T/oN O4K47T4 Caw7Y, .L7.wNrSQTA• ((gRZ) DENOTES 8XIS71NG ELEVATION ' (10¢3.0) DENOTES PROPOSED ELEVATION INDICATE6 DIRECTION OR SURFACE DRqINAGf 1043,33 e FINISHED QAflAQB RLOOR ELEVATION /a ,83 n gpSEMENT FLOOR EIEVATION /c?43,83 e TOP OF° BLOCK ELEVATION acnLe , ,• _ ,,• . . ? i ??OosA6 ? ? 'J. ? .. ? ; ,.t.??- ,/. /°?. y, _ .. . . ,>.:: ,. 30 iT. F.¢uVT BM/LO/N6 SETBAC,K L/NE y fb. ?¢ 2yr• ' ¢o? ¢3 ? ji ? o h^ i? !\- . . 'J MhnL, flay. No. 1 heroby oartlly IUaI iNis 1? a Uua anJ ourreat nproseolaUon ol o pool of Imid as shown md ductlbad nawn. As ptapeivJ Ijy*me on Ildt'Lif day ol A4UST ,182-/ . *************************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 748 DATE: 08/21/00 TIME: 11:21:04 ID: NAME: FIRESIDE CORNER 3210 9001 4712 PBBLE BCH 60.00 2155 9001 4712 PBBLE BCH 0.50 Total Receipt Amount: 60.50 CR136137 USER ID: JAN W.5p 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 / -f- 1 Date: ?+?? 41O? ( f? / co i Description of Work: ? Construct new fireplace Gas Masonry _ Allerations to existing ? Install eas inser[ onlv Other _ Install eas line onfv Job address: Lot: 3 / 0`2 Po Blook: 3 Applicant (circle one only): Subdivision/P.I.D. #: ?p1t'?? ?itt? Owner Conhactor Penxit Fee: $60.50 PROPERTY OWNER FIItEPLACE INSTALLER GAS LINE INST.ALLER Nama r_p n YI D UCX b! J('I Phone #: 9((? ?1?I ?? Last First Street City raci 4 State: ZiP: Company: ? J2 l, 1 9,A6one!!: 95a- ?bV (area code) Street Address: Lf ), l 7 k/ l,f /:? c;ry ? Company: Street Adc City _ scate: fW!'I/, zip: 33 _ Phone #: (area code) Stabe: Zip: 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 Statub and C.ity of. gan Or' ce . ? L Signature OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace VI'ORK TYPE ? 31 New ? 32 AddiHon O 33 Akerations ? 39 Gas Line ? 34 Repau ? 40 Gaslnsert GENERAL INFORMATION Census Code 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. D 41 Wood Stove CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE (612) 454 8100 WwCAg ?w FOR CZTY USE ONLY PERMIT # RECEIPT # 030`1 DATE: 1lESTDF?TPLEASE COMPLETE UPPER PORTZON ONLY FOR SZNGLE 1 . : .......:.............::. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -----°----------------- ------------------------------------- WORK DESCRIPTION FEES NEW CONST 'el AD? ON _ REPAIR _ OWNER NAME: c^J??/l?/J SITE ADDRESS: LLy LOT' 3 BLOCK ? SUBD. INSTALLER: GE[QZ-RYAN PLUMBING & HEATING OOWANY ADDRESS: 14745 South Robert Trail CITY: Roseiciount ZIP: 55068 PHONE #: 423-1144 DWELLINGS & ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 4.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMIIM 3.00 OF 1 PER PERMIT Cld SUBTOTAL: $? STATE SURCHARGE: .50 TOTAL: $ ?S? ? ? d, ei/?^ SIGNATURE OF PERMIT EE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS; CITY: 2IP: PHONE #: FOR: FEES 1$ OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ $ ( S I GNAT[TRE ) CITY OF EAGAN CITY OF EAGAN . 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 WNWAM FOR CITY USE ONLY PERMIT # RECEIPT # /4 DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR _ OWNER NAME: Sons Construction SITE ADDRESS: 4712 Pebble Beach Way LOT:?3 BLOCK ? SUBD. ? INSTALLER: R C Plumbing ADDRESS: 5910 ChBStBT Ave CITy; Northfield zzr: 55057 PHOrrE #: 461-2096 COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ? ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLASET 3.00 /2- - ? BATH TUB 3.00 '?- - LAVATORY 3.00 L5. _ eKITCHEN SINK 3.00 & I LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 ? WATER Hr,ATER 3.00 3 - FLOOR DRAIN 3.00 -3 , GAS YIPING OUT. _ (MINIMiJM - 1) 3.00 3 - _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 / SUBTOTAL S s? /--v ST. SURCHARGE .50 / TOTAL: $ 57S_0 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMSLY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN ZIP: FEES L% OF !'ONTR.4GT EEF,. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) %S y, o'?6- 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion ReauiremenLS RamodaUReoair Reouiremenls 3 registffed sHe surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, 6eams, joisGs (20%macimum lol coverage allowed) 1 set of Energy Calculafians for heated additions 2 copies M plan shaxing beam & window sizes; poureO found desiqn, etc. 1 sAe survey for add'NOns & decks 1 set ot Energy Calculations Addi{ion - irMlcate ilao-sife seAtic systtm 3 copies of Tree Preservafion Plan if lol platted after 711193 Rim Joist Delail Optians selec0on sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form ? Date -7 / l Site Address Z ? ? W „ e l Construction Cost J O 0 0. a O Q lJllu ( UniNSte # C?1 i Description of Work s'1 uc - Multi-Family Bldg _ YXN ? Fireplace(s) _ D _ 1 _ 2 Property Owner {?• Telephone # (?J ) ?Op " 6 Coutrector vQm es Address 1?U11?2.. S[ate M'y j0. (?x,le 7? 'r e ?+ City VQl lcq Zip J6 Telephone #(-I44Zl ' 1t0 IO COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential VenGlation Category 1 Worksheel . New Energy CoUe Worksheet (4 submission type) Submkted Submitted • Energy Envelope Caiculations Su6mitted In the last 12 months, has the City of Eagan issued a percnit for_a similar plan based on a master plan? _ Y _ N If yes, dat@=antl:acldress of master plan: Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Aesidential Building Permit and acknowledge that the information is compiete 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. Applicant's Printed Name ApplicanYs Signature - -- .f •' . '1% DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? ? 02 SF Dwelling ? ? 03 01 of _ plex ? ? 04 02-plex ? ? 05 03-plex ? ? 06 04plex ? Work Tvnes ? 31 New /X- 32 Adddion ? 33 Alteration ? 34 Replacement 07 05-plex ? 13 16-plex ? 20 Pool 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) 10 OS-plex ? 18 Deck ? 23 Porch (screen(gazebo) 11 10-plex ? 19 Lower Level ? 24 Stortn Damage 12 12-plex ? 25 Miscellaneous /1?1 U dJ 2 v c? ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 38 Move Building ? 42 Demolish Foundation ? 45 ? 37 Demalish Building' ? 43 Reroof ? 46 'Demolkfon (Entire Bldg) - Gi ve PCA handout to applicant DeSCrIpLIOn: Watar Damage _ Yes V81Udt1011 O r (2 V? Plan Review _ 100°/a or _ 25°/a Census Code SAC Units # of Units # of Bidgs Type of Const l(is Occupancy R5?_ MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) Footings (deck) ?C Footings (addiGon) ?C Foundation Drain Tile Roof Ice & Water Final ?. Framing? Fireplace R.I. Air Test Final ( Insulation REQUIRED INSPECTIONS _ Sheetrock Final/C.O. ,A Final/No C.O. ?C HVAC Other _ Pool Ftgs A'v/Gas Tests Final _ Siding _ SNCCO Lath _ Stone Lath ._Brick W indows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total rYl l?i?J/?.o ?vn , 0 ? _. ? 30 Accessory BWg ? 31 Ect. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair WindowslDoors 7, S2' a - z006 RMDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55722 657-675-5675 Please complete for modifications to existing residential dwellings. Date _?5 I Site $treet Address UNt # ProPerty Owner a. Telephone #(6ul ) = ?(o Contractor It lm.kn T'i 6 ?? u Im, CN 17o Address /5- a(? ily 1.C1, Q.1/'!l elephone #`-` 5dq C?1, State? 7 `Z L Zip The Applicant is: _ Owner Contractor _Other Septic System _ New _ Returbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per asbuitt $ 10.00 Atteretlons to exlsUng dwelling $ 50.00 _ Add plumbing fictures. This fee inGudes installation of a water softener and/or water heater at the same time. H you are installing on a water sottener and/or water heater, do not complete this section; move to the next section and check tFre appliance(s) you are installing. _Septic System Abandonment _ Water Tumaround (add $730.00 if a 5/8" meter is required) ? aner: Water Softener _ ater Heater $ 15.00 _ new replacement _ Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I? I hereby apply for a Residential Plumbing Pettnit and acknowledge that the infortnation 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?rtnit, c is not to start HritFrout a permft and work will be in accordance vrith the approved plan in the everd a plan is required to reviewed and ap roved. Jenn? Appiicant's Pdnte(d Name Applica s Signatu CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: 7ames Barton Design & Build ADDRESS: 15112 Galaxie Ave Apple Valley, MN 55124 PERMIT # 74302 Valuation: 8,000 RECEIPT #/DATE: 111678 7-14-2006 Site Address: 4712 Petible Beach Way„ : REASON FOR REFiJND: Conhactor cancelled perntit TYPE OF REFUND: Buildin Pemut Base Fee 0801.4085 $ 153.25 ConsWction Meter Dep Refund 92202254 $ Curb Box De osit Refund 92202253 $ Fire Su ression Pernut 0801.4096 $ Mechanical Pemvt 0801.4088 $ Plan Review Fee 0720.4222 $ Plumbin Permit 0801.4087 $ SAC (MCES) 92202275 $ SAC (Ci ) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Pemut 6201.4532 $ Surchaz e 90012195 $ Treatment Plant 6101.4685 $ WaterPermit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Su 1& Stora e 6101.4680 $ Other 0501.4210 $ Total $ 15325 I declaze under the penalties f law that this account, claim, or demand is just and that no part of it has been paid. 08/25/2006 S G ATURE DATE Pat Geagan MAYON Peggy Carlson Cyndee Fields Mike Maguire Meg Tilley COUNCIL MEMBERS Thomas Hedges CRY AOMINISTHATOR MUNICIPAL CENTER 3830 Pilot Kno6 Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fau 651.454.8535 TDD MaINTENANLE FAqLIN 3501 CoaChman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TflEE The symbol of strength and grow[h in our community. August 25, 2006 7AMES BARTON DESIGN & BUILD 15112 GALAXIE AVE APPLE VALLEY MN 55124 ATTENTION: JAMES MADSEN RE: REFUND OF BUILDING PERMIT #74302 Deaz Mr. Madsen: As you requested, Building Perxnit #74302 issued on July 14, 2006 has been `cancelled and a refund of $153.25 will be forthcoming to you under separate cover. The State Surcharge of $4.00 has been suhmitted to the State and is therefore non-refunda6le. If you have any questions, please feel free to give me a call at 651-675-5671. Sincerely, 7anice D. Severson Office Supervisor cc: Dale Schoeppner, Chief Building Official ` 952 431 8468 FROM':Sames Barton Design- Build FAX N0. :952-431-8468 Rug. 23 2006 09:31RM P1 J flA? ...?F B `.rt011 [1.me?.S 5pl ft" Design-Build Inc. --- Fsne Homc Remodeling 15112 Galaxic Aveauc Appie Valley, MN 55124 pffice 952.431.1670 Fax 952.431.8458 wwa.}amesbartandesignbuikd.eom FAX COVER LETTER August 23, 2006 Re: Permit cancellation #BA074302 Attn: Dale Sahoepgner C011YPANY: Esgaa building inapection dept FAX #: 651-675-5694 NUMBER OF PAGES INCI.UAING COVER: 2 COMMENI'S: Please cu11 if you have qaeativ4s FRQM: James Madaen FROM :SameS-Bdrton Design-Build FqX N0. :952-431-6468 Rug. 23 2006 09:3.NM P2 James ?u?A Bartan -Design-Bu:!d Inc. - Fina Hamc Remodeding 15112 Galazia Avenue Applc Valley, MN 55124 OfFice 952.431.1670 Fax 9.52.431.8468 www.jamesbartunde>ignbuild.com August 23, 2006 Re: Permit cancellation #EA074362 Attn: Dale Schoeppner Here is the written request that yon requested caweling the permit our company obtained for the home located at 4712 Pebble Beach Way. This permit was for an addition installed by a previous home owner without any permits sud does mt meet struchual requirements. The owner has infomied us that they are not going to retain our sezvices to meke the repairs requiored as directed by "Terry" from your office and our company. They have since informed eas ihat they may be trying the repairs themselves or using a different company. Due to the complexity and current comstruction of the home we don't waxit our name on a permit where we are not perfornvng the repairs. ALso rt should be noted oic eompauy does not accept any liability nor do we allow our drawing to be vsed for permit purposes. Therefore if the owner or another builder turns in our drawings to obtaia a permit that would be against our design agreement we have with the owner. As we realize a desigtt is vnly as good as the pcrsons performing'the repairs. Please send us written confirmatiom eithez by fax or by mail conf"aming that the permrt has been canceled and that it is noted on the fioase filc that if out drawings ane submitted for a new permit thai we arc notified. Thanks for your heFp artd I wish the owners and whomever they hire the best of luck in remedying thenr ciureut situstion. I hope I have not wasted yoeu or your staffs time. Sincerely, James Madsen James Barton Desigrc Build, Inc. President ? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - ? Pertnit #: j ? Permit Fee: ? I ? Date Received: ? I I ? StaB: I I RESIDENTIAL BUILDING PERMIT APPLICATION oate: 0 ?A71 / 0 G Site Address: '1 -7 Tenant: suite #: RESIDENT / OWNER Name: C T-CD f G J? DSd h Phone: 9,S Z'-Ch U-5oc?? Address / City / Zi? IV-it- Applicant is: _ Owner ?Contractor TYPE OF WORK Description ofwork: TC-.Q V? (2>4 /e!`c) 0? M lti F il 8 ildi Y / N i ? C C 4 915 0 - am y u ng: ( es _ o onstruct on u ost: > CONTRACTOR Name: ???? N? l\Q ??Crl) D CGhT, License# 7<5a/ Address: t(r)O Z4--GG???A Ri? , City: MTk4 State: M/L1. Zip: S 50, 1 n Phone: ?j!z`7 oI- LY 7 l.j Contact Person: L/`!(/f`Z COMPLETE THIS AREA ONLY IF CONSTRUCTWG A NEW BUIL G Minnesota Rules 7670 Cateqorv 1 Min ota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Su6mitted (4 submission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit for a si ' r plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: i NQTE; Plans and supportilig`documen#s tfaat youstibmit are considered #o be pu6lic iniarrnation, Portion'? af ; ?Yhe inforrnation may tte classified as n?ir?-public,iiyocr {rroar+de spe?c reasons fh5t woi,?ld permif the Gi#yto , , t? I .'v = mh P k } 4. nr.._ '??' `cancludethatfhe are?iradesecte#s I hereby acknowledge that this inforcnation 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, 6ut only an application for a permit, and work is not to start without a permit; that the work wiil 6e in accordance with the approved plan in the case of work which requires a review and approval of plans. X ? ---? ?--? Xc T s?G? 1l e-rv r`J ? ApplicanYs Print Nam ? Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use City oinT L a n I Permit I 11 Ed I m I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1-do - 2V63 Site Address: -7l 2 P"bl4 SC-tc-t!I U .r' Z Tenant: Suite RESIDENT / OWNER Name: rot 4'0C '04-'o`r Phone: 6',1 f 236 n i6 ' Address / City / Zip: c1~ /2 ~tsbl~ 3e-cC, Lk ~ s ar.+.~ J-77 2- Applicant is: Owner x Contractor TYPE OF WORK Description of work: ke3'tip"s Construction Cost: ~V Multi-Family Building: (Yes / No CONTRACTOR Name: ~r A/ ~ b License .75'.F ~ Address: 1A o Z Afw_-4 ytc oaa &A City: H'4-re -1-0.6,3- State: A_/ Zip: " _70j Phone: e/Z -70/ 9*4092- Contact Person: o&1(4vtt c di/,4: C12 jVC 23-V_ 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? I~ _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. 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 e a/G. 1z x zoi&4 Applicant's Printed Name Appli s Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use 1 R ' Perm it#: City of Ea~d~ 1 o Permit Fee: 3830 Pilot Knob Road Eagan MN 55122' ; Date Received: Phone: (651) 675-5675 t I I Fax: (651) 675-5694 1 Staff: I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2- Site Address: 4C 6 ~ -ems "c_RGA.Z4 uJ Unit Name: e,M4, I f l ('~Sp l~ Phone:4~57 - X -54 ' b 214, RESIDENT / OWNER Address/ City/Zip: (-1'(ty h l~ (~GArCL_k U-~ Applicant is: Owner Contractor TYPE OF WORK Description of work: odd t3 fc c~t,~ Gee eti~~ Construction Cost: Zd , ©yo Multi-Family Building: (Yes / No ) Company: 64-16 F Contact: P)r ~fiLL-A CONTRACTOR Address: p i (L~/~ITI,~ i'~d~ h0lsT City: -5_r AfiL State: Zip: :r< Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) lqo' 61"10 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 M 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. I 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 1'1~_',~ Ljq A-4, x Applicant's Printed Name Applica is Signature Page 1 of 3 } qTD ~C << 1g&A6O NO WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level Pool _ Miscellaneous Accessory Building X 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 Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers 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 HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water Final Pool: F 41 ootings -V Air/Gas Tests Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review V MCES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant Copies -7 -S- TOTAL Page 2 of 3 • POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Address: Applicant Name: Grp 9q, ~~cS~m~S C GENERAL INFORMATION ~a ~4 ¢ 0 o z ❑ ❑ Applicant name and contact information ❑ ❑ Property owner name ❑ ❑ Address of property ,,-EY ❑ ❑ North arrow, scale (1" = 30' or 40') ,,ET ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls and fences. A ❑ ❑ Location and name of all streets adjacent to property ❑ ❑ Directional drainage arrows (existing and proposed) ELEVATIONS Existing /El ❑ ❑ House corners ❑ ❑ Property corners ❑ /J ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ❑ ❑ Finished pool deck corners ❑ U ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes) ❑ ❑ Pool bottom (or max. depth) DIMENSIONS Existing ❑ ❑ All property/lot lines ❑ ❑ All Easements on the property Proposed ❑ ❑ Pool ,Q ❑ ❑ Pool plus integrated deck/patio -Z ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house Reviewed: i Name ate Y GTORMS/Pool Permit Checklist/02-13-07 5355 FROM PROBE ENGINEERING T-539 P. 02 la~ AUG 30 1 91 09:56 TO 452 4-74;~ ,mss ~vsr,~irCria~! EAx ' CON PLOW4SU~T I 0 and ~~la N a P-compfiNyp INC. lO.pU EAer 1481h STA96T+ 0WINBVILLE, MINNES07A e633t PH 43lo QUO Certificate of purvey Legal Description ; 607- J, 9WCX a, ,~~/•~,~Y ~/LL$ 9W .4D0171,0A1 DENOTES EXISTING ELEVATION' (/0¢3,0) DENOTES PROPOSED ELEVATION.. INDICATES DIRECTION OF SURFACE DRAINAGE /o43,33' FINISHED GARAGE FLOOR ELEVATION /035.83 BASEMENT FLOOR ELEVATION. 3.83 ~x TOP OF BLOCK ELEVATION rat F*UU4 co, A40 Fr F"VT 8111t,01/VG 5E79-44K 41,41C 3 S`~ ZAV co air. N'~ /Wit a rs r\ 0011, 45~,c 741 v rte:.. 'PIZ Date EN iIYEERI~G DEPT I hetaby cattily that title is a true and ootteat teprasanlation of a ttaot of I td as~Wmwjt r . + %nd desegibed hereon, As piepaied hy*me on this day 01 olt . M1nrt, flag. No. 0'~✓~,~-- Use BLUE or BLACK Ink ~ For Office Use 1-0331 I I I City Ea inan I PermitEt~j1~~ I 1 Permit Fee: 1 3830 Pilot -Knob Road I Eagan MN 55122 I Date Received: D--Djr1-3 I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 ; 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: C- Pt1-1 7 Site Address: q :l I,2 f2t bb` e &a lh Tenant: Suite Resident/Owner Name:()1/10~ OVI~ 17~ Phone: 1,~1~7~~' 0Dl ~A Address/ City'/ Zip: Al 19 ptighl&Z E4WVi 6 0 Name: Wenzel-Plymouth Plumbing, LLC License#: 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email: cmichels@wppmn.com Type of Work - New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Lawn Irrigation RPZ PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures Main Lower Level) New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ N/A 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 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 pl x Carl Michels xJ Applicant's Printed Name App ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final (D 0 T c r v z 15-41/2" J 14-O" 1 r) m N m O O It CI? 0 u mm m03 D O_ 1 Design For: JAMES BARTON DESIGN BUILD CRAIG £ LISA THOMPSON 4721 PEBBLE BEACH WAY EAGAN, MN 55123 Ca O 0, 3 cr C 1 * z m 3 70 O O v z 15-41/2" J 0 ti bOl v 0) U to orn Cly Oo Z O 14-0" G1 N N t) CO i Z m 0MMc -n z ?:i3OG�"1 a33N z z U) 7- O O t4 0 •®/ Design For: JAMES BARTON DESIGN BUILD CRAIG £ LISA THOMPSON 4721 PEBBLE BEACH WAY EAGAN, MN 55123 m m z Gl 0 W z z z m a 0 0 C r m O z �nl 111111-111111-11i _111111-111111-11111= 111111-111111-111111-111 11111=111111-111111=111111= I I I=111111=111111=111111=111I1 I. 1=111111=111111=111111=111111=1 111111=111111=111111=111111=111111` 111111=111111=111111=111111-111111=111. 111=111111=111111=111111-111111=111111= 111111=111111=111111_ 111111=111111=11111 111111=111111=111111=111111=111111=111111= III=111111-111111=111111=111111=11116-111111 111111=111111-111111=111111=111111=111111-1 111111=111111=111111=111111=111111=111_10111111= III=111111=11711=111111=111111-111111=111111-11, CU CD 113 O 13) N 13) • m Z p m �n �m'z -0up0 Z llrnmr zpIr z�Om m=OTIOU mm 8'-2" c� c o o 7-41/2" a Y (T) O O O O O m O v m- A o 0 O C 1 07° O zo D o c O m 0 rn c 70 c 0 O Lm O 70 Design For: JAMES BARTON DESIGN BUILD CRAIG £ LISA THOMPSON 4721 PEBBLE BEACH WAY EAGAN, MN 55123 ti 1 z m rn C1 O z z rn � m <mOz z t� ]nrnmr z:Ir m -1111m 0=00 U3 z r z D SLNaA QeN m • awa 6UIMWa 0 oZ Gl(1 0 • 670 z z Ui0 0 0 000 1 61 rn0 0 0 0 Z v z O0ill U) f m z r O 70 a 70C 0A/-1 m c Do c 70 3 2 O O O O 3 m 0 3 slsior Design For: JAMES BARTON DESIGN BUILD CRAIG £ LISA THOMPSON 4721 PEBBLE BEACH WAY EAGAN, MN 55123 N rn 0 aaquanN ueid 4, PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165607 Date Issued:11/10/2020 Permit Category:ePermit Site Address: 4712 Pebble Beach Way Lot:3 Block: 3 Addition: Fairway Hills 3rd PID:10-25602-03-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Craig Thompson 4712 Pebble Beach Way Eagan MN 55123--216 Sieben Plumbing 18605 Fischer Ave Hastings MN 55033 (651) 343-6298 Applicant/Permitee: Signature Issued By: Signature