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4716 Pebble Beach Wayn? , ? ? •_. -' ? ?f (gexfif traft nf COrrupaMry Citp of Cagan Erptr#atrttt nrf IdNng Jwrrtion T his Certi; j'rcate issurd pursuaxt mthe requir-ements of Section 306 of tlte Unijorm Auddixg Code cer?ifYinB l/wt at the time of issWance tlis strucwre ww in compliance wl?1e the wrikus , o,d;nawa ol the Qy regWafing buddks conoucdon or use. For rhe fouowtn? U. amw. SF DWG swig,r..k N,, 893 0,,? 7?1. R-3 M-1 ZigD,,;G R-1 ? C.M V-N O...,,jsdaj,4 SONS CONST A&,w 4600 FAIRWAY HILLS DR BO"M716 PEBBLE BEACH WAY- 2. B3, FAIRWAY HILI.S 3RD SEP 11, 1992 ? POST IN A CONSPICUOUS PIACE Allb . Contr°l INSPECTIaN RECORD "o. CITY 4F EAGAN RL?MVAMM FM BSgr YMSH 02122193 PERMIT TYPE: ?u ttrl Ne 3830 Pilot Knob Road WPEN BLDRS $88-4952 Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 687-4675 SITE ADDRESS: 10t :2 e r. or. K: 3 APPLICANT: 47 t.6 PE60tf. BEACH WAY SIiNS COiiSI - YA i' ItwtAY MI f. L:4 3RD (612) 4152-6466 PERMIT ?,VIRTYPE: TYPE OF WORK: MEW INSPECTION f1) 1? 1 t M6 ?, . r HANJ.Ne • 1Nfti11lA7.IltM FINA1. . }1P FfriACf ? kfMARKas RE'CC1F''r ! E+QOs'iTER PUMf' SiW Pl8R - Permit No. Permlt Holder Date Telephone # S/W PLUMBING NVAC ELECTRIC ELECTRIC fnspecttorr Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. 7? 1 _ Z / ? Rough Htg. Isui. Fireplace Fnaf Htg. Orsat Test Final Plbg. / Plbg. Inspectar - Natity Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ,'c?• ?• ?,-.?J IN5PECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i f iilil 1 1:1 fl1t'1l 1111Y I , .. ? . . . .. f I ? ? ' . ? ' PERMIT SUBTYPE: TYPE OF WORK: ,.L, ? ? -... .. 4?"..:? . i . . ? ? ? .. . . .. . .. ? . . ? - J Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FQUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST II ROUGH HERTING GAS SVC TEST INSUL GYPBOARD I FIREPLACE [ ' Z / h cf /-C FIREPLACE AR TEST - ? - FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD . CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• ? l fJl : . ?il !l+ k r 1-1 0ff1 ! EiFA(:H WAv tAIftLJAY NiLIS :3ar, PERMIT SUBTYPE: t,i , , APPLICANT: i "i,1t 1,. i I (C1 :' ) u!-? t .'.'Nrt TYPE OF INORK: fc11 1 1 1f 1 NC, H? / i *i It 01, /*s /4F F' 01 1 P 1 I !t ? .. N 1 t I F ? L - -- - - - - - - - - - - - , Permlt No. Permit liolder Date Telephone k ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenls FOOTINGS FOUND FflAMING ROOFING ROUGH PLUMDING PLBG AIR TES'i RQUGH HEATING GAS SVC TEST 1USUL -- 16 YI>[30ARD ? -- - - - -- - I ! fijEPLACF ? -- - I FIREFI ACC AIP TEST --- - - -- -- - - - - - - -- - ----- --- -- -- - -- - FINAL PL[3G FINAL HTC: I iFi:;.4T ! TEST rCi! C?:, FdJ/?; ? FtCM i R.I I ,...?AT!.""? - - - - - --- - - - - - - - - -- -- I - - - -- --- - ---- - --- ---- -- --- - --- - - -- - -- - - - - - ---- - --- -- ?: ? K r- 1 ?Y • ?? I- 2 (- 47 ??IB .C rf ? t7w.?d rw: / ['wr?11?'w 11/o-?iot 945 ol? 9 ReOUest Date .( ['? ? Q 3 Fire No. i n paetion R Fe oughquir? ?iAeatly Now ? Wiil Notity Inspector _ ?/7 l Ves = No When Peatly? I? licensed contractor p owner hereby requeffi inspection of above electrical work at Job Atltlress ('9V/eeG Bo% or RoN¢ No.) /^ 1 i ! ? 4%U/"G ?A7,- Gfly ) <5I'? Secfion No. Township Name ar No. Range No. Coun OccupantlPRINT) E ?d r ?r- Phone No. Power SuOFlier AdCress ElecVicai ConbraJ<ror (COmpeny/ Name?l[ ? }7N?1? ?/".c ConVaclor5 Lkense No. /?40 Mailing Aaaress IConVacror or owner Maki g Installafion) - fk l A1 Ss s crd? d? 0 , , Auponzetl Wre (ConhactonOwner Makinq Ins?allati Phone Number svC ? . MINNESOTA STATE BDARD OF ELECTRICITY U THIS WSPECTION PEOUEST WILL NOT Grigpa-Mltlway 81Eg. - Raom $-173 BE ACCEPTED BY THE STATE B0.4RD 1831 Universlty Ave., SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Gpone (612) 642-0800 ENCLOSEO. J7/?? RE?UEST POR ELECTRICAL INSPECTION "??` EB-00001-OB ?1 /J?/? ?$ee insVat1ion5 Iw c'ompleting ihis iorm on pack 0 yellow copy. ? ior ?.7 K 44945 ,J. "X" Below Work Covered by This Request ew AW'1 Rep`. TypeofBuiltling AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Olher-(Specity) Comm./Industrial Furnace Farm Air Conditioner Other (syenty) ComrectorB Remarks: Compute lnspeciion Fee Below.8>m--f i"? # Other Fee # SeniceEnlranceSize Fee # Circuits/Faeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transbrmers Above 200 _ Amps Above 100 _ Amps Signs Inspector's Use Onty'. TQ7qIL ' Irrigation Booms ?• 0,.? 11 Special Inspection AlarmiCommunication THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. 1, the Electrical Inspector, hereby certif that the above ins ection has Y P been made. Ao.qn-m Final oare ? Date - -? OFFICE USE ONLY This request voitl 18 months trom REDUEST FOR EIECTRICAL INSPECTION ??'" ??a E&o0om08 ? ? See instmclons fur coWlenng ihis lorm On back ol yellow copy. _ 2410 `` K "X" 8e(ow Work Covered by This Request q.:. ew Ad3 Rep. ' Type of Building AppliancesWired EquipmentWired X ' Home ){ Range Temporary Service Duplex Water Heater Electric Heating Apt.Building Dryer Other-(Specity) Comm./Indus[rial Fumace Farm ir Conditioner Othar(syeciry) ConVactor5 Remarks'. Compute Mspection Fee Below: # Other Fee # ServiceEntranceSiie Fee # CircuitslFeetler5 Fee Swimming Pool 0 to 200 Amps 1 11 0 ro 100 Amps 47. Transiormers Above 200 _ Amps Amps SignS Inspector5 Use Only: OTAI Irriga[i0n Booms ? ? rr $65 . 50 Special Inspection ? ?r Alarm/Communication THIS INSTALLATION MAY BE D DI ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. f I, the Electrical Inspector, hereby tif ih t th b i i R0v9""" . . , ,a cer y a e a ove nspect on has been made. F;nei ? oeie L? ?, a OFFICE USE ONLY ? Tnis requesl voitl 18 monihs irom n d/ ? i "L41U 'UC07° , ? ?? 5a? , , A& Repuest Date ' 7/Zl/C?'? Fire No. Rough?in In on Requiretl? ?[?? GReadyNOw LT'niIlNOUtylnspector $] Yes ^ _. No Wtien Reedy? I E licensed contractor ? owner hereby request inspection oi above electrical work at: Job Atltlress streeL Box or Route Noj Ciry 2?± 4716 Pebble Beach Way Eagan Sedion No. Township Name or No. RanBe No. CouMy Dakota OccuOam (PRINT) Sons Construction Phone No. 452-5355 Powar SuOPker pqpress Dakota Electric 4300 220 St. W. Frmington Eleclr¢a1 Comrecmr IGompany Name) ConVaclor5 Lkense No. Joos Electric Co. AM01895 Mailing Aatlres5(COmrxlor or Owner Makmg Installetion) 2104 Great Oaks Drive, Burnsville, MN 55337 Aulnorine0 Signature ICOnVactor10vvner Making Ins lalio PM1One Num1ber 431-4755 MINNESOiA STATE BOAND OF ELECTpICRV THIS INSPECTION FEOUEST WILL NOT GriggsMiOway Bklg. - Poom 5173 BE ACCEPTED BY THE STATE BOARD 1821 Unlve.nity Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION fEE IS Phone(612) 8iY-0800 ENCLOSED. Address:4716 PEBBLE SEACH WA12ot 2 Blk 3 Sec/Sub FAIRWAY HILLS 3RD These itema were/were not complete at the time of the final lnapection. Date; SEP 11 1992 Yas No Inspector; Final grade (6" from siding) Permanent steps - garage Permanent atepa - main entry 170 Permanent drlveway Yermanent gas Sod/seaded gtass ? Trail/curb damage Porch Basemant finish Dack ? Please varify vith the builder the removal of roof teat caps from tha plvmbing system and tha shut-off of vater supply to the outaide lavn faucet bnfore freeze potantial exists. ? White - C1ty copy Yellow - Reaident copy Pink - Contractor copy , $ CITY OF EAGAN 681-4675 DEPT. OF BUILDING INSPECTIONS Correction Notice I have inspected this structure and these premises and have found the following violations of city codes: When corrections have been made, please call 681-4675 for inspection. Date t 2 f/a-? yU -*?- Inspector City of Eagan DO NOT REMOVE THIS TAG t?e s i wa.. ? o? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ?U • City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 I NewCOnshuctionReouirements RemodeUReoairReauiremeMS OfficeUseOnMl 3 reg?fered site surveys showing sq. ft of lol, sq. fl. of house; and all roofed areas 2 copies of plan Cerl M 5urvey Recd Y N (20% maximum lot coverage allowed) 7 sel of Energy Calculations for heated additi-Sree P.res Poan Recd Y_ N, 2 copies of plan showmg heam & window sizes; poured (ound desgn, etc. t site survey for addNons & decks "Tfee PresReqmred =-= Y _N 7 set of Eneigy Calculations Add'rtion - iriditafe ilon-sife sepBc system On-slte Septic System _Y _ N 3 copies of Tree Preservation Plan H lot platled after 711193 Rim Joist Detad Options selection sheet (buldings with 3 or less units) Construction Cost ?( ?` J+ Date ?&C4- l65- Site Address ? ?_ ,,p v ? (AC?1 U)C Q. • UniUSte # Q Description of Work QC.,Q 1.5J `.kj? lr\.l ?S L,_J? f r, c Q PC Multi-Family Btdg _ Y_ N Fireplace(s) 0_ 1 _ 2 O P t C 0.c o ( Com D 6 I I-2 e Telephone #((OSj) lO 632O wner roper y . - RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" W. Address ROSEVILLE, MN 55113 C'ty State 651-2644777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 WoAcsheet (Jsubmissiontype) Submitted • Energy Envelape Calculations Submiried A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheel 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 Residential Building Permit and acknowledge that the informarion 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 permi ; that the work will be in accordance with the approved p m the case of work which requires a review and apprval of plans, ? n , pplicant's Printed Nazne LMplicant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) O 33 Ext.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 Improvemenl ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement •Demalition (Enttre Bld g) - Give PCA handout to applieant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Ptumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ??••••,??••'` iu? ''c•ov rtfa tod U!1 '4460 lC?C?Lril`lSts ?Y3d'!LlSt47tflY • .? ? . r?na? aune t aooi (aw of Eam - 3836 PiIcrt gnob Rond • ' EaM MN 55-122 ' . ro whom rc way eocoem: Etaerranes is authorized to pttn buffdin 1116er Iones to ?ts forRe?tewal by tlnae?. rtease attow prm•ide this 8' ?ccivi? forus in Bagan, `(? ?diati?atibn is valid for . date bcyond 6/610Z; watiI a any to theG`Ity. ?g? by ?n ??IY ?vo?es it in wiidng I rcquest this antfiorizatian be ac?-expedi@oust .- '.. our buiidiag Pcanib auY fuxtltGt. Plcasc cxtII mc If ythctc acronnaY qtt?cFotta., t?ng ? ? coutacGed at 763-502-47Q6. . Yonr itnmqdiate attention to Us maffer is mLmnrm ' . , . Siuoeacly, , . . ymoad'R &Pm ustatlation Managcr Rcnowai by AndcJSCn CoiRoration C'r.: Karn-Firies 7?n? . - --?-?- - - -?- ' -- -- - - -._. _ __._-?---- ?200.1 Received Tiha Ju?. 1. 1' 07PM h.a ? ? ouu ??Sfi3 ,#::?o.zs City Of Eagan _Z` . ?, ?_ `,??.?,__? 3830 Pilot Knob Road, Eagan MN 55122 t??? _.. Telephone # 651-675-5675 FAX 9 651-675-5694 1 - ?? 4 - 0 ,? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION New Constructlan Reaui2ments RemodeN2eoair Reouirements Office Use Onlv 3 registared sBe surveys showing sq, ft. ot lot, sq. ft. of house; and all roofed areas 2 copias of plan CeA of Survey Recd _ Y _ N (20°h maximum lot wverage allowed) 1 sel of Energy Calculations for healed additions Tree Pres Plan Recd _ Y _ N. 2 copies ot plan showirg beam 8 window saes; poured fourM design, etc. 1 site survey for additians & decks Tree Pres Requlred Y _ N lsetofEnergyCalculations AddHion-indicefei(onsNesepticsystem On-siteSepticSysfem _Y _N 3 copies ot Tree Preservation Plan if lot platted after 711193 Rim Joisl Detall Opfions seledlon sheet (buildings wilh 3 orless unils) Date SiteAddress '{7i4 iemE Ara j Cons[ruction Cost "? ?e e v Unit/Ste # Description of Work (vDCa-Pz - ?lu+ Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _Y 2 Property Owner T?«'? ?i¢u+??cc? Telephone #(bri ) 617 a 39 i' Contractor D'?1 Address State City Zip Tetephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Enengy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code worksheet (Jsubmissionlype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Coniractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informat n rate; that the work will be in conformance with the ordinances and codes of the Ciry o 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. .?I'r?/G'/( ('??vYr?34 Gc, Applicant's rinted Name ? V` L,jv Applicant's S* na re p (?T OdC? DEC 3 0 2004 is comp e d acc OFFICE USE ONLY Sub Types ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex A 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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower L evel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_ Y or_ N? 25 Miscellaneous WorkTypes e;jef ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34Replacement "Demolition (Entire Bldg) - Give PCA hantlout to applicant Valuation Occupancy MCES System Census Code Zonin g R -1 City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered ' Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof Ice & Water F inal Pool Ftgs AidGas Tests Final X Framing _ Siding _ Stucco _ Stone _ Bri ck _ Fireplace _ R.I. _ Airi'est _ Final Windows _ Insulation _ Retaining Wall Approved By` n- A , 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 ? z SI RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsVUCtian Reouiremenh • 3 registered site surveys showing sq. ft. of lot, sq ft. of house; and all roofad areas (20% maximum lot coverage allowed) . 2 copies of plan showing 6eam & window sizes; poured found design, etc.) • 1 set of Energy CalculaGons • 3 copies of Tree Preservation Plan if lol platted after 711193 • Rim Joist Delail Options selection sheel (bldgs with 3 or less units) DATE ?y-NOV -O? SITE ADDRES. TYPE OF WO ? APPLICANT _ Renewal By Andersen, Inc RemodeVRepair Requirements • 2 copies of plan • 1 set of Eneigy Calculations kr heated additions • i site survey for extenor additions & decks . Indicate H home served by septic syslem for addNOns VALUATION lSlI OOS(:T ULTI-FAMILY BLDG _ Y _ N FIREPLACE(S) J U - 0 _ 1 - 2 STREET ADDRESS ; 1920 County Rd. "C" West CITY STATE_ZIP Roseville. MN 55113 TELEPHONE # I 651-264-4777 FAX # ? License # 20130983 ? PROPERTYOWNER??f.LW.WYJbC.II TELEPHONE# (1051- COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RUI,ES 7670 CATEGORY 1 MINNLSOTA 12ULLS 7672 (4 su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submilted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcch:unical syslem includes: Sewer/Water Contractor: 1{ee: Phone # Phone # $90.00 ?t Fee: $70.00 I hereby acknowledge that I have read this application, state thaT the info mation is orrect, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordin nces. Signafure of Applicant OFFICE USE ONLY _ Watcr SoPtencr Watcr Heater _ No. of Baths Phone # _ Lawn Sprinkler No. of R.I. I3aths- _ Air Condilionuig Heat Recoveiy Syslem Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demol(tion (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy _ MG/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS , Footings (new bldg) FinaUC.O. ' _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Au/Gas Tests Final _ Framing _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaunng Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector ??.??erv•.c tuv ti.oV Cpp IOJ pll +i400 xnruseru. nrenun?sn re al ,? . . amet zoal Cuy of Ham 3836 Riicrt gacb Road Eagen, MP1 55122 To Whom It May Conoarn: Elder ]ones tA audkorized to putl buiidtng peMIts pbr geamW bY Andeism piease atlow Pwvidc ttus ses"vzCC for tts in BaSan. 'ntis andirAizetion is valid for eny date bayond 616101: uutil aftnewal by AndGrsen manaM ezp=etY mvolaas it ta aviitlag to the City- oar?bu? this sudiodzation be acoeP'tad-expedlt3onsly. as to not detay in thn af ?S Po?ta any furthcr. Elcaac call mc If ihct? aro a" questtona.. I i.?m ?? . ooIItacted at T63-Sf12-4706. Your immqdiate att,eatiott to ft matter is sinoeavly, . ond R Rau ostallation Manager Ranowal by Andeasan Corporation ('r.: Karn-F.1de.r 7?ne.a A,;?`?Ma` ?col? ; Wuu2 Received Time Jun. 1. 1:07P4d RESIDENTIAL 5-(o 9 q BUILDING PERMIT APPLICATION cirv oF eacnN 3830 PILOT KNaB RD, EAGAN MN 55122 681-681-4675 NawCanetnx.Mlon BeaufremaMe • 3 registered stte surveys showirq sq. M. of bt, sq. N. ol house; anA ig roofed areas (20% meximum bt COVereOe allOw9d) . 2 copies of plan strowNg beam & window s¢es; poured tound design, etc.) • 1 aetolEnergyCalCUl9tlons . 3 copies of Trea Presenation Plan d bt pletled atter 711/93 . Rim Joisl Detail Optbns salectqn sheet (bldgs wMh 3 or less unils) DATE 5-1 1' 0Z 7' lCVt ?/--+,) SITE ADDRESS ?7IC., ?f gg? ???h-r-k r.?,a-l MULTI-FAMILY BLDG _ Y ? N TYPE OF WORK XCI o? FIREPLACE(S) _ 0 _ 1 _ 2 APPUCANT STREET ADDRESS 3 a?`! T-fg /L ;? f` ?O I CIN ce' 'STATE? 21P S r( )-/ TELEPHONE #402 -S?2 ( P Z`LCELL PHONE # &f Z`f 96 9161- FAX # 612 ?Srz- ?LV"Lq PROPERTY OWNER TELEPHONE q6Sf a 7() Q 3E/E -------------------°---------------------°----------------------------------°--------- COMPLETE THIS SECTION FOR -NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contracfor: Plumbing system includes: Mechanical Contracfor. _ Mechanical system includes: Sewer/Water Conhacfor: _ Air Conditioning _ Heat Recovery System Phone Phone Fee: $90.00 MAY 3 1 2002 -°-----°--------°-------------------------------------------•--------------°-----°----°----------------------------- I hereby acknowledge ihat I have read this application, state that the informatlon is correct, and agree fo comply with all appllcable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths )«--7 is- BemodeUHeoah Neaulrements • 2coplesWplan • lsetofEnergyCalculatansforheatetladAMbns • 1gflBSllrvey }OfB%tBf10f8ddA10113&d8Ck3 • Indicate if tame seNed Dy seplic system for add7tlons VALUATION Phone # _ Lawn Sprinkier _ No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ak - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - 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 O 06 04-plex ? 12 12-plex Plbg Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Erkire Bldg only) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQl11RED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Av Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Capies Other Total Building Inspector ,_ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. 0724 BUILDINO 000893 06/29/92 SITE ADDRESS: . ?. ?BuildYng Permit 7ype Building Work 7ype U8G Oacuparrcy Construction 7ype Zoning euild3ng Length ' Building Width ? DESCRIPTION: ? ?.?. 4716 PEBBLE BEACH WAY LOT: 2 BLOCK= 3 FAIRWAY HILLS 3RD \. ? ?... ?::y.. PERMIT TYPE: Permit Number: Date Issued: SF DWG NEW R-3 M-1 VN R-1 49 44 C r_ REMARKS: RECEZPT NC-OIq?,J / BOOSTER PUMP 5&W PLBR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal vnLuaTioN $161,000 $853.00 $554.45 $80.58 $700.00 100 1 $2,187.95 MISC FEES $1.610.50 Total Fee $3,798.45 CONTRACTOR: - RPPlicant - sr. Licp?yNER: SONS CONST 14525365 0082608 SONS CONST 1091 TIFFANY DR 4600 FAIRWAY HILLS DR EAGAN P9N 55123 EAGAN MN 55123 (612) 452-5355 (612)452-5365 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 Mn. Sta utes and City of Eagan Ordinancas. L - APPLICANUPERMI 'IT IGNATURE IS??V: ? NAT?' ?? .. . ? t'3 SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS 1991 BIIILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS ?U K 2 2 ftECO COZffiERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PIANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMSER. To Be Used For: OYj'/Z Valuation:Date: (r?f? ?e Address `J?2/4 f%b/jCe /Seti?S *.z( / Lot y Block ? Parcel/Sub FAJ/Lwu?n '3 ? Owner -SdhS C"'tis-? Address yrdOQ WLzf DiL i City/Zip Code ??y? ?., YJ??? 5 j/Z} Phone ContractoY 50o f don'F7 Address 7/o1911 City/Zip Code ?? s4„ YJ7N i 1%L? Phone L3 - T Arch./Engr Lee is,rcL OFFICE USE ONLY FEES Occupancy Bldg. Permit Zoning Surcharge Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well Road Unit MWCC System _ Park Ded. City water _ Trail Ded. PRV _ Copies Booster Pump _ SUBTOTAL APPROVALS Penalty Planner _ Lot Change Council TOTAL Bldg. Off. Variance agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Address F/tl/2??? /YLLr ?h City/Zip Code ?S%2-3 PERMIT 1 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681 -4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day af month in which re uest is made or lot chan e is re uested once ermit is issued. Date Valuation of work Site Address: STREET STE f Tenant Name: LOT ? BLOCK ? SUBD. rA I{Z(-1j U-S P. [.D. f Descri tion of work: The applicant is: .? Owner O Contractor ? Other coe.«ix> Name Phone Property LAST FIRST Owner qddress STREET ' STE Y City State Zip Company Phone Contractor Address License M Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State 2ip Sewer & water licensed plumber . Processing time for sewer & water permlts is two days once area as been approved. 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. Signature of Applicant: urri%ot uaC urvLY BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement finish ? 13 Public Fac. V 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Agricultural ? 03 Two family O 07 Fireplace ? 11 Res. Add./Porch ? 15 Miscellaneous O 04 Multi-fam. T.H. ? 08 Deck ? 12 Cortm./Ind. WOR K TYPE ? 31 New ? 34 Repair ? 37 DemoTish ? 32 Addition ? 35 Tenant Finish ? 99 Undefined ? 33 Alterations ? 36 Move • GENERAL INFORMATION Const. (Actual) V-n? Basement sq. ft. MWCC System YE? (Allowable) v-N lst F1, sq. ft. City Water YES UBC Occupancy -Q 3 M-1 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump 77- Z7 i of Stories Footprint Sq. ft. Fire Sprinkler Length yqTT' On-site well Census Code Depth -174-7- On-site sewage SAC Code vl APPROVALS Planning Building Assessments Engineering _ Variance REQUIRED INSPECTIONS ? Site " ? Footing ? Framing ? Insulatian ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1.. Road Unit Park Ded. Trails Ded. Capies Other Total: SAC % 100 5AC Units I_ wtios;on: s GA? 41 C1 z/K qv2? B_ st?Ts g I b= 7000 32X 3 o= `J6 ?) 1o%n/S = 157 ?zo IsTF 'k F??rt1lc ! Z a Y- 2?,r? rz?,cS3 % ?NC??u?t ??x i°z•" 9'6c i (/z x -2 ,_ ) ?, c6,03?. ?Sfl? p I a ? ? * ? **? d Certificate of Survey for: !5OR5 CONST^ uCT?0A1 House Address: Pefable 8each Way, E49an" Me'nn. Model Name: i .;O Q ? 3o ? / e* ? .M V. b ? /'r I `\^v /e A2r ?? 'SC• -u i \? 'Sg6 : s S . ? ;s io;g,8 ? 'FIO36.os `+ / o ? 3 /0 00? yS M ? b Z'o '??? ry ,o o ?o' o•}• r. 4O pRwEWpy i, Q 'p / 38,' R L ? p • h$0???I Nzp/oso t031.8 31 z('J? / Op ?YO`? KIo34.1 ?i i 2 ? o 0 8 ? ° T k/o3q o / Y s! •o\ N/ 1 ? ? O / ?c"o ¢0M S !?? ,?•Y ?:-'..i ° '" • {? , q {( .'' ,ca f . r 60• { ?????? ???P ,?_EQUORED E??VT • 000.0 Denotes Existing Elevation PROPOSED HOUSE ELEVA110N •(g?) Denotes Proposed Elevation Lowest Floor Elevatiom:. I031 Denotes Drainage k Utility Eosement jI, Top of 81ock Elevation: Io 9.6 - Denotes Drainage Flow Directlon -o- Denotes Monument ' Garage Slab Elewtlon: Io3 ? --.&- Denotes Offset Hub Bearings shown are assumed ' LOT 2 BLOCK 3 FA IR WAY HILlS 390 A DDITIDA , , DA kDTA CAUNTY. YINNESOTA 1 herebY c*rtllY thel lAb wrvsy. Plan or nport wnyp?rpaad Ay m? or under my dine[ fupavhien ad llqti un dWp RphtvM Lmd MmMa ' ?? undx ths lews ol the Stetool MlnnsqG. Dotad thh '"` dry ol A.D. 19 A? . e-to. 6-IS-92: AAd Er;s1 El?vs. . /, . Scale: 1in-ch-30f2o' W-11 _, EXTERIOA.SNVBLOPS &NBAGY CODB COMPUTATtON;WORlLSHW? Z+o Determine Oa?ipliance with tha Minneaota Szergy Oode (Section 502 of the State Amended 1983 !lodal SnarW 'Code) PCO)2Ct T1t1E E1der Home Block 3, Lot 2, Fairwav Hills 3rd Addition S1tE AddLeSS$ 4716 Pebble Beach Way, Eaqan Mn. 55123 I. EXPOSED WALL CALCULATiONB AM 'V Wim ARFA x "U" A. Opdque Wall . 1. Masonry/Corrcrete a. x ? b. x • c. x ¦ 2. Eoundat rn Wa Grade) a. t4. Z-5 x. . O°l so s 4,11 b. _ x ,? 3. Wodd Frame W&U a. Insulated Area x • O4- b. Framicg Area (Ave. 15$ at 16" x) _ i x . i t? ;n C. Framing Area (Ave. 10i St 24" oc) 4. Peript?eral 81oor Edga/Aim JoiBt d. 2Z0 Y .04 a b.FS _ b. Y ? 8. Glazing 1. Wirr7ows a. • = . . x .36 b. _ 4o x 47 a tR.Pi 2. Doors x. • C. Doors l. Woad a. Solid ?p x(o a 1.71 b. With stocm door x a 2. Meta1 x • . 3. Overhead x . 4. Other x = D. Z+OPAL FWI. ARFA, sq. ft ..... .::............. 211? E. TOTAL of AREA x"U" ................................................... Z(oZ .) G II. $OOF/CTsIl.ING CALCULATiONB A. itoof/Ce iling Insulated Area 11014A, x ? D L ? 32• Z? B. Iioof/Ceiling Framirg (AVe. 158 at 160 x) x ¦ C. Rmf/Ce ilirg Framing (Ave. 10% at 24" x) 1"19 • 4 x . o Z ¦-? D. Skylight Y . E. TDTAL 3i0oF/CEI7.iNG ARFA sq. ft .............. 179 4 F. TDML UF A[iFA x"U" .................................................. ? . , qY.J . Ili. BUILDING ENVELOPS 88QUIR8MEHTB • • ' TQP11L ARFA ALIAW.ASLB (Frcm I.D i II.L) (P'tom V.I (Areo X'I7') A. Ecposed Wa]1: ?.? i x . 1 I t? B. Roof/Ceilirg: I1fJ4 Y__---0rt? _._ m.. • ?, s . ,. , C. TOrRt ALT.DWmaLE BuILDING WiEiM (lbtal of A a B abwe)... e.4 ' - a 4 IV. ACTUAL BUII.DINCi BNVBLOPB ACTUAL (,71C?da.X O0") A. E4XGOd Wall (FIUR I.E) . Uo Z. ti6 B. RoOf/Ceilinq (FtCm II.F) Ar.,-5. i:? I c. TOZAL ACIuPw WMIM EWvUM (Totai oF A& 8) .. ....... ... •(IINLi COft PpY1?Li IT llif Lhim III.C) . -? Y. REQUiRED "U" VALUES RXF/CEILING Detache] one arr] two Eami]y dwellings .11 .026 * Multi-Family Fesidential Buildings •238 •033 (3 stories oc less in height) * All Other Ounstruction Zypes (3 stories or Less) .238 .06 * All Other Constructicn zypes (MOre than 3 staries) .28• .06 * Based on 8007 beatiny dayree dsYS (Ipls/St. Ytul) Adjust 'Y• valuss acuidtayly for otMr locatioas CERTIFICATION I hereby certify that I have Minnesota State Energy Code. Signatute ihe above lnbormatiort atd ttat Jt<9[qFUqB with L- 6-18-1992 HCSD 3-89 CC/SN'1/6574 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-25602-020-03 PERMIT PERMIT TYPE: Permit Number: Date Issued: 4716 PEBBLE BEACH'WAY LOT: 2 BLOCK: 3 FAIRWAY HILLS 3RD C2?S?s?a? BUILDING 027755 06/09/96 DESCRIPTION: B'u3lding..Permit Type 8uil:ding 43'o.rk Type Census Code '\ i ".? r . ?? -', j `?? ? ? ?? •? ? DECK NEW 434 ALT. RESIDENTIAL REMARKS FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Totel Fee $45.50 CONTRACTOR: OWNER: - Applicant - CAMPBELL PATRICK 4716 PEBBLE BEACH WAY • EHGAN MN 55123(612)851-2208 Z hereby acknowledge that i have read th3s information is eorrect and' agree to comply ? Statutes and City pf Eagan Ordinanoes. PLICA /PERMI EE SIGNATURE application and state that the' witN a31 applieable State of Mo. I Jm? <o?.j,?- ? ISSUED B SIG URE CITY OF EAGAN lqq!ff 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVRepair Reauirements ? 3 regislered s8e surveys ? 2 cropies of plan ? 2 cropies of plans (Include beam & window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior addkions & decks) ? 1 energy calculattons ? 1 energy caleulations for heated additions ? 3 eoDies of tree preservation plan it Wt platted efter 7/1/93 required: _ Yes _ Na DATE: DESCRIPTION OF WORK: STREETADDRESS: 'i 0/ LOT !2-- BLOCK ? PROPERTY OWNER Street CONSTRUCTION COST: SUBD./P.I.D. #: 3 L1odf-- ?a 1 - ar?o g? Phone #: 7-D3 U City: State: ? Zip: coN7w?cTOR Company: ' Street Address: City: State: _ ARCHITECTI Company: ENGINEER Name: Phone #: License #: Zip: Registration #- Street Address- City: Sewer & water iicensed piumber: change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: _ Yes No _ Yes _ No State: Phone #- Zip: Penatty applies when address change and lot corcect,hnd Wree to comply with all OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? OS S-plex 0 04 SF Porch ? 09 12-plex n 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning ? 11 Apt./Lodging o ? 12 Multi Repair/Rem. ? 0 13 Garage/Accessory ? ? 14 Fireplace 0 eu?:? 15 Deck ? 36 Move ? 37 Demolition .. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System Main level sq. ft. City Water ' Sq, ff, Fire Sprinklered sq. {{. PRV sq. ft. Booster Pump sq. ft. 3 Census Code. / Footprint sq. ft. SAC Code o/ - Census Bidg ' Census Unit d Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SN1l Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units oo? r . w ? ., •'.•.? ?.:'4?t(! : . ? .. . Dtlw i, MN 66120 ?., -n?a.. IPI'??qi?r..I'vin },; ? * * ** , ,: ' Certificate of Survey for: ?DIVS CON`JTIKUCTIOM House Address: Pefable 8each WQy) E09an" Minn. Model Nome: V, ? ? 30 P ?4 M r? # o 0?? b (/I M ``/\v /e a ,r `002' 0 / ? . 0 IVor (V• ? . S`i?.? ro;g,8 30 Y }'cE ?S ??? ., - 4y h ? h?\ ?O3 ) l1 v s Sg6s?rF ? o36A5 . .,? \ K?o34.1 ` (?`Y ,o3s L 2 ? Yo -? S??Z? '?'Yo \ h,o \ f 1 BoosTER PuMP L REQUIRED p?PT • 900.0 Denotes Existing Elavation PROPOSED HOUSE ELEVATION •(gO Denotes Proposed Elevatlon Lowest Floor Elevation: 1031.5 --- Denotes Drainage AC Utility Easement a Top of Biock Elsvatlon: lo3q•6 - Denotes Droinage Flow Diroction -o- Denotes Monument ' Garage Slab Elevation: l03 , E3-- Denotes Offset Hub Bearinga ahown are assumed ' LOT Z, BLOCK 3,FAIRWAY N11,L5 3919 ADDITION IPAkOTA CWNTY, YINNESOTA 1 here6Y eerllly ihq lhls wrwY, Olan ot rppt Mfp?-rpnod by m? or umNr mY dlt?el wpuYlHon ud tlrt 1 un duly Rp1stuW 4nd WrveYa under the Iew? ol lh? SHN ol MlnnHOtL MIM lhN IIy"` d?y oi S°wc A.D. IB'IZ . Ke". 6-IS-9Z: pdd Er;s{ Elovs. aoa[at . . nEO. No, 14491 Scale: 1kl;h-30im, M Qo l? .7" ?O\4 y'0 C'rd ! o9/`?c . . .'.???•,.. \ O 8 I? ?,o CO r??,? 7: REACTIVATE ? PERMIT S CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 fEe _*DO 1 q REGD. SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 12 / %-J Valuation of work -0?57 s"-! ? Site Address: / 7?? ?lz?-4 Ql f 13.?o <_ h` STREET SUITE M Tenant Name: (commercial only) IAT BLOCK ? I SIIBD.?? n,V a JX/ J li P.I.D. * Descri tion of work: A S f /ti L-- f--% d___ SYY The applicant is: ? Owner L7 Contractor ? Other (Deseribe) a 0 A Phone6?S-V- 2 3 S/ Name ?,FL D F Property , LxST FIRST Owner pddress I7' 7/ C II" 13 ?3 1 A i STREET SiE N City /- A GG /d s? State Zip Company Wl?E ? /3L 19 I'2 S .,C?' Phone Contractor Address S License #ZI361 d Exp:3?3L`/9y City /_7 L/ c2 '0 '?- 2'.--? 5tate 1-f-9 _1 Zip 5?5 `fZv Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is twa days once area has been approved. I hereby acknowledge that I have read this aPplicatian and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. f l Gt Signature o App icant: v OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 03 SF Addltion 0 OS 8-Plex ? 13 Garage/Accessory O 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION I w : ;?If,6,Ba"eement Finish p 11 Swlm Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd fl. sq. ft. PRY Required Zoning 7?7_73 Sq. Ft. total Booster PumP #1 of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Cade G.r• ,.,, bld? . APPROVALS Planning Building Assessments Engineering Var9ance REQUIRED INSPECTIONS ? Site ? Wallboard La3V i 0 ? ? Insulation ? Fireplace ? Footing E;X- Final 1?r Framing ? Draintile Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Oc) I valuatim: $ •SD SAC X SAC Units SiJBD. B 3 • ? I Q.? 3 ME HANICAL PERMIT RECEIPT # ? b? 0 3 (612) 651-4675 DATE RESIDEIV'I7AL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII,Y DWELIdNGS. ALSO, COMPLETE FOR TOWNHDMES/CONDOS R+HEN SEPARATE PERMII'S ARE REQUIRED FOR EACH DWF.LLING UNIT. OWNER: f F M 5 ADDRFSS• ? ADD ON/REMODEI. (EIIISTING CONSTRUCTION ONL7) S 15.00 INSTALLER: GENZ-RYAN HEATING 67, AVAC: 0-100 M BTU 24: PHONE #: 423-1144 ADDITIONAL SO M BTU 6.00 ADDRESS: 14745 South Robert Trail Gpg pUTLETS .KUJEWUM 1 @S3 EA. ( ll' crry0 Rosemo t ZJP-' 55068 SURCAARGE: $ .50 SIGNAT[IRE: J TOTAL: $ 7, -Q COMMERCIAL PLEASE COMPLET'E THIS PORTTON FOR ALL CQMMERCIAIJINDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PIItMITS ARE NOT REQUIRED FOR EACH DWELLIIVG UNTT. WORK DESCRIPTION: CONTRACT PRICE FEES 196 OF CONTRAGT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMTT FEE $ PROCESSED PIPING - $25.00 $ MINEMIIM FEE • ,?'e25.00 OWNER: TOTAL: $ SI1'E ADDRESS: TENAIV7': 3UITE #: INSTALLER: ADDRFSS: CTI'Y: ZIP: PHONE #: CI1T SIGNATURE SIGNATURE: CITY OF EAGAN 3830 PILOT KNOS ROAD EAGAN, MN 55122 PAONE (612) 454-8100 MNx"AM FOR CITY USE ONLY PERMIT # RECEIPT # O O naTE: S a-- PLEASE COMPLETE UPPER PORTION ONLY FOR 5INGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR owlvEx NAME: Sons Construction SITE ADDRESS: 4716 ebble Beach Wav IAT: ? BLOCK ? SUBD. /" ?? INSTALLER: R C Plumbing ADDRESS: 5910 Chester Ave CITY: Northfield 2IP: 55057 rxorrE 461-2096 SIGNATURE COMPLETE THE FOLLAWING: N0. FIXTURES EA. ? ADD-ON MINIMUM SHOWER 15.00 3.00 WATER CLASET 3.00 BATH TtIB 3.00 ? LAVATORY 3.00 ? KITCHEN SINK 3,00 1 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. ? (MINIM[JM - 1) 3.00 _ ROUGH OPENINGS 1.50 _ OTHER ? WATER SOFI'ENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 TOTAL ? 3_ - 3 - 3- - SUBTOTAL ? ST. SURCHARGE .50 TOTAL: S 46?,SD CI?MMEiCGIALftF3DU5TRM j PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIILDINGS AND MULTI-FAMILY BUZLDZNGS.WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ °_- -----------------------------------------------°--°________-__- CONTRACT PRICE: OWNER NAME: SITE P,DDRESS: IAT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: ZIY: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 F'OR EACH $1,000 OF PERMIT FEE, $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) FEES CITY OF EAGAN CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Num6er: Date Issued: ?tl(4 4L BUILDING 029691 @4/07/97 SITE ADDRESS: P.S.N.c 10-25602-920-03 PERMIT 4716 PEBBLE BEACH WAY LOT: 2 BLOCK: 3 FAIRWAY HILLS 3RD DESCRIPTION: ( s A s ) m f SU11??ng Permit Type ? ??-2ci`1?Work Type Cet'1si.}m^e % FIREPLACE NEW 434 ALT.'RESIDENTIAL o ? ?Qa £ P*wF? zr, ="{4rt?"""???A ';i . 2 ? ?'t ? "?.? REMARKS: FEE SUMMARY: Base Fee $50.00 5urcherge $.50 Tntal Fee $50.50 CONTRACTOR: - Applicant - sT. PMNER: FIRESIDE CQRNER INC 16331042 000 068 CAMPBELL PAT 2700 PJ FAIRVSEW AVE 4716 PEBBLE BEACH WAY ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)687-0398 I Kereb)r aZKn,atisS?dg? ?hatnT: ta?v? r"vari-'`Gh?s app.liratiorr ,a?ircl st' te tFr the' ?srtr?rsct 4?#d,a9:res X? %ctsqpl? ?9.th011? aPpl*&able Stste nf MrI ? . Statu`tes ?nd cltsf; ?agarr n?nce,0.. .. _ .. . .. _ :.:? APPLICANTlPERMITEE SIGNATURE L .?J ?? f?.DllA1 17L? ISSUED W. SIGIATU}iiE V CITY OF EAGAN Iq 3830 PII,OT I{NOB RD - 55122 ? ? 1997 FIItEPLACE PERMIT APPLICATION 681-4675 DATE: 44 ,? / PERMIT FEE: $50.50 DESCRIPTION OF WORK: ? CONSTRUCT UM ? _ F PLACE A,LTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OT'EIER: STREET ADDRESS: -Y-116 /`eL3/3 L- 1E- ZS a--A? LOT BLOCK DL SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of F,agan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER Name: eA Wbt" 010MAYLvC_ Phone#: 6 8 7 -0 3 Signature: Street Address: Ciry: ?A 4]O o? state: zip: Z Z CompanYzVLLf[EbPhone #:8A--dTa' 60-2C$,Q-? GAS LWE INSTALLER Citya?Z'1A35 Sl( C-'--C State: Af AJ Companv: Name: Signat IVED 5treet ?e iq City: License #: L ? 4 -8 ziP: 63^3? 7 Phone #: A M•? ? OFFICE USE ONLY BUILDING PERMIT TYPE a 14 Fireplace WORK TYPE 0 31 New ? 33 Alteradons ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Cade. SAC Code REMARKS Chimney/flue must be inspected before concealing. RESIDENTIAL BUII.DING ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements RemodeVReoair Reouirements 3 registered site surveys showing sq. ft, of l06 sq. ft. of house; and all raofed areas 2 copies of plan (200% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Eneyy Calculations Adddion -indicafe i(on-site septic system 3 copies of Tree P2servaGon Plan if lot platted after 7/1193 Rim Joist Detail Opdons selection sheet (bldgs with 3 or less units 14a, -I 5? Oifxe Use Onlv Cert of Suney Recd Tree Pres Plan Recd Tree Pres Not Reqd _ On-site Septic System Date / onstru/ction Cost Site Address 71 L [h UniUSte # Description of Work Multi-Family Bldg _ YN Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?ri?{L Telephone # (ek zw7- D ?J I S Contractor Address ' City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 . . Residential Ventilation Category t Worksheet (J submission type) Submltted . Energy Envelope Calcu '_ Subm t(?d Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work woch requires a review and -appr a plans. &0"/ , (i ?/?i'?-C- C? Applicant's Printed Name Applic t's Si ature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext: Alt - SF ? 04 02-plex ? 10 DS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 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 (Bldg)` ? 43 Reroof ? 46 WindowslDoors D 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ESSystem Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings(deck) ? FinaWi o C.O. X, Footings (addition) _ Plumbing ZC Foundation _ HVAC Drain Tile Other Roof )!d Ice & Water ? F inel _ Pool _ Ftgs _ Air/Gas TesCS _ Final ? Framing _ Siding Stucco _ Stone Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement) )O Insulation _ _ Retaining Wall ------------------------------------------ ----------- r Approved By ---- ----- ----------------------------------- , Building Inspector ------------ BaseFee ??aC? y? 7- °c.?`C6 Surcharge y ''?`2 ? rt, c7 ? ? ?c Plan Review y 1 ? MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total M MECcheck Compliance Report 2000 Minnesota Energy Code MECcheck Software Version 33 Release lb Data filename: Untitled TITLE: 03-111 COLJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: O 1/10/03 DATE OF PLANS: I-10-03 PROJECT INFORMATION: PAT & CAROL CAMPBELL COMPLIANCE: Passes Maximum UA = 44 Your Home = 36 18.2% Better Than Code Pemut Number Checked By/Date Gross Glazing Area or Caviry Cont. or poor Perime[er R-Value R-Value U-Factor UA Ceiling 1: Raised or Energy Truss 72 44.0 Wall 1: Wood Frame, 16" o.c. 309 19.0 Window 1: Above Grade, Wood Frame, Double Pane with Low-E 9 Door 1: Solid 18 Basement Wall 1: Masonry Block with Empry Cells, 3.5' ht/2.9' bg/3.5' insul 108 11.0 Proposed and Maximum U-Factor Averages Proposed Average U-Factor Above-Grade Windows and Glass Doors Includes Foundation Windows > 5.6 fr2 0.0 2 0.0 17 0.310 3 0.350 6 0.0 Maximum Allowed U-Factor 0.310 0.370 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations sub ed with the pemvt application. The proposed building has been designed to meet the 2000 Minnesota Ene?y Code requirements in MECcheck Version 33 Release lh and to compiy with the mandatorreyuirements? stedf4 the MECcheck Inspection Checklist. Date ? lCp 03 '..i:<Wiu_ :., ...:. ' .:.., ??. ... ... I . I . .... i?i.iilCi?i?•:.? • ' * 2447'EnUrprlse Orlvo NEER LIINOWI1V[YOHf.CIVIL[IqIN[LM Msnd0ls FjsIphli.MN66120 Ing eer ng.. LANO K111N4IM • IANOWA?t AI101179CT/ 1612p??1.19t4 ,1 ?I .f Certificate of Survey for: SOtV?J CO/V ST? uCTI01V House Address: Pelable 8each Woy, Ea9an ,, M;nrt. Model Name: V ?V V? Q i `o,?? 7 30 v U? / I IV C. pGA" ?'?`( ?- Z'- ,?.'-r 30 ; ' ?, ?ll?PEC;11? .• dAC M w x M ??- /o 9 0 IV (j? el = n /?? ss.g s`? / 0 l o \ \ r r ? ho ? ,? . 03 ° M ti- a, M EW 4413ly-0 ? . P ?? d ? `''l VJ -2i S? •• ?s 2g . 5? Sz3., 6S ? ? ?Io36.os ?? ° /ki/ K?o3`L? ?o3g L ? k/o3ylo ? "o \ lt?yo ? L ? lo BOOSTER PUMP ' X?.?.c?N ? L_ REf?lliRED ? DE1'.?, • 900.o penotes Exfsting Elevation PROPOSED NOUSE ELEVATION • g Denotes Proposed Elevatlon Lowest Floor Elevation: 1031 5 --- Denotes Dralnage Ac Utility Easement Top of Block . Elevatlon: l0 9.6 Denotes Drainage Flow Dlrecilon ? -o- Denotes A?onument ' Garage Slob Elevatlon: Io3 , -a- Denotas Offsat Hub Bearings shown are assumed LOT 2 FIRW BLOCK 3 AY NlL1.s 3KD A001TIDi , , VAKOTA CWNTY, 1AINNESOTA 1 hoahy <aJly IMt lhlt surny, plen or qpwl wn prpned Oy " m under m y d6ecl supervldon and IMI I am du1Y Rplnued Lad furv+yw undof iM Iavn al tht 9 uu ol MlnnewtL Daled thls II ilN d*Y ol 3owc KeJ i 6 A.O. I9 9Z . Pt/S . 6-1&-9L: Add EK;S . / plavo' Scal 1Ingh_3ptat RODEATOO. . .pEO.N0.1.1f1 \ o / \ h ? /o /ojz B o0 !n' OM IpO qg L PLiJMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dweliings Townhomes and Condos when pemuu are required for each unit Date Zf / /Z- / 0 3 Site Address 14a/G Z.Oeee"0+ 44y Unit # Property Owner ???-4/1w/ Telephone #(`Si ) 617 " 03 ! Q Contractor Dln/vS Address 7.016 City A" Iz - State Zip ...??? Telephone # ?j?;7 7 3 ?S'7Yd The Applicant is _ Owner _ Contracror _ Other Septic System New Refufbished Submit 2 sets of plans and MPC license $ 100.00 Indudes County fee. Additional consultant fees may apply. Altera ' To Existing Dwelling Unit, Including ?~^? t 'r"?"a°'''?) $ 50 00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater r ? ? II U ? p $ 15.00 _ replacement _ addilional AUG i 3 2GC3 State Surcharge .50 Total I hereby apply for a Residential Plumbing Permit and aclrnowledge that the information is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pernut, 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 x. C? ew"'1 e-jlNl ?S Applicans Printed Name A canYs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4716 Pebble Beach Way Lot: 2 Block: 3 Addition: Fairway Hills 3rd PID:10- 25602- 020 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: Permit closed without required inspection(s). Letter sent to applicant on 9/29/09. (pf) Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Owner: Patrick J Campbell 4716 Pebble Beach Way Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA088911 04/27/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Use BLUE or BLACK Ink For Office Use I I aan 1V. I b1l't~ of E *,d11 I Permit Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: _ Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 -Staff. 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: '4-11 u Yei iqf/Ki &A&h Tenant: Suite Resident/Owner Name: M 1rI~ ~I Phone: (,f"8-[" 0 Address / City / Zip: b 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 Water Softener Lawn Irrigation C_ RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System 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.oro 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 pi x Carl Michels x Applicant's Printed Name A icant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink r————————————————� I For Office Use � I �t� �� Cit of �� aIl ; Permit#: /� y � �,__� � � , I Permit Fee: � 3830 Pilot Knob Road j � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 L Staff: ______________� 2015 RESIDENTIAL PLUMBING PERMIT APP�IC�TION Date: � �� Site Address: ` �C � ���j� �r���"\ ��' � Tenant: Suite#: Kf� ¥ ' � ���; '' Name: 7C�.�' ��,/W�p �C'/! Phone: �l� "1��' �a�/ 3 Resident/Cl��i��r �� ���� A �r ' Address/City/Zip: � �N—�-- � ���� h `f� Z,�'�^ �� ��������� �, Name: � (' 1 l,l„M i License#: � / lo�l� � � ����� .��.,:, _ x'` Address: � � S���` City: �c7G�^� COI`���'�Ct4�1' �: � �}� $' State:,/��/Zip: � � Phone: .�." � � J �, " '.��: ���°� � ���w t � : Contact: Email: :� ;s Type OY ���C �ew �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � � ��; ( � -� Description of work: �t� Vl3 j L S�`n� Gw,� (/�Sfv-ll /S t fiGG�ec. S�'n� � � ��� ��� ���; ��� =: RESIDENTIAL i �� � � �,� � _�� r 64�� �G�.� j � ,� pr G�(J��.{�,-�� J � ��r��j � Water Heater ����, � :�� ����� Water Softener > Lawn Irrigation(_RPZ/_PVB) R�t"r'11�������; ��� � �����.�' ` Septic System �Add Plumbing Fixtures(�Main/_Lower Level) r �� *�.: ������` _New Water Tumaround �� ��: � ° Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes State Surcharge) "'Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 SeptiC SVstem New(includes County fee and State Surcharge) TOTAL FEES$ 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.goqherstateonecall.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 wi hout a 't; 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 /C'� .I �� � C�'���.�� x ApplicanYs Printed Name Applicant's Signature .�„ . �.� � .v.: .�;� „.;�� �: . ,�. x r`'.��.�s �..�° 's��' x:.�� .�� ,,,�' :���'�� <: �OR�F����E USE����rt ��;� �'� �t�vi��nreci By � ��� ��� �ate �� �x .. �� �� :r���< < :: � � � �� � � ' ,� ���� � ��eq�+ire�l�r����ct�c��s � ���nd�er Grou�� �� R��`�����h �������-���� ������,,,:,,__,r_�����f'�s�. �� F�r� � , s.% �,...�' ' � ;�# � � ,. k£; ���,�� �� � �' �';,t � . . . �,:, ;3 ,, . Meter Rela�� Items �Ile#�-�ize �'�� �tadio I��� � ��# �r�et�r�: . Sta.ff: �' . ' :�,., t��. �zn��� .����x ���. .. , �`�-�-}�.,,