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4733 Pebble Beach Way.,C°ntroi ; . _ INSPECTIUN RECURD I No. CITY OF EAGAN PERMiT TYPE: 3830 Pilot Knob Road Permit Number: a0 1 6:71 Eagan, Minnesota 55123 Date lssued: 10 11 A !9.7 (612) 681-4675 SITEADDRESS: 1_01: 3 4733 PEDBLE 9EACN WAY IrAIRWAY NII.L.?'i OfN PERMIT P Y?BT1fPE: APPLICANT: HUT tME11 f?`-??,,,?; :?-. ( C i 2 ) 7' 2?-#11L? ? ; T. ? ; -? _ TYPE OF WORK: t4ru of'"ARV'i: NOUSTER CUMP S i"r NCONIRACTAR - S7AR PlY6 . -., Permit No. Permk Holder Date Telephone # SNV PLUMBING HVAC ELECTRIC G O •?'y ? ELECTRIC Inspectbn Date Insp. Comments Footings I Foundalion Framing j Roofing Rough Pibg. 4?( Rough Htg. a r- Isut. ' GLcacET" ? Fireplace Fnal Htg. Orsat Test Fnal Plbg. iv Plbg. Inspector - Notify Piumber Const. Meter I Engr./Plan Bidg. Final ? /5 g J DS DeCk Ft9. Deck Finel Well Pr. Diep. wei.?ificate af cccupanc? Ktt? o? ??? ?qwtmtut af 13nift* a.ootdion This Certifieate issued pursuant to the requirements of the Ureiform Building Code certifying that at the time of issuance this structure was in conrpliance wrth tfie various oridinances oJthe Ciry regulating building construction or use. For the following: SF I7WG 1627 use c?assificat;on: skl& Plen" rb. 0-w-Y TyPe %V stna WER f f ' EWM ? g A u? ?? 733 F ? WAY ? B l FAIFaJAY Ellid.S 4'If?l ? j -?, 4 ?naim suila;ng arcial POST IN A CONSPICUOUS PLACE l" ' ?6:1,90 -REQUEST FOR ELECTRICAL INSPECTION i See inshudions for comOleLng ihis lorm on beck oi yellow copy. `X" Below Work Covered by This Request Ee-00001-0e ?.?. ew tl Rep. TypeofBuiltling AppliancesWired EquipmenlWired Home Range ? Temporary Service Duplez Water Heater. ElecVic Heating AptBuilding Dryer Other(Specity) Comm./Industrial Fumace Farm Air Conditioner Other(syecityl ConVaoor's Remerks: Compute lnspection Fee Below: ' # O?her Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps Trenslormers Above 200 _ Amps Above 100 _ Amps SigpS Inspector5 Use Only. TOTAL Irrigation Booms & 76 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 {ul THS t I, the Electrical Inspector, here6y Rouyn-m oare ?4?Y3 certify that the above inspection has been made. Flnal ? oateq 1? ? OFFlCE USE ONLY This request voitl 18 monms Irom K 6790 -°9Of`7 ? ? ? Reque 1 Oate - Fira Na. Roy n Inspaction ReQ ir 9? ? ReaOY Now ?NOtily Inspectar s ? No wnen Featly? I sn ed contractor ] owner hereby request inspection ot above electrical work at: 1 JoC AEtlress (Slreet Box or Route No.) ? Ciy Senion No. ownship Name or No- Range No. CouMy pp ? Occupant IPRMLI PM1 ne No. Power $upplrer Address !`l Elecvical vatlor (Company Name) "pe ? ? 6nhec?o/r?5 Lice?ns/? v/ vV GUI./ Mailing F ress (COnhactor or ner Making Inslallalion) ? G ? . Au honzeo Sign re iCont cmnpwner aki Inslanaiion Phone umber /? MINNESOTA TATE BOARD OF ELECTqIC THIS INSPECTION REQUEST WILL NOT ? Grigge-MiEwey Bldg. - Foom 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlversity Ave.. 5t. Paul. MN 55100 UNLE55 PROPER INSPECTION FEE IS Phane(61])642-0800 ENCLOSED. Address 4733 PEBffi.E BEn!H WAY Zip 5512 3 L.ot ' i Blk I Sub FAIR47AY RU.LS 4IH THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: D? 5 ? Yes o Inspector: , Final grade (6" from siding) Permanent steps (garage) V? Permanent steps (main entry) Permanent driveway Pennanentgas Sod/Seeded grass TraiUcurb damage ? Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing syscem and the shut-off of water supply [o the outside lawn faucet before freeze potential exists. Contact engineering divisiou at 6814645 before working in right-0f-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contrector Copy ? ? •J" : RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New ConsWCtion Reoulremenb • 3 registered site surveys showirg sq. ft of lot, sq. ft. of house; and all roofed areas (20% mazimum lot coverege allowed) • 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) • 1 sel of Energy Calculations • 3 copies of Tree Preservalion PWn i( lot plafled aRer 711193 • R'un Joist DeWd Options selectbn sheet (bldgs wAh 3 or less unik) DATE ? P^ RemodellReoair ReouiremeMs • 2 copies of plan • 1 sel W Energy CalcWations (or heated additions • 1 sAe survey for extenor additions & decks • Indirate'rf home served 6y septk syslem for addipons f?j 66 VALUATION / , an 3, SITEADDRESS 1'033 1P?J?IE- , &-Gd, IVa? MULTI-FAMILYBLDG _ Y XN TYPE OF WORK +121r' 'n 1-t- V i)o F FIItEPLACE(S) _ 0 _ 1_ 2 APPLICANT G n4aei/ Cnr-? 4s ???_.? nv? -? Qr STREET ADDRESS 1136 L-G?e_?Y. WC'?-I- CITY. TELEPHONE # CELL PHONE # y? PROPERTYOWNER FAX # TELEPHONE#G5I- t?g6 -07115- ---°-------------------------------°--------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CA'I'I:GORY I fFti ?? L1?? (J su6mission type) • Residential Ventila6on Category t Worksheet Submitted er e?Vor? • Energy Envelope Calculations Submitted AY 14 2002 Plumbing Contractor: ___ Phonc # Ig? ?J I Plumbing system includes: Water 5oftencr _ L.awn Sprinklcr? -?ee: $90.00 _ Waler Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: _ Air Conclitionuig ree: $70.00 _ Heat Rccovery Syslem Sewer/Water Contractor: Phone # H ---------------------------------------------------------------------- I hereby acknowledge that I have ead thiplication, state tha --------------------- t the information is ply ct,?and_to with all appiicable State of Minneso atutes nd City of Eaga n Ordinances. ? SI ture of Applicant OFFICE USE ONLY 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 ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 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 ? 33Alteration ? 37 Demolish(Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy _ MC/ES System Census Code Zoning City VVaier 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) FinaUNo C.O. _ Footings (addirion) _ Plumbing Fouadation HVAC Diain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector INSPECTION RECORD Control No. 1178 CITY OF EAGAN PERMIT TYPE: BIJI LDING 3830 Pilot Knob Road Permit Number: 001627 Eagan, Minnesota 55123 Date Issued: 10 / 14 / 9 2 (612) 681-4675 SITE ADDRESS: Lo T: s sLo c K, 1 APPLICANT: 4733 PEBBLE F3EACH WAY HUTTNER CONSTRUCTIOPJ WM FflIRWAY HILLS 4TH (612) 723-4161 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION F001ING .. . FRAMING .A SNSUI.flTION FINAL FIREPLAL'E RFMARKS: BOUSTER PUMP S& W CONTRACI'OR - STAR PLBG 1- ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4733 PEBBLE BEACH WAY LOT: 3 fiLUCKa 1 FAIkWAY NILL5 47'H Control No. 1178 eusLozNs 001527 1e(i4J9z DESCRIPTION: r8'uildit?g Permit iype SF DWG r Builclinq`Work Type PdEW ` USC Oacup6nc ,y R-3 M-1 Cqnstruction`Type V-N Zaning R-1 Building Length ? 70 Buiid5ng WzdtN ? 45 _ J ? i, z F+ ? ? ;1 ',? °• ° ? "? r, ? /' , t;:? REMARKS: 8005TER PUMP S& W Cl7N'i'RAC'iOR - STAR PLl3G FEE SUMMARY: VALUATTON $165,000 Base Fee $867.00 MISCELLANEOUS $1,610.60_ Plan Review $563.55 Total Fee $3,823a55 5urcharge $82,50 SAC $700 .00 SAC % 100 SAC Units 1 Subtotal ? $2,213.05 CONTRACTOR: - Applicant - sr. LI pWNER: HU7TNER CpNBTRUCTION WM 14523088000166 WILLIAM HUTI'NER CONS7 950 WATERFORD DR W 960 WA7ERFORD DR W EAGAN MN 55123 EAGAN MN 55123 (612) 723-4161 (612)452-3088 T hereby acknowtedge that T have read this application and state triat the informatitrn a.s carrect and agree ta comply with aIl applicakile State of R9n. SCatutes and City of Eaqan Orrli,nances_ L ? ? APPLICANT/PERMITEE SIG ATURE I SUED : S GNAT E PERMIT N , REACTIVA;E _ I L CITY OF EAGAN 1992 BUILDING PERMlT APPLICATION 681-0675 13 51NGLE 8 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. 0 g(w Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date /0? / Valuation of work Site Address: ? -3 ?J / j? L?-0-4 STREET SUITE M Tenant Name: (commercial only) IAT S_ BIACK _L SUBDF.-24 t &J ?/?/? l??l P.I.D. M Uescri tion af work: au -e The applicant is: O Owner Contractor ? Other (Describe) Name Phone Property LA5T FIRST Owner Address STREET STE / City State Zip Company wirmet, Phone L•?r,?' Contractor Address ?-1License # /?ZS3 Exp. ?5/ City State AR e4- Zip ???/? Company Phone ArchitecU Engineer Na'°e Re9istration # Address City State Z9p ? Sewer 6 water licensed plumber ck-N rr.:q Processing time for sewer 8 water permits is two days once area as een ap roved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Appl9cant: _ OFFICE USE ONLY BUiLDING PERMIT TYPE _ ` • ? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging q..b6 Baseitent Finish 0 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. Ll 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPf ?% 31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Y- N Basement sq. ft. MWCC System Yes (Allowable) _vT-74-- Ist F1. sq. ft. City Water `fe's UBC Occupancy ? 2nd F1. sq, ft. PRV Required i? Zoning Sq. Ft. total Booster Pump Y?.S M of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code Depth ? On-site sewage SAC Code 01 APPROVALS Planning Building ,22 Assessments fngineering Variance REOUIRED INSPECTIONS ? Site ? Foo4ing 11 Framing O Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee veiuaeia,,: S 1?>Sr000 5urcharge Plan Review 32x.2y= 76j? Lise MWCCnSAC C i ty $AC Water Conn. 7HL! %iGo - fiqoy ,i Nater Meter 7NA Fi.ooa; Acct. Deposit X ?88 S/W Permit - 3Zx2j= S/W Surcharge °? k IS = 3°C a x 9 = 119 Treatment Pl. 1Z? g=(?? x 1z ? 12 Road Unit 390 . Park Ded. rag Trails Ded. f3pn x 15?' 19.5ag/ 1?2. x S? l? p?G?.? I3T FLooR : ?....?:. ? Other Tatal : FSsrnT ; i3aca a. x 9= 18 SAC % 100 SAC Units ? ? t'? 2 . TRI-LAND C0. L? SURVEYING ? SERVICES . S I T E P LAN FOR :HUTTNER CONSTRUCTION LEGAL DESCRIPTION: LoT 3_, BLOCKI,FAIRWAY HILLS 4TH ADD. ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY, MINNESOTA ADDRESS: 4733 Pebble bEach Way N 89° 29' 42" E ? ? ------ ? I I 51 N I i_QT 2 Nr ? ,?+?? LOT ? -? I.REC? C?o0. w m N 01 43.b0 ? GAR. FwnR ? O ? O yl.b$ TOP HUB S 5• ?i 'Ta REC. CoL 81.09 a2 i • U) ? ----, I ? ? ?5 ? 4 ? ? i ? 1e.0 '?-- - - co ? ? I i ? 2 STORY r12. HOUSE GARAGE 7.67 ? p 0 _' 20.33 `" - - - - ve 5 ? pRIVEWAY I I A N 89° 10'.32" E ? - o -- 76.48 L_OT 4 I o' p ro rtec. coa. W ?D d' b _ !O(S1 iaR6C.COR . - ?? ? ? R ? RIPiG DEFT ro p • PEBBLE BEACH WAY - ---fE- - - FULL WALKOUT LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT EI.EYATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION BOOS9 ER PUMP 1. REQUIRED INVERT ELEVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = 4- PROPOSED FIRST FLOOR ELEVATION = 4997 PROPOSED BASEMENT FLOUR E LE VAT 1 ON NOTE VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hareby certify that ihis survey,plon or raport wus preporad by me or under my direct supervision and thal I om n duly Reqistored Land Surv*yor under the Laws of the S/ate oi Minnesota. AAAre-'1P'- Bradlay 174twention, Mn. Ra9. No. 15235 Date1 t1 r}a? , _._ -- --- -- - - - ----- - .. .... .. . TD EE SlI9:iITZcD kITFI IIUILDIf:C PLIUfIT APPLICATIO:J FD:TE?:IOR }:NVF.LOPE AVERA(:B "U" CO'PUTATI(]N * Ol::i ER: SLTE ADDRESS: G(J4 CONTRAGTOR: GG/ ?( 1??rw DATE: ID4`/G?' P}IONE: 7.5Z- --?o "'? Determine vorking square footage of each 1. Total exposed wall area......... 39 9n sq.ft. x l. ^. 2. Total zoof/ceiliag area......... sq.ft. x•? ? 3.• Total exposed wall area calculations: . 2oCrL1 exposed wall area ahove floor ? a. Total wall vindov area .............................. b:Total door area ........... ......................... . c. Total sliding glass door area ...................... d. Total firep.lace wall area ......................... ' e. Tota1 wall framing area (average 107.) ............. 39.3 f: Total net wall area above floor ..................... 303.%7 g. Total rin joist area ................................ Z10 Total exposed foundation area Off •/(o O h. Total foundation vindov azea ........................ ? i. Total net foundation area above grade ............... // O Determine "U" value of each wall segment ? 8. z 9? R .,u., ? b. 3?r X sl;,,s X „v„ d X . "U" ? . e. 39>3 x .40 , 0 7 ' . f. 3033 x „U,l , 0`( - /ZJ,3Z . g. 2. / o x „U$$ , n `f -- - h. x flull -- i. X„u,. , l o _ 1G, a • ? ? ' 3. Tornt. If item P3 is Che same as, or less th:ui ieem 91. you havc mct [he intent of SllC 6006(c)2. ' '. 4. Total cxposed roof/cciling calcula[ions: Total e:cposed roof/ceiling area - / ??? -' j. Total skyligh[ arca ................................... k. Total roof/ceiling framing area (averape 107)......... / 1. Total net insu2ated roof/ceiling area ................. Determine "II" value for each roof/ceiling segzient j- ? . X ?113" k. /`?5^ X „?„ , n Z31d x „U., i. ?' z?• L . -?--? 4. TOTAL If total of t4 is the same as, or less than 02, you have rzet-tfie intcnt of SBC 6006(c)1. Alternate Building Envelope Design "?t... . . . . . To utilize the total envelope system method, the values establislied by the sum of itecis 03 and 04 shall not be greater than the sum of items f1 and C2. 1. + 2. . 3. + 4. : C E R T I F I C A T I D N I hereby certify that I have calculated the "U" factors and R values herein and tha[ the 6uilding hern described meeta or exceeda the State of Hinnesota Energy Conservation Act. ? (Signature), • /D -?- /?L . (Da[e) ' '?? : . ]C?'.'of oi?bqu^ wa21 atca, for ic con::tructiun. - . '. . .. ^ . F - ? . . ... Construcl ?n; . ? ' ? L: ,:'1:L.';?:i:_._..,__ •:ti: %?."'?v;i,:?'fiS R-Value : wnr+d ?3 I;a ? :. 0 .17 Total' Tf?; O.6IS's.•'','kr:. r•.: ??` a ,Y.c?.",?#'t -•-,= I?? i>`. zt O 3` 1 1,'?'?; S0?'11v0017<, a 4,? I?$? 2S/SL Sk?i47lI 2i0/q J :. ' 6. Er.terior <ir film 0.17 ? ?. nrr?r??'! ?:?C i?`??,:-' ??•? TotaL 24 . Qd. . k ? ?-???.. • . ? r , v? ,?? ?,-- ----'J "t? -c ; : •? ?;+ 1. Interior air film 0.68 2. a ol-1 T7KGhIt- ;•. •• A' -b •n . ?.?xc.< . t..p. '?•. • s. 1 2" t3coC., K _? d 'o' - ? 0 . • n. ; c •r• • ' ? _r /~ t 6. Exterinr air film t 0.17 ,,& ?.?5 ,? ?'? 5 ?j"-?? • Total . G 3 ? ?',.9y??^V}."T`t? ??i ? ? ? ?i - ?.e -' , w r r% t ' "' t? 4 5 i i -u ? ?•+_.i.' ? w .? u f N ? V h? Y ' G ?? t_?:.. _L`.!R A'::.:r.K .> _. .'Y...t... ? . ,"...P. F . . , .. ' i / "` • , . ?i.? ., ia* e.-' a 2 ? .< . " ?r"' " ? a, Y?g? " - ' y? ' 1 ? . ` 1y?-. x -?f- r-:. i /?? ?"a+'??+.' VS sy? . ?Y 1? ? .• ? / .? j ??? i . ' /!/ s.: a' ? 1 .: ? •.'??? ` ?? ? ? ? '?k^?• V` t . q -? ??? * . ..??? ? , - ` ?:. x • I(I - ?? J ? ?. FIG 94 ? • • ? S I!( , l4f ? •w' ` /l! c Irl -. /?r ? n q? ? ? ?. ? , •" • NOTEs Sndi catr. tyoa, •'A° valno, aorth aru7 .., o ? ` ' ? ?' :: ? ? ' rL • ; , plac ciacat of insulation. ' ' ..-. .a a . . . < P •I , ? ? • . ' . - . _ . % ; •a R-V:+liie? Cnitst??t=_?n 0.61 > 4? z?atcrior ?ll.iilm (°till) ?? 0.(, ,. . . `??.1OL11rt?F 4,9 z6 78r - „? a? • ? ? a.s? ?' ??c s.?;. 2.? > i?-x{•.?'?? ; %_' ?Ih" 4JF1'..UOYJ ? S ?": 4. Er.terior air film" 'sT.ill -'? .,? z'otal G Z , _ 1 2 3 ? ^ ._ . - - . • _ ; ?A ]ieat flou up vented PIG UG ?41r,?- ( ? . r ? h h W X?4 :'jr `. ` '4. 'i +Iuside iiz fi]m z •'r c -?k'4 ? 0 61 ?# 'j ?.a`K y ? ?. . ??',.'??y ,Q?Q'i?? ,??? . F 4'; ..F' Y ww i?°s° ?r:.» .}?+k TM Y" . 'd'>- ?, S ? Outside air. film .. . •O 17 TOLd], + ry y" ? ? ? ? ? ? • ? _ ;.. .. - .. .- . ..;-,. • .. :.." . . -'.. • . :.:. ?, _ 230:? 4L&T'e? - Note: Use additional .hcets if more spar.c i needed for details aud calculut-ions. ?-? .•. ? Kcat .. . ? . - •. . flov up ' . . gir.. ?07 • . CTTY OF EAGAN LL B_ / / MECHANICAL PERMIT RECEIPT # o SUBD. hZ? (612) 681-4675 DATE / ? ?- RESIDENITAL PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLE7'E FOR TOR'NHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRID FOR EACH DWELLING UNTf. OWNER: (/ r Q M G ADD-ON A/C ADD-ON FURNACE ? SITE ADDRFSS: 3 ,,p ADD ON/REMODEL (EXSTING CONSTRUCTION ONLS) $ 15.00 INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE #: 1(;),3 _ ADDTI'IONAL 50 M BTU 6.00 aDDgtESS: ?/3 I lJ. G,;S dirTp.E'i3 - MiNPAt7M i@ $3 Fr?. o d crrx: m,, ZIP: SURCHARGE: $ .so SIGNATURE: TOTAL: $ 33, S'a NO PERMIT ?tEQIIIRED FOR DUCTWORR ONLY! GOMMERCIAL PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCWJINDUSfRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIItED FOR EACH DWELLING UNTT. WORK DESCRIPTION: CONTRACT PRICE: FEES , 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMTf FEE. $ PROCESSED PIPING - $25.00 $ AIINIMUM FEE - $25.00 OR'NER: TOTAL: $ SITE ADDRESS: TENAIVT: SUI1'E #: INSTALLER: ADDRESS: CITP: ZIP: P$ONE #: CTl'Y SIGNATURE: SIGNATURE: L -9 eL CITY OF EAGAN r? PLITMBING PERMIT SUBD. . 7(11?r1i1tu.t (612) 661-4675 REBIDSNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. WHEN PERMITS ARE REqUIRED FOR EACH UNIT. CITY`USE ONLY RECEIPT # /Q 8'&,5 6 DATE? ? ?,?-- ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION $EW CONST _ ADD ON _ REPAIR _ OWNER NAME: ??hzr W.?S_?Y? ¢ 1 SITE ADDRESS: INSTALLER: k-%PcTS4-fEV` ADDRESS : CITY: ZIP: SS?6? YHONE ji l C.cS,- \ Jlll c?. CONTR.Q(:T DgTQF; 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. COMMERCIAL PLEASE COMPI.ETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: _ SIIITE #: INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN 4Z.3 - 3?3 ? ZIP: $25.00 MINIMl7M FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: STATE SURCHARGE .50 TOTAL: $ qw $ (SIGNATURE) COMPLETE THE FOLIAWING: NO, FIXTURES EA. TOTAL REPAIR/ADD ON 15.00 t SHOWER 3.00 ? b U ? WATER CIASET 3.00 9 00 BATH TUB 3.00 3,00 u IAVATORY 3.00 1Z -6-13 + KITCHEN SINK 3.00 3 0 ? ? IAUNDRY TRAY 3.00 3.o D HOT 11TB/SPA 3.00 ? WATER HcATER 3.00 ? FLOOR DRAIN 3.00 7770-0 1 GAS PIPING OUT. (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 4 7?7 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRIN[CLER 3.00 w. ivexnxouNn is.oa P ¢ LOT SIIRVBY CHSCRLIST FOR R88IDENTIAL ? w m o w ? HIIILDING PERMIT APPLICATION W J J W PROPERTY LEGAL: 4 LU? m ? aate of surveyt - a z 2 -?' DOCQMBNT STANDARDB ? A • ? Registered Land Surveyor signature and company B',,0 ? : Building Permit Applicant o? ? / ? Leqal description . - ? Q 0 • Address ?'-'a ? : North arrow and bar scale Pl ? 0 House type (rambler, walkout, split w/o, split entry, ?? ? lookout, etc.) i / D rectional drainage arrows with slope/gradient $. ??C7 $' • Proposed/existing sewer and water services [a' 0 0 • street name ? ? ? • Driveway ELSVATIONS Existinc 0 ,C7. ? • sewer service 0 ?/ ? ? • Lot corners - C? ? ? ? • Top of curb at the driveway C 0 ? • Elevations of any existing adjacent homes Proposed C[1""?I ? : Garage floor E'? ? First floor ??? • Lowest exposed elevation (walkout/window) ? J?' ? Property corners S- ? • Front and rear of home at the foundation DIMENSIONS H ?F] ? • Lot lines. ; L? : Rightrof-way and street width (to back of curb) 0?0 ? Proposed home dimensions including any proposed decks, overhangs grester than 21, porches, etc. (i.e. all structures requiring permanent footings) ?? Show all easements of record and any City utilities within those easements ?0 ? Setbacks of pro ed s ructure and setback of adjacent existing ho Reviewed: ? /Q/??? August 1992 r /a ?I?Lc:rln?lL' ' , Zi)U9 U? r Clt? of P. UIl AF? 1 3639 Pilot Knob Road - Eagan MN 55122 Phone:(657)675-5675 Fau:(651)675-569 S(CY?-?lt?fl ? 2009 - MGTACPLUMBING Date: q/gj l oq siteAddi Morgan Wolf 4733 Pebble Beach Way Tenant: Ea¢an_ MN 55123 I_- '_____________1 i i I Permit #: !Z,?- 7 I j Perrnit Fee: ?n • ?? j ? I ? Date Received: ? i i ? Staff: ? ------------------ PERMIT APPLICATION Suite #: PROPERTY Name: 6516860745 Phone: OWNER CONTRACTOR Name: NOrINQYYi 1'tMft121Qq License#: OLAI"rJZIPvn Address: /.,q OS t,c{,1T' CLGt. AN S,City: (Ivts state:MN zp: 55'ED$' Pnone:(I012-) TZI`4 0'J3 ContactPerson: TYPE OF New X Replacement Repair Rebuild Modify Space Work in R.O.W. - - ? WORK _ _ 1- Description of work: r ?J wQ,l ex hmter PERMIT TYPE COR9MERCIAL _ New Construction _ Modify Space _ Irrigation System (_ yes /_ no) (_ RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM _(2" turbo required unless smalter size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to oickina uo meter. Domestic: Size & Type Ffre: Slze & Price 3/4" meter 203.00 Avg. GPM High demand devlces? _Yes No Flushometers Yes No , COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR concract vame $ x 1% , _$ PermRFee Required on ALL new buildings and 6oulevard irrigation systems 4 =$ Radio Meter Read - If Permi Fee is less than $7,000, surcharge is $.50 _$ Meter(s) - If Pertni Fg is> $1,000, surcharge incleases by $.50 for each $1,000 $1,000 Permit Fee (i.s. a$1,D01-$2,000 Permit Fee requiras a$1.00 surcharge). _$ State Surcharge Following fees applywhen installfng a new lawn Irrigation system. $ gpxo Water Permit Call the Citys Engineering Department, (651) 675-5646, for required fee amourits. $ Treatment PIarR $ Water Suppty & Storage $ • 50 State Surcharge TOTAL FEES $ O ? i nereny acKnowieoge mat tnis mrormation is compiete ana accurate; mat me work win be in conformance nmtn tne ominances ana coaes ot tne cry nt Eagan; that I undecstand this is not a permit, but only an application for a permit, and work is not to stan without a permit; that the work will be in accordance with the approved plan in the case of work which requires a leview and approval of plans. X J?''u1 `. Nolb?v,rnJ x ApplicanYs Prin ed Name A icanYs Signature Page 1 of 3 Fo ffice Us - Permit C l of EaQall / 3830 Pilot Knob Road Permit Fee: O r Eagan MN 55122 I Phone: (651) 675-5675 Date Received: Fax: (651) 675-569 I i Staff: 2009 C IV ERC AL PLUMBING PERMIT APPLICATION Date: L~ I g/ O Site Addr Morgan Wolf 4733 Pebble Beach Way Tenant: Eagan, MN 55123 Suite PROPERTY Name: 6516860745 'hone: OWNER CONTRACTOR f,, ~1 p~ Name: WD r ~/tam p~bl'aa License On V ~ 152I a Address: ,c M 05t~1 " A S. City: 1$ Stater zip: 5'1O0 Phone: (url2) TV-40')3 Contact Person: TYPE OF New X Replacement _Repair -Rebuild _ Modify Space Work in R.O.W. WORK - tact., Description of work: r W i+ e r hatter PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System yes / _ no) RPZ PVB) Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter $203.00 Avg. GPM High demand devices? _Yes No Flushometers _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems - = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ 50 Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ • 50 State Surcharge TOTAL FEES $ 6W59 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 JYf AY L• NorbI± urYL x Applicant's Prin ed Name A icant's Signature FOR OFFICE USE Approved BY: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final I RV _-jX ed: Yes flo Page 1 of 3