2981 Pilot Knob Rd
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA095823
Date Issued: 09/09/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 2981 Pilot Knob Rd
Lot: I Block: I Addition: George C Williams
PID:10-29100-010-01
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Flmmerv Construction Anatole Simin
137 St. Anthony Avenue 2981 Pilot Knob Rd
St. Paul NIN 55104 Eagan NIN 55121
(651)225-110
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r I
For Office Us~ej~
City of Eagan I Permit#:
I I
I ,
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
L-----------------~
2010 MECHANICAL PERMIT APPLICATION
Date: ' l Site Address: r \ \ C11 ; `
Tenant: Suite
Cc t 96'- otc~a
RESIDENT/ OWNER Name: t'►yvC10 0, '~,t h1\ V... Phone:
Address / City / Zip: f
CONTRACTOR Name: (uns tti k V )Mhl j.cjt -TVN& License M
Address: 09 q 1(a'1 City: A c„ lu Lt
n~
State: ~ Zip: Phone:
Contact: Email:
TYPE OF WORK New replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction Interior Improvement
_c_,Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
p 9 1 When installing/removing tank(s), call for inspection by Fire
i-^ Other W+wl 6L4 k_uml_ Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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 wo is not to start without a rmit; that the work will be in accordance
with the appr ved plan in the case of work which requires a review and approval of pi s. Nfyu n,
x` L y ~L~~C ~JlE+lnl Vt x
Applicant's Printed Name eT Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
- .,. cNGAN Remarks sewer stub assessed no water stub.
Ad 'tio ?DER ACRES Lot 3 Blk 1 Parcel 10 88$00 030 00
Owner -'J? ? d- Streec 2981 Ailot Knob Road State Eagan, MN 55121
Improvement Date Rmount Annual Years Payment Recei - Date
STREETSURF. 1984 2224.00 222.40 10
STREET RESTOF.
GRADIMG
SAN SEW TRUNK 0 1968 100.00 3.33 30
*SEWER LATERAI 1972 2 . 00 132.75 20 ' h v
Sew ? Wat, Service 1984 2085. 208.54 1 ?'-
WATERMAIN
*WATER LATERAL & Stlib 1972 20
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
R-3-71
BUILDING PER.
sac % 240.00 4979 11-22-7
PARK
? RESIDENTIAL BUILDING
. •., C?I ??
5 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675. FAX # 651-675-5694
zt I 1?i ?-,
jy AtAAn j oI/
New ConsWction Reauirements RemodeUF2eoair Reauirements Office Use Onlv
3 regislered s'rte surveys showing sq. fG of bt, sq, ft of house; and all roofed areas 2 copies of plan _ CeR of Survey Recd
(20°h ma;cimum lot coveraqe allowed), 1 set of Energy CalculaUons for heated addiGons Tree Pres Plan Recd
2 coVies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions & decks Tree Pres Not Reqd
1 set of Eneigy Calculations . Add'dion - inAicate ifonsfte sep5c sysfem _On-sile Septic Syslem
3 copies of Tree Preservatlon Plan 'rf lot platted after 711193 .
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date C ? /!6 / 0 3 ,/' / Construcfion Cost
Site Address i-9a / !'i GD Y Ktio /IUnit/Ste #
Description of Work 461dV/d(?
Multi-Faroily Bldg _ Y x N Fireplace(s) _ 0 _ 1 _ 2
Property Owner /v Telephone J g,/ 7
?
Contractor
Address ? City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CG
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 1
0 submission type) Submitted
• Energy Envelope Calculations Subi
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
V?i ?•.. New' En ergy Code Worksheet
l i ,J '-Submitted
Tel hone #(
-I
Tele one #'('- )
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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
7-lO /Y ? ?ly1 i?L
Applicant's Printed Name
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ?
A 32 Addition ?
? 33 Aiteration ?
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. Of Bldgs
Type of Const
a !'7&V
I
VN
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg) - Giva PCA handout to applicant
Occupancy u L MC/ES System
Zoning City Water
Stories ? Booster Pump
Sq. Ft. PRV
i
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plutnbing
_ HVAC
Other
_ Poo] t s Air/Gas Tests _ Final
_ Siding Stucc Stone
_ Windows ( p'"lacement)
_ Retaining Wall
? Footings (new bldg)
_ Footings (deck)
Footings(addilion)
?. Foundarion
Drain Tile
Roof Ice & V?ater Final
Framing
Fueplace _ R.I. _ Air Test _ Final
Insulation
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
l,( -Srva?5,0.+
X I 2D
x
/ D(, I??
a.
,ub st« >,:dr_». pt-LOT ?41.?r??'3
"CATEGORY 1" ALTERNATE FOR 411 c-ity
O`E & T`ti"O FAMILY DtiVELLINi GS
40 l9 irsutanon<•R•: sheu'vn I 9.38 dl036 0?9. 0.?6 I 0.?3 0.?? 0.21
oF eaq,
INSTRCCTIONS: This alrernam'e may be used Cor ane- and twafamiiv dwel6ngs built (o meet the Categary ( requiremenu o(
Ntinnesoca Rules, Chaprer 7670. Compla:e Parts A. B. and C. Clesrlv mark plans wi[h: insu!ar.un R•vafues; «indow utd skylight U-
:slues; siza and rope ot tquipmant: aquipmtnt controls: and locacion oi vacor remrCe: and winda35h bamers. -*Vlorc deniled
infurtnation :at: be tocnd in he Minnesara Energv Cadr summuy shtta avaifa6lr from the Mi.-tnesoca Deoaenten[ of Commerce.
Part A. BUILDING ENVELOPE
nak p'opomd envelopejoin[ snling opaan 4 O Preseripdve.(eaullong, gaslcea..n<.) -,7 Pe:?brmanc: (»s: per 76%O.O470 su6p. 7.C.)
C9eek lersal curgy nlc:ladon op6on used + O"Cookbaok" (compie:e wnrksheec Selow) , N(nC;ieck ,r.e•Sod (,meh Rpor.) . .
. O Perfotmmce (auach !i•vaAoe deilations) ? Systemt Analysis mahod (atich anaiysis)
"Cookbook" `tiorksheet
MzUMoNs
Scep f. Chec;c item(s) ?hac Cesign mr.s on.L&nimrun Rrquinmena!is:
:o :E:a igt:c N(•,sc .^r_: all :crms :o uR "Caokbook" optioa
S;ep _. InCica:e orecosed •+ai! }pe on table 6e!aw.
S:t^. i. L^.di.a:t R'i:.dow C.cal_e ar:d soc,:.
S:G] 4. V aC:: :0f1I 'A':.LCW i ir,c!uCing .uea or ill i011ftd3[10I1 K'NdOR'SJ
md dcor area 's ecul or !ess than al(cuabie pemrnrage.
3MTKIIN1 REQL=10f5 •
(tor °Cookboak" o doa o*)
0 C:iiing Insulauon: Ntinunun R-33 with 7:4" enagy heet: or
?finimum Ra-i ,.Vich fow rlss 6ee1: ar
Minimum R-13 wic4 R-i sheachina wheano attic.
7 Encv Doors: Mar. U-?afle ur 0.10 or t." salid wood wich scorn
O Rim7ois.Guc:a:icn: :Gri^icmR-f9
JVC: 1'.p^d:::OC 2C? iC1C05: N?fLL.:d:1:: R-24
r.on !rscia:icn: %lininum R-l0
M
don wir.tows: :•_' inrula¢C zas;. wood or vinvl ¢ame
Fomda
TABLE FOR DETERNM'L`iG hL4.'d?R,( RTNOW A.YD DOOR :1REA •
?? Allowabic i oral Wincow and Door .am az COfcX905GQVr']1] 1??s li Yo 16°,?i I a8°.1s 2O°.!° II?s :S°/a 26°s 2$
f5?+:c'ard crsminq): Nfaximu m Avmse 0. mdow C-va!c: (ecc-?t fouedation wiedows):
t
-l3 irsuta:ion. -">^aachin¢ O.iS O.J? O.st 0..6 0.33 0.?0 0.37 02i 0.23
-(i ir.s;:larca R•: shnc4in 0.52 O.i: 0.39 0.3i 0.31 013 0?6 0.24 012
19 insula¢on. R•i shaathin 036 0. .l 3? 0.3I 0?8 0?6 0?i
x. •? l i?sulanoa < R•i shea[hin 0.51 0.43 0.33 0.34 0.30 028 0.25 0.23 0._?
7 2r6. R•:I in,uladoa R-i shnchin 0.58 0.50 O.s.i 0.39 0.35 ? 0.32 019 017 015 '
R'all Typc Advaneed Framia¢ : Maxim? Avaa Wiadow U-value ezcrnt fouadation wiadows):
? 2c6. R•l9 insulatioa <R-S shea[hin 032 0.45 039 033 031 0.28 016 024 022 ?
0 2z6. R•19 insularion R-5 shearhin 0.38 OSO O.al 0 0.35 OJ2 029 017 025 :
O 2z6. R•21 insulacon. <R-S sheathin 0.53 0.47 0.41 036 0.33 0.30 017 OJS D]3 _
? 10. R•21 insulauo4 R-S sheaEhin 0.60 032 0.46 0.41 036 03 3 030 0.28 026 ?
Window U-value: FJTA--1 $outce: ? NTRC ? ASFIlLaE 1993 Hand lwok 10ox, 2-1_ 1 y = /.?° <! • ?
window & dooc am goss e[pescd wall an DESIGY LO WABLE (@om mbk abave)
MINNESOTA ENERGY CODE - WHIcN RucES Ma r! Use ?
TYPE OF RESIDE.Y'['f.aL BUILDING APPLICABLE RQLES -
Denehed R-3 oetupanry 1- and ?-(atnfly dwetlfaQf Clupier 7672; ar
Exun lts: sin le Futtil , nvin homes, du lesa Cha oer 7670 "Gte arv 1" with iumtorv deeressurinrion and ven[ilation requiremcnts
Attached R-1 ucupancy dweltinYs Chapter 7674; or
E.arn les: tti lex cownhauses and row houus ter 7570 with eifher "Gleaorv t" or 'Cace orv ?" rovisions
R-t xeupmey buiidlaQs of J stoAa or less Clupter 7674: or
Ezam ler. condominiums or amnents C ta 7670 with either "Caee orv l" ar "Gare arv 2" rovisions
R-I acnpaoq buildinYf over J storia NQ4 Clupar 7676 .
Ezarn In: hi h rix eondas or 2 arcneno
?? .
Summary of April 15, 2000 Cnergy Codc )Zcquircmcnls for Uctached 1&2 1+.?mity 12csidcnti:il 1311il(jings
le requiremenl Op11oa A- Ch?pter 7670 Celegory Ias amcnJeJ by I.aws uf MN 2000, Ch. 407 Optjon I{ _ Mlnnesola Ilules Chentcr 767)
Plam and Plsns end specificalions musl show design criteria, exterinr envelupe Samc excepl with adJiliunal requireJ items: locutiwi uf iwrriur air banicr,
specificaiions componrnt maierials, U-values of the envelopc syslenu, R-VilI11C5 UP II1511I8I1116 vapor relardcr, anJ winJ wash barrier, idenlilicatimi ul' air sraling rryuircJ;
malerials, size anJ rype of apparalus and eyuipmenl, an(i eqnipment aiid U-values of windows, dours aiid skyliglils aiid oihrr iul'ormation needrd to
s stems controls. dc(emiine com liance (such as re uircd vrntilatiun s slrm & make•u air).
2. Foundatioo wall
Insulation Cookbook requires R-10. Trade offpennilted wilh MNc6eck. Cookbook has oplious for R-5, R-l0, ur R-19. '14 ade-ulYpemiittcd wilh
Protcction of Exlerior iiisulatimt fmm top oCfoundation waU to 6" b¢IUW b(BIIC II1lIS[ hC S m?'CCIC IIUI 110( It33 1I1:111 R-S.
exterior insulation rotected a ainst UV and h sica! abuse.
Protection of imeriur Moislure bartier rcquired between insulation and foundaiion wall Gom flnor io Seme.
.?...????....
sir
R-
N'j(il
rranung oplfous include 2 x 4 or 2 x 6 walls, aiid o(her framing oplions
as IoR walls, panalized walls insulgted masonry walls, aiid odhers.
I eaienor wan comera rnd interxctions of interior paniiiun wulls with
Eztttior and interior exledor walls are not addrcssed. Exterior juinls in the building that may be
sources of air leakage musl be eealed. Snme.
unrcrwr wan comers and Intersecliuns of interior parliliun walls wilh
exteriur walls aro frameJ so 16at insulation can be insialled after the
exterior s4ealhing is installed. Wlienever imeriur Gaming meas an
insnlatal ceiling or exlerior wnll, a cominuous iuterior air 6arrier must 6e
veunca cemng eookDOOk oplion requires R-38 between Gaming plus !t-5 shenU?ing. Cuokbook optiun requires R-38 between &aiuiug, no insulrtcd she
Anic acceu panels Not addressed. re uired.
R-38 for ceiling panels and R-19 for wall panels, and umst be wea
s[ri ed
Floors over Recommend R-30. .
unhealed s aces Maximum U-0.033 or minimum R-10 sprcifiad (uaJe-o11 may not
slrin ent fhat thae values .
Window themiel Rating must be National Feneshation Rating Council (NCRC) or pS111tA1i Rating must be NFRC or Jefault 1a61e in the coJe. Windows musl
rformance Nsndbook of Fundamenlsla. No meximum U-velue. labeled. Maximum evera e U-value for windows is 0.37.
i.
Pagt l of 4-- Source of imnmary: Minnesola Department of Commerce Energy Infonnaiion Ccmer GS 6296-5175 or 800•657-3710, www.commorcasiok.mn.us.
4100
/75/5
7
Certificate of 9onae Location For:
Anatoly Simin
3271 Dodd I.ane
Eagan, MN 55123
DELMAR N. SCHWANZ
?'1_NO. 31
(PI L- O T KA/D B 1404D) PAgwtwed??u..arn.s?.NaMiMwa. - C. S. A
14750 SOUTH ROBERT THAIL ROSEMOUNT, MINNESOTA 65068 812/123-1789
SURVEYOR'S CEHTIFICATE
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1 hsnEy esrllly Ihat thb survsy, plan, or roport wu
proparsd by ma or under my tlfract supsnislon und
lhal 1am a Guly Reg4teroA LanO E6rveyor untler
. Ihs Iaws of lhs Sula o1 Minnssota.
o„,, /4-95
Oslmar H. Schwmnz
MinneWta Reglsintlon No. 6025
Scale: 1 1RCh = 30 feet
o= Zron pipe monument.
Legal uescription:
Lot 1, Block 1, GEORGE C.
WILLIA!lSDIVISION, 8ccOidlnq
to the recorded plat thereof,
Dakota Cotulty, Minnesota.
) prY o f RAPrmrY
DELMAR H.
SCHVJANZ
- 8625 -
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
DateQ?l -31 10 L4 ,/`
Site Street Address 217( ?? ? f GC h?o lo 1,?Rl
Unit #
7"'
Property Owner
Telephone # (GS/ )
7SG .9-?'37
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ? Owner _ Contractor _Other
Alteretions to existing dwelling $ 50.00
Add plumbing fixtures.
If you are only installing a water softener and/or water heater, the fee is $15.00 pius the
state surcharge - see next section.
_Septic System Abandonment
Water Turnaround (add $121.00 if a 5/8" meter is required) n (?p?
ier: ??vOuJi nc. ?"C? ?pf I,
( -I O i-N
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
?
Total &cyvi Y\s'?. AUG 3 1 2 04 $-2?
I hereby apply for a Residential Plumbing Permit and acknowled uu that the informatio is complete
and accurate; that the work will be in conformance with the or f 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.
ApplicanYs Pr nted Name ApplicanYs Signature
" 3/3.5a
EAGAtI TOWNSHIP
3195 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMLT FOR WATER SERVICE CONNSCTION
Date: 8-3-71
Billing Name: Georee Williams
Owner:
Plumber: Ron KislinQ
Inspected by
Meter Size Coanectioa Chg.$280.00 pd 8-3-71
9995 Reiid out? pccount Deposit 15.00 pd 8if3-71
Meter No,zl 08258 permiY Fee 10.00 pd 81/3-71
.50 s c pd 8-3-71
Meter Reading00000 Meter Dep.
Meter Sealed: Yea_ lAdd'1 Chg. 8•00 pd 8-3-71
NO i1bta1 Chg.
Suilding is a:
Residence X
Multiple 90.
Commercial
Industrial
Other
Date
Remarka:
Number• 685 3 - 7i•tq'
Site Address:2981 Pilot Knob
Billing Addresa
ae ai?ir?JLC-Y•?t0
?i\S1F1--
4?i;FP.OPr„Lf
By:
Chief Inspector
In conaideration of the isaue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Sagan Township, DakoCa County, Mi.nnesota.
BY:
,
F
Please notify the above office when reedy for inspection and connection.
._ .
EAGI3P] TOWNSffiP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
L
PERMIT FOR SEWBR SERVICE CONNECTION
nAT'S: Nnircmhcr `)')? 1Q71 NEMER 01l1
3 2.A.
OWNER: Geonae Wi113ams Address 2981 Pilot Knob RoAd, Eaaan 55121
PLUMBER Ron Kissling TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUITDING
Iuduetrial Commercfal+ Reaidential Multiple Dwelling No. of unfts
xx
Location of Connectfons:
Connection Charge 240.00 pd 11/22/7
Acct. Dep. 75.00 pd 11/22/71
Permit Fee j non nd 11 9p /77
.50 pd 11/22/71
Street Repairs
Total
Inapected by:
Date
Remarks•
Sy
Chief Inspector
In consideratioa of the issue snd delivery to me of the above pexmiC, I
hereby agree Co do the proposed work in accordance with the rules aad
regulations of IIagan Tox•mship, Dakota County, Minaesota
By
Ron KisslinR
Please notify whea ready for inspection and coanection asbd before any portion
of the work ia covered.
ADDR$SS PIAT
GEORGE C. WILLIAMS DIVISION
. . .,.?.:
2981 =. ? _?- ._... ...._ . ?... _
,
, _.
2983
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' I ' ? - ----- ---- °..
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Sca2e: 1. inch = 200 feet
u.e s1ho.Ma`"?i ic. --•_. .
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•
? a 15' RESIDENTIAL PLUMBING
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
.?s'
Date Ab / o2 0 3
Site Address ??--/ a / / ?'/O t lf"b AG Unit #
Property Owner /{ n?+ y' M i Telephone #(4,`? 3'7 -7
Contractor /"CJ-Ut J I(,,? .
Address City
State 1111-?L-) Zip S?; Yy ? Telephone #(G/-? h?9d? i?710 y
The Applicant is _ Owner ?,_ Contractor _ Other
SepUc System New _ Refurbished Submit 2 sels of plans and MPC license
Includes County fee. Additional consultant fees may apply. $ 100.00
Alterations to existing dweRing
_ Add fxtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
Water tumaround (+ 5/8" meter if needed -$121.00)
? Other: Grcu n? cti1 pc1! b1)I v PLC nl eLd A d?, i kro ^
_ RPZ _ new _ repair _ rebuild $ 30.00
_ Lawn irrigatian system
_ Water softener _ Water heater $ 15.00
_ replacement _ addiGonal
State Surcharge $ .50
Total OCT 2$ 2003 $ , ?fb
I hereby apply for a Residential Plumbing Pemut and acknowledge that th Y?
be in conformance with the ordinances and codes of the Ciry of Eagan and with the P
permit, but only an application for a perxnit, and work is not to start without a pe
approved plan in the case of wark wluch requues a review and approval oFplans.
/ua 70-;t4c?- j -? -?
ApplicanYs Printed Name Applicant's
ileTe_ accurate; that the work will
-odes; that I understand this is not a
work wilLbe in accordance with the
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
,? ? Sc7
Date (9? I 2 g I C'?
site street address 2-
unit #
Property Owner Telephone #(4
Contractor Telephone # ( )
Address City State Zip
The Applicant is: X Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If vou are insfallina onlv a water soffener 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 $125.00 if a 5/8" meter is required)
)e Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 50 50
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.
Applicant's Print d Name Appli nYs Signature
,x 1%
?-------???---;
? ForOflioe.Use ?
j Permit #: A'P
i Permit Fee:
? Date Receivetl:?'
I ? I
I Stafl: I
I
2008 RESIDENTIAL BUILDING
Date:
g -29-08
7enant:
Site Address: kg Q 1
RMIT APPLICATION &4,LP,cd 10' 1
Sufte #:
RESIDENT / OWNER Name: '1 10 l ? f'y? ' !%-j Phone: r?Sl ?S6 gJ Y?
AddresslCiry/Zip: 04? ( Ruoa `^ n°ia Po'm AlN .)`-S/Z (
Applicant is: _)?_ Owner _ Contractor 612 N 8 0 I ntD
TYPE OF WORK Description of work: (' 1"I fAl'\:t'if k'? r?? r n L'`? ?f rolo ????`
?
I
Construction Cost: ?? - C) O Multi-Family Building: (Yes No )<. i
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residenllal Veniilation CateBory 1 Worksheet • New Energy Code Worksheet
Category Submined Submitted
(4 SubmisSlon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes )( No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Conirector: Phone:
Sewer & Water Controctor: Phone:
`NOTE: Plans'and supporting documents thatyou submit are constdered to be public information. Portions o/
the information may be classified a's non-publlc if you provide speclfic reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowiedge ihat ihis information is complete and accurate; Ihat [he work will be in conformance with the ordinances and codes of the City oi
Eagan; that I understand this is not a permit, but only an application tor a permit, and work is no1 to stah without a permit; that the work will be in
accordance with the approved plan in Ihe case of work which requires a review and approval of plan
X h /v t)??? X
Applicant's Printed ame Applicant's Signature
Page 1 of 3
a '((
1 . 't
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundatfon ? 05-plex ? 16-plex ?
X Single Family ? 06-plex ? Fireplace ?
? 07 of _ Plex ? 07-plex ? Garage ?
? 02-Plex ? 08-plex ? Deck ?
? 03-Plex ? 10-plex ? Lower Level ?
? 04-Plex ? 12-plex O
WORK TYPES
? New ? Interior Improvement ?
? Addition ? Move Building ?
X Alteration ? Fire Repair ?
? Replacement ?
Valuation
Plan Review
(25%_ 100%?
Censuscode
# oi Units -
# of Buildings -
Type of Const. 73
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Accessory Buflding
Porch(3-season)
Porch(4-season)
PorCh (screen/gaze6o/pergola)
Storm Damage
Miscellaneous
? Pool
? Ext. Alt. - Multi
? Exl. Alt. - SF
? Multi Misc.
Siding ? Demolish Building'
Reroof ? Demolish Interior
Windows ? Demolish Foundation
Egress Window O Water Damage
' Demolition (entire building) - give PCA handout to applicant
/ C -l MCES System
,2CV7 SAC Units
R _ r City Water
? Booster Pump
?O ?yQ PRV
? Fire Sprinkler:
?
o^xy/ 4ow5
s
?
?
,"i o,v.wf, ."?oT i2'„vr
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) Footings (addition)
Foundation
Drain Tile
? Roof: ?y ice & Water h-Final
Framing
Fireplace:_R.I. _Air Test _Final
Insulatlon
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
Copies
Total
Sheetrock
Flnal/C.O.
Final/No C.O.
HVAC
Other:
_ Pool: _Footings Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
a.3G ?
/h31?49
Page 2 of 3
2004 Application for fireworks Snles And Storaqe
City Of £aqan
3830 f'ilot Knob f2oad, £nqan, MN 55122
Telephone #: 651-635-5635 fnx #: 651-635-5691+
Applicant requirements
1. This application must be completed and returned at least 30 days prior to sales and/or storage of freworks.
2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property
shall accompany the application.
3. A floor plan designating the area where the fireworks will be sold andlor stored shall accompany the application.
4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data
sheets (MSDS) shall be included.
5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 378, Chapter 6, Section 6.53
Fireworks is required.
6. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$700 per
vendor annually payable to the City of Eagan.
7. The fire chief or his/her designee will inspect the proposed location for selling and/or storing freworks to determine if
it is a suitable location.
8 A criminal record check will be done on all applicants.
9. A copy of the City of Eagan license (permit) shall be displayed by the register.
Date: -5--z7-'0Y
Applicant Name: J W M l..AA C-0/ G-0 lo !(i
Street Address. ?/ ? I f'hNMV /TVG N E City: M! AttPQQ7U5
*? . i
State: HIV Zip: ?? Telephone #: ( IlZ) ? ?`3L44
Business Name: Pel?{?S,?J'? '0 . TALi Telephone#:
Display Address:
Retail seller selling exclusively consumer fireworks: XYes _ No
_Indoor Sales %O'Outdoor Sales (See Outdoor Sales of Fireworks)
Fee: Outdoor Sales -$350.50 All other retail sellers -$100.50
Fireworks are regulated by MN Statutes 624.20-624.25. In addition to these state laws, all displays, sales, storage and
use of fireworks shall comply with City of Eagan Ordinance No. 378, Section 6.53 Fireworks.
1 understand and agree to comply with all the provisions of this application and the requirements of the issuing authority.
Applicant Signature
FirewoYks Application
Page 2 of 8
TEllT1ESSfiT1 WQi'T11T1Q
License Applicntion
Minnesota law requires that you be informed of the purposes and intended uses of the information you provide to the City
of Eagan (the City) during the license application process.
Any information about yourself that you provide to the City during the license application process will be used to identify
you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for
a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to
supply information requested by the City, it may mean that your application will not 6e considered.
All individuals in the City who need to know information will have access.
Applic' gnature Date
Authorization nnd ConsEnt for f2elease of Intormntion
'. ,,I,? ,
I, ?" /?A ?U,16- , freely and voluntarily authorize the City of Eagan to conduct an
Name of individual authorizing release
investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks:
Name: G4Zsr/'?,G //'/c AdIlPGci
Last First Middle
Date of Birth: Driver's License #: L 7 State
I also release the City of Eagan from any and all liability for its receipt and use of information and records received
pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its terms and legal
significance, and execute it voluntarily.
Executed this2? -tk day of a , 2001.
7
-Tignature
Fireworks Application
Page 3 of 8
The Police Department has conducted a criminal background check on the aforementioned applicant.
Comments:
,? ? 1A
Police Department Representative
Conditions of Issuance:
Background check completed and approved by EPD:
Zoning approval
Facility inspection complete and all violations corrected
Insurance policy approved
"W1
Date
? Yes No
117 Yes No
?/
? Yes
Yes No
No
License approved by \ L MAAAU Date approved:
UpP
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Addendum #2 to permit 86689
Scope of work
Install new shallow foundation
building.
Relocate existing front door
R408.1 Ventilation.
The under -floor space between the bottom of the floor joists and the earth under any building (except
space occupied by a basement) shall have ventilation openings through foundation walls or exterior
walls. The minimum net area of ventilation openings shall not be Tess than 1 square foot (0.0929 m2) for
each 150 square feet (14 m2) of under -floor space area. One such ventilating opening shall be within 3
feet (914 mm) of each corner of the building.
2981 Pilot Knob Rd
APPROVED PLANS MUST
REMAIN ON jos SITE
to match existing foundation)flush to the front of the existing
BY:
SECTION R408,
UNDER -FLOOR SPACE'
EAGAN j
RE \Yr� ,_i✓YiED
:CTIONS DIVISION
R408.3 Unvented crawl space.
Ventilation openings in under -floor spaces specified in Sections R408.1 and R408.2 shall not be required
where:
1. Exposed earth is covered with a continuous vapor retarder. Joints of the vapor
retarder shall overlap by 6 inches (152 mm) and shall be sealed or taped. The edges of the
vapor retarder shall extend at least 6 inches (152 mm) up the stem wall and shall be attached
and sealed to the stem wall; and
2. One of the following is provided for the under -floor space:
2.1. Continuously operated mechanical exhaust ventilation at a rate equal to 1 cfm
(0.47 L/s) for each 50 ft2 (4.7 m2) of crawlspace floor area, including an air pathway to
the common area (such as a duct or transfer grille), and perimeter walls insulated in
accordance with Section N1102.2.8;
2.2. Conditioned air supply sized to deliver at a rate equal to 1 cfm (0.47 L/s) for
each 50 ft2 (4.7 m2) of under -floor area, including a return air pathway to the
common area (such as a duct or transfer grille), and perimeter walls insulated in
accordance with Section N1102.2.8;
2.3. Plenum complying with Section M1601.4, if under -floor space is used as a
plenum.
R408.4 Access.
Access shall be provided to all under -floor spaces. Access openings through the floor shall be a minimum
of 18 inches by 24 inches (457 mm by 610 mm). Openings through a perimeter wall shall be not Tess
than 16 inches by 24 inches (407 mm by 610 mm). When any portion of the through -wall access is below
grade, an area way not less than 16 inches by 24 inches (407 mm by 610 mm) shall be provided. The
bottom of the areaway shall be below the threshold of the access opening. Through wall access
openings shall not be located under a door to the residence. See Section M1305.1.4 for access
requirements where mechanical equipment is located under floors.
R408.5 Removal of debris.
The under -floor grade shall be cleaned of all vegetation and organic material. All wood forms used for
placing concrete shall be removed before a building is occupied or used for any purpose. All construction
materials shall be removed before a building is occupied or used for any purpose.
R408.6 Finished grade..
The finished grade of under -floor surface may be located at the bottom of the footings; however, where
there is evidence that the groundwater table can rise to within 6 inches (152 mm) of the finished floor at
the building perimeter or where there is evidence that the surface water does not readily drain from the
building site, the grade in the under -floor space shall be as high as the outside finished grade, unless an
approved drainage system is provided.
openings shall not be located under a door to the residence. See Section M1305.1.4 for access
requirements where mechanical equipment is located under floors.
R408.5 Removal of debris.
The under -floor grade shall be cleaned of all vegetation and organic material. All wood forms used for
placing concrete shall be removed before a building is occupied or used for any purpose. All construction
materials shall be removed before a building is occupied or used for any purpose.
R408.6 Finished grade.
The finished grade of under -floor surface may be located at the bottom of the footings; however, where
there is evidence that the groundwater table can rise to within 6 inches (152 mm) of the finished floor at
the building perimeter or where there is evidence that the surface water does not readily drain from the
building site, the grade in the under -floor space shall be as high as the outside finished grade, unless an
approved drainage system is provided.
2-M PGDt Pof
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ALLIED N INEERJ - COMPANY
AN ALLIANCE OF INSTANT TESTING COMPANY AND ALLIED TEST DRILLING
Jobsite and Laboratory Testing, Geotechnical Services, Commercial. Residential and Municipal (� / ,
7125 West 126' Street, Suite 500,. Savage, Minnesota 55378 LS ll/
Telephone: 952-890-7366 Fax: 952-890-5883
September 24, 2010 •
Attn: Tony
2981 Pilot Knob Road
Eagan, Minnesota 55121
RE: 2981 Pilot Knob Road
Eagan, Dakota County, Minnesota
Cell: 612-968-0100
As requested, a site visit was made on September 24, 2010 at 10:17 A.M, to evaluate and test soils
for an addition to a residential structure. Our surficial geology reference indicates that the site is
located within a region of a Demoines Lobe Deposit. These soils consisting primarily of, sand,
loamy sand and gravel, with a coarser texture near lobe edge. We would classify these materials
as Class 1 (Group 1) — unified soil symbol: SW -SP (sands, gravelly sands with fines). This
material would be expected to provide, good drainage characteristics, low frost heave potential, and
a low level of expansion.
It is our understanding that a shallow foundation design has been proposed for the new
construction, similar to that of the existing residence, which was built in 1953. It is also our
understanding that the residence has not suffered any settlement or structural defects based of the
foundation design, relative to frost or other soil related issues. We would therefore anticipate
acceptable soils for construction, when determined to be within allowable limits of moisture and
consolidation.
At the time of the inspection, a limited excavation had been completed to a depth of approximately
30" from top of foundation, at the front or east side of the residence. To investigate the subgrade
soils, a 1 518th inch diameter fluted hand auger probe was put down to a depth of approximately 4 %
feet, at the low paint of the excavation within the northeast. The probe indicated a moist, uniform,
well -consolidated medium sand at depth.
The bad bearing capacity of the sails were evaluated with a dynamic cone penetrometer conducted
near the northeast corner of the excavation. The dynamic cone penetrometer (DCP), employs a
eight kilogram (17.6 pound) hammer to drive a 20 millimeter diameter conical point into the soil, with
the penetration recorded in millimeters per blow. From the DCP readings, a per blow, penetration
average was recorded and a N -value derived. This N -value is an empirical relationship we have
established to equate the dynamic cone data to the more familiar blows per foot (BPF) standard
penetration soil boring test.
d dib2 :TO 0 T LZ de
DCP Depth
755 MM (29.7")
Dynamic Cone Penetrometer Test
Per Blow Avq. / N -Value
28.5 MM/N-11
Estimated Load
3750 PSF
In our opinion, the observed and tested sub -grade soils are acceptable, and would be expected to
meet an assumed minimum bearing capacity requirement 2000 PSF for the proposed construction.
Our observations and subsequent soil evaluation on this date is limited in scope to soil conditions
observed within the completed excavation, and to the depths achieved by a shallow probe and a
dynamic cone penetrometer test. Therefore, we are unable to assess sub -grade soils at depths,
which may be encountered by soil borings conducted as part of a standard subsurface geotechnical
investigation.
Sincerely,
Itco Allied Engineering Company
Cary Sta dish
Senior Inspector
Reviewed By:
Robert P. Sullentrop, P.E.
Minnesota Reg. # 17823
CC: - City of Eagan Building Inspections
#701 - 1 / #605 -- 3/4 / #610 — I / #304 — (1) DCP / #612 — 26 1/2
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SECTION R806
ROOF VENTILATION
R806.1 Ventilation required.
Enclosed attics and enclosed rafter spaces formed where ceilings are applied directly to the
underside of roof rafters shall have cross ventilation for each separate space by ventilating
openings protected against the entrance of rain or snow. Ventilating openings shall be provided
with corrosion -resistant wire mesh, with 1/8 inch (3.2 mm) minimum to' inch (6 mm) maximum
openings.
R806.2 Minimum area.
The total net free ventilating area shall not be less than 1/150 of the area of the space ventilated
except that reduction of the total area to 1/300 is permitted, provided that at least 50 percent and
not more than 80 percent of the required ventilating area is provided by ventilators located in the
upper portion of the space to be ventilated at least 3 feet (914 mm) above the eave or cornice
vents with the balance of the required ventilation provided by eave or cornice vents. As an
alternative, the net free cross -ventilation area may be reduced to 1/300 when a vapor barrier
having a transmission rate not exceeding 1 perm (5.7 ' 10-11 kg/s x m2 x Pa) is installed on the
warm -in -winter side of the ceiling.
R806.3 Vent and insulation clearance.
Where eave or cornice vents are installed, insulation shall not block the free flow of air. A
minimum of a 1 -inch (25 mm) space shall be provided between the insulation and the roof
sheathing and at the location of the vent.
AUG 0 2 2019
BY:
BUILDING PERMIT APPLICANT: PROPERTY OWNER
i, XL ct at " ] 11Q , understand that the State of Minnesota requires
that all residential building contractors, remodelers and roofers obtain a state license
unless they qualify for a specific exemption from the licensing requirements. This
license requirement applies to owners of residential real estate who build or improve
such property for purposes of speculation or resale.
By signing this document, I attest to the fact that I am improving this house for my own
use and am not building or improving this house for the purpose of reselling it. I hereby
claim to be exempt from the state residential building contractor licensing
requirements because I am not in the business of building or remodeling on speculation
or for resale and that the hour for which I am applying for this permit, located at
_Z ,i� p'/sAn , /at' , Eagan is the only residential structure I have
built or improved in the past 24 months.
Furthermore, I acknowledge that I may be hiring independent contractors to perform
certain aspects of the construction or improvement of this house and I understand that
some of these contractors may be required to be licensed by the State of Minnesota.
understand that unlicensed residential contracting, remodeling, and/or roofing activity
is a misdemeanor under Minn. Stat. § 3266.082, subd. 16 and can also result in a fine of
up to $10,000. I further state that I understand that the filing of a false statement with
the City of Eagan may also result in criminal prosecution and/or civil penalties pursuant
to applicable city ordinances and/or state statutes.
I have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to the City of Eagan for compliance with all
applicable building codes and city ordinances in connection with the work being
performed on this property. I also understand that if I hire an unlicensed contractor,
my only recourse in the event I have a dispute with my contractor will be to pursue
private civil action (lawsuit) against the contractor, and that even if I am successful in a
lawsuit, I will not be able to make a claim for compensation from the Contractor
Recovery Fund, the state's consumer protection program for licensed contractors.
A/CGi ✓1c C &V)
Name
07 - 2 .'/
Date
For questions or information on contractor licensing, or to check the licensing status
and enforcement history of a particular contractor, call the Minnesota Department of
Labor and Industry, Construction Codes and Licensing Division, at (651) 284-5069 or 1-
800-657-3944, or visit their website at: www.dli.mn.gov/CCLD/RBC
A
V
cç (
Fr Office Use
`� EAGAN
i i ; •• Permit#: / -7/�
.�.. ,I :/
19 -7_ b
Permit Fee:
'^ ►Ai&i
E C E I F E Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 AR. 1 6 2019 Staff: 7-16- /9
buildinginspectionst cityofeagan.com J
2019 RESIDENTIAL BUIL► APPLICATION
Date: Site Address: Unit#:
Name: Al et v) J i\ ch9`1 Phone: 612 ?2(5)2261-9-
Resident/ 2c 2Resident/
Owner Address/City/Zip: ,el do.i- A-40R /2.)el 11
Applicant is: Owner Contractor JC(C Icy C iie'✓i aZS C A..`?eve (i)
II a
r s', . , . / J F .Type of Work Description of work: 2. ()OR /I i 5 / f1, A I u�J < , ,•0 i-
Construction Cost: Multi-Family Building: (Yes /No )
E.;
Company: (---.7, I Contact: I
Contractor Address: City: Ct---Dreffefill, 1 f 1' 5li`t/
#O
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor ' ., Phone:
NOTE:Plans and supporting documents that you submit are considered to be publioinformation. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.aopherstateonecall.orq
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
x
Xr ( 1�e v i x iv/ < <4,61
Applicant's Prin d Name Applicant's Signature
A
/64 /S
��� )2647/�.6
DO NOT WRITE BELOW THIS LINE I
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Extei for Alteration(Single Family)
ir Single Family Garage _ Porch(4-Season) _ Exteiior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition — Move Building _ Reroof _ Demonph Interior
At 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 if 3c�' Occupancy 7Z> —1 MCES System
Plan Review / Code Edition £9/i SAC Units —
(25% 100% // ) Zoning n^/ City Water ^
Census Code 4131 Stories A., Booster Pump
#of Units / Square Feet PRV
#of Buildings / Length — Fire Suppress on Required
Type of Construction 73 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) k Final/No C.O. Required
Foundation Foundation Before Backfill Ji HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water F11 - Pool: Footings Air/Gas Tests Final
Framing 30 Minutes1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stcne Lath Brick EFIS
f Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 41V , Building Inspector
. 77
RESIDENTIAL FEES 39ot thg X40 At9e0 7 s '
Base Fee CO
Surcharge
Kr 14 / re ft.@,49* / 7 /Go
Plan Review cgqiL3
g- j DRQ p.49/0 /7 �Gd
MCES SAC '`TT'
City SAC -----------------T–;.
Utility Connection Charge 12/ t /GO
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3 j
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157599
Date Issued:08/28/2019
Permit Category:ePermit
Site Address: 2981 Pilot Knob Rd
Lot:1 Block: 1 Addition: George C Williams
PID:10-29100-01-010
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 -
Zi F Pan
9725 Oak Shore Dr
Lakeville MN 55044
(612) 328-2789
ACI Plumbing
4829 Minnetonka Blvd, Suite 203
Minneapolis MN 55416
(612) 269-3736
Applicant/Permitee: Signature Issued By: Signature
. ii •• • For Office Use �/ 1
����, /���_�
Permit /.5- O v I
EAGAN........ ......
o • cam
Permit Fee: �I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694
Email:buildinginsoectionsacitvofeacian.com Staff:
Commercial Plan Submittal:eolansecitvofeaaan.com L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 11 I S I I Cl. Site Address: `8 1 S( tot kl,to J ` Eg a 0
Tenant: Suite#:
Resident/Owner Name:la C b t^ ll�Y� I-c V(\\ Phone: G I -3D-6—i-7 8 q
Address/City/Zip: 1 I ( IDIl ko Ea() a IA
Name: Pr '1 V► Il a IN Ha�r\.1 C r s tt License#: 11\1 1 d-t S0 U
Contractor
Address: I�Jc A I U �rQ 1 / City: r -g
State: M v Zip: 2 i.7- Phone: CPS 1- 3 (5 L
Contact:4 CA rrkl kff 4 Email: eA 'CAk ke t f V d 5 IC ktMns' tel 4L S.kot•CCM
RESIDENTIAL
XFurnace
Air Conditioner
Permit Type
_Air Exchanger
Heat Pump
Other
,a, New Replacement Additional Alteration Demolition
Type Work RC- ()C 6\b( V\ 0 1 L
Description of work: UG 11)1
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$ itI
Di;" ---'' TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.oitvofeagan.com/subscribe.
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 I,. ires a review and approval of plans.
X
ge1\ckb Ccrrcsqudo IIr.:1& )
Applicant's Printed Name Applic nt's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
I r..ae...........+ C......k r., e:.Terms Rc,..i
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176851
Date Issued:06/03/2022
Permit Category:ePermit
Site Address: 2981 Pilot Knob Rd
Lot:1 Block: 1 Addition: George C Williams
PID:10-29100-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Zi Fang Pan
9725 Oak Shore Dr
Lakeville MN 55044
(651) 328-2789
New Life Contracting Inc.
9050 Highview Lane
Woodbury MN 55118-5512
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature