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3975 Peridot Path cin,c CPS 3-ys I For City of Ea an i Permit CZ) 3830 Pilot Knob Road I Permit Fee: ! I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: j I 200~~9 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /0 ( `7 Site Address: `7 S F4)2 r 1 Tenant: Suite RESIDENT / OWNER Name: >~CIriJ 1 L-u✓17 vJ OC--r~ Phone: A~ ~c21 ~ "41 Address / City / Zip: Applicant is: -Owner Contractor TYPE OF WORK Description of work: 1 {2cxr O~+ C c Construction Cost: Multi-Family Building: (Yes S /No CONTRACTOR Name: i~ t ri}{ 1~'t~aye sCRuC Z) un License Addresss:1541 / ,,t F-M b Ie i ~ Ave City: _Sl ! I ~ WQj'"-1ec t-~ State: Zip: 2~~ Phone: L I-4';n - H3),Q Contact Person: CL t~E t~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cate a-1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission 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 Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information: Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude thaf fhe are tra a secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of tans. i 6 x (,r Vl t~ r Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - f~~E0, 1 Permit City of Eap _ i. I Permit Fee:. 3830 Pilot Knob Road L.)~ I I Eagan MN 55122 R ',u it) I Date Received: Phone: (651) 675-5675 ~I, ~1 l I I Fax: (651) 675-5694 j Sta L -----------------I 2010 MECHANICAL PERMIT APPLICATION Date: /a" Site Address: 39~5r Pe-V^ f 4 I Tenant: ~l~.V i /;0 L~ Gf' a ~ 4v v,~2 Suite RESIDENT / OWNER Name: D&Iy Phone: ~~P25_ Address/ City/ Zip: '30/75- (-z Z_ CONTRACTOR Name: ~ / ~-t_ License Address: II L1 - 5.1(6 j~ v~ kev~ 14~f)L, City: [.,-.ez c!ae-n State: Juld Zip: ~57Z-Z/. Phone: r6 Contact.'_ ~7a~•~ Emailrldez 11q_ 7 K yr~C- L C-0 .-l TYPE• OF WORK New V Replacement Additional Alteration Demolition Description of work: NOTE Roof t00a .0nground mounted mecl~anacal equipment is required to be screened by City Code .Please' contact the Mechanical "f or'informatiori on permitted screening Inspector methods PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: ea c~ $50.50 Minimum Add-on or alteration to an existing unit (includes 0 State Surcharge) _ $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ Jr &6 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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.ciopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan iny the case of work which requires a review and approval of plans. y x = t, - l I~l ~&4 x Applicant's Printed Name Applicant's Signature i y t! lb _ i z t t 7 ~ v J :`FOR Or~'FICE USE `r , " , ` ' " ~ Reviewed By ~ ~ Date t 'Required Inspections }'Und'er Ground ' ~ ' RoUgh'In Alr Tesf ~ Gas Seivice Test ~ 41n floor}Heat ~ Final " _'EXtetior' HVAC~Scr'eenhg'Insp'ection f~ t " ~ F 614-A MECHANICqL PERMIT ? CITY OF EA(iAN RECEIPT # .,. r 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ! I -? C" PHONE: 454-8100 site Address ' ' - j ` BLOG. TYPE WORK DESCRIPTION Lot Block ? Sec/Sub I Res_x New ? Mult Add-on ?- °-' Name - Comm. Repair ? Address c . Cit _-? l?:r U, n Ph Other y e o m Name FEES RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 O ???Y Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUT MINIM ETS L ( UM - 1 PER PERMM - 1.50 EA_ TYPE OF WORK COMM/INd FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES o TOWNHOUSE & CONDaS - RES. RATE APPLIES er T- B M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ ` FEE . S/C: SIGNATURE OF PERMITTEE ' TOTAL• ? ? I FOR: CITY OF EAGAN CITY OF EAGAN Remarks '-Sew & LT+,r permits aY1d SeW & Wf,Y` COriri, pd_ on 1I.Ji-09 Addition Cedar Grove #6 Lot 9 Blk 7 Parcel 10 16705 090 07 Owner -? L screet - 3975 Peridot Path StateEagan,MN 55129 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL ? 1472.00 20 WATEFiMAIN # WATER LATERAL ? WATER AREA STORM SEW TRK ? 0 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. Poo-nn 11294 -10-6 HUILDING PER. sAC 200.00 129 - o- PARK EAGAN TOWNSHIP BUILDING PERMIT Omnat ..8t. -----../d^-w. ....__.........-'--- ..........t....._"-. Addresc (Preseni) ...... Suilder ..................................... . ....................... ............. ..... Addrass ...--................................. ........................ ----- DESCRIPTiON N° 19'75 Eagan Township Town Hall Dale ...? - ......... ...L.L..._..--....... Siories To Be Used For _ FronS Depih Heighi EsL Cost permi! Fec Remarka m' ? ? _ Slseei. Road or ofher Deseripfion of Localion I Lo! Block AddiSion or Trac! X,,_rc 6- 7 w 9 a'a-e '7? /.F;d !i-e g / i - - 9d3-r y I,,• y:.? 13 y C,??„?,_ l'.1?.-.-• L This permif dces not aulhorize the use of slreels, roeds, alleys or sidewalks nor does it give the ownez or his ageni the rigL! !o creafe enp silvaiion which is a nuisance or whieh presenls a hezard fo the heallh, safefp, eonvenience and gaoeral welfare !o anyone in the communilp. ' THIS P£RMIT MUST BE KEpT ONE PREMISE WHILE THE WORK IS fN PAOGRESS. Thia is !o eerrifp, ffiei.A.,..A:......._ ................ haspermissian !o execY a._?.2-.. ...._. ._.'. . . . upon .._.... .. the above described premise aubjee! !o the provisions of the Suilding Ordinance for Eagan wnchi . p adop ed .......... April 11. 1955. .............. .--. ..... . x.......................... Per ... .... ............ c. .. e-?+-?-?/ . :.. .... .. . ? .................._----°--........... Chai aa of Tnwn Board Bvilding Impec}or A ? U/a-/s? ? 17 9 0 3 "' Requesl Dete ?? ? Fire No. Rwgh-in Inspectian Require d'+ .?/ PYReady Now ? Wtll Notlly Inspactor '+ ? \ ? ? VBS NO When Ready f?klcensed contractor ? owner hereby request inspection of above electrical work at: Job AdEressC(SJ ree M? o,r/R^oute NoJ Qy .?^ Sec6on No Township Name w No. Range No. Coumy ? Occupanl1 (PR?''INT\)? . \ Phone Na /? l?L•l??h-J ?d - 7lls? PowerSupplrer qy?r¢sy Electncal Contrador (COmpany Name) Contreclo06 L"nse No. Harrison Electric Inc. 421867 Mading s(COMractor Owner Makng Inslalletqn) 3 organ Avenue North, M ls 55412 AulFwriz 9g re t o ner Mabtg InstallaUOn) Plwne Number 521-0520 MINNESOTA STATE BOAFld OF ELECTRICRY THIS INSPEGTION REOUEST WILL NOT GrlggsNiAway 81dg. - qoom S173 BE ACCEPTED BY THE STATE BOARO 1821 UnWeratty Ava, S. PaW, MN 55104 UNLESS PROPEFi INSPECTION FEE IS 0how (612) $42-MOO ENCLOSED b/?/g? r- 17903 REQUEUFOR ELECTRICAL INSPECTION ? See inetrudbns tor compleling this lorm on Cack ol yellow copy "JC" Below Wark Covered by This Request EB-00001-07 y Cl?S? ?l Ne% Atltl Rep. TypeoiBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Eleciric Heating Apt Bmlding Dryer Other (Specity) Comm.lindusirial Furnace Farm Air Conditioner Olher (specity) Conhactor5 Pemerks? Compute Inspecfion Fee Below: # 01her Fee # SernceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 AmpS 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Signs Inspeclors Use only TOTAL Irngation Booms Special Inspection Alarm/Communication Other Fee -.- I, the Electrical Inspector, hereby i h h Rough-in ? oete cert tyt att eaboveinspectionhas 6een made. Final . .,_ . . ti ; - o OiFICE USE ONLY This requesl vpE 18 months irom it - R RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements . 3 registered site surveys showing sq fl. of lot, sq. R. oi house; and all roofed areas (20 h mazimum lol caverage allowed? • 2 copkes of plan showing beam & window saes; poured found desgn, etc ) • 1 set of Energy Calculatrons . 3 copies of Tree Preservatwn Plan if lo[ platted aker 711/93 . Rim Jmst Oetail Options selection sheet (61dgs with 3 or less unds) DATE SI7E ADDRESS 39 TYPE OF WORK-t'sW \1?4' APPLICANT MULTI-FAMILY BLDG _Y )C-N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS TE4EPHONE #(OSI• CELL PHONE # CITYjC5AA`1\-E ZIP55 rI FAX # PROPERTYOWNER TELEPHONE#1665I, (G& • 9aas ----------------------------------------------------- --------------^-----------------------°- COMPLETE THIS SECTION POR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ VIINNLSO'CA I2C7LL•'S 7670 CATLGORY l MIVNL,SO'1:112ULES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submilted Plumbing Contractor: ___ Plionc # Plumbing system includes: _ Water Soitcncr _ Iaivii Sprinl:ler -- Walcr Heatcr No. of R.I. Baths [?p No. oF Baths Mechanical Contractor: ivIcch.uiic?il systcm includcs: Sewer/Water Contractor: Air Conditionina Hcat Rccovcry Systcm Phone # Phone # Pcc -°-----------------°---------°---------°--°°°---•--°--°-°---------------•-----°----------------------------..._ I hereby acknowledge that I have read this application, state that the i rmati correct, and agree to comply with all applicable Stdte of Minnesota Statutes and City of Eagan Or ances.. Signafure of Applicant OFFICE USE ONLY RemadellReoair Requirements • 2 copies of plan . 1 set of Energy Calculabons for heated additions • 1 site survey for extenor addtlions & decks . Indicate if home served by sep6c system for additions VALUATION I l ? + + 3? nrt?`r? r U ICI? ??„ 1 5 Z00? ? u Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 ° OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Owelling ? 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 Muiti ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 46 04-ptex ? 12 12-plex Plb9_Yor_ 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 , q 37, Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr.of-Bldgs . , Length FireSprinklered. Type of Const W idth REQUIRED INSPECTIONS _ FooYings (new bldg) _ Final/C.O. - _ Footings (deck) _ FinaUNo C.O. _ Footmgs (addrtion) Plmnbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Ai r Test _ Final _ Windows (new/replacement) _ Insulahon ^ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Building Inspector Copies Other Total "„' ?•• ?•••i auu s<_av rnn ioJ a/l '4460 1fC!\tSRAL ?il°'?SSK'JlSIY re ai aun6 City o'f Eagan 3836 PiInt Snob Road Eagan, MN 55122 To Whom It May Concern: IIder Jones is suthorized to pull building permits far g,emewal by Andarsen. Please a1low Eldcr Jones to pioyidc tbis servico for us in Fagan. '['his auchorizazicm is val;d for any date beyond 6/6/01; un61 akenawal by Andersen managar expressly revokes it in arridng to the City. I request this auBiorization 6e accepted expedidously, as to not delay in the proeessing of ovr buiiding pcmiiti aay furthcr. Plcasc caIl mc if thcic arc any qacsdona. I can ixi contact,ed at 763-502-4706_ Your immr,diate aftntion to fhis miittcr iS appreciated. Sinceiely, and R. Rau ostallation iManager Ronowal by Anclarsen Corporatian ('c: Kara.F.ider Innea C?H 0 y ?? ?L poCiliMA(' Wr"? nmoa Wuuz/uu Received Time Juo. 7. l:O1PM CITY USE ONLY L _ BL ? RECEIPT #: SUBD. CCAAY 66014C ?M7'1?4 RECEIPTDATE: PERMIT# 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN ? 3830 PILOT IINOB RD EAGAN, MN 55122 651-681-4675 C.??? Va\ o? U ? ?•/ Please complete for: D single family dwellings y ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem oIrrIures EACH # / TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Ga5 piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ S@ptlC S SY2m newlrefurbished • requires MPC Ile. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new installatioNrepaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rf dwelling is under conswction 3.00 x = $ Under round sprinkler ifexisting dweliing 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwalling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge Total .50 --> --> --' -> --> --> --> $ .50 $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----inances.- ---ere °by --a-cknowl------edge that I have -----------------------------------te -that t---he --infortnation -----------is --corzed------, -and ----agrea ------to --comply -------w--it-h - all -- - --- - applicable C ----- --• of -•-- -- Eagan -- ord - - - - - I h read this appliption, stai-ty - It is the applicant's responsibility to notify the properly owner that the City ot Eagan assumas no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities wnstructed under this pertnit within Cily property/right-of-way/easement. SITEADDRESS: 39]q PieridOl Nlh OWNER NAME: : QIX vi Q L G h 2 Ph d Or TELEPHONE #: ? CJl7 VJ ????? ( EA CODEj ^- INSTALLER NAME: SCI ?- TELEPHONE #: (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) 4z53? Reaulremenls ? 2 copies of plan DATE: 0 ' Z .s-. ZC?_2 cD CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 DESCRIPTION OF WORK: rL4300 267P4' rZ- CONSTRUCTION COST: 415.,:200 If multi-famity bldg., how many uniTS7 IIdDICATE THE FOLLOWIMG EQUIPPAEPIT TO BE REPLACED AIVD BY WHOM: ,X?_ Plumbing _ Homeowner g Contractor Name SfEL r _ Mechonical _ Homeowner gj ConTractor Name `•NOte: If somebody omer than the homeowner is performing plumbing or mechanical work, ihey must apply for appropriate permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work. STREETADDRESS: 3'?75 P&-F.(OOT +?ATN LOT: 1 BLOCK: I S118D./P.I.D. #: Q GIr GrdVt Name: ?.-l?ns2r ?Po2Fr d2- L7(? U I 17 Phone #: ? gC?'S Z2 ? PROPERiY Last First OWNER StreetAddress: ?Jal ? S ('622 1 (DcD7 COI'lJ? Cny C14 G7 A eJ state: !? 114 /V Zip: S S 1 2- 2 Company: Phone #: (area code) CONTRACTOR StreetAddress: License# Exp. City State: Zip: C-.lPrq l2 rROvyl (ZcCl?? lNS?J?PT)erJ wac.?s wP'=C:7L NEAre?"L-? I hereby acknowledge thaf I have read this applicaHon, sfate lhat 1Ffe infortnafion is cortect, and agree to complywith all applicableState of Minnesofa Statutes and Cify of Eagan Ordinances. Signalure of Applicanh. 1 / • 5-- ?? / ^ ' `? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 76-plex ? 21 Porch (3-sea.) ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 18 Deck ? 23 Porch (screened) ? ? 19 Lower Level ? 24 Storm Damage Plbg _Yor_N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV ? 31 Ext. AR - Mufti ? 33 Ext. Att - SF 36 MuRi : i ? _ city of eagan MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single famiiy rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: Block 1, Lots 1 1 Block 2, Lots 1-8 $ Block 3, Lots 1-18 18 Block 4, Lots 1-11 11 Block 5, Lots 1-9 9 Block 6, Lots 1-53 53 (Lots 54 through 61, Block 6, should not be billed at this time) Block 7, Lots 1-12 12 Block 8, Lots 1-18 18 Block 9, Lots 1-11 11 TOTAL 141 The City is currentiy being billed by Dakota Electric for streetlighting in the above listed subdivision. Lt4'-'y V, Ed Kirscht Sr. Engineering Tech cc: Mike Foertsch, Asst, C'dy Eng. EK/je REQUEST FOR ELECTRICAL INSPECTION ? See insVUCtrons for mmpleUng IMS form on beck of yelbw copy. F 7 9 0 3 X" Befow Work Covered by This Request ? EB-00001-07 ?asa c e Add Rep. Type of Building ApphancesWiretl EqmpmentWiretl Home Range Temporary Servwe Duplez Water Heater Electnc Heeling Apt. Budding Dryer Other (Specify) Comm./Industrial Furnace Fartn Air Contlkioner ?w (_p?ty ? Eo??,?m«Rwa?s:?A ?Slqt?s? Compute Inspection Fee Below: # Other Fee # ServiceEnVanceSize Fae # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps TranSfortner5 Above 200 _ Amps Above 100 _ Amps Signs maoemrs use omv ToiAL Irrigation 8ooms ?• ? Special Inspection AIauNCommunication Other Fee 1, the Electrical Inspector, hereby Rougn-in Oate certity that Me above inspection has been made. F„al OFFICE USE ONLY Ttim repueat wd l8 monNS Irom p 17903 Requeal Dale ._? S ?-IR^ l Fiee No. Raug in Inspachnn Require0? Qyes YM Reatly Now ? Will NMify Inspectar WhanReaWp r?_Alcensed contreclor ? owner hereby request mspection of above elecMcal work at: JW Adtlrass (S)reet o^z w rRo4ul?e,?{Nop.)? I-? ?\ CN Seclpn No ToanshiP Name ar W. Re^9a ?? ??nty ^ ,, I I \/\ V n?i-?. OccupenllPRlNn y.P_cor.? PMne N0. 4Sa --)iL-a Parar Supplier Address EleclnW ConVaccm (Company Name) Harrison Electric Inc. Contrathar5 ?cense No. 421867 Maiung (Contreanr r Ownx Meking I?lella?on) 3 organ Avenue North, M ls 55412 qy?ot $y re ner Malung InstellaWn) Plane NumOer 521- IQNMESOTA STATE BOAHd OF ELECTNICffY Grigye-Nltlwey BWp. - Naom S1]S 1821 UnIranily Av0., SC Pou4 MN 55101 Phmw (812) 8I2-0400 THIS INSPECf10N FEQUEST WILL NUI BE ACCEPTED BYTHE STPTE BOAflD UNLESS PROPER INSPECf7IXJ FEE IS ENqA5E0 . EAGEN TOWNSHIP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT POR SEf7ER SERVICE CONNECTIOrI DATE: ?J/y/ 9' N[TPffiER 373 OWNEP. ,?, Address '?P-7"6 PLUMBER TYPE OF PIPE DESCRIPTION OF BUIIAING Industriall Commerciall Residential I Multiple Dwelliag I No, of units X Location of Connections: Connection Charge onpd Permit Fee 7.50 od. Street Repairs Total Inspected by: Date Remarks• By. Chief Inspector In consideration of the issue and dellvery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota Count , Minnesota By Please notify when ready for inspection and connection and before any portion of the work is covered. L ' EAGF.N T'DWNSHIP 3745 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTIDN Date: 7/`f /.. 'K Number: 251 Billing Name: Site Address: 9 7'? 3'72S y9a Owner: Billing Address Plumber: NO ' Total Chg. Meter Size-?/? " Meter ' Permit Fee 7.50 ncl. Meter Readiag.-? I Meter Dep. Meter Sealed: Yes_ IAdd'1 Chg. Inspected by Date Building is a: I Remarks: Residence,z- Multiple Xo. Units Commercial Industrial I gy; Other Chief Inspector In consideration of the isaue and delivery to me of the above permit, I hereby agree to do tlv proposed work in accordance with the rules and regulations of Eagan Towaship, Dakota County, 4ianesota. By: Please notify the above office when ready for inspection and conaection. OF 3795 PIIOT KN08 ROAD. PO. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 DATE: Auqust 8, 1983 BEA BLOM9UIST MayOr THOMASEGAN JAMES A $MIiH JERRY THCPnAS THEODORE wACHTER CouncJ MEmbers THOMAS HEDG:S GlV Atlminsvoror EUGENE VAN OVEfiBEKE Cny CIeM ' i]NIVEitSAL TITLE INStJRPNCE SPECIAL ASSESSb1ENT SEARCH . 14500 15B 9?V? ?l? RE Grove # 6, Lot 9, Block 7 J Burnsville, MN 55337 3975 Peridot Path, Eagan, MN 55122 Parcel # 10 16705 090 07 Enclosed herein is the search which you requested made on the above described property. Kind of Improvement Runs 13eginninQ Original Amount Balance Due I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved, and are now in the process of planning or completion. ' Kind of Improvement Approximate datc of Completion Approrimate cost WAIVLR: Neithcr the City of C-agan nar its employees guarsntces tlic accuracy of the above in- formation which was requested by the person or persons indicated. Nor does the City ar its employees assume any liability for the correctness thereof. In consideration for thc supplying of the indicated information in thc above form, and for all other consideration of any nature whntsoever, nny claim against the City or its emplayees rising thcre from is hereby expressly waived. Levicd assessments to be paid to the County Trcasurcr at Fiastinss, hCV, 55033 Very truly your , ? THE LONE OAK TREE...THE SYMBOL AND GROWTH IN OUR COMMUNITY Enclosed herein is the search which you requested made on the above desczibed ptoperty Kind of Ir,.orovement yPq--- Beeinnin? Orisinal Neount Balance Due DTONE I further certify that according to the records of s::;.d -f£ice, ihe f-'lnwinp ?.mprove- ments are contemplated or pending after having been 2;.p:oved .:d a-z now Sr: tne yrocE=_ of planning or completion. Kind of Imorover.ient Anuroximate Date of Comvletion ADvroximate Cost NOIJE WAIVER• • . heither the CiCy of Eagan noz its employees gnarantees the accuracy of the above infox mation which was requested by•the nerson or pezsons indicated. Nor does the City or i employees assume any liability for the correctness thereof. In consideration for the snpplying of the indicated information in the above form and for all other considerati of any nature whatsoever, any claim against the City or its employees risinR therefroa is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAPI, 3830 Pilat Knob Road, P. 0, Box 21199. Eagan, MN 55121. . ' Very,truly yaurs, ?? SPECIAL ASSESS:SENT DYVZSION iHE LONE OAK TREE...THE SYMBOL OF STRENGTH /WD GROWfH IN OVR COMMUNiiY ? ` RESIDENTLAL BUII.DING Permit Application 1 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWCtian Reauiremenls RemodellReoalr Reauirements OKce Use Onlr 3 registered site surveys showirg sq. ft of bL sq. ft of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20%maximum lot coverage allowed) t set af Energy Calculations for heated additions Tree Pres Plan Real 2 copies of plan showing beam 8 window sizes; poured found design, etc. t site survey for addNOns 8 decks Tree Pres Not Reqd lsetofEnergyCalculations Add'dion-indicatei(onsdesepticsystem _On-site5ep6cSystem 3 copies of Trce P2servation Plan "rf lot platted afler 711193 RimJoislDetailOptionsselectionsheat (bidgs with 3 or less units Date CD? Site Address /;?S / <5 ? _75 Construction Cost / 4 3 I,7 y e ri AA l'G-I ? UniUSte # Description of Work ??_Q ?D 1Z PropertyOwner ?_00.V"a > G??-9aa5 Telephone#(651 Contractor nn ? "1??I_?XA ,Cp6t c Address S[ate I 1a.36(3 ?JI Vc?- M i V Zip 5-?? City UYY15b;?if? Telephone #(`752) MS'" Q(o ()0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . ResidenUal VenUlation Calegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor 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 which requires a review and approval of plans. ApplicanYs Printed Name fL Signat ure 2 5 2003 - 7BLY? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 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 08-plex ? 78 Dack ? 23 Porch (screen/gaze6o) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or_ N? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Giva PCA handout to applicant Valuation Occupancy MC/ES System Census Code 2oning 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) FinallNo C.O. _ Footings (addirion) _ p?umbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (newlreplacement) _ Insula[ion _ 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131756 Date Issued:07/07/2015 Permit Category:ePermit Site Address: 3975 Peridot Path Lot:9 Block: 7 Addition: Cedar Grove 6th PID:10-16705-07-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - David E Lanzendorfer 3975 Peridot Path Eagan MN 55122 (651) 231-2660 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature EPG 4P6t F»l ikm 19ZuZO 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 i TDD: (651) 454.85351 FAX (651) 6754694 buildinainsoec2ionsatoityofeaoan.com Fe' otkeUse �� _ Cote Re eroaek 2020 RESIDENTIAL BUILDING PERMIT APPUCATION Date: 06/19/2020 see Aet: 3975 Peridot Path Eagan, MN 55123 tnittlr Residentl Owner Name: David and Terry Lanzendorfer 651.231.266° Type of Work Contractor Adder, y / 2Ip: 3975 Peridot Path Eagan, MN 55123 Applicant Is: - - Owner ✓ Contractor Opp, o1w►elt Build 24k14' replacement deck constniction case $17,800.00 Company: hire► SultinF (Yes / No McGuire Construction LLC cantazt Mitch McGuire Address: 7242 205th St. W. state: MN zip: 55044 -gi phi 651-380-1634 Eled mltdh.mcguue a@hotmalcom c y Lakeville, License #: BC734440 Lead Cettmcate d: If the project is exempt from lead certification, please exp ain wily: Structure was built after 1979 and no paint surfaces are being disturbed COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BULDR4GT In the last 12 months, has the City of Eagan Issued a permit for a elmfar plan based on a master plan? Yes No If yes. date and address of master plan; Licensed Plumber. d•--- Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor. NOTE Plans end supping documents Mat you submit are considered to be pubes arronnatIon. Pe►atens of the faftro alien classified ea non-public It you provide speclilc reasons that world a " � � Me -7, to condo* Met ere bed* aeonata.You may subscribe to receive en electronic notU cation from the City of proposed ordinances by signing up for an email updats on the Laity`. wed at www.dtvofeausn.comfsubsatbel. Exterior work authorized by a building permit Issued In accordance with the Minnesota Stab Budding Cock must be comrpisted vrl«hin Nil days of pe mht Issuance. CALL BEFORE YOU LNG. Ca® Gopher State One Can at (6S1) 4840002 for protection egaWmt underrated way *mew CV 43 toss bleb -valor intend to dip to receive locates of underground utilities. www.aooheratateonecagsrrq t hereby acknowledge that this Information Is complete and accurate: that the work we be in conformance with the drdtrtatt es And Wes of the OW Of Eagan; that I understand this Is not a peenq, but only en application for a penult, end work is not to stint %WIWI a penult twit the work va7 iLva tilt accordance with the approval plan In the oese of work which requires a m Lew and approvel of xMitch McGuire x. Applicant's Printed Name Applicant's Signature . DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Single Family _ Garage Multi X Deck — 01 of _ Plex _ Lower Level T 5 �s P e;dof A-i-k-- /G .-ssr Porch (3-Season) _ Porch (4-Season) Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES _ New _ Interior Improvement Addition _ Move Building _ Alteration _ Fire Repair )( Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code -7,660 S/3c/ # of Units # of Buildings Type of Construction S $ REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width — Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior — Demolish Foundation — Water Damage *Demolition of entire building - give PCA handout to applicant 21C- ( MCES System 20a, 0 SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: ',Nt-/Sao► , Building Inspector Hood RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL C"e.etc Re1o(meevv%e-4 'S'-p.: 382xl5/: W8 W8.xis- ^ 6Y2o Page 2 of 3 7_,_c ; 107t1_k___ \G N 'v EWE) S. A4e ),1 i."1-)4(k 0.6)1,ace e .�