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3670 Pond View PtINSPECTIDN RECqRD "Ci"1Y'OF EAGAN PERM TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ili ,', , ' ...i ,.'t .itli 1Il 1 i IIV) INSPECTION DA • DA 1- l.? ? J Permlt No. Pertnit Holder Date Telephone # ELECTRIC D???(? ? ?73 `??5 OD PLUMBINC3 HVAC 'r/.3 inspsctlon llbto Insp. Comments FOOTINGS 21s//S GGi[S FOUND tf ?G/9s- ?9/yr FRAMING / ROOFING ROUGH PLUMBING - AIR TEST ROUGH HEATING LJ(f GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST ? FINAL PLBG ? FINAL HTG /? IY ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL W?.?#ificate nf cccoanc? ?iti) of Cpagan t of isami" anoectiox ? ? Tfiis CerticQte issucd pLrsuant to the rtquircmeRts of rhe Uniform BuildiRg Code ceRifying that at the lime of usuanct tlus structurie was in compliance with the various orWnances of the City rrgulatrng building constnuction or use. For the following: use Cussifiation: W IIku swg. Prnnit No. 757q« 0-4-C7 TyPe O/? Zomin6 Diw? B3 Type Consc. vm OwnaotBuiktimgGOW VAIIIE FIIMES AdAr- %45 F. RTM 18l_ r71Y'N RAvTilc BuaarffiAdema 3670 PM ?TIDd POIldr t.onsry _ AI, Af7?l VfFSI 'p'?,?_ ' Budding ' Dare: POST IN A CONSPlCUOUS PLACE Address 3672 prEm vEa Fr Zip 5512_2 Ldt ''! Blk 1 Sub PCND vTEw mwNEMs THESE I'TEMS WERE / WERE NOT COMPLET'E AT THE TIME OF THE FINAL INSPECI'ION. Date: $ o?#, 5" Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas ? Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy IN5PECTI4N RECORD C Y OF EAGAN PERMIT TYPE: 30 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ; „ ? ' , ? ?! ? e i E ? ? ; APPUCANT: VtFAJ f" 1 11e11+llf VEhW ttlb.lrJtlilplE=`, l?iC PERMIT SUBTYPE: 1 .i TYPE OF WORK: INSPECTION .. . D. i2tAI4ARlCSi SfPA62ATE PERM11- Iif.(IIIrRFII FpR Nl UMl1jN0 WARI nr.rs,?I,I .T?Ir 11' 9 C! 1'Ib7f`AI ncd1aYr oI F- L i'OH'iAr_t ;;"tATF f1H' MiV A'f 94V. -:?Hj Gsv1tii.ir_n rav mFYL unr:rk -1 I Permit No. Parmft Hoide? Oate Telaphone # ELECTRIC P L U M B I N G HVAC Inspection Date Insp. Gomments FOOTINGS FOUND FRAMING 3O ? ROOFING ROUGH PLUMBING ?-- PLBG AIR TEST ROUGH HEA7ING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST , r J /JEN FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 0 2 3 022 6 ? 9 °-0 ? /? A?d lp5 Reques Date Fire No. oughln Inspecfion ReQUired (YOU mu call inspecmr when r ?` eady) Inspection Olher Than Roughln ? qeeEy Now ?Vill Notity InspeUOr 3- I?- 5 Ye= ? No oa?a Raad I Micensed contractor ? owner hereby request inspection of above eleclricai work at Jab Atldress (Stree[, 90x or Route NoJ City .36'10 i i4 F-c Seclion No. Township Name or No. Fange No. CouMy Occupant(PRINT) Phone No. Power Supplier Atltlress Ua GV[ "klC. Eledrical Contraclor (Compeny Name) CoNreaor's Llcanse No. 5"-i-ak C ?(L (1 Mailing Atltlress (CanVacror or Owner Making Inslaliatlon) - &) ?xaokl n Rank mrJ 44 Aulhonzetl i (ConVa rM ng Installalion) Phone Number 56b- MINNESOTA E BOARD F ELECTRIqTY II I I I THIS INSPECTION REOUEST WILL NOT Gtlggs-MIOw BIEy. - Room S4Y8 I II I I I I II II I I I I BE ACCEPTED BY THE STATE BOARD 1821 Univarsity Ava., St. Peul, MN 55109 II I I II UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ?? ? ? ENCLOSED. ,_ p ' .?BEQUEST FtR ELECTRICAL INSPECTION ee-ooooi-os ? Poo SQe insVUClions lor mmpleling Inis tomi on bact of yeliove copy 2? ?? .? 7.7?... "X" Below VIIiark Covered by This Request ??. Ne- Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating (Apt. Building Dryer Load Management Comm./industrial Furnace Other (Specif ) Farm Air Conditioner olher (specify) Compufe Inspection Fee Below. Convamor's RemaBS' # Other Fee # Service Entrance Size Fee # Circuits/Feedars Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200_Amps Above 100 _Amps SignS inspecrors Use oniy: TOTAL Irrigation Booms 5D Special Ins ection Alarm/Communication THIS INSTALLATION M AY, BE OR E D DISCONNECTED IF NOT Other Fee COMPLETED WITHI r ONT I, the Electrical Inspector, hereby lif th t th 6 i ti h R°°9''-m oet `; ?F? cer y a e a ove nspec on as been made. Final Date J OFFICE USE ONLY This request vdtl 18 monihs Irom I . ? PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Numher: (612) 681-4675 Date Issued: 9s 3 -,Z31 -9S_ Bu zLn x NG 025297 6 3/ 31 / 9 5 SITE ADDRESS: 3670 POIVD VIEW PT LOTa 6 BLOCKs 1 PONI] VIEW TpWNHOMES P.T.N.: 10-58361-060-01 DESCRIPTION: (ZERO-LOT-LINE) Ui1din6?,,Permlt 7ype SF DWG ,6ui1d3ng' 4F6r-kC TYPe NEW 'UBC 9ceupar?cYR-3 M-1 Constructicfn 7yp:e V-N TnYtSrtg , R-3 F Build3r+g Length 28 c? ? puildiR9 Width 60 2 feO"t ?F 1,692 d °? . REMARKS GYPSUM BOARO INSPECTION IS REQUIRED FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge sac SAC % SAC Units Subtotal $723.60 $470.28 $62.00 $85@.00 100 $2,105.76 $124,000 MISCELLANEOUS $1,892.50 Tntal Fee $3,998-28 CONTRACTOR: - ppplicant - sT. Lrc. OWNER: GOOD VALUE HOMES 17559793 0001583 GOOD VALUE HOMES 9445 E RIVER RD 9445 E RIVER RD COON RAPIDS MN 55433 COON RAPSDS MN 55433 (612) 755-9793 (612)755-9793 I hererby acknowledge that 3have read this applicatiriri anrfstatethaC tMs fnfinrmat3.On Is earrect anr!' agree ta eomply wa.th all aPPllcab3e State o# Mri. S,tatutes andCi,ty of Eegd<nQrd3nar+cea. ??.. . _ _ . . . _. _ ? APPLICANT/PER ITEE SIGNATURE -ls : I ATUFiQ ?? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025297 03/31/95 SITE ADDRESS: LOT: 6 BLOCK: 3670 POND VTEW PT PpND VTEW TOWNHOMES PERMIT SUBTYPE: SF OWG TYPE OF WORK: DESCRIPTION NEW (ZERO-LOT-LINE) INSPECTION FOOTIN6S „ . FOUNDATION D. FRAMING RQOFING IIVSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: GYPSUM BQARtl TNSPECTION IS S& W PLBR - PLYMOUTH PLBG r L,.._ . _. . , ' . . G00D VpLUE MOMES (612) 755-9793 APPLICANT: 1 REQUIRED 7 „ ? ._ ,.. _ _. .. ,_ . , . ?. ....___.? t CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 ? 3 registared ske surveys f 2oopias ut plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; elc.) ? 2 site surveys (euterior edditions & decks) ? 1 anergy calculations ? t energy wlalaUons for heated addftions ? t tree preservatlon plan if IM pletted after 7f1193 required: Yes _ No DATE: 3??5 I55 CONSTRUCTION COST: DESCRIPTION OF WORK: '91?LhI q _ STREET ADDRESS: 3 L-7 ° LOT b BLOCK I SUBD./P.I.D.#: 5-'1e [Y w/L.rs 7 $.5. &)o PROPER7Y Name: (?ooo UiaLkE #LMq s Phone #: 6iL'-L.5--97T3 OWNER '"" Street Address• 94-4S "..' 1 4"F-E 2° P"'> City: le-oad 12?+?r a 5 State: Al Zip: 5?5-4"33 coNritacroR Company: !?;41 All Phone #: Street Address: License #: lS83 City: ARCHITECT/ Company: <?A?li As Phone #: ENGINEER Name: Registration # 5treet Address, City: State: Zip: Sewer & water licensed plumber: C? a SF,., ' Y PC10 4-' i.c Penalty applies when address change and lot change are requested once permit is issued. °V^° 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: • 7> OPFICE U5E ONLY Certificates of Survey Rece+ved _ Yes _ No t-iAa t 6 1995 Tree Preservation Plan Received - Yes - No I I OFFICE USE ONLY BUILDING PERMIT TYPE 13 01 Foundation o 06 Dupiex ? 11 Apt./Lodging oC 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?. A. 10 Multi (additional) ? 15 Deck ? Lfto - L oT - L.nrt W .-e 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning y ,?..? . .?._,. . ? ?. ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Misceilaneous Basement sq. ft. f? 23Y MC/WS System ? ? ?v Main level sq. ft. City Water ? sq. ft. ?7o Fire Sprinklered rZ-3 sq. ft. PRV y/as.... sq. ft. Booster Pump ys.ss sq. ft. Census Code. ?a Footprint sq. ft. fo9L SAC Code ai ,o e Census Bldg & Census Unit L ( _ Building Engineering Variance Valuation: $ ! Z`?, o o O Permit Fee Surcharge Plan Review license MCNVS SAC City SAC Water Conn. Water hleter Acct. Oeposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totai: % 5AC SAC Units f-e2L? iA.1 c '45-7 ~ ?, ? '3 CP" S pttd,/ L ,?i?• ? 5, ?J- ??V t? ? i?oacd ??I2. x? s.s? = L.l??--?-- fo3? ?? Z 3 y xs'?/__ 30! pz? y?Y ,rto Z??F4R ? ?b N Y ?S s ?g/ ''07Z ?9n"+T L ?.9y? ? nE?? - yyL '? 1 ? L./r'J CERTIFICATE OF SURVEY for G40D VALUE HOMES PROPOSED BUILDING ELEVAl10NS r ? ?A4 A?tME.,.. SP-?'j NWL? ?44.0 N v?1 L. _? 4 b5"" t f. cT rTA LC- Top of foundottan %107-• 7 Front of house g?O ?Z Gorcge floor ??• Rear of hows ' Z Lowest floor CP05`rs Wolkout a54. 5 f-- crrow danotes drainage direction per development plan. 890E denotea exfsting spot elevntion 890P denotes proposed spot elevatlon BE?WMARK USED: To F' °K?1{ D R R N T? ? F?L = F1ro6J L/A) C5- T/C. = -ToP GLiR$ DESCRIPTION ° Lots 6,7,8,9 & 10 81ock 1, POND VfEW ' TOWNHOMES REPLAT, according to the plat of record thereof, Dakota County, Mfinnesota. • DENOTES IRON MONUMENT o DENOTES WOOD HUB SET I hereby certify that this survey was FOR EXCAVATION ONLY prepared by me or under my direct supervision, and that I am a duly DASHED LINE DENOTES DRAINAGE Licensed Land Surveyor under the AND UTlLITY EASEMENT AS PER PLAT, lows of the state of Min/?nesota. ? M.w - '? - ?' n`? CIiERit1ER LAND?$U$ vE?Y0R8. INC. Morvin G. Lovlein MN Lic. No. 17259 E REC?IBTERED P80FE891 NLAND $UItVEY0R8 I 4 ti 1??I S 1616 98rd LANE N.E. II Date: ? BLAINE, bIN 66449 TeL (818) 788-Sf968 Faa. (612) 788-9007 JOB N0: 94-140 SCALE: 1 INCH = 30 FEETIFIELD BOOK: 94 PAGE: bb -70 I DRAWN BY: CKP Z8 = a(03•56 EDGE OF WETLAND ? '.? '1AT BIIRVEY CHECICLI6T FOR RESID£NTIAL BIIILDING ?ERMIT ?1P I,ICATION PROPERTY LEGAL: y?r?? ?-? Dat• of survep: ? DOCIIMENT STANDARDB le`b 13 • Reqistered Lnnd Surveyor signnLure and company ?e,13 0 • Building Permit Applicant n D • Legal description 0 • Address r 0. 0 North arrow and-ber scale D 0 • House type (rambler split entry aplit w/o valkout roi D • , , , , lookout, etc.) Directional drainage arrows vith slope/gradient $. ? 0 • • Proposed/existing aewer and watez services 0 • Street name D 13 • Drivevay ZLEVATIONS ??0 U • LuietinQ Sewer serviee ? n j l D • Lot corners ??? e ? • Top of curb at the driveway :Y II 0 • Elavations of any existing adjacent homes ProboaeQ ? ? • Garage floor D • First floor + D '?a ' D 0 • Lowest exposed elevation (walkovt/window) ? • Property corners Y D 0 • Front aad rear of home at the foundation POHDING AREAS (if ai)oiicable) ? ? D • Easement line D - 1awL Yn o • . IfwL y D?i • Pond N designation. D • Emergency Overflow Elevation nIKEN8201iB ? D D • Lot lines 0 • Right-of-way and street width (to back of curb) ? n D • Proposed home dimensions includinq any proposed decks, overhangs greater thah 21, pcrches, etc. (i.e. all structures requiring permanent footings) ? n 0 • Show all easements of record and any City utilities within those easements :KD D • Setbncks oP proposed structure and setback oP adjacent existinq homes -' D • Retaining w requ rements, if any Reviewed: .ctober 1992 EDGE or flE1tW NYL s 844.0 ` HWL = 846.5. ?' , /` '•? PER A OOTStU81'6C ?7 / 54.5 M. r 'r B_ ., . 10g My + ? r l + .: . •? ? : ? ? ?. ? " ? , + : . cn < N "x 4» E`TtE Y?STOP ? ,.. r ? •?; ??i: . ? ;??< + ??.? •?????; - . , c . 1- ' _. : ? • ? rt - . . , 4" $ATI ON o ? •s ` ?k' ?y}CE ? . ? . N g.a-H 1/40 4506E a+o ? ? =srti s+a4 F 15 19 %p r? ss ? YME C{ i Y OF EAGAN D iVOT G? c' r ? , >WE ACCURACY OF U LOCATIONS . ?J1, ' ."?s I?tN.10' P.?"R ELEVATIONS. THI TA IS FOR • "' E1izbRl;ATfO(V PURPOSES 'aLY AND ?s ?C'?: ?S(?i?S USIiVG IT SHOULD 1i?Y THE, ? - '`?t ? ,#Frvy?i'.9ATION OiV THE SITE. ., , ._ i ? ' ? . _ . . ? .. ' . ? ;? - ' . . . . .. , . { ( ' 1 i?? . ? . .., ? - " ' ? ' . .. ?1? . . ? ' ?O _ . ' - ' •_ -.. ? - t+ COPPER 1TYP) 6" VACVE ? . ?.\ . CONNEC'l ??.0 J HORIZONTF : : : : VERTICA PiE P'f'Y0 EAGAfV DO S NI0TGLtAFAivi i E- • . . . . . . . . • . . . : : : : 'fyE; A.bGU ACY OF' TILITY:LOC TfOiNS: :oRiGr AL PROEI E? AND/OR f EIFATaONS. HIS: DATA . S : FQR: : ? • • . . . . . ; : ? : : ' = -> = ? ? Ii.rORf?ATI . . JD; : N: :PURP ES-:-(}111t -:AP : : : : : • • . . . . . . . : . .?: . . . . ? ? ^ . n . . . . . . . ? . v ? v IR;FORMA71 i F^1 - ' TFi?. . N:0p7'HE S TE. . - . . . . . . ? . . . . . . . : . . . ... .. .?. • .... . . • • ... : : . . . , ... .... . ... :?.. .. ..:? .... .... .:.?: .... .:?: .::? .... . . . , ./ . . :::: : ... .:?? ? .. ::: :::: .... .... ... : : .; ... .. i:... :: ...: .... . I ":R CR : ' : : . • : : : . 7.s' eu :.?: _? ? : ? Qie: cL52 6 46% C:0 Y 10 Blr: TY PAbJ: . $41 , : -aD F. g2 . . : : CL ` _ BY CiT PRpJ: # ? • • ' : : : : ? ? ? • • . ' : . • . . . . , • . . : : : . : ?, P1tC :SOR . : . ' . : ' :? ? • - •_: : . : :' '?. . : ' . ." ? . ; ., : ? : : : ? : . .. " ' ' . . . : (al , .40 9f.• . _ - . , _ _ : .: ' 2??` °C SOR ,?t(1.q¢ :... 'P1p .... .. > . • • . ? , . . . :. - . . : : : _: : : : _ . . . . : : : : • ; . l98?' "P1iC.30R 00.4 . . IhAw?l 3:. .. . . . i ... EWVNt£GT OJEXtSTi T G ` ? . . : . .. . . . . . . . . , : • . . . . . . . A+$8 l8' RT . . . • _ . ' WTSiDE tP DRf*. .. . ' : ` : •W.. . . : : : : : : : : : . : : • ?'t?: ??8 ' kF ?. FITTiN6. .: 0+90, 8`.R' .. UFA: $4$ : : : : : . E. : 857..7 ? E N: 843 3: : . . . , . . ?. , : : : : : - : . • : - : : . ' . . . 48." DW . . . . . . . . . . . . . . . . : ;: . ?. . . . : : : : .ES.: 842. 3: : ._ . ? . . R-[642 B : . . :UfA . ? : : : R- t642.8 : : : : : : : : . -:16428; : : ? • • zhr"n'uY COKS=RVATIDN SUPa_-MZhT TO SUI!DINv" ?=RKi7 APPLICATTOfi Thic supplement is proti•ided Lo sssisL the applicant in computing ^}:TE&IOR EA'MDPE AZ*ERAZ "D" FA..TOR IhFORYJ.TIOT.. Shis iaforma- _ tion is requi.red so the BIIII.DING OFFICIAL caa determine that suomitted plans comply v1Lh Lhe £NERGY COhI$ERl'ATION DESIGN CRISERIA of the STATE BUILDING CODE (5ection 6000). IL is the A°PLICAT:T'S responsibility to accurately com;+ute the datz; rerlect the proper DLSIGK CS22'Ei.IA in ihe plans; submit produc: speci=ications, i: needed to supnort the "F" and "L" factors used; and to assure cons::uc=ion ?s per appzoved plans. Jos zocArlord 'f "'fFIE S?t??.l nIC?? r DWN_R(5) _ ?1lbt? \/1?LUS ?M?r7 PHON? _ 75--Zl` 9-793 COWTRACTOR S&P_TG; PNDtyE A. Uetermine th> Total ExpDsed F1a11 krea as follows: 1. Total wall window area 184.$ 2. Total door area 6'7. $ 3. To;.al siiding glass door area 4. 7ota1 fireplace wall area l? b. Total wall Traming area (averag_ 100%) ZIt.2. E. Total net wall area above floor 7._ _ i otal rim jolst_ar.ea : , 12 SU6TOTAL: 7ota1 exposed wall area ahove floor Z 1l"L 8. Total ioundation k•indow area ?_ °. 7ota7 net Toundation area above 9rade SiIBTOTAL: Total exposed foundation area 'RAi'2D 7DTAL --XPDS--Q WALL AF.7A c. Niu7tiply tne GRAtQD TGTAL -XP05?D WALL :,R'k X-1? Z3z.32 C. Determine tn= Total _XD059d RDOT/Ceiiing krea zs `ol7ows: 10_ 7ota1 skylignt area ? A 11. 70ia1 roof/ceiling firaming area , I Z d,S 12. Total net insulated roof/reiling area Ii'Z 3_'Z „ uRAND 7Q7AL taPOSED RDOF C=ILINu AP,EA 2??Z D. Mu7Tiply the GRAND 70T:,L ZEEY,PQSED RDDFF/CcILINu AR=A x•,-?z•b-- it=m ii 32. S ? ,._ . , Letermine the "U" value of each segment (2-9) and m;iltip)y by the area as fol7ows: 1. I a4. 8 x"u• .4c1 = 90. ?7 z. S7 , S z ocr 3 = 7, 5' - 3. N'A x ^u" 4. ? z 8 xI'uo. . os = 6.4 5. 21k .?, X %r 6. ?doe). ? x „u„ ? a43 = 60.? 7. z ,. Ull x„Lf„ ?yI A ? N?A X OUll ADD.i - 9 FDR TOTAL WALL SE61ENT5 = liem III LEjci. ? ? F. Determine the "U" value af each segment (10-12) and multip7y by the area zs follows: io. N ?A X„u„ li. izd. ? x°u^ 3 0 = 3.? 12. I !2'3."Z X lU" ,OZZ = Z?.-l AD? 10 - 12 FDR TDTAL RDOF/L--EILING SEn^NC-NTS = Item IV i.. If Item No. III is the sarrw_ as, or less than Item No. I, you hav=_ m_t tn=_ intent of Staie $ui7ding Gode bDOo(c)Z, -•H: If It_m No. IV is the sam_ as, or less than It_m No. II , you nave rrei the intent of 5tat=_ Buiiding Lofe 606(c)1. I. kdd Ii=_m No. I 'Z'3Z .3'2 1 Itefi N0. II 3Z .3?2. = Z 6?• ?e' J. Add Item No. II I I??{ •` + Item Ne. IV Z g.4 _ -2 r,'s K-- Irthe:sum or Items III and IV are lss than Items I and II, you have met the ir,tent ----- of the-code-for total =nv=7op= syst=_m (5iai=_ Buiiding God_ 6060 and MPS 607-3.5 - 4veratl 5trvriure Performance Alt=_rna_iv=_). The undersign_d, es app7icant for a$ua7ding Permit, hereby affirms the a6ove information has beea prapared and submiited - by himself or under his direction, hereby acknowledgs the information to be correcl: and accurate; and h=_reby pres_nts the information wiih required plans in support of the Building ?ermit Aaplication. -------- ?-?o-°t3 Dai> .?. ? ..? ;???.?.?. . .. ' . r ? ?,, ? ? :+?mma 1a Crmdc.w ? •s+.vn p Refoas Orc.RiaII {L? Z'rJi Gi?m? mr MFf7.I ?tTE Rnam Lsn?tb n R"+dtL ?"3 -1kicla ? tl Tvmeewt awd Desn--G?ckt?e aad Arci MYY MWM Mr ?Lrti ?Irr M.?( ?r?k I?L??? MwW ?w? .aR 3 ? z - 4a zo 747 ( I I Cmf.l &n )afiStrstioa 'Zp ?Cp GI.a ! 2 G1A zsa. ...ll ZqZQ Nei Qa. w•u l ZS. 4. I 9 t-1. Iat wa11 e ? }?leeT 1 2 ? 1 -z f ?1 . newircd sc. ft. tnr rc.?G.+?Sl ,bP!iYISFioan?us:xt ?O M'? I? ='+?? S v%:a3oNS snd Doon--Gae?afi: aad /usa HO S1 WY I Oi Y?M ?)?A?? OLOLLT. AC ? I I I ' I I I I ? 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I wMU M?HN ? f?N L?? iL N ?w?t ^w w. K ? lcoc{d 81 labltrarioa ? ? ? __ °"' ? - ESp, wav ? hiel ?- wan ( Sni. wa? Fw.. I I ci I I I Tu.l bcn. • Requi.cd sa. L E-DR or ,p. mi VA lrscer :rza ni 1:2.,.,..,1L?rth Vndch Iintht Wnrinxs sad i,can--G.ck=8e aad kru M\6l? MtYYI f?sO? ?MM?I?L ` ??? Na ? aI Mw I e! faLe I IITLU at C?fCt { c. R I I I I ? I I I ? I I I I I I I ! I ? ?f•I E? ??FS?? I I I I G:.?, I I I E::,, w.n I I I Nec cre. ..:u 1 I f I=L..an . 1 I I cza. 1 1 i aow Bea- - I Reossired so. fiLD.R or sS- iz 41.,4. Leanv ares i -- Iz_i t ?U I Z??q.3 ____..?._.._ _. . __. 3gqce)cl ,s "roTaL 131-0 S IGocLI z h?t c=. w..u rCZ J Dial Bta Fiec•.irsd sa ft =D.FZ.. ar .c iai 'W.P.. l=ricr aTCa I r.zrv OF FnGaN CASH.T.EF;: JS T'ERN7NAL N0: 766 PATF.n 01/28/9£3 TII`fE: 15:37e49 ID: NAt4E: F;EITFI l;l T_iUNIIAM 3r1D `-JI]fJi. 3670 F'DtdDVIEW F' 5(].00 205 9001 3670 F''ONDVIE.W f' l.UI] 302 9001 3670 f'ONLNIEW F' 20,00 t To+.al. Reri=ip+, Amnuni:: 0.00 Cfi085EZ34 USEfi :f.Li: JAtJ MY OF EAGAN PERMIT ,,.38?PilotKnobRoad PERMITTYPE: euzLosNe Eagan, Minnesota 55122-1897 Permit Number: 031365 (612) 681-4675 Date Issued: g 1/ 2 7/ 9 8 SITE ADDRESS: 3670 POND VIEW PT LOT: 6 BLOCK: 1 POND VIEW TOWNHOMES 1ST P.I.N.: 10-58361-060-01 DESCRIPTION: rmit Type r4}_}< T y p e BASEMEN7 FINT5H AL7ERATTON 434 A'LT. RESIDENTIAL 7,1 "41+.. "eY.;§,?•,; ,? ``?au?°:.n`... . c-agan REMARKS: SEPARATE PERMIT REQUIREO FOR PLUMBIMG WQRK. CONTACT STATE OF MN A7 445-2840 REGARDING EIECTRICAL PERMIT. PLAN REVIEWEp BY MIKE BAftCK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: 0 L ? OWNER: - Applicant - DUNHAM KEITH 3670 POND VIEW PT EAGAN MN (612)905-0799 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?-- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681 -4675 New Construction Reauirements RamodellReoair Recuirements ? 3 registered site surveys ? 2 wpies of plan • 2 copias of plans (include beam 8 window saes; poured fnd. design; etc.) ? 2 5@e surveys (exterior additlans 8 dedcs) ? 1,anergy calculations . ? 7 eneryy calculations for heated atlditions + 3 copies of tree presenation plan N lot platted after 711193 . required: _ Yes _ No OATE: CONSTRUCTION COST: DESCRIPTION OF WORK: rlh'S4i STREET ADDRESS: ? LOT ? BLOCK ? 6 -)"o i9h0 Ylek- !l"oin -f S;oe a SUBD./P.I.D. #: PROPERTY OWNER City: __ 2nw vi State: MA/ Zip:-SS? 2?2 Name: /.JUi74AwJ ?? i'7 /1 Phone #: Street Address: 36 7-o CONTRACTOR Company: Street Address: City: 5tate: License #: yos o?yy Zip: ARCHITECT! COtllpetly: ENGINEER Phone #: Name: Registration #: Street Ciry: Sewer & water licer.-,ed plumber (new construction only): and lot change are iequested once permit is issued. Penalty applies when address chanoe I hereby acknowledge that I have read this application and state that the information is correct and agree ?d comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ??_ , ?/ Signature of Applicant: OFFICE USE ONLY r Certifcates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No _ Not Requ Phone #: 5tate: Zip: OFFICE USE ONLY .?.. ,, BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging a' 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New d 33 Aiterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Sasement sq. ft. MC/W5 System ? (Allowable) Main leve l sq. ft. City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ?1 Depth Footprint sq. ft. SAC Code 01 Census Bldg r Census Unit O APPROVAL5 Planning Building A m?? Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies-;_.'??t l:J y Total: % SAC SAC llnits. ... . i. ? ± CITY USE ONLY L ?P BL / RECEIPT #: 1153 9v SUBD f.??. DATE: 7?'3/9S 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit __)? New construction Add-on air conditioning Date: Add-on furnace Add-an air exchanger, i.e. Vanee system, etc. ? Minimum Fee: Add-on/Remodel (existing residence onty) ? HVAC: 0-100 M BTU Additional 50 M BTIJ ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL FEES $ 20.00 24.00" 6.00 .50 5m SITE ADDRESS: OWNER NAME: G6ty-L VCdcrt 40 cY_a PHONE #: INSTALLER STREET ADDRESS: U9 CA I/t1 l vUIJ? Av2- O CITY: STATE ?'UIJ ZIP: SS4a? PHONE#:(6la-) 533-q-35-1 u--.? ??'?RA cin use oNLv L BL SUBD. RECEIPT #: DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PlLOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buiidings when separate permits are = required for each dwelling unit. DATE: WORK TYPE: CONTRACT PRICE: _ NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: , $25.00 minimum fee pj 1°/a of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of Rg?nit fee due on ail permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:_ CI'fY: PHONE #: TELEPHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR /, d1 CITY USE ONLY C'J Jc O? L (.? BL ? /?,L RECEIPT#: o d dSUBrYjtOC_ le0?1?%!d'h?¢? I RECEIPT DATE: 1997 PLUM$INfi PERMIT (RESID£NT1AL) crn' oF £,asax 3930 PILOT KNOB i{D f.A1fiAN, MN 55122 (612) 6$1-4678 Please complete for. ? single family dweliings ? townhomes and condas when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH Shower 3.00 Water Closet 3.00 Bath Tub 3.00 Lavatory 3.00 Kitchen Sink 3.00 Laundry Tray 3.00 Hot Tub/Spa 3.00 Water Heater 3.00 Floor Drain 3.00 Gas Piping Outlet ' minimum - 1 3.00 Rough Openings 1.50 Water Softener ' for dweliings under constructlon 5.00 Water Softener ` for existing dwelling 20.00 U.G. Sprinkler " for dwelling under const. 3.00 U.G. Sprinkler ' for existing dwelling 20.00 Alterations ' to existing residence 20.00 Water Tum Around 20.00 Private Disposal System ` Dak Ctylic. 75.00 (new and refurbished systems) Private Disposal Systems `Abendonment 20.00 x x x x x x x x x x x x x # 1 1 2 _ s?2 0.0 0 STATE SURCHARGE TOTAL 50 7'4? -----------k no----wiedge that 2ad th--------- I ---- have --------isappli ca--------tion---, a--tate that ----------------•----------------------------------- I hereby ac the intortnation is corred, arul agree to compty with all applicable City of Eagan ordinances. It is the applicanYs respansibility to notify tha property owner tMaf the City of Eagan assumes no liability for any damages ceused by the City during its nottnal operational and maintenance activitles to the facilities eonstructed under Mis rtnit wiMin City propertylright-of-way/easement. SITE ADDRESS: 3 6?" 0 °hd r-C-? A' OWNER NAME: P7 fiu k" INSTALLER NAME: 11<1211M Il/UyJ /"/u 4"1 TELEPHONE#: YDD STREETADDRESS: 3 ?70 Poh(/ /'rBNl "4 CITY: STATE: 1041 ZIP: SIGNATURE OF PERMITTEE CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 arr use oNLv ? L Lv BL ? RECEIPT #: ? SUB?td:. -l/„l.f.ul? ?.I?? DATE: `5?7 S 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672)687•4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x 1 = 3 m Water Closet 3.00 x G•O'D Bath Tub 3.00 x =O-D Lavatory 3.00 x 1 3 = `d csa Kitchen 5ink 3.00 x 3CTO Laundry Tray 3.00 x = 3? Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x ? _ ?•? Gas Piping Outlet * minimum - 1 3.00 x Rough Openings 1.50 x +k.SO Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler " home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL LA 4• o-o SITE OWNER INSTALLER 07n a \16-LA ?At n\-" P( STREETADDRESS: "` 4ot wc Nn4kx " o CITY: R1A0 ..k*) Ok- STATE: ZIP: i/ ,rPHONE #: ( b`f FPERITIIT OFFICE USE ONLY L BL SUBD. RECEIPT #: DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681 -4675 Please complete for: ? all commercial/industrial buildings. ? mulB-family buildings when separate permits are p.Q.[ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°,6 of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pernid fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: _ ADDRESS: - ciTr: PHONE #: SIGNATURE: OFFICE USE ONLY I METER SIZE: DATE: STE. # STATE: ZIP: APPLICANT _ INSPEGTOR: 2007 RESIDENTIAL SUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX 9 651-675-5694 New Canstructlon ReQUiremenis 3 regislered site surveys showing sq. ft of lot, sq. fl. of house; and aP mofed areas (20%maximum bl wverege allowed) i Sals Report if proposed building is W 6e placed on disWr6ed soil 2 copies of plan shmving 6eam 8 wuWaw sizes; pWred tound design, etc. 1 set d Energy Calculafions 5 wpies of Tree Preservation Plan A lot platted after 711l93 Rim Joist Detail Options selectlon sheet (6uil6ngs wilh 3 or less units) Minnegasco mechanicalventilation (arm RemodeUReoa'v Reauiremenfs 2 copies of plan shawing faotlngs, 6eams, joisfs 1 set of Energy Calculations for hea(ed addiuons 1 site survey fa additions 8 decks Addifion -indirate if on-sile sepfit sysfem 5M: 7s Offze Use OnN CeM1afSurveyRecd _Y _N SailsRepaR. . ._Y_ _N TfeePresPWnRecd _Y?. _N, TreePresRequired _Y _N On-s,iteSepGcSystem _1'" _N n?...,.. .. .-:.?.....fl n.hlir infnrmotinn ii.,iA?Q vnu ctate thev are frade secret and the reason. r?citw aM..v??o...c??.... - .............?...?.. _..._ __ ___.__ -_. Construction Cost Date Site Address ? V n ?4` !' pUnit/Ste k -7 ? 367G/ 69 3 6 -7 Description of Work ?X17 lli?_4 121`flavr Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 'L ?IY?C?Ct??106? ? Telephone # ) ? i? Z/?? O wner { Properiy Contractor Address 7?/J5- ?b f1L 12A' City ?t 12,'?-10 State /'47 Zip 5 ??y0 Telephone # (?G? ) 5SU ' ?Y/`Cl? - 0 -2- ass-7 COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv l _ Minnesota Rules 7672 Energy Code Category . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Su6mitted Su6mitted • Energy Envelope Calcula(ions Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanicai Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the CiTy of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. / f ? k //A b c? L AppiicanYs Printed Name Applicant's Signature Date: City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 S Use BLUE or BLACK Ink For Office Use Permit #: F (i t -1c Permit Fee: Ill OF? Date Received: ✓ I 0113 Staff: 2013 RESIDENTIAL BUILDINGfPERMIT APPLICATION SiteAddress: Jt� 1 O ?cycjce?E li• 1e- ttN\ £ek z Unit #: Phone: 661- 761.0 -72i 8 Address / City / Zip: �/ Applicant is: Owner /� Contractor Description of work: Z111 1 /0 W i J014-<- i �.1J(54 l S Construction Cost: .1(i8 Multi -Family Building: (Yes / No ) Company: Contact: 14)11 /01c-6 1.5 DuBois Design & Remodeling, Inc. Address: 11,125 Point Douglas Drive South City: �.ontractor State: Zip: Hastings, MN 55033 Phone: ((Si) 115g- ©S4 -f License #: C_R Chi' Bo Lead Certificate #: /' 1N 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING In the last 12 months, has the City of Eagan issued a permit for similar plan based on a master plan? _Yes x No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: otride specific ri we trade secrets.. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x .6h n Ic6b Applicant's Printed Name x 2%3 Appl' ant's Signature Page 1 of 3 ,rg Use BLUE or BLACK Ink ~ I For Office Use I ' t p l O rl V l~ Permit (I O O ~-q City of Ea ~a~ ap I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 0 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: fl 1 3 Site Address: ,31x7® - 3G7F AndyleLd #0 Unit Name: for)( J U `t e W W C /9 A e 114L Phone: Resident/ Owner Address / City / Zip: Q . c 3 p2 73 Applicant is: Owner Contractor Type of Work Description of work: _/fir 0-4' l e- - T&0 ~ ~ iq~ RAP $/G~Q Construction Cost: d 7 -Z Multi-Family Building: (Yes / No Company.. 1u Contact: I✓~ Gl 01'1 S #tm~~r- Contractor 5S1 4P Address. _ ~ rt V~ V~ . City /6/Wk~tcq t V State: Zip: 6 -L12- Phone: _6 fob . 3 f/, f~ License PA" -99 76 1 Lead Certificate CJ t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i 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: i Sewer & Water Contractor: Phone: E NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m st be completed within 180 days of permit issuance. x Tayy)tS ~4wv4er x Applicant's Printed Name p icant's Signature Page 1 of 3 RECEIVED Use BLUE or BLACK Ink1 (� DEC 2 7 2016 For Office Use City_of Ea allnn Permit#: 08' 3830 Pilot Knob Road Permit Fee: CP 0-6-0 Eagan MN 55122 Phone:(651)675-5675 Date Received: 7-4 Fax:(651)675-5694 Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 12/20/2016 Site Address:3670 Pond View Point Tenant: Jim &Julie Ertl Suite#: :;Resident/Owner: :;�. Name: Jim &Julie Ertz Phone: 651-253-5568 3670 Pond View Point/Ea an/55122 Address/City/Zip: Eagan/ K&S HEATING AIRCONDITIONING&PLUMBING INC License#: 43689 4205 HWY 14 W • ROCHESTER COi1tr8Ct01" Address: City: State: MN Zip: 55901 Phone: 507461-2332 contact: HEIDI BROWN Email: .hbrown©ksheating.com New 1 Replacement Additional Alteration Demolition Type of Woirk Description of work: Furnace and AC replacement NOTE:Roof mounted and'ground mountedmechanlcal equipment is required to be screened by City Code. Please contact the Mechanical Inspector for;Information.on;permitted screening'methods.t RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Permit T _Air Conditioner Install Piping _Processed 2/p Air Exchanger Gas _Exterior HVAC Unit Heat Pump— —Under/Above ground Tank ( Install I Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =$60.00 TOTAL FEE • COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $70.00 underground tank installation/removal =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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 BRIAN KEEHN x Applicant's Printed Name Applicant's Sig ature Required Inspections Reviewed By Date ... Underground - -;Rough In Air Test Gas Service Test In floor Neat Final HVAC Screening ;' • For Office Use . 1Z ; ; Pemid ti. , 0 ... "....,▪•... .4.,0 Pemiit Fee: I EAGAN - .......... *94 Date Received: 1 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I 1 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: i buildinclinspectionsOcitvofeactamcom L -1 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site)' *1 1'15 3101 1 0.+ ik•bl. 4t 3 til Li 3 1 kirt . .k401‘.6 cb14\I'tw ' Site Address: Unit#: SCM Name:ON\NA 'Kv- eo\ (1?tondatew A-b\dvAvvie57)phone: Cgi d.-4R)k..\ Resident/ . j- 1110k _1(1.0\,e,rAr. yLA EoLL6v.,‘ m Owner Add /Oty/Zi - I -..... It'`') -.3\''')\ Address/City/Zip:i p. 5cn ' I 1 Applicant is: Owner Contractor 1 , 4 Type of Work Description of work: - ear- b aiv-\-. Y-ti\rwcc. . ! [ Construction Cost: 15 il) 13 Multi-Family Building:(Yes X /No ) 1 Company: CA () 0 OW(kA. CYO/ AIN I. V1 Contact: L kr.-`\ ')Woknakurixi\ 17 . 'la---1 0kin Lovw_ 3\,,A,,/ Address. City: AVUZkitir 1 Contractor state:14)Zip: r-51)6L1 Phone: 10G-ZRO-GM9 Email: \\PtalALL( OeriVI' tbk/V1 1 1 License#: tbC5 i a q 1 k‘a Lead Certificate#: LC0 CI 3 clk 1 If the project is exempt from lead certification, please explain why: ll 0 I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? I Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: 1 1 111 Sewer&Water Contractor: Phone: 1 1 Fire Suppression Contractor: Phone: 1 NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.citvofeartan.corriisubscribe. 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. Cali 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. wwwoopherstateonecallorg 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. xga,attlk VVOviatVti ' Applicant's Printed Name ppSignature r