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596 Prairie Cir WC!tyofEaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: lw-/D /D 135-4/ Use BLUE or BLACK Ink Permit #:c. /� i 'L! Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Site Address: ,'5167 "ret.;./40 Tenant: Suite #: RESIDENT / OWNER Name: tji A /C,gyf 2 / Phone: h57 1152 ---3&74, Address/City/Zip: 516, /31-44-ise 07,c(4, CeJCrjf Ge -tit .5 (Z-3 CONTRACTOR Name: , Z.2% /A i License #: Address: (//,(5-(//,(5- �� 6//e, M n o 'arc( A4"7 City: U-pv / State: ti ^J Zip: -.Z Z l // Phone: 6 S 4/-7d 7' Email: 4a//alr ta 6(Jnnze/'X ' �- e C-004 Contact:L)G�. 1-4.14 C� 0 TYPE OF WORK New YReplacement Additional Alteration Demolition _ tc- Description of work: r� N c -e.. VY'' -‘71' c ---t" NOTE Roof mounted and ground mounted mechanical equipment is requited t be screened by Ct NoTp Code Plgasecontact'the Mechanical Inspector for information on perm ed screening ho metds. s' PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) _ Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $ f' tate Surcharge)�- $.50 State Surcharge) $ 5J! 9 TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. Applicant's Printed Name x Applicant's Signature INSPECTION RECaRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SiTE ADDRESS• ' 141; <j ? ? ?'?' I . , ;i?•? i ??J.i PERMfT SUBTYPE: , I " , .?, , APPLICANT: Ci11 TCtff. i{ tt1 M0!4 ! 1 P1fi (61.2) 651H 0Ifi,[7 TYPE OF WORK: :,? ?F?Har?v?a I+t ,i t•. 1? i? ???? , ??rtF' ttt 1i1; E??iM ) INSPECTION .A • rA F _ ". _ L PermR No. Parmit Holder Date Telephone # ELECTRIC -Zejqa,4,A PLUMBING ? E/I, 8'a HVAC Inspection Date Insp. Comments FDOTINGS FOUND FRAMING ROOFING HOUGH PLUMBING 2 21-1 PLBG AIR TEST ROUGH HEATING =? GAS SVC TEST iNSUL 7141-97 ' GYP BOARD FIREPLACE f-' •,F? FIREPLACE AIR TEST 7-2 FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMTFINAL DECK FfG DECK FINAL . PERMIT# MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3834 PILOT KN06 ROAD, EAGAN, MN 55122 DATE: ? Off O CONTRACT PRICE: PHONE: 454-8100 nly: For ice Use Site Address ' BIDG. TYpE WORK DESCRIPTION Lot Block:. f' Sec/Sub ' Res. New Name Mult Add-on ?o Address • • Comm. Repair c Cit Ph Other y one Name FEES RES HVAC 0-100 M BTU - -$24 00 ? c Address ' . . ADDITIONAL 50 M BTU - 6.00 p City ' Phone `' ' (R?• HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 50 EA . . TYPE OF WOR1C COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Ai? Cond. _ M BTU MINIMUM GOMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE - S/C: SIGN%??? M EE TOTAL• FOR: CIIY OF EAGAN ?: .. . . _..,_ _?.. 41??F? ,& BUILDING PERMIT To be used tor D= ?^aA Iacr'?_'„w?'.:!:v•.?-?????+?.r v _,.,?,?...,w.????. CITY OF EAGAN ? ?, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 _ ., Receipt # $19000 n2tp 19-91_ Site Address S96 PRAIRIE CIRCLE W Lot _9 Block 4- Sec/Sub. CMNTRY HOLW W OFFICE USE ONLY P8fC81 NO. Occupancy - FEES W Name CLIFF REYRDAL Zoning (Actual) Const Permit 25.00 BIdg ? Address SAM tnnowabie? _ . 50 ° City Phone 452-3676 # or siories . Surcharge Plan R i Length ev ew 2Q_ ? Name RRYAN VOIGHT CON3T o?tn 1(? snc ci t , ry toj uc Address 3557 143RD ST W S.F. Total _ Ciry RARFI?]IIAIT Phone 423-1298 S.F. Fool?ms _ snc, Mcwcc ? On Site Sewage _ water Conn V W Name On Site Well ? Z - Water Meler 5?, Address MWCC System i W Ctty Phone City Water _ Acct. Deposit PRV Raquired _ SflN Permil I hereby acknowiege that I have read this applicat n and s te that the i f Booster Pump - gryy ?rcharge n ormation is correct and agree o comply with II a61e State of Minnesota StaTutes and Ci an Ord a Treatment PI Signature of Porr6itee APPROVALS Road Unit A 8uilding Permit is issued /t, ?Y? ?S ??T Planner Park Ded. on the express condition th work shall be done in accordance with all Council ? applicable State of Minnesota St?tules and City of Eagan Ordinances. gldg, pff. _ Copies Building Official. V??e - TOTAL ?O r Permk No. Permit Holder Date Telephone +1? WATER SENfER PLUM8ING H.V.A.C. ELECTRIC hnpsction Data InsP. Comments Footings I Foundalion Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Tesi Final Pibg. Pibg. InspeClor - Notify Plumber ConsL Meter EngrJPlan Bldg. Final Dedc Ftg. ?? / L'dQ Dedc Final Well Pr. Disp. T , . . ITY OF EAGAN ., , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt?t To be used for 1. 1. ' EsL Value Date Site Address ' ? ?A ? ?` ? • OFFIC riULLI-'ip On Sfte Sewape Lot Block Sec/Sub. . ' MWCC System Parcel No. On Site well City Water oc Name X = Address z ?? PRV Required 3 ° City f ?1`- Phone t Booster Pump ¢ Name _ o ? ? Address ? City _ U¢ w W W Name F ? o Address ` W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all appticable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupency Zoning (Actual) Conat (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. J!. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permft No. Psrmit Holder Data Telephona # Plumbing ? H.V.A.C. Eiectric Softener Inspectlon oate lnsp. Camments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. -- 1 rl Isul. Fireplace ? Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMtT # - ?- ' r-' ? MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address SLDG. TYPE WORK DESCRIPTION Lot ? Block ? Sec/Sub ? i R? New ?- ? Name ? , Mult Add-on ? ' Comm. Repair Address c City Phone 4ther FEES Name ` RES. HVAC 0-100 M BTU - $24.00 3 Address ADDITIONAL 50 M BTU - 6.00 0 City j?&n8 (RES. HVAC INCLUDES A1G ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 14'o OF CONTRACT FEE Forced Air -? ?l--'•-- ? ... - - ? BTU APT. BLDGS. - COMM. RATE APPLIES _ TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ PERMIT PRICE GOES pp Gas Piping Outfets # ? ) BEYOND $1 p Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL• ? •• • FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address Lot 17_ (D ? ? c d c 3 0 Name dtIli- ,jr, '"?: ?h • Address Ciry Phone Name _ Address City Phone FEES COMMIIND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CON00 - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.OU MINIMUM - COMM/IND FEE - $20,00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) -?-- SIGNATURE OF PERMITTEE .. FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: BIDG. TYPE WORK DESCHIPTION Res. ?- New 'S1 Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL `, Water Closet - $3.00 S ?Bath Tubs - $3.00 - Lavatory - $3.00 ? ._Shower - $3.00 ?Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?-Laundry Tray - 53.00 ?Floor Drains - $1.50 ? - Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Dutlets - $1.50 ? - (MINIMUM - 1 PER PERMIT) Softener - $5.00 well - St0.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: - % -- ? STATE S/C: GRAND TOTAL: - ?? (ilitr#if iratP uf (Orrupttnry titp ot eagan Eppo-tmpnt uf Atftitcq 3ttap?rrtinn This Certiftcate issued pursuant to the requrrements of Section 306 of the Uniform Building Code certifying 11rar at the lime of issuance tiets structure was In compliance with the various ordinances of the Crty regulating building consmection or use. Far the following.Uie Qasi6a6on Bld?. Pumet No. p,xupncy Type Zooin6 Dwtrma Type - ? OwncrafBiriWinp Adde. r67 lvLn ST E, xx Bwldin6 Addres 296 1''. - ?? L.9, Mf amm toTit% Dak: Y? ?, j? &u7din8 Offic?l POST IN A CONSPICUOUS PLACE ^ CASH RECEIPT CITY OF EAGAN 3830 PIL0T46tNOB ROAD F-AGAN, MINNE50TA 55122 DATE 19 wecE?vco .,. AMOUNT r $ I At DOLLARf ?o• ? CASH Q CHECK BY White-Payers Copy Yellow-Pottiny Copy Pink-File Copy Thank You ? ?v . ? 41 ? ? J ? .? ? ? ? ? h / ?:1? ,v ?L ? BLnG. PERMIT N0. 01-3210 Bldg. Permi 1 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3668 Water Trmt. 20-3716 kater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL BUILDING PERMIT To be used for 5F DWG/CAR Est. Value 499,000 Site Address 596 PRA I Ft I i:. C;!2 W Lot Y Block w Sec/Sub. CUUNT1tY NOLLLIW Parcel No. , Name i,,^rNBOW HONES 3 Address ij67 78TH 51 E o .7d.R. Dhnnn 450-5292 °C ,o SAME Name ? Q Address ? City p ?Cc "WWw Name ? _ z Z5 Address U it =W ._ City P I hgfeby acknowledge that I have read this application and state that the inforrmation is correct and agree to comply with all applicable State of Minneaeta Statutes and City of Eagan Ordinances.. Signeture of Permittee A 8uilding Permit is issued to: :.xt:'?Ci1+r 410 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 Receipt 144N9 Date N;iVi::?ftu 17 ,19ri7 OFFICE USE ONLY st 3 On Site Sewage Occupancy MWCC System ?R Zonfng - - vn Qn Site Well (Actual) Const - City Water A (Allowable) ? PRV Required S of Stories Booster Pump Length ?? Depth S.F. Total Footprint S.F. APPROVALS FEES EngrJAssess. Permit 5 500•00 Planner Surcharge 49.50 Council Plan Review 25U-00 Bldg. Off. SAC, City 100•00 Variance SAC, MWCC 525•0(} water Conn. 325.00 Water Meter 67.00 Road Unit 3? ' Treatment P1 Parks ? TOTAL ' 12-!?-87 CITY OF"EAGAN Permit No: Date: ? , • ; 383a Pilot Knob Raad B/ P Na Date: 2 - - t P.O. Box 21199 Eagan, MN 55121 Coantrq Hollow MWCC: . City Chg: ep: ?l •,LjP llvTbeti6o7comp with the CNy inA Fee' krge: t.;r_nl IIRED??'?°'?' 1 SEWER SERVICE PERMIT Date: 12_15--?17 ? CITY OF EAGAN Permit No: 3830 Pilot rnob Raad B/P No: Date: 1?- r q-cf P.O. Box 21199 ? Eagan, MN 5021 Owner. ' : _, •: . - ? PI31Zif Circle ,7-3. -<, ?. ,.,,,..,,r?•, "??: _ 1 5ite Address: '?il.tnex PLumbin;- MWCC: ?._ _ . - g• Zonin City Chg: 1r I Y. . 1 No. of Units: Acct. Dep: I agree to oomply with the Clty ol Eagan Permit Fee: Ordinances. Surcharge: t ? M isc.: BY SEWER SERVICE PERMIT J , . ?...-.t . - .???. CITY OF EAGAN Permit No: Dete; 12 -15-87 3830 Pgot K,nob Road Meter Na _ P.O. Box 21199 ' Reader No: Eagan, MN 55121 Owner. --.'-!A,i;ov '?o•;??s Site Address: '' r r e Conn. Chg: 525.MR.' Acct. Dep: 15. Ql?ot Permit Fee: 10. 0011d Surcharge: - SO?c Tr. Plant 1F0. oJn? Meter. ?. Misc.: ?. . -,;?•7?-.- Zoning: _ No. of Units: Size: Date: 1 agree to comply wRh the Clty o1 Eaqan Ordinancea. WATER SERVICE PERMIT m CITY OF EAGAN Permit No: Date: 12 15- ":7 3830 PAOt Kr7ob ROatl Meter No: -19S3 93 /O Sixe: 5/SS r? 1P0[ et P.O. Box 21199 Reader No: 0 32 !7U ST 3 Date: Ea9an, MN 55121 Owner. Raiabow Elo;nes Site Address: 59 priirie Circ1 e i'est ?;!ntrv io.:.l ow Y lcct" 1YG I. Y nn. Chg: '' "' Dep: T -?-j?fe . o s Permit Feec Surcharge: Tr. Plant Meter. Misc.: r.,,., IWe"Wply wlth the Cify ol Eagan Ordi ces. ? er WATER SERVICE PERMIT CITY OF EAGAN N°_ 14 4 2 9 , 3830 Pilot Knob Road, P.O. Box 27 -199, Eagan, MN 55121 ? PH ON E: 454•8100 BUILDING PERMIT Receipt# ? ?'? ? ? ? Tobeusedfor SF DWG/GAR Est.Value $99,000 Date NOVEMSER 17 1987 Site Address 596 PRAIRIE CIR W Lot 9 Block 4 Sec/Sub. COUNTRY HOLLOW Parcel No. a Name RAINBOW HOMES I z Address 2367 78TH ST E 0 City I.G.H. phone 450-6292 0 z1- oa UQ ? Name _ Address C ity _ ¢ ww Name i ??-y Address u Q W City Phone I herehy acknowledge that I have read this application and state ihat the inlormation is correCt and agree to comply with all applicable State ot Minnesota Statutes and Cit o/fJ?,ggan O ina?ncUe Signature of Permittee x?? -? A Building Permit is issued to: RAINBOW NOMF.R on the express condition that all work shall be done i n accortlance wi[h ali applicable State of Minnesot atutes antl City?yga? gan Or?dinan1ces. Building Official ???-? SAME OFFICE USE ONLY R3 On Sile Sawege Occupancy -- . - MWCCSystem X Zoning R I - - Vn On Site Well (Aciuaq Const ? Ciry Water X (Allowable) PRV Required X # of Stories Booster Pump Length 36 oePtn S.F. Totel Footprint S.F. APPROVALS FEES ? w0 00 Engr./ASSeas. Permit . Planner Surcharge 49.50 Council Plan Review 250.00 Bldg.Off. SAC,City 100.00 Variance SAC,MWCC 525.00 Water Conn. 525.00 Water Meter _67.00 Road Unit 305.00 180.00 Treatment P1 Parks 30r50 TZ- TOTAL , 3 4 9-22G ? OF?Fl9 E U E ONLY This requesf vaid 18 monlhs (rom volidafion dale printed in Ihis bo ?FF7 - PLEASE PRINT OR TYPE Requas Date ? j Rwgh-in inapetlion requined2 ? Y nspecfion Olher Thon Raogh-In: 0 Ready Now'? Will Coll ? ?d a ,o 9? ?oum?„mll,?ein ,e ,: I, la licensed ronfractor ? owner hereby requesf inspedion of the above elecfriml work at: Jab Pddrees (SVeel, Bo.e, or Roere Ny? 59Co Prui?, e ?i rtte. L.e1 es+ Cily 6 wl Zip Code 15-5-1 3 Setlin No. Township Noma or No. Ranye=o. fGe No. Counp 1\? 4 UlN ) po ? ??,r?-c?,r Cmns-j-rv c-? o n PMne No. (o B8 - 67 53 PowerSo plier ,? ?ikof0. Pddren F-arm, n ?on Ememl Canvacmr (Compon, Name) iw.r vr Q.w El e.Gi"rl G Contmdo. ticensa No. CA0ay S-} Marnr Lic No. (Plant Elect Only) Mailin Md (CoMncloror Ovmer Performing Insmllofion? ?` l-ake vi 6Q. g v'v?1 I 7 3,-d 54--- (,J onttd SignoNrc (Controcror or Owmr Pedarming inalallafion) P No. ?3 -0/ 96 EB-OOOOlA-10 6/95 ATEBOANOCOPY-SEEINSfRUGTIONSONBACKOFYELLOWCOW 69 NI?III IIII II I I?I III II II IN I?I REOUEST FOR ELECTRICAL INSPECTION ?I ?II M821 Un'rv?sity Ave., r Rm. SElectricity -1Q8, Pt. Paul, MN 55104 # 0 3 4 9 2 2 2 0 * Pnone,?s•- sa2-oeoo oy// Home Duplex Apt. Bldg. Olher: New Addn Commercial Industriol Farm Remod Re air Air Cond. Hfg. Equip . Water Hfr. Lood Mgmt. Ofher: D er Ran e Elec. Heaf H Tem . Service "k' above the work covered by this requesf. Enter remarks in this space ond on fhe back of the white copy only. ? ? ?? &6e/YIQih-?- Calculate Inspecfion Fee - This Inspection Request will nof be accepted withouf the correct fee: Other Fee # Service Enkanwe Sae Fea # Circuifs/Feeders Fee Mobile Home Park Stall 0 fo 200 Amps 0 to 100 Amps Sfreet Lfg./Tmffic Sig, Above 200 Amps Above 700 ?. Amps Transformer/Generaior INSPECTOF'SUSEONLV / ? TQT}?L $ign/OuAine Lig. Xfmr. ? '' 'y?"50 Alartn/Remofe Conhol ? Swimming Pool I hem ceM that I ins the eanca sio nan descnbed hercin an the datez ? d Irrigation Boom Rough-In Dak H Special Inspeclion Invesiiga}ive Fee IS INSTAWITION MAY Finol BE ORDERED DIS Date , I ED WITHIN 18 ON S. . ?epuest void ? C???Q 18 mpnths (rom ? E- 2 6 399/'9.,411 Request Date / G p 6 ? Fire No. R -in Inspection R q ired? Reatly Now Q Will Nolity InsPec- Wh ? 0 L Yos jjj? o br en fleatly 01-1censaA Electrical Contractor 1 hereby reQUest inspectfon ot above ? Owner electrical work installetl ef: Sueet Atldress. Bo r Houtt No. / ?'c] ( Ci :.? LVpvT !? Ciry ?c. cr - ! v o 9 . „-_ ecl?on o. Township Name or No. Range No. Counly OccupantlPHIN71 C.Q 1-(7f Phone No. qS"..2. - 37? Power $upplier Adtlress Electrical Contractor lCOmOany Neme) Contraclor's License No. -1- Mailin8 Atldress (Contractor or Owner MaK g Ins[ailationl i I(? s ro ci a J:? - t ? ? +l - J 19 1 1 7 -c, o, -_ - e,,, Au[horized SiBnatura (GonVactor/Ownef Makine Installationl co, w? Phone Number yG 1 MINNESOTA STATE BOAPD OF EIECTRICITY THIS INSPECTION 0.EQUEST WILL NOT Gri09s-Midwev Bldp. - Noom N•191 BE ACCEPTED BY THE STATE BOAXD UNlESS PPOPER INSPECTION FEE IS 1021 Univarsitv Ave.. St. Veul. MN 55104 on....e iwiv. ae._rwnn ENCLOSED. 5????89 REQUEST °OH ELECTRICAL INSPECTION ? Ee-ooooi-os , Seg. imlyo?GOns for <ompleting this torm on baek o1 vellow copy. E-2 6 39 9 "X'' BeloW Work Covered by This Request Nevi AdJ Reo. TYDe oi Builtling AODliancen WireC Equiumant Wiretl Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaLn Comnercial Bldy. Fumace Silo Unloader Industrial Bldg. ir Conditioner Bulk Milk Tenk Farm otne? peci v ?ner ISpenivl t er Suecrty thpr Oth?:r Cnmoute lnsoectinn Fre Belnw p Fee ServiceEntrence5iza N Fee Feeders?Subfeetlers M Fee Circuits U to 200 qm s 0 to 30 Am s 0 tn 30 An! s A6ove 200 qm>s 31 to 100 qmps 31 to 100 Am Swimming Pool Above 100_Amps Above 100_P.m s Transtormers ?rngation Booms Partial'Other Fee Signs SpecfallnsUection $ Nerterks 1/J v T / i, 1-91ITTe-Oricai Insoactor, here6y certily the[ the xbova inSpeclien ha5 been made. This re 18 mnnths (rom ? 027 D?., . 8-0 6 3 9 ? Request,Date ire No. ? ? v PeQAhes eU?Ins ? pec Nua on ?qeatly Now ?'ddl Notity.InsDec--le R?f??Or When Ready ? E] Li nsed Ieclrical ConVactor I hereby reques[ iosDection ol above nlwcvical work installed aL LJ UWOEf Sveet Address, Box or Pou[e Na 9!a - ??? ? w anBe o. ection o. To ship Name or No. Citv ? ? ,? c ?? OccupantlPRINTI ' Phone N o. 6/SU- G a°? Z ? E 1,1 osyr Adtlress Power Suoolier / ? a ` Jracto? l om/oa?nyn Nama./) ? ,pn? C Elecvical ? Convac,tor's Liconse No ??/ ? / J / ?i l? / l A/ Ai?fl? mr or Owner Mak?np Instailauonl Mailing AdJress IContiac - Au horized Signalure IConvactor/Owner MakinB Installationl NumCer Phone q /Q^ 5;i&, / . e i-occiinrv NEQl1E5T WILL NOT INNESOTySTpTE 90AXU OF ELECTqICITY BE ACCEPTED BV THE STATE BOARD Griggn-Midwav Blde. - poom N•191 UNLESS PROPEH INSPECTION FEE IS 1821 Univerailv Ave.. St. Peul. MN 56104 ENGLOSEO. Phone(672)fi62-0800 REQUEST FOR ELECTRICAL INSPECTION Es-ooooi-os / See inslmetions tor completing this lorm on back oi yellow copy. 80639 "X" Below Work Covered by 7his Request NewlAdtll Rao.l Tvoe nl 8uilaina 1 Aoolinncea Wired 1 Equiumanl Wired - I IC2 Air Conditioner on a Fae se.vicaen+.aocesi:e x Fee fBPABlS/SYEIBP.dBfS a Fee c(.cwrs 0 to 200 Am ps 0 to 30 Am s Q 0 to 30 Am s Above 200 Amps 31 ta 100 Amps 5:00 31 to 100 A s Swimming Pool Above 100_Am s Above 100_AmVs Transiormers Irrigation Boorris Partiab"Oth Fee I' I$igns ? I ISUecial Inspection S TO L FEE Bmarks d. ? Rouoh-in Dare I th ? ? , ?nsDacbr, hereby cerlify thet the nbove Final . G ? ?e ' .b msoection has been ?ea . y.. . tnis reduesl vola 18 moniM trom CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt a 7o be used )or DECR Est. vawe $1.000- oate JU Site Address 5 Lot 9 Block Parcel No. w Name CLIFF REYKDAL ? Address SAME ° City Phone 452-3676 o Name BRYAN VOIGHT CONST ;a Address 3557 W 143RD ST W ? Ciry RnSNT Phone 423-1296 Name _ Address City _ PRAIRIE CIRCLE W - Sec/Sub. COUNTRY Phone I hereby acknowlege that I have read this applica' n and ? Ihat the information is correct and r to comply ith ? icable State ol Minnesota StaWtes a " o agan Ord na? Signature of rmitee BRYAN 0 GHT CONST A Building Permit is iss ed tq. on the ezpress condition th2l all work shall be done in accordance with all applicable State oi Minnesota ? tutes and City of E n Ordinances. ? Builtlinq Official v U C Occupancy 2aning (Adual) Const (Allowable) N oi stories LengU Depth S.F. Total S.F. Footprinis On Site Sewage On Site Well MWCC System Ciry Waler PRV Required Boo918r Pump APPR04ALS Planner COUncil Bldg. O(1. Variance N°_ 19417 I(j , 9 91 OFFICE USE ONLY lb- Bidg. Parmil Suroharge Plan Review SAG C%y SAC,MCWCC Water Conn Water Meler Acct. Deposit SlVJ Permit SNJ Surcharge 7reatment PI Road Unit Park Ded. Copies TOTAL FEES $25.00 .50 :1;25.50 ?` 5s 9og RE5IDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4875 New Conatructton ReaufremenU • 3 registered site surveys slwwing qq. R. af lot, sq. R. ot Muse; aM all roofed areas (20°b maximum lot coverage alloweA) , • 2 copies of plan showirg beam 8 windax s¢es; poured found design, etaj • 1 set of Eneryy Cakula0ons • 7 copies of 7ree Preservatian Plan if bt platted after 711193 • Rim Joist Delail Opti?ore selec'on s t(bldgs with 3 or less units) DATE /v l D? Phone # SITE ADDRESS ? 1 .rI ; ?? MULTI-FAMILY BLDG _Y _N TYPE OP WORK r "1"''"' FIREPLACE(5) _ 0 _ 1 __2 ri 9 APPLICANT 1n STREET ADDRESS CITY ?. STATE c3c? ? iELEPHONE # ' CELL PHONE # ???ryryry fAX # PROPERTYOWNER? ? TELEPHONE# „ _________________ ____ _ .. . i.':.5Sf'...,:.:.....?Y.. COMPLET E THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY "'d; `t''''"''? .,. . . - . ' ?i?z ;.:. Energy Code Category _ MINNESOTA RTJLFS 7670 CATEGORY 1 MINNFSOTA RLJI.ES 7672 (J submission type) • Residentlal Ventilation Category t Worksheet Su6mitted • New Energy Code Worksheet Su6mitled • Energy Envelope Calculatlons Submitted -" - '--A': ` ` - Plumbing Confracfor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: _ Water Softener _ _ Water Heater _ No. of Baths _ Air Conditioning _ Heat Recovery System _ Phone # Lawn Sprinkler No. of R.I. Baths l Ta -;) Fee: _ $90.00. .,... Fee: $70.00 Phone # " ----•----------------------°-------°---•---------------°------°-----°°---^------------------°--------------- ------- I hereby acknowledge that I have read this opplication, state that the in ormation is correct, and agree to comply wifh all applicable State of Minnesofa Stafutes and City of Eagan Or ances„ '7? Signature of Applicant ? ?/ L-f - OFFICE USE ONLY RemodeBReoair Reauirementn • '2 wpies o( pan . . •1 set ol Energy Ca1cWaUons for healeU addifions . . • 1 sNe survey for exterior addpions 8 decks • Indicate if home served by septic system for additqns " VALUATION Certif'rcates of Survey Received _ Tree Preservation Plan Received , Not Required _ Updaled 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait- SF ? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alterat(on ? 37 Demolish (Bldg)* O 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Vaiuation Occupancy MC/ES System , Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units - Sq. Ft. PRV ? .. . Nbr. of BId9s ' - ? Length Fire Sprinktered . Type of Const , W idth REQUIRED INSPECTIONS ._.. _ ... __. _. ; ..:. Footings (new bidg) FinaUC.0.- _ _ . . . .. .. , , ? . .. Footings (deck) FinaUNo C.O. Footings (addiflon). _ Plumbing Foundation _ . ? . HVAC . , , Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _Final. ., -. • Framin8 _ Siding Stucw Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retanvng Wall Approved By Base Fee Surcharge Plan Review MClES SAG City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Tntal Building Inspecior j -i' SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS M[ILTIPLE DWELLINGS /71/0 COM4ERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL ? REGISTERED SITE SURVEYS - S STRUCTURAL PLANS (CHECK WITH BL)G. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF AENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF HONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MJST QESIGNATE WkIIQi ADDAESS SS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: Site Address .5 /(v C/-' w Lot Block ? Parcel/Sub Owner CL/?F r?eL/?Lt.?G( r Address W4, re-7+-?"'t C?- w' City/Zip Code Phone ?5a''.3674, Contractor 02e7lA`? VWOI-t-F CdNSJ- Address 35Tt2 L/? 34, w City/Zip Code SS0 L31 Phone 4Z T' /Z % Arch./Engr. Address City/Zip Code Phone # OFFICE IISE ONLY Occupancy Zoning Actual Const Allowable # of stories Length .o _ Depth I(? S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV Boostex Pump _ FEES ?? ? Bldg. Permit Surcharge ,SD P1an Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit 5/W Surcharge Treatment P1. Road Unit Park Ded_ Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL APPROVALS Planner Council Bldg. Off. =9-1241 Variance Sewer 7zter r ns c agrees that all wolrk shall be done in accordance with (S3p ature of Contractor) 1991 BUILDING PERMIT APPLICATZON CITY OF EAGADI RECO ?..?- Date: all applicable State of Minnesota Statutes and City of Eagan Ordinances. ' i"RI - LAN D C 0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 ? 27>? ?0"W LEGAL DESCRlPTION: LOT 9,BLOCK 4, COUNTRY HOLLOW ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA LOI ??`..+ W m Nro ?o N w o O? O z 3 \N 'O ? o?OO N Z SCALE: I"=30' a LOT 9? ? ?' cl'?? F z? / \ ? \ \ ? ,o SITE PLAN FOR: RAINBOW HOMES ??6•?` E Woo \J? 00 ,,00 0 LkDI il) LEGEND PRAIRE CIRCLE W EST ?PU`D c?o /S Cl . e DE{VOTES fRON MONUPflENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ? DENQTES DRAINAGE DIRECTION I hareby certify that ihis survoy,plan or rsport wus propared by me or under my direct supervision and thaf I om a duly Repistered Land Surveyor under the Laws of tha State of Minnesotu. INVERT EI..EVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVdTiON=-$-52,? PROPOSED FIRST FLOOR ELEVATION = F?67-9 PROPOSED 9ASEMENT FLOOR = 8vy 9 ELEVATION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS a.ja a21' Bradloy Swen:on, Mn. Req. No. 15235 Date ' APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN il NUPEc PAY4ffNf OF FEE AT 7ZME OF ; nerucATIoc, ooES Nar mN- ; ? STI1[T1E APPRQJAL OF PIItFIIT. x ? ? INSPFZTIQJ OF SEWffii APD/OR NWSII2 • ?. ? I[YSfALiATIIX1S WIId. NOT BE SCIDUIID ? [!NPIL PII7MIT HAS BEFS] APPROVID. ? cltV f#?14?iif 4fi?A?'f#!ttlifM*f#t?4f1il?4l(ft oF eagcin PLEASE PRINP 1) PROPERTY ADDRESS: T•FY:AT, DESCEtIPTION IF EXISTING STR[JC'S'fJRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Mont Year PRESIINr 7ANiNG/PROPOSID LSE: Q COPM'lERCIAL/RETAIL/OFFICE Q INDLSTRIAL Q INSTI'IUTIONAL/GOVERNMENT 2) NAME: ADDRESS: ?R-1 SIDIGLE FAMILY ? R-2 DLPLEX (3'wo C'nits) Q R-3 TOWNhIOC?SE (Three +.IInits) ( Lnits) Q R-4 APARTMENT/CONIDONIINIUM ( . C'nits) CITY, STATE, ZIP: PHONE: ? 3) • i:?' NAME: ADDRESS: CITY, STATE, ZIP: PHONE: eliunoers License: I? Active Expired Not recorded St Ia n?itial 4) ADDRESS: CITY, STATE, ZIP: PHONE: 5) ? a •?• • o i ?? ?ONNECTION TO CITY SEfn1ER ,?CONNECTION TO CITY WATII2 O OTfM 6) ls? ?.? %?? *?***********?.**.*******??*?********* ** ??****?**?*************??***************?*?*,?*.*??***??? * TfE GOLD COPY OF RHE PERNIIT 4JILL DII2DCIZY TO PUffi,IC WORKS 'PO FACILITATE MEiER PICK-UP. ? ?*. PLEASE ALTAW 1W17 WURKING DAYS FOR PROCESSING. SONJEONE EROM TM CITY WILL CONPALT YOD IF ZHERRE * * ARE ANY PROBT,EMS. * ?+*? *,?:?******* *,t*,t,r********,r**,t*****?*****+***?,t* *****+**:+*?+*****+**********+*?,r*?*+,t**+,t?+*****;? .V .? ? _ (?' f (`, ?.l! 7.' MASTII2 LICENSE # - ? . FOR -CITY USE ONLY ' PERMIT # ISSLED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLLDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ (` ?`? n $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /5'l3r) ACCOUNT DEPOSIT - SEWER $ $ 'v ? ACCOUNT DEPOSIT - WATER $ _J ? b r D CJ $ WAC $ $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ hfG C? U $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7 'o U $ rS ?' D D TOTAL - - 7, ?'/ c/ Z ?O -3 -7 RECEIPT RE CEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS A CONDITION . . SDBJECT TO THE FOL LOWING CONDITIONS: I APPROVED BY: TITLE: DATE : ? -L/? .?zg / ?? . 1987 BDILDING PERMIT APPLICATION - CITY OF SAG9N SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANSO 3 CERTIFICATES OF S08VEY, 1 SST OF ENSRGY CALCOLATIONS NOTE: ADDRESSES FOfi CO@NER LOTS - CONTRACTOR/HOMEO{iNER MQST DESIGHAYS WHICH ADDRESS IS DFSIRED. NO CBANGES iiiLL HE ALLOWSD ONCS BDILDIAG PERMIT IS ISSUED. MOLTZPLE DLiEI.LINGS - RENTAL UNITS FOR SALE 09iITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRYSY - CHSCg iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, > $2,000 LANDSCAPE BOND SIN6LE FA?hlly bWt"?.lF1«r --.--..__... .>. ?' L To Be Used For: r? gyc"e Valuation :', Site Address 5q(P Pf"itf9{, 04 e, W • Lot ? Block 4_ Parcel/Sub Cgl? Owner --a Address 4lJIZ 1fCe.YYCS !Aul. SO. City/Zip Code MOO,S, Ma• S$410 Phone ? ?,a' Z'30(o Contractor 20AIAbow tbM4s Acldress e°tS 6 , ?S '-7*- ?? E- . City/Zip Code 'cAiVt? 6mtJf 8*2,A- Phone Arch./Engr. Address CitylZip Code 99, non +" - Dn Site Sewage_ MWCC System ? On Site Well City Water ? f(:?' ? 9PPROVAI.S Assessments Water/Sewer Police Fire _ Engr Planner Council , Bldg Off , II IC, APC Varianee RC'D OV 12 19877 ? . 1.1&1197 Oecupaney R_3 Zoning Type of Const (Aotual) V-N (Allowable) V-N # of Stories Length 66' Depth 36 S.F. Total Footprint S.F. FEFS Permit 500.00 Surcharge 4q, o Plan Review ,_ SAC, City 100100 SAC, MWCC 25,00 Water Conn 525-00 Water Meter 67,00 Road Unit ,305?00 Treatment P1 ? Qp,Op Parks Copies TorAL a s o i D Phone 0 VAL.uP%TtOfJ ? GR+2AGE ,?? x 2z = y8y x i;Z= S 8oe N OusE yyX ? = 13z? 12 ! fs o , G x?? 90 ISgo 98oz8 ? r ; 50u=eur [,g.gtj? ;>!i0•UU+ U U ??- j11^.•IJU + ? Ibl1°UU+ 7 U ? r- TRI-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EA6AN, MINNESOTA 55122 SITE PLAN FOR: RAINBOW HOMES LEGAL DESCRIPTION: LOT 9,BLOCK 4, COUNTRY HOLLOW ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA 1?1 w rn N CD N? o f? O rh O z ro I ? ? \ LOT \ 9 \ to .? 0 ? ? oni \ SCALE: I"=30' LEGEND LOI 8 27. i?T0"W 9? 9? E ? \o a 2 4?` J??- f CRRCI R E o &J?°`'? - ---_-t _ W EST ?c+^, 0 ?? - F aPV ,?o / / ?i ?O \?? p0 N V?? ? 0i I 10 o DENOTES iRON MONUMENT ? DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELE VATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I hereby certify that this survey,plan or report was propored by me or under my direct supervision and that I am a duly Repisfered Land Surveyor undsr ihe Laws of ihe Stote of Minnesotc. 8radley Swenson, Mn. Req. No. 15235 Dote *- INVERT EI.EVATION AT SERVICE EXTENSION= PROPOSED GARAGE FLDOR ELEVATION= 8S2,y PROPOSED FIRST FLOOR ELEVATION = PROPOSED BASEMENT FLOOR = gyy 9 ELEVATION NOTE * VERIFY ALL FLOOR HEiGHTS WITH FINAL HOUSE PLANS john Bradley arthitectural eonsultQnts Inc. - i00o DUSL I. C. 021E0'YN. BSiN M. wt2)-{14-177= EXTERIOR ENVELOPE AVERAGE "U" COMPU7A7fON PIaR" =I_s-7 Date ir_y-g-7 -L G?1 Ewp.?..i '?e:rK Owner, .Ml -- Controctor•. W°r^att Is '?. Site Address: 5qU 2:2(ne ,ti u7. Fwonre A ft i'U•!! - 3iO?'Z a 1)TOTAL EXPOSED 4YAtL ARE _ G. TOTAL EXPOSED ROOF/tEILINO AREA ?? ? 54 }t• x???_ ¢?'3? 2) WALL ARfA CALCUlAT18NS' , TOTAL WINOOM/ AREA 2ig sp.ft.1-U?1'"= Pb?C-E GLAZED TQTAL. DOOR AREA 3$ sq-ft.xV'Q"7 = Z'??O GLA58 DOOR AREA TOTA $e-) sq.it.xU-'!~S L V?aWM?Iff ` GLAZED T07AL fiREPLACE WALI AREA sq.ff.x"U"'3?O JOTAL WALL FRAMtNG AREA sq•ft.x"U"'? NET INSULATED WALL AREA sq.fi.x"U"!o4S_ ?834' TOTAL RIM JOIST AREA 9q.R.zU?' __ ?•?¢ T07AL FOUNOATION AREA (EXPOSED) i 9 4 sq.it.x"U??,u, TOTAL FOUNDATlON WINDOW AREA ? t sp.ft.z- U- , 3) TOTA? Z4•0 . !f ifem 3 is the some as, oi less ihan iiem l, you have met ihe rntent of 2 tACAR 1.16008 A ond O. ROOF/CEILINO CALCULA'TIZINS, itz" U? ¦q T0T,4L SKYLIGN7 QREA . TOTAL ROOF/GEILING FRAMING AREA aq.it•1 j1U° dr4i= 4X5 NET INSULATED ROOF CEILING AREA _ 143Z s9•ft•x uu'O - 4) TOTA ?•?"? 11 ifem 413 fhe some es,a less fhon itam 2, you hare mef the intant of 2 MCAR 1.16008 A ond O. ALTERNAT£ BUILDlNG ENVEtOPE DESION To utifize the totof envelape syatem me thod, fhe zxn of items ! ortd 2 alwll ps preoter fhon fhs sum of ifems 3 on d 4. I) t2) _ 3) +41 = f Asroby corlffy Ma? ?hf buftdlnp hsro doscribed ?ets? exaesds tlr Stote oi Mimesola EnerQy ConservoNon Acf. t A? eu d . e.? RAYINO SECTION 'W , 4ncts ot eolt wood (oF,7 ' ? s?,? ?+?.DP-?fiE? Z •? . ? uNrea oir lirm ?.Il TOTAL R ? ? •?}' U = I/R ? tECT10N (INSULATED) z •od T07AL u r, ST SECTION 'nt ii r ir /Rm 0.68 ???L_S•? wr'- ,? .-? ? ? •1:1 gILforia air film 017 TOTAL R 4-4 U s I/R ?D TION SECTION iMer1a eir fflm ? ? r ?Rt^ ? •° 12 t. ??' : 1 .=,S .zt..ro. o;? r;Un =' + - O.iT TOTAL R ? Y ' : ?:J "? . ? •! ?. . r . . . . . .. ,. _ .. - CEll.slfi SECTION I tMSULATEOI. t) ?fit rlor oir /ilm 0.61 _ a 411?W° 'S H-H. PR?.K. .54V (3 ps+.c„ii.? I "S 44. o (4 o:taia alr 111m (sB1t) 0.6t _ TOTAL R 415,.78- u ¦ I /p .ou CEIlB06 FRAMIMG SECTtQN - Wajsrfa ofr film 0.61 (I sib"s. p- . Sm (4 eNrlOr olr fllan 0.61 ?S ?atnctKS o! ?o? rood `?'.? .70TAL R '59.1'3 y s I/R •ozf=? GEIL314G SECTION (INSULATEDl 0.6i ( I Jnf?rlor olr /ilm _ (Y (4 ?i?KiO? Gfr fNfi (iNf1) 0•61 TOTAL R u a. 1/R VENTED CEIUPlG FRAMING SECTION • o ? ( ?,lnferfa air fiim ?e (3 0.61 (4 inf?rla afr /!Im i5 In'e1KS ot aoft rooa .TOTAL R -U s 1/R EicppSED gEAA1 CEILlN6 8£CTlON O.? 0 ? ? L afr 11Jm u ?----:.. ?a ?O.,fNFo? .r? frl TOTAL 11 _r- y s 1/R ? p n . . . - . .. .. , ii CTr"Y..GF C'ACAN . :i TFh'MTPlRF 'NEi4 iO6 DqTc.^.? : 01/29!9' "?Mr'..s 0c:.34HO CjUYGHEh xEMOIiFUNG INC 22LC3 pofll -53P; FF'ATRiE CS1't `. 50.()0 2ii5 j300.. ;:a% PFiftItilE `:;TR (,.50 il s ' ti.^sEK W{C`; ?i L C/ eL ? CITY USE ONLY RECEIPT#: SUBD. RECEIPT'DATE: 4 3/ ./r ?J 1997 PLUMBING PERMIT (RESIDENTIAL) GITY OF EAGAN 3830 PILOT KNOB RD EkGAN, MN 55122 (612) 681-4675 Please complete for. . single family dwellings ? townhomes and condos when pertnits are required foreach unit ? backflow preventer for underground sprinkler system FIXTURES EACH NQ TOTAL Shower 3.00 x i _ 3 Water Closet 3:00 x 1 = 3 Bath Tub 3.00 x ! = 3 - Lavatory 3.00 x i = ? Kitchen Sink 3.00 x = Laundry Tray 3.00 x = 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 = Water Softener ' for tlwellinge under construction 5.00 x = Water Softener ' Wr exiSting dweliing 20.00 x = U.G. Sprinkler `fordwellingundarconst. 3.00 = U.G. Sprinkler ' Por existing dwelling - Alterations ' to existing residence ,20 00 = a? ? Water Turn Around : = Private Disposal System ` oak Cry iie. 75.00 = (new and refurbished systems) Private Disposal Systems' nbaneonment 20.00 = STATE SURCHARGE .50 TOTAL I hereby adcnowletlge that I have reatl thisapplttation, state tbatthe iniortnation is correQ,.end agreetocomplywith all: applica6le City of Eagan ordinances. k is the applicaM's responsibility to notiy the property owner that the City ot Eagan assumes no liabflity far any damages caused by lhe Cky during its nortnal operational and maintenance aUivifies to ihefadlities constructad under this permrt within City propertyMght-ot-wayleasement. ?''r, rrc C;rc 1c Lvet ? SITE ADDRESS: OWNERNAME: c?r,r--('„?•i-?rcko- INSTALLER NAME: TELEPHONE#: & p/" 8 z S Z STREET ADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLoxNs Permit Number: 029435 Date Issued: g 1/2 g/g 7 .SITE ADDRESS: P.I.N.: 10-18275-090-04 DESCRIPTION: PERMIT 596 PRAIRIE CIR W LOT: 9 BLOCK: 4 COUNTRY HOLLOW (ONE BEDRDOM) 6uilding?-P?ermit Type $u.Lldi,n:g Work rYpe Census Code 43? r" •'\ l. r I,. .. .ffv _? . ?5 k A Zf?f: _ j- \?? 4 l'• a.. t' BASEMENT FINISH ALTERATION ALT. RESIDENTIAL c ? REMARKS FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: _ qpplicant - sT. Lrc OWNER: qUTCHER REMODELING 16880758 2003599 REYKDAL CLIFFORD 3643 WOOOLANO TR 596 PRIARIE CIR W EAGAN MN 55123 EAGAN MN 55123 (612) 688-0758 (612)452-3676 I hereby acknowledge that 2 have read this information is co'rrbct and agree to comply L Statutes and City af Eagan Ordznances. APPLICANT/PERMITEE SIGNA7URE application and state that the with all applicable State of Mn. Ni mA- ISSUED BY SIG AT RE k ? CITY OF EAGAN ?? ? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodellReoair Reauirements O ? 3 regislered site surveys ? Z eopies oi plan ? 2 copies of plans (Include beam 8 wlndow sizes; pourad fnd. design; elc.) ? 2 site surveys (exterior addHions & tlecks) ? 1 energy calculations ? 1 energy calculations for healed additions ? 3oopies W tree preservaHOn plan M lot platted after 7I193 reQUlred: _ Yes No DATE: I Iq -7 CONSTRUCTION COST: 294 DOU ^ DESCRIPTION OF WORK: ????'v?[^^i?- F`? vt?S V1 ? ? STREET ADDRESS: ?S9 fo ?ra,rr? e. C f IrPi LOT Q BLOCK __J_ SUBD.IP.I.D. #: PROPER7Y Name: lS2.?.11? dCc.I C.; /l7"7?Y/J Phone #: 45Z - 3(0 76 OWNER I `"" ""°T 6YC? 1 S? ? ? 2 r _ , V L Street Address- City: f'az4cc.4.1 State: M v7 zip: 5 5/ Z.3 ?s(p ? f 4/7 CoN7Rac7oR Company: _DVL6.r Phone#: ?6,,q-075P? Street Address: 3?4.Z [,JD&114MG(Ti-- License #:.20a3599R City: Olq _ State: m n' Zip:ss/ Z..? ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address• City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Appiicant: ? OFFICE USE ONLY ECEIVED Certificates of Survey Received _ Yes _ No JqN 2 1 1997 Tree Preservation Plan Received Yes No (tillj - - BY: - SUILDING PERMIT TYPE OFFICE USE ONLY n 01 Foundation o 06 Duplex ? 11 Apt./Lodging zr 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pooi 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous 0 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE -? n 31 New X' 33 Alterations ? 36 Move ? 32 Addition o 34 Repair a 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ? (Allowable) Main level sq. ft. City Water IIBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump length sq. ft. Census Code. ?-I4 Depth Footprint sq. ft. SAC Code o) Census Bldg i Census Unit v APPROVALS Planning Building Ik*; Engineering Variance Permit Fee Surcharge Plan Review License MCNVS 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 Total: Valuation: $ % SAC SAC Units ? 3 Zg (P 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ??0oo Nevr Construction ReauiremeMs RemodeUReoair Reouiremenfa ia010 3 regisAred sde surveys showing sq, ft. W b1, sq. ft. ot twuse; and all roofei areas 2 copies of plan n?v? ? (20% rreximum lot mverage ailowed) t set of Energy Calculafions for heated addNOns g,'( ? 2 copies of pian showing beem & window sizes; poured found design, etc. 7 site survey for addNOm & decks free??' ?d??,?Y? h"„,,•,?,/sf?i lsetofEnergyCalculations Additiorr-mdicateifon-siteseptksysfem 0 3 copies of Tree Preservation Plan K lot phafled after 711/93 Rim JoislDetail Options selectlon sheet (bldgs with 3 or less unifs Date 3 Co¢struction Cost Site Address UniUSte # Description of Work ?. Cu) Lk.16VL (LTL,-J ? Mulri-Family Bldg _ Y?G N ? Fireplace(s) 2 Property Owner Telephone # ( (o $( ) q S7.' 3 CZIo Contractor Address 3 L- q-3 V'al City State Vv?w Zip ( L3 Telephone #(6t Z-) F7 5S933 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residentlal Ventilation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor K U I ZUU 4 LJ E3y 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 peimit; that the work will be in accardance with the approved plan in the case of work which requires a review and approval of plans. 2 f4j? V I v? T)ui-chcu_ ApplicanYs Printed Name ? ? Applicant's Signature _ Y _ N If so, 25% plan review Telephone # ( OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lowec Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration O 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (EnHre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) Fvotings (addition) Foundation Drain Tile Roof _ Ice & Water _ Futal _ Franring _ Fueplace _ R.I. _ Au Test _ Final Insulation 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 REQUIRED INSPECTIONS Finavc.o. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick W indows Rebining Wall Building Inspector City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEI'I D APR 13 2012 Use BLUE or BLACK Ink For Office Use (` Permit#: /r_/t/t Permit Fee: god, Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11113117.--, Site Address: s RESIDENT / OWNER TYPE OF WORK Name: 41/ f -C dy k_i l Address / City / Zip: -3-16 !ra ; -i` c e% A -c / Applicant is: /Owner Contractor Description of work: /idol , fi♦a# -r re,srtod rC Construction Cost: Multi -Family Building: (Yes Company: o .v �taTc(aor $erieC� Co '= Di.( Address: °N 3 7 36-1' State: GAJ..* Zip: 67/OL Y" Phone: License #• 9 a' 'a 4%i t6;'r;- Unit #: Phone: 6 57— z - 36 '7- ,G // (W 'x746 7297 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 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 that the 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Comma : st be completed within 180 days of permit issuance. Applicant's Printed Nattie City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (65 R± CEav D 1) 675-5694 QPR 3 102 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Le Use BLUE or BLACK Ink For Office Use Permit #: / t j k I Permit Fee: ( 7 V OV Date Received: Staff: Date: 177/.3 [ / 2-- Site Address: e_.. Tenant: c RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: C1 Address / City / Zip: NC.7 n Lr clai ilk 4/ a_ r��c Phone: Suite #: Ed? 14,,v .3-„57 Name: b&N Pi 1 Address: License #: $46 75V lei 1159 g5-0 4 51-- City: State: /if. Z Zip: �i0 /` Phone: Contact: Email: 1/f - qq5- 3zg/ New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: 1 $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $189.00 if a 5/8" meter is required) I$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 . •ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o9tplans. x e%' fp `-Wcg kcI q l Applicant's Printed Narfre FOR OFFICE USE Reviewed By Required' Inspections: Under Ground Rough -In Air Test 'Gas Test -Final PERMIT Permit Type: Building City of Eagan Permit Number: EA105041 Date Issued: 06/21/2012 Permit Category: ePermit Site Address: 596 Prairie Cir W Lot: 9 Block: 4 Addition: Country Hollow PID: 10-18275-04-090 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Comments: Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K $88.50 0801.4085 Fee Summary: Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: Owner: - Applicant - Hearth and Home Technologies Clifford J Reykdal 2700 N. Fairview Ave 596 Prairie Cir W Roseville MN 55113 Eagan MN 55123 (651) 638-3309 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ]. fit For Office Use 1�' �" _'7 411110 f � , i Permit#: 1-7 o c/-! 2 City of Eaaall Permit Fee: .--� 71 • • g- 3830 Pilot Knob Road c•:72- / Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: -.Ii 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/8/16 Site Address: 596 Prairie Circle West Unit#: "' Name: Cliff Reykdal Phone: 6514523676 Retidentr 596 Prairie Circle West owner - Address/City/Zip: Applicant is: X Owner Contractor %- g 1 S Type- Wo, Description of work: Remodel bh#1/ /Y2 S LC/y(�� YP Construction Cost: $50,006 Multi-Family Building: (Yes /No X ) Company: Homeowner Contact: Conteact . Address: City: { 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* nd ppo� do m ' o a b are ai e b ub r . rt so the information ay b as non public if you"lito ��c ,c r- ns that' _` ( r t r, to t. ' ;,2 'conclude that tb- rets.,:; h ,'•-•',':-::'4. .. '-',-*7::',-,, r[r , t 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi : ode must be completed within 180 days of permit issuance. x Cliff Reykdal x /,, , Applicant's Printed Name Appli ,l'e' i Mr ure Page 1 of 3 1 to lily_1 �- � / / `..� � rK' DO NOT WRITE BELOW THIS LINE /`"7 0 qL/7/7 SUBTYPES , Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior 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 _ Demolish Interior -1' Alteration _ Fire Repair _ Windows , Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Z Valuation el/ ©GC2 Occupancy 2/j G --/ MCES System Plan ReviewCode Edition 2G/5' SAC Units (25% 100%V Zoning a_/ City Water —' Census Code l/31i Stories I Booster Pump — #of Units I Square Feet /.2 PRV ,•-•-•#of Buildings / Length / ---_/ N Fire Suppression Required Type of Construction ya Width gI REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) C. Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation it 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: , Building Inspector RESIDENTIAL FEES Base Fee 3P/ ) 9, $ 4/1 . rr 414* 1/ - ,< 7� 91,E Surcharge Plan Review �3b !-°-- �7c'"'1`" i hi ,te ,r t,, is / fLr '-` MCES SAC 4,4 lei li City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies g& ,,t5 / TOTAL Page 2 of 3 Use BLUE or BLACK In r 4(�c� For Office Use 67// Permit#: /(! L/ City of Eaaaa Permit Fee: L<�° to ^o 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Staff: Fax: (651)675-5694 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 11/8/2016 Site Address: 596 Prairie Circle West, Eagan MN 55123 Tenant: Suite#: Name: Cliff Reykdal phone: 6514523676 Res Address/city/zip: 596 Prairie Circle West, Eagan, MN 55123 a Name: Homeowner License#: >> Address: City: State: Zip: Phone: Contact: Email: New Replacement —Repair Rebuild .L.Modify Space Work in R.O.W. — — — Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation(—RPZ/—PVB) PerTyp mit Septic System Add Plumbing Fixtures(1 Main/ Lower Level) ��� ti New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. )(Cliff Reykdal ��` ,,� Applicant's Printed Name p j is ature tea" F SIC S Rei ed r u a,� � �� u,G� UI ��Y a P z r-az i� cured s i b Under�n h In �° iir T t a �ff { � tester R e iter Meter Size PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143350 Date Issued:06/13/2017 Permit Category:ePermit Site Address: 596 Prairie Cir W Lot:9 Block: 4 Addition: Country Hollow PID:10-18275-04-090 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 - Clifford J Reykdal 596 Prairie Cir W Eagan MN 55123 (651) 452-3676 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145213 Date Issued:08/28/2017 Permit Category:ePermit Site Address: 596 Prairie Cir W Lot:9 Block: 4 Addition: Country Hollow PID:10-18275-04-090 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Clifford J Reykdal 596 Prairie Cir W Eagan MN 55123 Gold Star Contracting 2124 Swallowtail Dr. Shakopee MN 55379 (612) 221-4553 Applicant/Permitee: Signature Issued By: Signature