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800 Promontory PlCity otBaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 2 9 2011 O\ Use BLUE or BLACK Ink Date Received: Staff: j 20111RESIDENTIAL PLUMBING PERMIT APPLICATION Date: r/21/ZOJ 1 Site Address: (aOO PramOf-orJ P4, Eagan 55/23 Tenant: Suite #: RESIDENT / OWNER Name: Lou (S v t. + G (I ST Phone: ((OS! )(067 07;35 Address/City/Zip: 000 Prom 0n fort' PI /Eagan / 561Z CONTRACTOR Name: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50TM ST EAST City INVER GROVE HGTS State: MN Zip: 55077 Phone: 651 .45.1.-2241 Contact BILL.MILBER.t Email: TYPE OF WORK PERMIT TYPE placement _ Repair Rebuild Modify Space _ Work in,R.O.W. Desert Son of ork::. RESIDENTIAL Water Heater Lawn Irrigation L_ RPZ / _ PVB) Septic System New Abandonment ater Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 53—(' CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities.- www.00aherstateonecall.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 1 understand this Is not a permit, but only an application for a permit, and work Is not to s without a •emit; 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 VI /IQ ryl tki,,f7-- x 4 erraw Applicant's Printed Name i Applicant's Signe e . 6ITY,OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: , :,, INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 1I t? l 01( APPLICANT: f'i ? • i ? ???? TYPE OF WORK: I Iiif i1iM, .? ? .•?t>i ? iN.• I Q.4 INSPECTION . . . ? ?., .??? :, ? ? ??r? ? ? ??;;F ? PI hAr:t ', , t. t.] P i H I +4Ai iM wI)Ar+tt? ?i>l Hi, ? -1 ? ? Permit No. Permft Holder Date Telsphone N S/W PLUMBING 3- ? HVAC ELECTRIC ? ELECTRIC Q? Inspection Dete Insp. Commenta Footings I l7 Slf.S Foundation Fra"""9 5 Roofing Rough Plbg. //`/ Rough Fttg. Isul. rr 3 Fireplace 3 D.S QriP !?C k '- ?+...1[a? Fnal Htg. Orsat Test Final Plbg. O_ Pibg. Inspector- Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. ?U b DeGc Final Well Pr. Disp. ?8 ? ? WAM*ficate Of CctuOanc4 ?. ?liv of ftsim . me"rineld ,f "«m"y 3*0edin This Certificate issued pursuant to the nequinemeets of the Uniform Building Code certi, fyfng that at the time of issuance this struct+me was in complianee with the variorrs ordinances of the Ciry negulating building catslnuction or irse. For the fo[lawireg: use Classificatioo: SF LRdC Bw Pam* No- 21288 R3 1 R1 VN CONSL Oc-p-rTYw R A I?T ?g ?? 01 UPPF? i A ?ffiCT, APPiE VALiBY 714 Owner of Buil ' Addrcss Sildisr Address ? A" Lowli? a sUE ?•?t? i Build"mg O ial ?r POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ??'? `? "• ?"'gan, Minnesata 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: ; 0MOliTORY pE. illt WojU(?IANU`? 4[.4- 444c. PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . DA ?; .. . . , , ? P'MARKS: SFP14RA1F PERMIT RFQUIREU F[l/i pNY Pi IIMRTNA 6Jnlt11k . 1'AI FLfC7kICAl PrRllrr AND rM:pVr.rTO.N%*. PIRN atvIFwUn Nti F L 4+46-24340 It['AnH111 H6 / L! A. A9'.I• L• -1 I PermR No. Pertnit Holder Dab Telephone S ELECTRIC PLUMBING HVAC Inspectlon Dete Inep. CommeMa FOOTINGS FOUND FRAMINQ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTCi ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? 90 Requea Dete ? Fire No. Rough-in Inspedbn Rapuiretl? G Reatly Now ?,WIII Notlfy Inspector ? c+?? uNO When Ready9 IXJicensed contractor p owner hereby request inspection ot above electrical work ai: Jab Adtlress ISVret Box or R Ci1y ` SCrD Senion No. Townshlp Name or No. Range No. C. ) .aZorra OccupantlPRINT)?? ?j Phone No. -` ' T? . 'tl . tr? G Ya? Ai? i 513 ] !Q'$ Power S u ? Atltlress 1 ?? . o A G? C. Elecincal r IGOmpany Nemel Conlrei llcense No. ' C CA C)W.32 Mailing Adtlress ICOnvactor or Owner Making Installation? ? x? Y`n n. ss i? AutM1Orrzetl awre ICOnVaclorrOwner M Ir?g Installati n) one Number ? CJ`? -04U MINNESOTA STATE BOARD OF ELECTPICITY v THIS INSPECTION REOUEST WILL NOi Griggs-Mitlway BIEg. - Room 5493 9E ACCEPTEO BYTHE STATE BOARD 1821 Unlvereity Ava.. 51. Gaul. MN 5510C Ui PROPER INSPECTION FEE IS Phone(813) 64241800 ENCLOSEO. nEQUEST FOR ELECTRICAL INSPECTION ?- <L ? See instmaions lor compiating ihis lorm on backol yelbw wpy. , d 6 5 5 3 7 ''-7l" Be/ow Work Covered by This Request ea.aoom.oe ? ew Atld Rep. a Typeof8uiltling AppliancesWired EquipmeniWiretl Home Range Temporary Sarvica Duplex Water Heater Elaciric Heatinq Apt 8uilding Dryer Other (Specify) CommJlndustrial Fumace Farm Air Conditioner Other specify) ConlracmYS PemaBS. Compute Inspecfion Fee Below: # Other Fee # ServiceEmranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps Above 100 _ Amps SignS Inspectar5 Usa Only: TOTAL Irrigation8oom5 Special Inspection GT? Alarm/Communication THIS INSTALLATION MAY 8f,.qRDE CPNNECTED IF NOT Other Fee COMPLETED WITHIN 18 pi{7?M3`HS. I, the Electrical Inspector, hereby certify that the ahove inspection has been made. R019""" ?'?=? a• r?- F;nai . oete / OFFlCE USE ONIY . This r¢quest voia 18 monfns Imm - 1A.0165 ?„ Requ st Dale ' ire No. Rough-in InBpecti0n ReQUiretl? AeaEy Now p Wtll Notity Inspecmt ? ^!? `?Vas :: No When ReadyP I9,licensed contractor ? owner hereby request inspection of above electrical work at Job AOtleess IStreeL Bar or Raut e C city ? , ? (LO rc) i p 2. - iC GAn Secion No. iownship Name or No. Range No. Coun ?KI ICC7)`J? Occupant (PRINT) Prone No. A -,5CS Power SuOPlier Atltlress A ./ A2 In C.v Eiecvicai? a c1or (Company Name) Contracror5 License No. ? t?HA '- L / C OI Mailing Aotlress (COnvactor or Owner Making Insfailation) p ? F)-O, Authonxeo S? ature ?COmratton0 er Making InslallaUon) Phone NumCer 953- W MINNESOTA STATE BOAFO OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Griggs-Mbway Bltlg. - Room S113 BE AGGEPTED BV iHE STATE BOARD 1821 Univarally Ava., St. PauL MN 55104 (` ?I 2-- UNLESS PROPER INSPECTION FEE IS V1rone (612) 642-0800 D ? ENCLOSED, ? 7nnar - REQUEST FOR ELECTRICAL INSPECTION ? See insVVCtions far complating this brm on beck ot yelbw capy ?.? °'"•=? ee o000 o?/ A`.??"i "1 il OCNW VVVIR liVV6I@U Uy I IIIS IICL?UCJI '?bia•° V e Add TypeotBUilding AppliancesWired EquipmenlWired Home fiange emporary Service Duplez Water Heater Electric Heating Api. Building Dryer Other (Specify) CommJlndustrial Fumace Farm Air Conditioner Oroer (speci!y) Gontractor's RemaM1S: Co mpute lnspection Fee Below: # Other Fee # ServiCeEniranceSize Fee # CirCUds/feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amp9 Above 700 _ Amps SignS Inspectors Use Only: -? TOTAL ? Irrigation Booms C? I ? S Special Inspection Alarm/Communication I THIS INSTALLATION MAY BE ORDER ONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MONTNS. I, the Electrical Inspector, hereby certify that the above inspeciion has been made. Rovyn-m F;,,ai r oere oat /. OFFICE USE ONLY ThIS requBSl wid 18 mOnlh6 IIOm Address 800 PRCMUiM PttCE Zip 5512? Lot, ' I 1Blk 4 Sdb IIE WOMLANDS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON. Date: /') / .r? ? Yes No Inspector: ,S Final grade (6" from siding) ? e?a?h;ti hot c B ?e Permanent steps (garage) i/ Pertnanent steps (main entry) Pertnanent driveway. Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck vv CP 2 Please verify with the builder the removal of roof test caps from the plumbing system and t e shuhoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 6efore working in righFof-way or installing underground sprinkler syslem. ? White - City Copy Yellow - Resident Copy Pink - Contracwr Copy :k?nn(z;iF??''? =1:4:$:Ydm:kY,USk()}';;:?.$"Xt);; n;tk);c*',;iY,?;:*1; r.:rrv rr- =:a,r;ra,a CA`i'CCi.KRN' ''r, T'Iii:F:MIRF?I... N!'i;; 73E EATE: 051:.t1/98 l'7:NE: Q:.55:17 ID;, nhAN4C; (-tl.:ifl(1NN & fii85t7CIAT_S WC <i.':I.O 9001 900 F'ROM0td'T'L'•RV 50.00 ?i.Ei`: 9001 300 FRDMpN:Tr.:IRY 0..50 0 Toh.,). li_aceiN'' Amni.:r , ? 50.50 CR(:)92027 l.!F`-:R 7SiI \Rr:i:1' WY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: surLoztic Permit Number: 031995 Date Issued: 8 5/ 18 / 9 8 SITE ADDRESS: P.I.N.: 10-75875-110-04 DESCRIPTION: 4? oF F . Mh . ..t ? 8@0 PROMON70RY PL LOT: 11 BLOCK: 4 THE WOODLANDS n?g ermit Type BASEMENT FINISH nc,,W rk Type ALTERA7IQN 434 AI.T. RESIDENTIAL A M . v o i a a F 91311 REMARKS: SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2890 REGARDTNG ELECTRICAL PERMIT AND INSPECTION5. PLAN REVIEWEO BY MIKE BARCK. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 7otal Fee $50.50 CONTRACTOR: - Applicant - s7. Lzc OWNER: ALTMANN & ASSOCZATES INC 14549446 000176$ GUS7 LOUIS +2) WOODLAND TR 806 PROMONTORY PL M MN 55123 EAGAN MN 454-9446 . (612)687-0735 l! .'' ?:,... . ? /0_??-- ? ISSUED BY: SI ATURE ` 4-o . si) Q?-1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) /J ` / crrsr oF Eaaax 3830 PII.OT RNOB RD - 55122 681-4676 Naw ConsWCtion Reauirements RemodeUReoair Reauiremenb ? 3 registered sfle suneys ? 2 copies oi plans (inGude beam & window saes; poured fid. design; etc.) ? 1 energy plculations ? 3 copies ot hae preservation plan 'rf lot platted efter 7/1193 required: _ Yes No DATE: ^ - ? 2 copies of plan ??[ Z ? 2 stte surveys (exteriw addkions 8 decks) ? 7 errergy celcuWtions for heated addNions CONSTRUCTION COST;e?, ? DESCRIPTION OF WORK: STREET ADDRESS OT: /1( BLOCK: / SUBD./P.I.D. #: d" aLA)U4J? Name: CIXit41? ? /T4.cw Phone #: 2?8/`' '" U7 3,1?_ PROPERTY 1.ast F'un OWNER Street ?b ? ? Address: 44 4Z-11? City State: Zip: 3 Company: Phone 7?%--g CONTRACTOR Street Address: License # ? yJ? n/ City _ State: _/ Zip: .s 5 J Z? ARCHI7'ECT/ o4 /J // . _ ENGINEER Company: g?a?s?E? Phone #: ? G?y , Name: Registraaon#: ? ?/`? Street Address: S' LI1, ? City 049 State: ?/ ? ` Zip: Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this applica6on and state that the infortnation is cortect and agree to comply with all applicabl State of Minnesata Statutes and City of Eagan Ordinances. Signature of Applicant: Ay?- OFFICE USE ONLY Cerdficates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling O 07 4-plex O 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ,9'33 Aiterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies Totaf?. ;, ' '..? ? 11 Apt./Lodging g' 16 Basement Finish ? 12 Multi RepaidRem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Pubiic Facility ? 14 Fireplace ? 21 Misceilaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. Building AA$ Engineering valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance c o? -L 0 %s`(' ?:. SA[:Rlnirc SP, CITY USE ONLY ??D L ? BL RECEIPT #: 7 SUBD. ,?e /.C/LSt9TJCYa.s-t RECEIPT DATE: 1998 PLUMING PERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN, MA7 55122 (612) 881-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hat 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 dwellings under wnstrudion 5.00 x = WaterSoftener "forexistingdwelling 20.00 x = U.G.Sprinkler "fordwellingunderconst. 3.00 = U.G. nkler ' foreuisting dwelli?g 20.00 = Alterations ' to existing reside?'ce 20.00 a er urn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (naw and refurbished systems) Private Disposal5ystems ' nbandonment 20.00 = STATE SURCHARGE .50 TOTAL ? t-D• 6r> ----------------------------e ------ ° ------------- --.... -------------- --- ---------------------------------------ily ----ofE----agan-----ardinances--------.- I he2hy adcnowledge that I hav read this application, state Mat the infortnetion is corted, and agree to compy wHh all applicable C It is the applicaM's responsihility to noti(y the proparty owner that the Ciry of Eagan assumes no liability tor any damages caused by the City during its nortnal operational and maintenance activkies to the faeilkies wnstructed under thfs parmft within City property/right-of-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS' cirY: TELEPHONE #: 4Z--?-1144 STATE: ZIP: 6?6&6 SIGNATUREOF PERMITTEE JSlFORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998 ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Perrnit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LaT: ii aLocK: q APPLICANT: 600 PROMONTORY PL KOT HOMES, R A THE WOODLANOS (612) 687-9513 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW BUILOING 021286 07/@2/93 INSPECTION FOOTING ., . FRAMING .. INSULATION FIIVAL FIREPLACE REMARKS: S& W PLBR - MATTHEW DANIEIS Pl6G ? L ? ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT 7YPE: Permit Number: Date Issued: ???fyJz? 7? BUILDING 021288 07J02/93 SITE ADDRESS: P.I.M.: 10-75875-110-04 800 PROMONTORY Pl LOT: 11 BLQCK: 4 THE WOODLANDS DESCRIPTION: Bu11t#ihti,,Permit Type SF DWG $uilding 4a,rk Type NEW -'UBC flrcCupanC}3? • R-3 M-1 ? CaRStructfon Type V-N ? Xoning m..r R-1 Bltiitting Cength ) 75 E€uildfrxg Width 56 -"- \x Y !l 0 n ??Qlk °? ??2-?' REMARKS: S& W PLBR - MATTHEW OANIELS Pl9G FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $1,000.00 $650.00 $101.50 $750.00 100 $2.601.50 CONTRACTOR: KOT HOMES. R A 7901 UPPER APPLE VRLLEY (612) 687-9519 $203,000 MISCELLANEOUS $1.744.50 7ota1 Fee $4.246.00 - Applicant - ST. LIC 16879513 0001506 HAMLET CT MN 55124 OWNER: R A KOT 7901 UPPER HAMLET CT APPLE VALLEY MN 55124 (612)687-9513 k ? I hereby aoknowlvdge t.hat I have read thts applicat3on and'sEato that the infarmatian i-s cnrrect art agree ta eamply with a11 aRPlicAble State of Mn. L Statut?, and ?Gity of' ?ag n O'rdin,ances, ? ? .tnua .a M ISSIJED B : SI NATURE REACTIVATE._ PE,Rhi[ ? # 'X 1/1 it, OE 'N/E '3 arv oF EaGaN $q12qc..0p 4 1 5 1993 7993 BUILDING PERMIT APPLICATION ---------- 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date b??s / ?? /? Yaluation of work a''?,?5E1Op Site Address: STREET SUtTE Y iTenant Name: (commercial only) LOT BIACK _* SUBD.Wtloc(1" S ( P.I.D. ik Descri tion of work: A-f-t (d+-cheJ The appl i cant i s: BlOwner fU-Contractor ? Other (oesor;ne) Name Ko7? AiiFme /2./4- Phone 687-qs"13 Property U1ST iIRST Owner qddress -7 90 t [.?4ElL STREET STE k c;ty 1e //a? state A40 z;P zs-v zi' Company ga-^^-f a-s Phone Contractor Address License #67001.3ZG Exp. 7S- City State Zip Company 1, s4'jh Phone 1? 8 7-5s-13 Architect/ Engineer Name GvtiyIC Registration # Address City State Zip 5ewer & water licensed plumber rGs Processing time for ? sewer & water permits is two days once area has been approved 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. ?/` ' IIZl Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYP E e ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging O'1.? ement Finish ?W02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ?1i7 i1K4'ot"''"- 0 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. 0 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE I? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish t7 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCL System Y3 (Allowable) lst F1. sq. ft. City Water --? UBC Occupancy ?_I 2nd F1. sq. ft. PRY Required Zoning R-I Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkl er Length --9q7j?-' On-site well Census Code /01 Depth T On-site sewage 5AC Code ? APPROVALS ? ? Dlanning Build9ng Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % I ao SAC Units I_ 0 Footing 0 Final 0 Framing ? Draintile ? In'sulation ? Fireplace veiuat;«,: G.arat?c; 30 K 3`1 =/oZo ?s,•n?? Ihl'd Z k Ilc ?22) Z?`g= 1L IIx2? (2z? zxx= ?L - x l?'?2= Q07) vx5y= 19 a BSmT, 8! G`1 X/ 6-3?82? -?` `?( I 3(IL - ) b?5 Z N? D ?a.. i? = T I 3, 67 ri Zy= 3zg 3,b1? 11,33 = /S ??'/?x 30 = kZS 28 0 33 - s3 _ ? 7 Y [[2 _- 11, 33x 3,6 c= I `?l 'd x IS= L.519Ds>) 7 zsh • ? ? ?? ? ?J ' 06.'11i93 08:19 001 r . .? ?- . ? • SURNEY0R'S CERTIFIC,,ATE a.A.Kor HOMES N0Y6i NO"BfCG/IC 30168.lNgV88TIyfigAT?10N M?A?9 @gEN?p.gCOMPL61'BO SOILS? 'ro 8UPP6RTN1NEU8i?CINIC Ot18ESU1PR4f+6$?o,IBf NOT 7HE REBPON$181LITY bP 7HB 9UNVEYCIp. aAaaN INGaaaagairrca DEPT NOTE: BVILDING OIrnF.NStON3 SHOVINARB FVR MORRONTAL & VERIICAL IACATION oF BYRUGYURE ON6Y. SEE Aqp?{IT9CTUAL fl1tN8 ?R•9UtLDINO G P'OUN6ATIqJ aIMtMSI0N5. LR'V v pENOTES PROPOSED SURFACE DRAfNAQE O DENOTES IRON MONUMENT SE1 SCALE: 1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAQE FLOOR -'j/2g FEET X000.0 DENOTES EXISTINQ ELEVATION NRUPOSED LOWEST FLOOR - qu3 7 FEET (000,0) DENOTES PROPOSEp ELEVAI ION PFiOPOSED TOP OF BLOCK = y13', Z FEET WE HEREBY CERTIFY TO R.A. KOT NOMES THAT THIS IS A TRUE AND CORRrC7 REPRESENTATION DF A SURVEY OF THE BOUNDARIES OF: Lol i I; Hlock 4, THrm WOODLANDS, accd'dtng to recorded plat thereof, Dakoto County, Minnesota. 17 pOES NOT PURPORT TO SHOw IMPROVEMENTS OR ENCPtOACHMENTS, EXCEPT A$ SHbWN. AS SURVEVED gY ME DR UNDER MY pIHECT SUPERVISION THtS B TH DAY OF JULY 11992• R. HILL, INC. r JOHN C, LARSON, LAND SURVEYOR MINNESOTA UCEN5E NUMBER 18828 w 0 ' ? inc. Jamels R. Hill "I ? N ° ° ? ? p ? ?na ° ? , Z ?o ^ ? ? W PLANNERS / ENGINEERS / SURVEYORS N O m y 25DD W, CTY, RD. 42 0 BURN3VILLE, MN, 55337 0 812-880•6044 sa+eoe SURVEYOR'$ CERTlFICA7E ? PROMONTORY ? PLACE a1ea ?J A R.A. KOT HOMhS N . ? p ORIVEN (G1157? ? r ° U ? ? B? (?'? s a aENCM TOP OF p PC ' ? ^ 024.0 f ? 917.1 . .i .• ? ? ? ? ?- . , ' / ? ? • g,Z,? /H0?9? m ? ? am.1 ED pp0 N lb ? A 1 O lf '? La ? r ` 1 ?ry4 ( ? BENOi M4RIc rov or pwe .912.(S ?i s05 . ? . ?. . w oie.b .. ECKI W 9rQ ?p aibe a• ° ? r-.? 96?0 ? ?_ W - sos.e ? o.a? b?a:e O ? ~B ¢ OE I 898.6 ? ? (9 o ?? ~ ^ ! `? ? l ? e 0 ? I .?'} ' N I?,?,oAK- I L oS ? ??°? ?b ?. . 12 I i ? ? LOT II '1? ORAINAGE @ U71 B EA3EMENT PER F ? y o . - 100.00 S s $CALE, 1 INCH = 30 FEE7 i?. ? ? ,? 1 1 1?5 R 1 1 i( l i c E ? T . . 1 1 . , ; Z N pLANN?RS ENGINEERS SURVEYORS p m ? 2600 W. CTY. RD. 42 9 BURNSVILLE, MN. 66337 0 612-890-6044 8 g N IT Y LAT\- 6 o i 0 9?° 13 $4 W -' t??sSE?.o) LOT BURVEY CHECRLI6T FOR RESIDENTIAL PERMIT APPLICATI AROPERTY LEdAL: . Date of 8urveys DQCUMENT BTANDARDB • Registered Land Surveyor signature and company + Building Permit Applicant • Legal description • Address • No=th errow and bar scale • House type (rambler, walkout, split w/o, split entry, lookout; etc.) • Directional drainage arrows with slope/gradient $. • Proposed/existing sewer and water services • Street name ? Driveway ELEVATIONB ?xisting ? C 0 • Sewer service Ja" 0 0 • Lot corners v ? • Top of curb at the driveway 0 • Elevations of any existing adjacent homes io"osea ? ? ? • Garage floor [? 0 0 • First floor C,, 0 ? • Lowe'st exposed elevation (walkout/window) p' ? 0 • Property corners 0'? 0 0 • Front and rear of home at tHe foundation kONDING AREAS (if aoplicabie) ? 0' 0 • Easement line ? 0' 0 • NWL D cr ? • HWL 0 ? • Pond # designation ? [Y 0 • Emergency overflow Elevation bIMEN8ION8 C- 0 0 • I,ot lines ? 0 • Riqht-of-iaay and street width (to back of curb) 0 0 Proposed homa dimensions including any proposed decks, oveihangs greater than 21, porches, etc. (i.e.. all ? structures requiring permanent footings) 0 ? • Show all easements of record and any City utilities within those easements Er ? ? • Setbacks of secl structure and setback of adjacent ? ? ? • existing es Retaini ?e rements, if any , Reviewed October 1992 K v iE rt rnrT F ri.-F- iOr r:: iil, F.r4,i,r: •'lr" r i r,r rr,ra f11JIJF:F! r?.n. r:(i.I.. ii0mii_i.rar::. ??i...(Ir:i in) C?f.TE:" 611?f)f'F 3f3 i?rr -.1; Y.:lol._:=.,? I_ri1: J.:S. [ 3•:7??t ?;f:lh•ITR./}(;II7F2 Fi.f) . 1:11'f Il0li[Rr II`,If:,. 1)Filf lf f>>', c',:il:> Pl If_:7?liflll I,ICIf?I Ildr; fi;fill,lli[: I' iltliliC;E 1. . In{ 3 I. n;:I 7rt':-r?ti 1o81. 1. 2l, 1. Z 119 r?l 1 1..7. <'dr7 -ff; . •: ,. 1..1. ?1.'?!=i !: -7;Si?. .'fn t•;1. r!04 rr'. i;li iici I ?.. <irF? -1 ttl fl. iQVF,T-. i.inPi? ?l? rl =ii? lr?..?::, ?:r•n<s=:;l u 1.. ?lr..?l?a?l. f].r,Ur r:•3??t. Flr?;??.i °m' ' ?.r.? f+,.. ";. lcrlal F.? f Inr,r•. iI.r.! 1?.7 . :1 d=, i r.+!? . . . .. . . , . ,. „ .. .. . . .. ?J 19 <.:2, 41-3 c:. 7 r r:+E:i 1. ,=.r c: I,rr?F= t;Frr.., f l.nr.:ir..,. rn .'!.:I:i I. ;;. r•eT' , . .. „ ,. , ? . .. . .. . .. .. . . .. . . . . iEilf?i ff.lf(i(_ Ei[XF:CI'3LI) Irf:111p,IDf`il.T(Jhl Of?.E'.f1,,.,. .. ?5 ,1j0 . h. fr?it iI r:l;:,.i:i.nn 121 :i.1 1 dc:iiit 1 1 r.r:x .................... !-? i. io 1,a.1. it rik fr_?f.iiid a?l;i.oii I"E3pq., a.lv0 t+t FA r.::li >??:•?.iql p=n • „,;n 171 I7., ;:i`i.,Fi -'F{ ;.r "I..I" IJ.1.1?:, ?:_ •F.rF?}q ..,.. 11 i17 `.:il. ^U° "IJ" ).?)rt1 -; 1 7 ;rr,c::a c'`n ? ?.??? jt.1f S1 :: 1 5 j():?f=; F?. 17 .. "I.I" Cl ..:'.,r.':? f: :i.. (!4;' "I1.1" 7 16 II. `i 7 1.51 ? i i 1, e m Iffr i., };Fin zrnn .x.c r..ir II kiEa 1?, r n?.-,r•qy r?..??1et:s" f`II'Fll't ! I?r;jC!f1 fl f1N11 fJ.. .. rr.rrrai. rr..rl( 113r-:n rir:ua ?.;i-:ri tr,u:; r•,F?F r, i. Ic:) i;<zl. r, l::v)..iofrf; ::Ar!=<x....,.., ................ D I::. fol;-?.l. fl ? t ronf nri ir.-:zm,'.nri trf...,....... _ 7.. Trit.-tl. n+.:{: -fl.a;i Ire?,....,?.,,.... 1.•".7..1. f?c7,F,r>7•fn1f?B "lJ" 7111i?7... }?i 1'.?r:I.CI• '3L7c}ftl??fti; 1,669.i6 . . . . , . ..,.,_. ?.. ,., .. . . ? ' ;f ?i{,em t#7 i?s t.fie san?E.? rAS? 171i` ?.FF;=; I,I?eui itc=in #4:' vrn.? has?e met tlif= , , ?nerr?y r_nde. 2 MOnR 1.16009 A Ah,lll fl. TOTAL FI.OClFI CFaIVT. AF(EA (crnclosed). 187 n. ro+.<tl f:lr.ior ranL-. fr•imi.ng ar-e=a (a:;e. :10%). 18.7 p. "To{;al net., :insia.letl;ec'I flncn'/c,arit. arr..-s....,.. 168.3 Deal]f?f'Rt7.f1P "ll" value Tor• edsr:li I'.lc:ior/raril:. segment. 0. 1.8.7 „ "tJ" 0.043E379 ._ 0.820`.S;':.`°, p. 168.3 ;: "U" 0.024254 == 4.08197'i! 8 .....................,.............,Ta}al. 4.11,?..,.ql.%?. If i.t.em #E7 is the,sarne as; or ].e==s- theRn i.F:ern #k:; You have met the energy c:c7de. ? F1CAFt 1.16008 Il Flt,ll:? L:l. T'OTAI._ F _OCfFt/[:AIJ_? . AF7F:A (e>:pe:???r=cl ) ,.:_, :,.::. q. int:a7. (l.nor!r_ant;,. fr ami.nci <ars.>a (ave,. 10'4), ;.:' r. 'rotcxl met in:au:tated floor/c-<xnl: ,, zirF=::c...... 28.8 a)E'tf'1"107.1.1n "U" V1].1.4@ fOi' @r7r:.F'7 f7001"/GlI'1{;., SE'.!'{lilafl'I:, q. 3.2 ,. "U" 0.044346 ° O. 1419u.7 r. 2 E3.E3 :; "U" 0.024,396 =. . 0.70261 9...,........,,.........,.,..,,........fiaL-al ??.£344;`i17 If i.tem 09 i.s ttie same> ,:as ?r l.ess thsn it.em 44 y-r.:ru Iiavrr met tFi.r:. enerGY code. 2 M[:Al1 ]..lE,iin(:S A A1V0 U. d 1 HFRFRY CF.:RI].F'Y 'flinl 7 HF1VF (;(al IA'fED TIIE. il fFll Tf1Ft!3 AND R" VALUES HF':(tFT.N faND 1H11T fFif Bt111.' 1hIlU !iF RE 1)FSI ftIftFiLY MIE I`?3 ?JF I-iXC;FF[)?i; THE STi\lF CIF= MiNNE:SUfl1 f:hil:ItCiY O?IiE.ftVF1f:3O?I ?'4C,f. ^ 0? (51.gt1i3tl.lf'e) ?.J ........ _..... (da F,p) nE.ri=.:RM.r.raF "U° vAi_i..ir.-s,' THRU S7UU WITH S1:L)ING °. S.R. Ini:vrinr Ai.r...... 0.6F3 Sheet Rock ........ 0.45 Thermn-Hrea4;..,... Cr stud .............. 6.9.:; sr, p at r, i. ny . . . . . . . . . 2.06 Si.diny............ 0.7E3 E>:terinr Ai.r.... ., U.il Total "R" Value..... .. ..... 11.07 1/R = "U" Va1ue...e. ...,...(i,09t?,';i<3 THftl.l IN;iUL..l1TI[:tM W7:TH 5I171:Y•I(i & S.R. ].tli;pt'l07'• ni r"" _ _ _ _ h_f.S? ? • rttra:J IU.!L.J?. ?. . . , . .. . 'J.':.i , ? . :heritnr:t-FreaF::,..... C: , • %eaul.ation........ 19 Shez tti i. ng . . . , . . . .. 2 . tYE:) Si.di.ng .....,....,. 0,03 , F;:tPr•ior• Air......, 0.17 ? Tntal "Ft" Vali.ie ............ "',1.4 ... ......, i/R ... °lJ" Va1ue............ i;,04;';';'1S T'HRI..1 C;E I L ING MF:h1BE=FI Interi.or• Air...... Q.bsi3 SflPBt ROCF::........ 0..50 Ceilirig Y'lemher....; 4.35 In<,ulati.nn........ 30.92 Skill Ai.r„........ 0.61 Tota7. "Ft" Value'. . . . . . . , . . . . 37.111 1/R ... "U" Va1tin..,,,........0.C!:_E;9:.3 THRU CFIL.SNfi INSI.ILAI:f.[:Ild Inter•i.or Air• -. • • • C0,F6{.1 E"iheet Rorl::......... CI.','iFii Irisul.xtinn.....,.. 42 Stil.l. Air......... Cr.b:l. Total "R" Value.... , ..... 43,,`37 1!R = "LJ" Vali,ie..........,..0.02':'745 ? :,:.. 1"F-IFlU CONCRE:TE BI_OCk: Intei^i.nr Ai.r...... 0.6E3 conc. fllk.....,... 1..,::.F3 Inst.il.ati.ori........ 11. Sheet N4::. (crpt. ) . t? F:;tr!ri.or Air...... 0.17 Totai "R" 'Ja1ue ............. i.3,f.3; 1./R = ??U ...................t:i.0r7E,1b]. T'HRU RZM JpT.ST Intericir /air...... 0.60 Insialati.an.,.,.... i.9 Ri.m Joi.s;i;......... 1.89 5hPat-hinG.,....... 2.06 Sidi.ny............ 0:7H F..:;tPrior Ai.r...... 0.17 Tntal "R" Va].t.ie....... ..... 24 ,6E:1 ? y ].!R = "U" . , . . . .. . . ., . . . . . . 0.040693 U" val4.in fnr aii.ndoui........ 0.36 lJ" va1ue for doors........, 0.06 t.l" vel.u!.z fior Pati.o 1)r•=..;..... 0.36 u,.,..: I_.:I I ii i., ?. i i_.i u:A: i , • I.nteriGr• azr ...... 0.6EJ .' Finish Floori.ny... :I..:'.:; SFieathii.ng......... ?.... Plyuiood......... .. 0.9::, .ioi.st ............. 11.56 ,?. SFI@P{; Ror._4::........ 0,50 . Sti3.1 Air ......... C:,,61 Total. "R" Valun.......... .. M7? 1lH = "LI" ..................0.0:'4W7y INRIJ _r,AhJT, @ tNsui...nrzON (enrlo.=..;ed) , Interior Fazr,..,.. Finish Fl.r..ioriny.., ;frea tf i i. nG . . . . . . . . . P] yainod . . . . . . . .. . , Insi.tl.ation........ Sheet, Roci:;...,,.,,. Sti.ll Ai.i°......... 0.6E? ]. . .....:., 7..._ 0.931 ,T o 0 .SE"S l? 6). To't31 "R" V81l.IB............ 41.2.7-, 1./R -- "4)....... ............t:1&;;`4^t;q. THRU [:AN7. @ MF:M8E=f1 (e;tposE:.r1) Snterioi^ Air....., O.bf:7 Finish f lonri.np... 1..:•':.-; l_ l.lnderiztyment...... i? f° 1 ywcinsi . . . . . . . . . . . 0. 93 Joi.sC . . . . . . . . . . . . . 11,56) 5heat.hi.ng......... 7,2 Sotfi.t............ 0.78 E:aterzar Ai.r....., 0.17 Tatal. "R" Value..... .. ..... 22.55 1/R - W...,..... >. ,..e...ti.0443hh THRU CANT. @ IMSULA'T'If.]hJ (e;;posed) Irit.E+rior Aa r... . . , Finish Floor•i.ng... Unclerlayment..,._ P ]. ywnod . . . . . . . . . . . Insulatzon..,..... Sheath9.ng......... Saffit............ E::teri.or Ai.r...... 0.h4:3 1. . :';'; n 7.2 0. ->'3 0.17 Tai;al "R" VElI.LIP.....,...... 40.99 1/fi v "U................... I:l.f)2R,39f.o LAT II BLOCK // SUBD..? RECEII'T # /Li I 3 b & DATE CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMTT 1993 Application Date: _ Commercial project Gallons per minute/commercial :only _ Residential pmject (sprinkler systems for development projects) ? Existing residence Area/addi Installer: Sti'CCL 6(14was: ?-vu - i i nrcn_ v- ? c,Ty, State & ZiP: ??llk;r , A'Ih.7, ,"felephan2 Owner name: /?.oU ( Street address. d O kll City, state & zip: ?G• Phone #: ??- 1l???`UO'4 Nl? Imgation contractor, if different: Phone #• 1'?'tl - // 3P I hereby acknowledge that I have read this application and state that the information is correct.and agree ,.. to comply with all applicable City of Eagan ordinances. -l?- p New service required f6 Fee due: $ Calculated bya cl? 14 , f Si ature of Permittee ' CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PROCEDURE 1993 1. A plan must be submitted to the City's Engineering Department for approval before installing a lawn sprinkler system. If digging in the boulevazd, a right-of-way permit may be required. 2. Once plan is approved, it wil] be presented to the City's Plumbing Inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department,'will calculate permit fees as follows: a. Commercia] groiect: $ 25.50 underground sprinkler permit. $ 50.50 water permit fee only if new service is installed. $100.00 per tap if installed by City. Please consult with Engineering Department regarding feasibility of City installation (City will only install taps up to 1"). b. Residential proiect: $ 15.50 underground sprinkler permit. $ 50.50 water pemut fee if new service is installed. $695.00 per connection - WAC. $324.00 per connection - water treatment plant. c. Existing residence: $15.50 underground sprinkler permit -(fee not required if backflow preventor previously installed); however, plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility Billing Clerk for cost and notify installer of all costs associated with project. If new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(Engineering Department will advise Utility Billing Clerk when meter can be sold). Receipt will be coded to 20.3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventor. The Public Works Department inay be reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. ' - CITY OF EAGAN PERMIT TO iiORK WITEiIN CITY PROPERTY/&IGHT-OF-WAY/EASEMENTS 1. Location !f'QD 2. Nature of Work P?s? L ___Z_ Page 1 of 5 3. Indicate balow items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface Trail/Sidewalk Trees: Pond/Wetlands Public Traffic Control Devices/Signs Private Drainage Utilitiea . Structures/Buildings Other 4. Method of Installation or Construction ?c4,!/ 4-1- dli4 5. Work to start on or after: O - and shall be completed by: Q d unless an extension granted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary7 (UD . If necessary to detour traffic, describe suggested route: ' DETOURS: The Director of Public Works shall be notified in writing at least 72 ours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT 94U A 9.7*l9 etvn, /7 ?-- PHONE ADDRESS STATE r NAME OF PARTY OR ORGANIZATION PERFORMING WORK !4 4 e? Y:iL CONTACT PERSON: ?n-? H6Ca.??lC EM RGENCY (2 HR. ) PH EIt: _ 21 ADDRESS DAY PHONE STREET CITY STATE ZiP - The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the City of Eagan. Signed: 49-v•.7 4!10 Title: DATE: 6nt6'/ FOR CITY USE ONLY FINANCIAL SECURITY: AUTHORIZATION OF PERMIT AMOUNT: TYPE: kV Fee: $ JJ/; Receipt No. Permit No. .T ;bond,IAC,etc.) In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said City of Eagan; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special pxovisions as hereby stated: APPROVED BY: DEPT. OF PUBLIC WORKS /DATE ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. Permit No, Page 2 of 5 PERTINENT REGUTATIONS Safety 1. Traffic shall be allowed to pass and to be protected at all times. If it is not possible to allow traffic to pass, a suitable detour must be provided and plans submitted to the Director of Puhlic Works 72 hours in advance. 2. Barricades shall be erected in a manner which will provide suitable visibility in all directions. All barricades shall be in good condition, and all signs shall be of such size and legibility to provide adequate warning to oncoming traffic. At least two 7" flashing amber lights shall be mounted on each end barricade with one on an advance warning sign. 3. Excavations must be shored or sheeted when necessary to prevent under-mining of roadway, trailways, utilities, or for safety reasons. 4. Guys or stays shall not be attached to trees on right-of-way or private property without written permission. 5. . Flagmen shall be furnished by the party or organization performing the work whenever the work being done creates a hazard either to the traffic using said road or the personnel engaged in the construction, or when directed to do so by the City. OPERATIONS 1. Permit on Job--Permit's or copies shall be kept on the site of the work while it is in progress in the custody of the individual in charge, and shall be exhibited upon request made by any City official. 2. Provisions and Specifications--These general provisions, specifications and Std. Plate P-1 shall be considered as forming an integral part of each and every permit issued for operstions within Eagan. The work authorized by this permit shall be done at such time and in such manner as shall be consistent with the safety of the public and shall conform to all requirements and standards of the City. If at any time it shall be found by the City that the work is not being or has not been properly performed, the permittee, upon being notified hy the City, shall immediately take the necessary steps, at his own expense, to place the work ip condition to conform to said requirements or standards. 3. Execution--The permittee shall use diligence in the execution of the work authorized under this permit in order not to endanger or unnecessarily obstruct travel along any road or trailway. Operations shall be so conducted at all times as to permit safe and reasonable free travel over the roads and trailways within the limits of the work herein prescribed. All safety measures for the free movement of traffic shall be provided by the permittee at his own cost. 4. Conformity to I.aws--The installation shall be made in conformity with all applicable laws, regulations and codes covering said installations. All installations shall be made in conformity with regulations of governmental agencies for the protection of the public. a. The applicant shall furnish a bond or financial guarAntee in the amount to be determined by the City which is required to ensure adequate 6 timely completion of repair. This bond or financial guarantee shall remain in effect for 2 years subsequent to completion of street repair to protect the City from defects in material, worlmanship or non-compliance with City Standards or specifications,. Permit No. Page 3 of 5 b. The applicant shall furnish evidence of public liability insuranca of not less than $100,000/300,000 and property dsmage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the City is named as an additional insured party. c. Except for the negligent acts of the City, its agents and its employeea, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless and defend ssme at its sole cost and expense from any and all claims for damages, actions or causes of action arising out vf the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said facility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One 454-0002) 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road or trailway upon completion of work shall be at least equal to or better than specifications of originally provided road or trailway in accordance with City Standard Specifications. Surface shall be finished within 48 hours unon comnletion of backfill. 8. Cutting Trees--The permission herein gsanted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically identified on the plan attached to this permit or relieve permittee from obcaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--Pole anchors, anchors, braces or_ other construction will be permitted within right-of-way or easements and will be approved on a case by case basis. 11. Driving Limitations. a. Driving or parking on City trails or sidewalks shall only be permitted for those operations requiring direct access to the boulevard area. . b. Vehicles operating or parked within the right-of-way area shall utilize their warning flashers at all times. c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles per hour. Vehicles shall operate at slower speeds when weather conditions, trail conditions, poor visibility, obstructed sightlines or other conditions require special precautions to ensure the safety of trail users and the general puhlic. d. Driving shall not be permitted within those boulevard areas where damage to turf trailways or other infrastructure may occur. e. Vehicles shall not be parked on trails or sidewalks in such a manner as to unnecessarily impede the safe and efficient use of trailways by the general public. Permit No.. - Page 4 of 5 12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded or chained tires, caterpillar traction, or any other form of traction which will result in damage to the surface. 13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end of each work day and swept clean after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetation-Surning or disking opexations and/or the use of chemicals to control or destroy trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGUTATIONS as stated above and relevant City Ordinances. `/?GG? ? C '. G ^ DATE: ? SIGNED:,?,4„??,/,`?? ??L'`?c3?.rel ? Revised 5/93 LTS#1-PERMIT.FM rwtit b vr 5 0 PROPERTY LINE ? SAME AS REMOVED (3" MINiIAUM) SMME AS fiEMOVED (6" MINIMUM) I TRAILWAY 1. Curb and Gutter sha11 be removed only after saw cutting at joints and replaced according to specifications or Standazd P1ate. Z, Bituminous pavement area removed shall be saw cut prior to patching. 3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod. 4. 2341 bituminous wear course shall be paved between May lst and November 15th for permanent pateh. Temporary cold mix patch should be used November lbth to April 20th (or as permitted by weather). 5. Class 5, 100% crushed aggregate base, 6. Roadway closures in accordance with Appendix B- Traffic Control.for street or highway work zones - MnDOT/MUTCD. 7. Bituminous trailway closure requirements same as roadway in {t6 above. S. Backfill sha11 be thoroughly compacted by the "Specified Density Method" of compaction. All suitable backfill material placed below a depth of five (5) feet below the final pavement surface shall 6e placed in maximum lifts of twelve (12) to eighteen (18) inches and compacted to a minimum ninety-five (95%) percent of ASTM Specification D698- 64T (Standard Proctor Density), method "A". All suitable backfill material placed within five (5) feet below the final pavement surface shall be placed in lifts not to exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of the above ASTM Specification. ily 01 eagan STREET AND BITUMINOUS TRP.IIWAY approved : standard C plate pI P U B L I C EXCAVATION/PATCH DETAIL WORKS 5is3 P-1 DE PARTMEN TRAFFIC CONTROL REQUIREMENTS PLEASE COMPLETE FOR SINGLE FAMILY DWELLIIVGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOT? ? 3HOWER 3.00 .? . o 0 ? WATER CLU3ET 3.00 ?I . o 0 BATH TUB 3.00 (o . o 0 ? LAVATORY 3,00 15 . o ° ? KITCHEN SINK 3•00 _ 1 LAUNDRY TRAY 3,00 00 HOT TUB/5PA 3•00 ? WATER HEATER -?_ 3•O(1 ? FLOOR DRAIN ? 3•00 ? GAS PIPING OLJTLET • minimum - 1 3.00 I?• o v ? ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dercy. uc. 15.00 U.G. SPRINKLER • nome under consi. 3.00 ALTERATIONS • to adsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: ` ? o SITE ADDRESS: S 00 Pr p? p n`-p v, c? OWNER NAME: ?• (? 1Ce1T kr-?o WSTALLER: ?&,AIIJ ? CITY: STATE e lt?-'J _ ZIP CODE: ?? 0 L?- PHONE #: (?) '{'S Z -2? I Z` TURE 1993 PLUMBING PERNIIT (RESIDFNIYAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMTf (COM114ERCIAL) CITY OF EAGAN 3830 PII,OT KNOB RD FAGAN MN 55122 (612) 651.4675 PLEASE COMPLETE FOR ALL COrBIERCL4IJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUI:DINGS WHEN SEPARATE PERMI'TS ARE NOT REQUIRED FOR EACH DWELLING U: ,T. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCIIARGE: $.50 FOR EACH $1,000 OF FE1LhiIl' FEE MINIMUM FEE: $ 25.00 __ .. .:.. CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: 'd'ENANT 1vA_11TE OWNER NAME: INSTALLER: ADDRESS: CI1']': PHONE #: STE # STATE: ZIP CODE: CITY OF EAGAN APPLICANT ? S/ 1993 MECHANICAL PERMIT (RESIDFIVTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SIIVGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -Z NEW CONSTRTJCTION ADD-ON A/C ADD-ON FURNACE DATE eh I Z / ? HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GA$ OUTLETS (MINIMUM 1@ S3.00 EACH) ADD-ON/REMODEL (ExisT[NG CoNS'rRUCrtoN) STATE SURCHARGE TOTAL SITE A7 OWNER INSTALI k'EES i $ 24.00 6.00 / -.a-" $ 15.00 TELEPHONE #: 68 rI - 96-13 12481 Rhode Island Ave. So. ADDRESS: Savaaerh9(Vrsrgg7g }}22 AAa.nonc; CTTY: STATE: ZIP CODE: TELEPHONE #: / S A E OF PERMI7TEE 1993 MECHANICAL PERMIT (CONIIViERCIAI,) CITY OF EAGAN 3830 PIIAT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMNIERCIALlINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF COI+ITRAL.T FEE $ PROCFSSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE 3URCHARGE $.50 FOR EACH $1,000 OF PER,NiI'i' FEE. TOTAL $ SITE ADDRESS: OWIv'ER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONL1) INSTALLER: ADDRESS: CITY STA' ZIP CODE: TELEPHONE #: SIGNATL3RE OF PERMITTEE CITY INSPECI'OR ~ :~stosa ~ ~ ~ ~ ~n ~ ~ ~ n~.. . w~ , p ~.,e.~ ~ _ ' _ , . ~ _ ~ ,r ~ ~ ~,u . ~ ~r„m b~~~~ ~ ~ u. 1 f~, ~~~u. ~ . ~ ' __n ~~o~ d ~ i= 1 , `f Ck ;,t ~ . y ~ ~ ; 3~ ~ ~ f °e . . ~ xt ~ , ~ ~ a~ 9 ~ ~ . . . /s + ~ f .r~ t' . . . . i ` t / ~ ~ nG 4 . . . . O p Ya } ~ ~ ~ a^~^~,m:~ i. r ~ x'~' ~Y 1r~ ~ ~~;r`' ~ ~ ~ ~ ~ ~ ~ y f ~ ~ ~ r~ ~ . ~r z~ ~ ~ i 9 ~ ~ r ~ ' ~ y t r . . „ ~»s,~ r-:e ~a:.~..,.:.:~:.-,..-,~..,. ~ ' . ~~m . ,f'` ~ ~4 p ~ - n . ~ . a . . . ~ . i ~ d yg y ~ " K d~~ ~w~ .v. , •df ~ s.~ t-~ .~~y-~ . , ~ ~ 3 . ,r ~ ~ ~ d ~ - - ~ I ~ ~ ~ E~ ~ ~ / S ~ ~ . . 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Date: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: //4cP5..i Permit Fee: Date Received: /c7 Staff: 111 L 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION ILIha Site Address: ZOO O((j7d ri tacit P1 Tenant: Suite #: RESIDENT /OWNER Name: Loc.,4->-- 1-7 Phone: (2�/ 7 S -doij Address/City/Zip: &V P(vr11�V� bef'I fa am, chi/7 s -5 -72 -2 - Name: f joS-}7'(/VVl4 2L1c &Y�;( Lt License#: Address: Po 2Li State: (,'n,r) Zip: S Sr? Contact: n (((� Phone: City: IviU/,r C ilLe ( jL37 XJ66 Email: J -e_ 4rar/ New X Replacement Repair Rebuild _ Modify Space Work in R.O.W. Description of work: S boa -4 -c -f { &L+c-r- RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / — PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $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) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ (DD . CMZ) CALL BEFORE YOU DIG. can 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 1 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 `\>°SSl CGS OS -k -f96 Applicant's Printed Name x (,44(,(A-614td-6 Appl'c nt's Signature FOR OFFICE USE Reviewed By Required Inspections: Under Ground Rough -In Air Test Gas Test Final Cityofaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink ("Sgl , For Office Use f 0D% Permit Fee: ¢ Date Received: 1 O t Z Permit #: Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please submitltwo (2) sets of plans with all commercial applications. Date: 7;2-13 3 "" /2 Site Address: / i2O 't46 l'.) 7-0 `7' PA -6 E Tenant: Qt-) Suite #: J RESIDENT / OWNER Name: ‘04/ Lr)`77--- Phone: 6/o2' ✓ 7-x)06 L/ Address / City / Zip: FOC Piw/41 a .) 7-6 ie`r /3,kf f;46:4/L) Ati 5-57....? CONTRACTOR Name: 5C kito4A7res gf.41-41) - License#: Address: "O Cog F-:&) AtJ € ` City: -ST/LG L.ia4"rE, ,A1,0 State: ��1 IlJ Zip:)) 61-()F,-- Phone: COiJ/ /-- 3 r%' 3 33 Contact:3-GC) E. (-1446- X/ Email: ;CfZ (05Cdi41AA) 7-i 5 Hf `Titin= -.CC 0--1 TYPE OF WORK New / Replacement Additional Alteration Demolition Description of work: 1r/ A(E ,3erliA(( 6/ A C NOTE: Roof mounted and ground mounted mechat ale ui ent°is re fired to :E r ned b Ctt Code, Please contact the Mechanical 'mime for information cert prt itk ra . ethod s. . PERMIT TYPE RESIDENTIAL JFurnace COMMERCIAL New Construction Interior Improvement / " Air Conditioner Install Piping Processed _ Air Exchanger Heat Pump Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) Other _ _ RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) / burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 6 5 TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (includes State (includes $5.00 State Surcharge) Surcharge) $1 million, please call for Surcharge OR Contract Value $ x 1% = $ Permit Fee *If the project valuation is over = $ 5.00 Surcharge* = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecaliorq 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 C L A 6 E. JL% Applicant's Printed Name plicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test 401° City of Eaaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 21 2016 r Use BLUE or BLACK Ink For Office Use Permit#: l 3S 5 li Permit Fee: l l 3- ai' g Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: _ Rell Owner� --5-(-6 87— n7,) , p1, - ✓ kc Phone: Name. l n _ Address / City / Zip: C • � C; .: �% � Applicant is: Owner+Contractor e Typ° ' Description of yFc�rk: ti ^� \-- Construction Cost: 1 - (:),V .Eulti-Family Building: (Yes / No ) 4 a S( Company: 73 1 ��`' P_ C710(C I — ." Contact: 0/2"/"P4" Address/ ,') — City: _ a- -Z-V- States` Zi 2— (O I - �' Z Phone: Em : il: License #: '� L `5"4 7 rL 4 Lead Certificate #: v If the project is exempt from lead certification, please explain why: ‘0_,.-- \ In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: Plans " sup : ir►g doh is #ham ®rye p �i»�� con z De b % info wr e info on may . e c ► ie - as non d) 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.pooherstateonecall.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 Buil • Code m t be completed within 180 days of permit issuance. x L7 Applicant's Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE 1 3f53 -zi SUB TYPES Foundation Single Family Multi 01 of _ Plex Fireplace Garage 4 Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% y, ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Framing Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan ,� 7 Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: ( , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 3 Page 2 of 3 James R. Hill, inc. �I• PLANNERS / ENGINEERS / SURVEYORS 2600 W. CTY. RD. 42 a BURNSVILLE, MN. 55337 • 612-890-6044 40.1111111110140.06 SURV'EYOR'S CERTIFICATE PROMONTORY PLACE b' 916A x 919.7 ((51ios 017- 9l 4 N litt BENCH* Ql 924,0 9)7.1 TOP OPPPE EXIST j House [ii I{OT HOME • 9172 919.3 910.6 In 9i3.e 9x1.2 w 909.0 '. 0r BENCH MARK TOP OF PIPE 912.15 7)y-(_�. 3/277/6 fruZ i LOT II N. DRAINAGE R UTILITY 6 EASE1VIENT PER PLAT\ 5 b N 8 8 2 \\ b ( cove, ,t.).."` 100.00 S 99° 13fi544 W ((.3S f, . o) SHEET 2 OF 2 FILE NO. FOLDER PROJECT NO. 92381 BOOK/PAGE REVISIONS 5-24-43 Naw SOUSE 'a Io N r.r DRAWN F BY SHP SCALE, 1 INCH ¢ 30 FEET PERMIT City of Eagan Permit Type:Building Permit Number:EA136228 Date Issued:05/03/2016 Permit Category:ePermit Site Address: 800 Promontory Pl Lot:11 Block: 4 Addition: The Woodlands PID:10-75875-04-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Louis W Gust 800 Promontory Pl Eagan MN 55123 (651) 687-0735 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136510 Date Issued:05/17/2016 Permit Category:ePermit Site Address: 800 Promontory Pl Lot:11 Block: 4 Addition: The Woodlands PID:10-75875-04-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Louis W Gust 800 Promontory Pl Eagan MN 55123 Window Outfitters Inc 12605 Creek View Avenue Savage MN 55378 (952) 746-6661 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171570 Date Issued:08/23/2021 Permit Category:ePermit Site Address: 800 Promontory Pl Lot:11 Block: 4 Addition: The Woodlands PID:10-75875-04-110 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jenny E & Philip B Gelber 800 Promontory Pl Eagan MN 55123 (612) 990-1460 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature