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827 Promontory Pl411* City of Eaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 3//81 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Fi0 P�10i l4it Pi &y( -A) h4,(► Ss1,4-3 Unit #: RESIDENT /_ OWNER Name: _ fWt l- /71 (C��[� WCC �STOJLI Phone: l6�� rod Address/City/Zip` X-1 • Pi , f543 J444,) S.Sf 3 7 Applicant is: )) Owner Contractor CJ TYPE OF WORK Description of work: W; Nc JJ p(SCU+'4 7 Construction Co 3300 o Multi -Family Building: (Yes / No )t- ) CONTRACTOR Company:41=44011'S�- f S Contact: f / € Address: itqii(2 141,9uut4(AJ AvA City: L,G kM tk,t. V4'\ J State: r t N Zip: 5.5:).44 Phone: (.4e4 • aNa '31 3 License #: Q3S-7 '7O Lead Certificate #: Does this project require If no, please explain: Lead Remediation? ❑ Yes ixt No (see Page 3 for additional information) r In the last 12 months, No If 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? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE:: Plans and supporting documents that you submit are considered to be publrc ,nformation�Porttons of he information maybe classified has non f.public �f you provide specific reasons t/tat would � � �> the arty to �. conclude that they 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.aopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x dncrci 3 / err-�� Applicant's Printed Name xS� Applicant's Signature Page 1 of 3 ?.r . , .. . ?? , . • .+; . ? . CONTRACT PRICE: PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 PERMIT # RECEIPT # DATE: ? ? 3 g Site Address lot 4 Sec/Sub ? Name KIAMM Mk.CHANICAL CONTRACTO 12409 COUfTl'Y ROAD 1 R Address c City BURNSVILLF Phone 890-4868 Name HALLr'ARK HOMES 3 Address P.O. BOX 273 0 City SAVAGE Phone 432-2511 FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GbES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPJ WORK DESCRIPTION Res. New ' Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ ? / ° ° Bath Tubs - $3.00 Lavatory - $3.00 ?Shower - $3.00 -L_Kitchen Sink - $3.00 Urinal/Bidet - $3.00 _./-Laundry Tray - $3.00 -rZFloor Drains - $1.50 _/--Water Heater - $1.50 ?- Whirlpool - $3.00 " TGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: CONTRACT PRICE: Site Address Lot Block M` . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ' DATE: 16)1 ? ?? 6y, 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 For Office Use Only: Sec/Sub - Name m Address c Ciry Phone. ? Name 3 Address p City Phone. TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. NVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE: S/C: " TOTAL• - $24.00 - 6.00 - 1.50 EA. - 12.00 - 20.00 - .50 SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN ? `3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value l ' Date ,19 Site Address Lot Block Sec/Sub. Parcel No. s Name -' W ; Address ° City Phone ` o Name ?? Address i City Phone yVjW W Name ? za Addresa ? W City Phone I hereby acknowledge that 1 have read thfs application and state that the information is correct and agree to comply with all applicable State of Mfnneaota Statutea and City of Eagan Ordinances. Signature of Permittee A Building Permit is isaued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagen Ordinances. Buildfng OHicfal OFFICE USE ONLY On Sfte Sewepe Occupancy MWCC System Zoning On Site Well (Actuap Const City Water (Allowable) PRV Required # of Stories Booster Pump Length, Depth S.F. Total Footprint S.F. 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 Permit No. Permit Holder Date Telephone Plumbing H.V.?1.C. l Electric C,yl? _e.??)L • / Softener I Inspection Date Insp. Comments FoOtingS I Footings II , Foundation Framing Roofing Rough Plbg. ? Rough Htg. p Isul. ? s Fireplace U:S Final Htg. Final Plbg. Bldg. Final Cert.Occ. l3 ?S. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. c- ..._- 4e• / (Itxti#tratt of (Orrupanry titp of eagan DPpaI'ftltPttf Af l1Ttibtitg JWPtftDri This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Useclassi6cationSF DWG/GAR &dg,Pem,;t No, 15495 oauva-r Tya R3 /M 1 zoning Disu;ct R 1 rype const. VN owoer ot euilding HALLMARK HOME S, I NQ.AddrecsP • 0. BCK 273, SAVAIE Building Address 827 P-RMWM- PLAM I.ocality ? ? ? , WXDLANDS Tti? <•?.y nem: ltltY 13, 1989 Build' g Ofli 1 POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ? L_---3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: ? '' H` ` 1.0? r PERMIT SUBTYPE: ?f$7?--0q0 04 4, €i! 13 ! k. z APPLICANT: , . ;; u I r TYPE OF WORK: ? RV iffAii{"i • (: ti P d11'11 "y pl l(M1 Ml1', 114 f I N!<,I I p 1i tt fif ? t)f, { 111I,41 € 111 l 14 !o Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST / j •? ,G? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVI7Y TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT To be used for Est. Value '17R,(}l?(} ?5 4 9 6 p . ? ,` Receipt # 1 t? •? t.- ? }" Date is°`JGUST 1$ ,19 88 Site Address 827 PRat4ONTORY p?CE Lot `d Block 4 Sec/Sub. WOODLANDS Parcel No. m Name '?ALI,MAIiK 1tOME8, 13C. Address ?'•0• ?'?)x 27-? ; 0 City c;AJA'a ?. Phone r: i j-'.I' S11 °C 0 fy?ame . , ? Q P%Idress ? City Phone ?Q u W Name _ g Address U ? WZ a City Phone 1 hereby acknowledge that I have read this application and state that the information'is Correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee ?;t'?,'..L`1Ai•;?: M."S, 1N,, - A Building Permit is issued to: on the pxpress condition that all work shall be done in accordance with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY On Site Sewage Occupancy MWCC System ?- Zoning R"1 On Site Well (Actual) Const VF City Water X (Allowable) PRV Required # of Stories Booster Pump Length Depth 52_ S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ?'?=a?•?= Planner Surcharge Council Plan Review 414•00 BIdg.Off. SAC, City 1r0•00 Variance SAC, MWCC 5 5 0 11 00 Water Conn. 5 5?• ? Water Meter 67+00 Road Unit 3 .0!: Treatment P1 704_00 -1-Ancs"nnies .50 TOTAL $3127. 5{} . PERMIT NO. Z .?-c ;7 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. ? 01-3446 SAC/Adm. 01,2155 Surcharge 75-3860 Road Unit ? 20-2275 SAC 20-3865 Water Conn. - ?O 20-3868 Water Trmt. 20-3716 Water Meter -? '7 20-2252 Acct. Dep. aCA 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. L- 28-3855 Park Ded. TOTAL 9,3. M CASH RECEIPT 0 ? CITY Of1 EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , I DATE ? 19 RECEIVED FHOM AMOUNT $ & DOLLARS a ? CASH q CHECK ` White-Payers CoPY Yelbw-Postlng Copy Pink-File Copy Thank You ? ev CITY OF EAGAN Permit No: Date: ? 3830 Pilot Knob Road g/p N; ? ° Date: f: _`` - R O. Box 21199 EagaA, IWN'55121 Owner: „Q Site Address: P7 ?rn,fl?.r tnr? 'D1 Plumber: MWCC: City Chg: _ t ??•i r}?r? Acct. Dep: _ t 5 _ !? Qr.6 Permit Fee: ' `? Surcharge: Misc.: Zoning• No. of Units ? I agree to comply with the City of Eagan Ordlnances. By SEWER SERVICE PERMIT dO ? ???b . • ? CITY OF EAGAN Permit No: ???3 . Date: 10"4 ??g 3830 Pilot Knob Road Meter No: Size: P.O. Box 21499' Reader No: Date: I Eagan, MN 55121 ' . .. ,. : ? _'c•-s+::?r? Owner. Site Addro?C" -mor,. orp ar-c _.<f d 1 A .?_r?r ?• 3;+ ?? Plumber. Conn. Ch '?50° `opd 9. ' g: Zonin Acct Dep: ' - No. of Units: - ,ka Permit Fee: ' Surcharge: ' I agree to comply with the City oi Eagaa Tr. Plant Ordinances. Meter. ? Misc.: gy WATER SERVICE PERMIT ` CITY OF EAGAN Permit No: Date: 1O-4"'$8 3830 Pilot Knob Road Meter No: yl,L.3 ? a. 7?_ Size: '?A /&? ? P.Q. Box 211 C9 Reader No: ??,2p d LLSC Date: f_?9_ " ? Eagan, MN 55121 Owner. `i1 Ima ir- iinmes Site Address: 827 ?'romontory Place :f 4 B4 The Woodlandp, ' Plumber. IaAm Tiechar ical ? Conn. Chg: 550, 00ac.": Zoning: Rl- ? Acct Dep: 15 •00pd No. oi Units: I ? Permit Fee: 10. OOpd ` Surcharge: • S0pd I agree to comp ly wiih the City oi Eagan ; `k Tr. Plant 204 • Qa.pd Ordinances. ! Meter. _ 67 _ 00z rt Misc.: gY ? k WATER SERVICE PERMIT REQUEST FOR ELECTRICAL INSPECTION ?-. Ea-ooooi -os r ?: - , See in?structions tor completing this form on back of Yellow copy. ty?_- E) '8 0210- "X" Below Work Covered by This Request ? Now AtId Rep• Type of Building Appliancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electrie Heatin Commercial Bldy. Fumace Siio Unloader Industrial Bldg. Air Conditioner Bulk Miik Tank Farm Other pecify OtherlSper.ifyl ther Specify Other Other Compute Inspection Fee Below q Fee Service Entrance Size tt Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms Partial-'Oth Fee Signs Speciallnspection S? OT Rerrarks A FVI, ' I i Rough-in Date ?, the ectri . Inspector, ereby certif t th th b Final ?t^ y a e a ove inspection has been 00 made. fhis request void 18 months from (; C./, This request void Q? Q? 18 months from /J/a I J( D 3 0 210v-4, ,? No Licensed Electrical Contractor E] wner Stre ddr s x or R e No. ?r0 yn g'y? (7Y ?Y'O (AA i TOIQ. ectiont9 o. T ?Thip me or No. ! ? .? a?sr?s 'Deva? NT) `fi/e 0/ ' Inspectio uired?_ eady Now E] Wi II Notify. InsPec- tor When Ready j Yes Non 1 hereby request inspection of above electrical work installed at: Tg coulny PA KoT-A Phone N 0- Rer L L?-rr vr - -. Maili d s (Co tractor cy,6gn r Making Instail?tionl ?` // ,e 5C?j4` ,lf7/ GJ tJ F ??i Pho e Numb Au orize Signature 1 ontractor/ ner aki g fnstalla?ion) r w SUv i 6 THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD Griggs-Midway BId9• - Room N•191 UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave., St. Paul, MN 55104 ENCLOSED. Phone (612) 642-0800 iC?'??gli5D 30211 REQUEST FOR ELECTRICAL INSPECTION ? See instrudtions for completing this form on back oi yellow copy. "X" Below Work Covered by 7his Request M. ?9.?5?-os Add Rep. Type ot Building Appliances Wired EquiUment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Efectric Heatn, Commercial Bidy. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Other pecify Other (Sper.ity) ther Specify Other Other Compute lnspection Fee Below - # fee ServiceEntranceSize tt Fee Feeders/Subfeeders N Fee Circuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Am s Above 200 Amps? 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms - rtial• Other Fee Signs 5pecial Inspection S - Rerria rks TALFEE.,, Rough-.in Date the Elkctrical " / Inspector,iera?by that th certif b Final Date/? 2 y e a ove inspection has been p V -/ made. This request void 18 months from ? ?This reQuest void f//??/??? 18 rranths from ? D 30211 DUA7 //y ?y Fire No. Rouph-in InsUer.tion (/ y qu ed? ?Ready Now o?rlWhen1fReady e`O 0 Yes ? NX o censed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Stre ddress, Box te No. 6-3 ? t?'ror???? `l=?? Ci?? ?.? ection o. Township Name or No. Range No. County O Ga (PRINT) / Phone No. lllo?i?/?C /* *Y,-5- W -?,? Power Supplier l?? A? ?" A;wvA p EI c ical Contractor (Company Narrle) "L ? Co tracto 's Li e e No. -3 ?1 ? ??Vic ,ev?cG Mafts (Con or Owner Making Instailationl wi ? Ow Au orize Si nature Contract Owne M in Installation) Phone Number ? MINNESOTA STATE BOARD OF ELPCTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. , ' • CASH RECEIPT • J .CITY OF EAGAN ' 3830 PILOT KNOB ROAD EAGAN, M W OTA 55122 DATE ? J RECEI FR AMOUNT $ 8 DOLLARS ,oo FUND OBJECT AMOUNT O(? - 7 U 7-7 V) ? Ua ? Thank You BY 1V ? 87861 White-Payers CoPY Yellow-Postlng Copy Pink-File Copy ? CASH ? CHECK CITI( OF EAGAN Np 15495 „ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $178,000 Date AUGUST 18 19 88 Site Address 827 PROMONTORY PLACE OFFICE USE ONLY Lot 4 Block 4 Sec/Sub.W00DLANDS On Site Sewage Occupancy R-3 M-1 MWCC System X Zoning 1Z-1 Parcel No. VN On Site Well (Actual) Const ac Name HALLMARK HOMES, INC. CityWater X_ .(Allowable) VN W z Address P.O. BOX 273 PRV Required # of Stories 3 0 City SAVAGE Phone 432-2511 Booster Pump Length 6Q__ Depth 52 °oC Name SAME S.F. Total . ? Q Address Footprint S.F. ? City Phone APPROVALS FEES W W Name Engr./Assess. Permit $828.00 Planner Surcharge 89.00 _ ? Address Council Plan Review 414.00 Q W City Phone Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that.the Variance SAC, MWCC 550.00 information is correct and agree to comply with all app' able State of • WaterConn. 550.00 Minnesota Statutes and City of an Ordina es. Water Meter 67 _ 0n Signature of Permittee Road Unit 32 nn A Building Permit is issued t ALL H S, IN.,. Treatment P1 ?n?. 00 on the express condition th work shall be d e in accordance with all -? Vo le . S 50 applicabie State of Minne Statutes and of Eagan Ordinances. S P . TOTAL $3127 . SO Building Official 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit '3d SZ) Gke_? ?---- _ 77 ? ??? ? n NOV 1 q r?nJ04 , ? Date Site Address TJnit # Property Owner H1C1P_ I ( e_,AdQ Q A +ba,C Telephone # ( (q5 t. ) 4057? 963P Contractor Street Address )WU jF} h,prApen 5f City rtC,.,m Lr, f, J State Zip ' 15 Telephone # (`7 L'-l ) ? ? ? ?? -11+? Bond #• Expires: The Applicant is Owner ? Contractor Other Add-on or alteration to ezisting dwelling unit $ 30.00 ? furnace _Additional _X Replacement air exchanger ? air conditioner _New ? Replacement other State Surcharge $ .50 Totat $ 30, v O I hereby apply for a Residential Mechanical Permit and aclmowledge 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl@ns. J Uenf 5 e Jac.ksor.. Uv?nAi? ,-r Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date 04 ? Site Street Address da m cs-,ti,-j-t„r-..p o- c__ Unit # Tenant Name (if appiicable) ty) i&t e I Previous Tenant/Name e' Property Owner m dCjie I( P=- Telepli'one #(651 )405-f? ?? . Contractor C?e.2 /Y? echc,n%c a 11/?? Street Address & l/ City ? State rY) Ilc XZip J5A?4 Telephone # Bond #: E\pires: The Appiicant is Owner ? Contractor ! Other Work Type New Construction f Unjderground Tank Install _Remove **see below G s d f ? e as se _ Interior Improvement istall Piping _Pro Nature of Work: / , **When installing/removing underground fank, ? call for inspection by Fire rshal and Plumbing Inspector Permit Fees: $70.50 Underground tank instali ion/removal $50.50 Minimum (includes Surcharge) or 7 Contract Value $ x 1% _ $ Pernut Fee I ? If Rgrnut fee is $1,000 or less, a?d $.50 ? $ State Surcharge If vermit fee is over $1,000, adti $.50 for every $1,000 pernut fee ? $ Total Fee I hereby apply for a Commercia Mechanical Permit and acknowledge that the information is complete and ac ate; that the work will be in conformance with th ordinances and codes of the City of Eagan and with the Mechanical Codes, that understand this is not a pernut, but only an appl' ation for a pernut, and work is not to start without a permit; that the work will be in ccordance with the approved plan in the case of work which requires a review and approval of plans. ? Applicant's Printed N Applicant's Signature Approved By: , Inspector Date: RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of iot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot ptatted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 6 ? r7 -6A RemodellRepair Reauirements • 2 copies of pian • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions 7?- VALUATION ?? 1 SITE ADDRESS 8;? -7 AawA'` 7?rr(/ I/acc MULTI-FAMILY BLDG _ Y 2-ao-f FIREPLACE(S) _ 0_ 1_ 2 TYPE OF WORK ORc APPLICANT ;Pon6r STREET ADDRESS t 7f34 13?i? ?? CITY ` STATE?P ?3'w TELEPHONE # -7G3 "5%1 'C30y CELL PHONE # FAX # TELEPHONE# PROPERTY OWNER COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Contractor: --------Y---------»>-Y---?- Phone # --?-_-------- Plumbing system includes: Water Softener Lawn Sprinkler ree: $90.00 Water Heater No. of R.I. Baths No. of Baths ` Mechanical Contractor: Phone # vlechanical system includes: Air Conditioiiing Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? ?? ? ? -?- 7n r? rN ? s?? r? ,Q Signature of Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ ,.. , . -- - - --- _ .. ., Not Required Updated 4l02 3fL--I '?? OFFICE USE ONLY ? 01 Foundation O 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-piex ? 06 04-plex 0 07 05-plex ? 13 16-piex ? 08 06-plex ? 16 Firepiace ? 09 07-piex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water Final _ Framing REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Siding Stucco Stone _ Fireplace _ R.I. ? Air Test _ Final Windows (newheplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit . Mechanical Permit License Search Copies Other Total Final Building Inspecfor CITY USE ONLY PERMIT #: _2r? RECEIPT DATE: ???? RESIDENTIAL ????????? ?? ?? ?PPLICATION CITY OF EAfiA1V • 5880 PIL,OT KNOB RD EAfiA1V MN 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ez, (010 SITE ADDRESS: N OWNER NAME: Vi ickLL INSTALLER NAME: ? STREET ADDRESS: TELEPHONE #: TELEPHONE #: CITY: STATE: 1 V Place a check mark next to the permit work type ZIP: ?S - J? Add-on, modification or alteration to existinq dwelling unit $ 30.00 T? • furnace replacement • air exchanger ? ? ? ? - • air conditioner i . • other Nature of work: +C? I 2002 ' gY State Surchar e $ .50 Total ? $? S NAT =OFPE TTEE 1102 , , 1988 BUTLDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS rnnnrnFRrr e r _ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS / ea ea To Be Used For: ?'/jC?? ?+rn x? "? ? ? YValuation: Date: ra,.,-,aH tmry --- -- - ? Site Address Lot 4 Block 14 On site sewage Oecupancy. 0-3 M-i MW , Parcel/Sub UUoop t-)Iv DS CC system L,-- On site well Zoning Actual Const R-/ V41 f „ L? -) ' City water ? Allowable d?/Y Owner 9 ?l?b. i Y? I?(qY 1-I 0111l5 S PRV required # of stories Address ? 0 • S0 * ot ?] 3 Booster Pump Length ? Depth S.F. Total City/Zip Code s-A U Ig (y (i, 5 S 3 78 Footprint S. F . Phone APPROVALS FEES Contractor HoMI3'5 .1NC Engr/Assess Permit Add QB K ? ? ? 7 3 Planner Surcharge , ress - c , Council Bld Off S 1 Plan Review 8 SAC Cit o City/Zip Code !&AUfI (.?E, ?N• 'S53? Q g. . Varianee , y SAC, MWCC /p SS0 Phone Water Conn Water Meter SS0 !m ? ? Road iJnit 3 29 Arch. /Engr . ??LR lP?? 1"/?AM „S ''gUZCES Treatment Pl 24y Address 14 S3O fietUNaek AUE - Parks Copies , SO TOTAL City/Zip Code T ? EOALi. cY m N,( Phone # T-3a,' 020 `7'q 5 Sfa 4 OFFICE USE ONLY a ?°- ? 93? ___--- / ?, ? ,t• ?Of'J = '? p o -57 l eo G?r ?--- ? 3X z ?z .- '? ? 6 =010 ??3 k ?y= I6?-?Z i9? 0/1 88- I36 TRi-LAND C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 SITE PLAN FOR: HALLMARK HOMES LEGAL DESCR I PT ION: LOT 4, BLOCK -4-, THE WOODLANDS ACCORDING TO THE RECORDED PLAT ? THEREOF DAKOTA COUNTY, MINNESOTA I? 0) to DRAINAGE / n, ?• • EASEMENT-•-? ? »•• •• \ Os? ? ? ? 9 ? LoT °s? 4 u'?.,? \ \ a« . t ? ? M= Scale: I"=40' LEGENO o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION OENOTES PROPOSEO SPOT ELEVATION ?-- DENOTES DRAINAGE DIRECTION I hereby cenify that this survey, plan or report was preporsd by ma or under my direct supervision and that i om a duly Reqistered Land Surveyor under the Laws of the State of Minnesota. Bradley J?? Swenson, Mn. Req. No. 15235 Date ? ? 5 S86K7 \ \ Q' 869.75? 904.6 ? 897x60 45s 906.57 \l ? 890 2e' ? ? 2 ? ? l "?o 90E ?y• ?y?90 ?•?? 2?, ? ? . O O . ?90 • '\ Z U O so: ? ? ? L=lI0.45 .Q? R_35o .90 ? 6-17 52 52" ,o CL ItivERT ELEvATION AT sERvrE ExTEsvs:oN= PROPOSED GARAGE FLOOR ELEVATlON = •75 PROPOSED FIi2ST FLOOR ELEVATION = 907.05 PROPOSED BASEMENT FLOOR = 98.75 ELE VAT) ON NOTE * VERIFY ALL FLOOR HEiGHTS WITH FINAL H OUSE PLANS 88- I36 TRI-LANQ C0. SURVEYING SERVICES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55126 SITE PLAN FOR: HALLMARK HOMES LEGAL DESCRIPTION; LOT 4,BLOCK 4, THE WOODLANDS j? ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA o? DRAINAGE ____,,,/ EASEMENT 3 -•• ?•= > ?OS/?? ODOa?\? ?? LOT o \ s?? 4 886+c75 \ Q- ? ? -•.-• • ? ?1'? \ ?.. . i \ Z ? szXso ? Scale:l"=4d ?.° ? rp (?(V ? \ so \so ' ?.. ? U goQ' O Q.. ' ? 906K45 S 906.57 /10 ar -? ,. I ? L= 110.45 - - -? R-_353.90 ? 0=17° 52' S2"-?? R?. J io ?ate EITG NE.?RING DEPT 9a LEGEND o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSEO SPOT ELEVATI ON ?- DENOTES DRAINAGE DIRECTION I hereby certity tlwt this survey, plan or report was preparsd by me or under my direct supervision cnd that i am a duly Re9istered Land Surveyor under the Laws of the Stcte ot Minnesota. Bradisy JJSWenson, Mn. Re9. No.15235 Date : INVERT ELEVLITION AT SERVICE EXTENSION= PROPOSED GARAGE FLOOR ELEVATION = 06•75 PROPOSED FIitST FLOOR ELEVATION = 907.05 PROPOSED BASEMENT FLOOR = ,j?9 .75 ELE VAT) ON NOTE ' VERIFY ALL FLOOR HEiGHTS WITH FINAL H OUSE PLANS . w. art r ? , Phillips Pp- C?+.r'1 ?..... .. . .... ?1 _ EXTERIOR ENVEL PE tiVERAGE "U" COMPUTATION 1?4530 Pennock Avenue - > - Apple Valley, MN.: _ " OWNER b,S ?/tJ . SITE ADDRESS _ ?a? 7 I'QUMoN TORy OP4 4 CE .• - ,---- CONTRACTOR A41- ?j?If . pATE ,PHONE .- Determine working square footage of each.. 1. Total expased wall area ...... 3n30 sqo ft. x,,,?,?,I, 3? 2. Total roof/ceiling area ...... t36$ sq. ft.x .o v [ -K.5"? Total exposed wall area above floor =?'7Bp a. Totai wall window area .............. ....:.......: Z99 b. Total doar area ................................. ' c. Total sliding glass door area ...... .............. . 3 S d: Total fireplace wall area............ ............ ? Q e. Total wall framing area (average 10%)...:........ z ? 8 f. Total net wall area above floor ................. ? 3gZ ' • g. Total rim joist area ............................ ' 2. s C), . Total expdsed foundation area = 16 g h. Total foundation window area........ .............. (Cl i. Toal net foundation area above grade ............ I oz, Oetermine "U" value of each wa11 segment. • a. Z99 X"U'? .33 ? 9 g,cp b•_ 35 XloUts 13 ? 1-1 ,5.S' ' . C. X nUu ?y? _ Z?•1S d•.?..?.?..1,?......?.....?.. X"U" , Iq ? 1, y e, X „U', , io a f. 2.3g2 X Uull ,043 = tc?2.•y . 9• Z50 X lguit C)y = ?p h, ? X??UA , 33 -- I.q 8 ; • - t oZ x ltu,l 3 . . . . . . . . : . . . . . . . . . . . . . . . . . : . . . ... . . . .Total = 2-7 B.ZZ? If item 13 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. ;?. . , ?_ . . : Total exposed roof/ceiling area 1368 , Total gross roof/ceiling area = 136a . . .:: j. Tota1 skylight area ........................ . k. Tota1 roof/ceiling framing area ............ 1. 7ota1 net insu'iated roof/ceil3ng area....... It . Determine "U" value for each roof/celling segment. X i,u„ Y Z.y k. t3b.Z. X itull 3.2- 1. 1 zz.5 X l?ull , oZ - Z4 •5 4 ..................................Total =(?3 b•l? If tatal of #4 is the same as, or less than #2, you'have met the intent of SBC G006(c)1-. . To uti7i"zed the total er?velope system method, the values.established by the sum of items #3 and #4 shall not be greater than the sum of itens #1 and #2. ; .. + 2. 3. ? + 4. _ MATERIALS Exterior Air Siding Material Sheathing Insulation SheQtroCk IntQrior Ai.r Studs RS.m Conc. Blk-s. Therrn. 8esiatance "R" .,_..?.. ? . ?._ .___?.?. . C:I:TY t7F EPGrtN CA•::`HIEi\n t:'t Tr:.+tiM.rNAL NOt 785 Ttr i'T'x " H/03/98 Ts Mr.. ° :i.Wi f :0 :D:: NnME„ FzREs:rIDE Cr.ar;:Nr:::R 320 9001 B27 P1?raMr,NTORY '.:0a 00 205 90(71 827 PRfli SONTORY 0n50 300 900:1. 4560 CLIFF RDG{= 50n00 H55 9001 4560 CL..IFF RD4:fi::. 0o50 1' Tota:E. Ftece:i.pt Amt:,}.,ntv :i.01 e (30 L'<<.O99082 l.}SI-.ii ID# N!iN(;tr PERMIT CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: Permit Number: Date Issued: suzLnzNG 03391t3 11,t03f98 SITE ADDRESS: 827 PROmoNrpRY PL LOTe 4 BLOCK> 4 THE WUOOLANUS P> I o N e e 10-75875--040-04 DESCRIPTION: GAs zNSERr/GAs LrNE ermit Type FIREPLAGE k k TYPe ALTERATTON 434 ALT. RESIaENTIRL ? ? %?; ? r?z fiff, M",? W ??a'? 46 REI4IIARKS: CHIh1NEY/FLUE MUS7 BE INSPEC`l"ED BEFORE CQNCERLINGo FEE SUMMARY: Base Fee $50.00 5 u r c h a r'9 e _._..?.?..?_.._._w _ -$_ ., 50 'rdtal Fee $50, 50 CONTRACTOR: - app 1 i can t-- sTo LICa OWNER: FI,RESIDE CURhlER IiVC 1.6331042 20090911. NESSE RflBERT 2708 NFAIRVIEW AVE 8270 PRQMQNTDRY Pl. RQSE1lZLLF MN 55113 EAGAN hiiV 55123 (b12) 633--1042 (651)454--1859 APPLICANT/PERMITEE SIGNATURE ? SSUED BY: SIGN TURE .. -t ,-o . s0 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1998 FIREPLACE PERMIT APPLICATION 681-4675 DATE: / U -3,0 "q Z DESCRIPTION OF WORK: Construct new fireplace L/ Install gas iasert onlv r'Other JOB ADDRESS: LOT: BLOCK: `t APPLICANT (circle one only): OWNER ? CONTRACTOR #' ? 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. Name: T6, f Phone #: "7`,??" ?FS9 PROPERTY Last First OWNER Signature: Street City FIREPLACE INSTALLER City ? Zip: License # _D-z--?.,/ ?" State: Zip: J GA5 LINE Company:??(,??!' Phone #: INSTALLER Sienature: (1 ? ) Street Address: I k -3-,? F"' PERMIT FEE: $50.50 Alterations to existing ? Install Las line only OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplaee WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition [1 34 *'4p -- ;,• GENERAL_INFORMATION Census Code. 434 SAC Code 01 REMARICS Chimney/flue must be inspected before concealing. ?_. ;« APFLI?ATION FOR PERMIT SEWER AND/QR WATER CONNECTIQN * * Nt7PE: PA7MENf OF FEE AT TIME OF * *t APPLICATION DOES Ndf G'ON- w*. STI4[TPE APPRGJAL OF PERMIT. .*k * * INSPF7CFION OF SE.VEt ANID/OR WATER * *. * iN.srALIATtoNS wuL NoT sE scEDULED * * [!PliIL PII2MIIT HAS SEQA APPROVID. * *****************,r****,?,t*************,r ty oF eagan (PLEASE PRINT 1) PROPERTY ADDRESS: 827.PROMONTORY.PLACE.... T•FY;AT• DFSQ2IPTION: . LOT 4 BLOCK 4 Lot B ock S vision or Tax Parcel ID IF EXISTING STRLCT[JRE, DATE OF ORIGINAL BUILDING PERMZT ISSUANCE: Mont Year PRESENT ZONING/PROPOSID LSE: Q _COMMII2CIAL/RETAIL/OFFICE xD R-1 SINGLE FAMILY Q INDUSTRIAL E:1 R-2 DLPLEX (Two L?nits ) _ = INSTIT[JTIONAL/GOVERNN1ENT ? k-3 TGWfiIHOLSE ( Three .+: Ljnits )( Lnits ) ? R-4 APARTNENT/CONDOMINIUM ( Lnits) . 2) ?"? ? NAME: HALLMARK HOMES ADDRESS: p O: BOX 273 CITY, STATE, ZIP: SAVAGE MINNESOTA 55378 PHONE: 432-2511 3) 0K,?` NAME = xr ANtM NLGHANICAL CONTRA?CTORS INC. ADDRESS: 12402 GOLiNTV ROAD #11 CITY, STATE, ZIP: BFJNRSVILLE, MINNESOTA 55337 PHONE: 890-4868 MASTER LICENSE # Plumbers License: Active Expired Not recorded Staf Initia ADDRESS: CITY, STATE, ZIP: PHONE: s ? w . ?. ? . ?P » . ? a+a 5) CZCONNECTION TO CITY SEWER [2'CONNECTION TO CITY WATER ? OTFER 6) ???eT? e--Ta ********************************************************************************** ***************** * * T!-iE GOLD COPY OF THE PERMIT WILL SE SETIr DIRECTLY TO PUSLIC WORKS TO FACILITATE NIE.TEft PICK-UP. * ,*r PLEASE ALIAW TTn10 WORKING DAYS FOR PROCF,SSING. SOME)ONE FROM TM CITY WILL CONrAC.T YOU IF T'HEftE * * ARE ANY PROSLEMS. * ?**************************************************************************************************? ? ??°aC5 lp-Sa ?t?Tn? v?v•ov 4 (?C)o.??r -:--FOR :CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT ( INCLLDE SURCHARGE ) $ ?"?.G? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ A.CCU?NT DEPCSIT - SEWER $ u ACCOLiNT DEPOSIT - WATER WAC $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ TOTAL r? __. _• .'? ? ? ?'. . . , .i ' ` r j?7; U Dr.'r'L'T m ?e -..-a,?......?_.. ....•??F1 ,r IR ;??:?lYi' ? DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: , APPROVED BY : rC.. TITLE: DATE : /G Z , z / . _ / U 7637463777 DEC -09-2009 13:06 From:AIR MECHANICAL 7637463777 ,\uu 411Pt* City of EaQau Date: Tenant: 3830 Pilot Knob Road Eagan MN 65122 Phone: (851) 876-5675 Fax: (651) 676-5694 2009 RESIDENTIAL P UMBING PERMIT APPLICATION rasa: !'i1 �'� / 6—V16—V1+0v4 PL � So To:651 675 5694 P. 1/1 Use BLUE or BLACK Ink For Office Use Permit #: ) Permit FeO. `- L Date Received- _. Staff 0 to RESIDENT 1 OWNER CONTRACTOR Site Ad 1 Name: v tl Address / City / Zip Name! Address: City: Phone: • S. I L.r A 01 fi 1 TYPE OF WORK — New Repla Descr prion of work: PERMIT TYPE RE !DENTAL Water Heater Lawn irrigation (__ RPZ 1 PVB) Septic Syetem New Abandonment Contact Penson Phone License #". State IM, Zip: Suite*: os "o. J merit Repair face uild Modify Space _,.Work in R.O.W. i (n fy 'Eater Softener , Add Plumbing Fixtures Main Lower Level) Water Turnaround RESIDENTIAL FEES: $60.60 MjniorM Water Heater, Water Softener, or Water Heater ltd Softener (includes 5.50 State Surcharge) $30.60 Lawn Irrigation (includes 5.50 State Surcharge) 550.80 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $165.00 If a 5/8" meter is required) $100.50 Septic System ew ($10.00 per as built) (includes County fee and 5.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes 160 State Surcharge) TOTAL FEES OU G. Call Gopher State Ono Can at (661)464-00 02 for protection against underground utility damage. .9EFQ�,Y t�L he atet,•n►+.A��,n.ora. Coil 48 hours before you intend to dig to receive Locates of underground utititios. +n.94R_a 1 hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances nddt the codes of the City y of accordance with the approved plan inthe case of work permit, but which requires aan application for reviepermit, arnd approval of p1e, not to ofart without a perm arco e 'CA t ! CA/5 Applicant's Printed Name Rovlswed By: Cat®: ,.,._�_._ FOR OFFICE USE Final Rou h- In _,,,.,Air Test Gas Test ,.^ Required Inspections: _..Under Ground ,�... � Q/c`' CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink1 `s;=!. For Office Ilse Permit#: Permit Fee: Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: -[-e.)01 Site Address: Say- -PV Y fl Ors-A-01t—c c Tenant: Suite #: RESIDENT / OWNER Phone: Li —OS-- Via& Name: 1 . __ ill) a Q nil (C Address / City / Zip: CONTRACTOR Name: Sl,JY, WC License#: 33L3 LtX✓ , .i13( U Address: l 9y-0.) [NULJ YI.(c[' Zip: — City: h i1V'-&- State:__ Phone:q 3' 18. s' 0 Contact Person: obi y-) ° • TYPE OF WORK PERMIT TYPE New )( Replacement Repair Rebuild Modify Space _ Work in R.O.W. _ _ _ Description of work: RESIDENTIAL Water Heater Water Softener Level) Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) (_ Main — _Lower Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) (includes $.50 State Surcharge) Surcharge) Surcharge) TOTAL FEES $ _OSD $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State burned out appliances, ductwork, etc.) (includes $.50 State CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 wo,i4 is no to sta , out a permit; that the work will be in accord nce with the app o d plan in the case of work which requires a review and approv /IV Apple ant's Printed me x Apli is Signa r FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough -In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154183 Date Issued:02/26/2019 Permit Category:ePermit Site Address: 827 Promontory Pl Lot:4 Block: 4 Addition: The Woodlands PID:10-75875-04-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Aaron Diederich 827 Promontory Pl Eagan MN 55123 (612) 414-7688 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168456 Date Issued:04/21/2021 Permit Category:ePermit Site Address: 827 Promontory Pl Lot:4 Block: 4 Addition: The Woodlands PID:10-75875-04-040 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Aaron & Amy Diederich 827 Promontory Pl Eagan MN 55123 Ashco Exteriors Inc 11164 Zealand Ave N Champlin MN 55316 (763) 225-8333 Applicant/Permitee: Signature Issued By: Signature