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824 Quail Ridge RdDate: r City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY Cr iaoa Use BLUE or BLACK Ink Permit #: Permit Fee: 9FFSO 13s a o Date Received: -- / / Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION q- zs-ei Tenant: Site Address: az.q. OL Alt_ 73I 064 Tom, 154G,4M 4/ 5 1Z3 J Suite #: RESIDENT / OWNER Name. %� f JSe le Col Phone: 651-4$2. "9S3 1^ Address I City / Zip: 82y ,..,0.4.1.ati I Woo_ Raa4 &Wart Im S5 IZ3 CONTRACTOR Name: A/ / License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK ' X New Replacement Repair Rebuild Modify Space _ Work in R.O.W. _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / Lower Level) _ Lawn Irrigation.( RPZ / PVB) _ Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) r$35.00)awn Irrigation (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 5 • © C) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name x Applicant's ature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPEC-TION RECORD I C°ntr°' "°. PERMIT TYPE: Hv t tt' i NA Permit Number: 001340 Date Issued: 09 IwA192 SITE ADDRESS: 1.0i; 1 APPLICANT: ft?a yUAIL irIb??E R u x(ir KoM€S R a THf oAKS OF HaznaEwAvt.r? 2Nn (612) 681-9613 PERMIT S1I1BTYPE: TYPE OF WORK: ? m INSPECTION , O'rtwO .A . F'Rnwxas .. Wylll A f t ?IN Ft'NAL RF'1lAf'tPV'.3': ?s; rv W COAtTFtACI'llti' ._ 14A7THrw f?AN.tEt S Pl.HW Permit No. Permk Hoider Date Telephone It S/W PLUMBWG H VAC ? Y'l ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Kl' Isul. Fireplace Final Htg. Orsat Test ? Final Plbg. Z Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Fnal Deck Ftg. ?b L Deck Final Well Pr. Disp. u ? Ir zt ,:$ 6 ?(f-,W LLvI "%/4!! 7 ;&...- /?..(/ .6 . ;. Cfertificate nf Cccupanc4 crtt? af Cfagan 2cvartmcnt of 13uiibing 3ndoemon This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various orrtinances of the City regulating 6uilding construction or use. For the following: Use Classification: $ F D WG Bldg. Permit No. 1340 R VN Occupancy Type R A K?T ?S Zoning Disuict 7?ppe_ _ConsT t_?, ? V?j? Ow??er of Building Addmss jAI?F ? Building Address ??iry f f i • ? 1Z/30/q2 Date: Building tcial POST IN A CONSPICUOUS PLACE ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ?? i ? t? ?? t M r; 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: APPUCANT: ? „i ? ? ?;t ??o r s;.?? ?it?A t t i? 1??t?J k[? ? i?. ? ? 1?; ? f?1; i??? t+ 1 ra+ I tii iiA6 '< <?I EtN.[t'?tiF'4?111 f t.F ?'Wl1 ??? 1.; ?, t s t(+14:." ? ? I PERMIT SUBTYPE: TYPE OF WORK: ; EI r i, I "",, i rar I rk A 1 rn?v Permit No. Permit Hotder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP BOARD FlREPLACE ' I IV 6 txl.?, y !? W? FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DFCK FINAL ,Addreqs : 824 QUAII, R-mLE gpAD Lot i Blk 3 Sec/SubrE OAKS OF BRIDCEWATER 2ND These items were/were not complete at the tirae of the final inspection. Date: 12/30/92 Yes No Tnsppntn Final grade (6" from siding) ILI." Permanent steps - garage :S Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass ? Trail/curb damage Porch ? Basement finish Deck Please verify with the builder the removal of roof test caps from the plwnbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ? I1EC1Q[D MR? White - City copy Yellow - Resident copy Pink.- Contractor copy K 05806 i/ eA;I` Re est Date Fire No. Rough-in Ins tion Required? ? Ready Now XyJill Notify Inspector 97- XYes E. No When Ready? I?,licensed contractor •'] owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route City $2 rc. ? UG /0. Gan Section No. Township Name or No. Range No. Cou jD.K OTA Occupant(PRINT) Phone No. ?, ornE • + ?'81- 95 ?3 Power Supplier - ? Address ' r q ?ECne, ,arco ,bem r? ? Electrical C ctor (Company Name) Contredor's License No. ?f?a5 - ? T /C c . X D1 Ll3 Mailing Address IContractor or Owner Making Installa ) 83 v146 ,TO,, . ,? ssczz ZA Authorized Sig re (ContractoriOwner Making Installation) Phone Number /•?.r?n MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 642-0800 ENCLOSED. RE(]UEST FOR ELECTRICAL INSPECTION E??ea-oooo/i-os ? ? See instructio?s for cr?m?7teting this form on back of yellow copy. ?3; O:6,8 0 6 "X" Below Work Covered by This Request ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eiectric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps r3 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspector's Use Only: OTAL Irrigation Booms So ? Special inspection ? ; Alarm/Communication THIS INSTALLATION MAY B DER NECTED IF NOT Other Fee .sp ., COMPLETED WITHIN 18 S. I, the Electrical Inspector, hereby Rough•in r ? el certify that the above inspection has been made. Final Dat ,. f Y OFFICE USE ONLY This request void 18 months from . `rc/?a n ? 7 8 6 / Req4est Date , Fire No. Fpection Required. ',54,Ready Now fl Will Notify Inspector G 9 ? Yes ? No When Ready? I'%licensed contractor ? owner hereby request inspection of above electrical work at: Jo Street. Box or Route No.) . i YW ? ? City ..r (?__ r- - r4c?- m ? -? Section o. Township Name or No. Range No. Counfy _ , ?=1 Occupant(PRINT) ? Phone No. /\ . fJl ?Y'Y1 L; ' ? I -S, PowerSu Address Electri ntractor (Company Name) ?N Contrector's License No. ?i Mailing Atldress IConiract or Owner Making Installation Authorized /S?g?s?pWre (ContractoriOwner king Installation) Phone Number /'?+/- MINNESOTA STATE BOARO Of ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS -ne (612) 642-0800 Y ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-oooai-oe / ? See instructions for completing this form on back ot yellow copy. K 0 5 7 8 6 : "X" Below Work Covered by This Request ew 'ABii RepT °- TypeofBuilding AppliancesWired EquipmentWired Home Range emporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other jSpecify) Comm./Industrial Furnace Farm Air Conditioner Other (specity) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspector's Use Only: TOTAL ' irrigation Booms /J ,p? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED ONNECTED IF NOT Other Fee ,SJ COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final t o.I.9 ? ? OFFICE USE ONLY • This request void 18 months from CITYYOF EAGAN 3830 Pilot Knob Road V Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ? Control No. 1030 BUILpING 001340 a9/0s/9z I SITE ADDRESS: DESCRIPTION: 824 QuarL RzoGE Rn LU7e 1 BLQCK: 3 THE QAKS pF BRIpGEWATER 2ND e S F C1WG NEW R-3 M-1 V-N R--1 70 46 4 ?"? ? v ? ` ,1: ? ? ?REMARKS: 5& W CONTRACTOR -- MA1'THEW DANIELS PLBG FEE SUMMARY: Base Fes Plan Reva.ew Surcharge SAC SAC % SAC Units Subtntal VRLUATION $944.00 $613.60 $93e50 $700.00 109 1 $2,351.10 $187,000 MISCELLANEQUS T4tdl F82 1 610q50 $3q 76.L s 6YJ CONTRACTOR: - A p p 1 i c a n t - 5 T. LI OWNER: KOT HAMES R A 16879513 000150 R A KQT HOMES 7901 UPPER HAMLET CT 7901 UPPER MAMLET Gl" RPPLE VALLEY MIV 55124 APPLE VALLEY MN 55124 (612) 687--9513 (612)687-9513 ? ?/ ? ,. ?w bA ra I m MITEE SIG AT SUED 13Y. IGN R PCRMIT,# NEAGT`1,VATF ClTY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION AU6 2 4 REco ? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, l copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Valuation of work a?10 ooD , Site Address• Qt,ca, I RIJ4, 1<&x STREET SUITE ? Tenant Name:. (commercial only) LOT BLOCK ? SUBD,.-7_kk OqK? ? P. I. D. 0 0 Q O Descri t i on of work: /UeJ An1rd e_1+_11 j The applicant is: CLYOwner El Gontractor ? Other (Describe) Name _ l<,OT- ,Q,fi=??-- Phone PrOperty LAST f IRST Owner address '79e) t STRVE71 . srE ?r City (e Cr State /Y A-) Z i p ?S ?- ? Company G c all d v-e Phone Contractor Address License # Exp. City State Zip Company J??•C.- Ae-C 1?ki Phone Architecti Engineer Name Reg i strat i on # Address v6 City State Zip Sewer b water licensed plumber /I ' Processing time for sewer & water permits is two days unce area has been approved. I hereby acknawledge that I have read this application and state that the information is correct and agree to comply with all a plicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY ' - BUILDING PERMIT TYPE , r .? , O 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish 18?02 SF Dwg. D 07 4-Plex O 12 Multi. Misc. O 17 Swim Pool 0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. 0 10 Multi. Add'1. O 15 Deck O 20 Public Facility ? 21 Miscellaneous - woRK TrPE P(31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Qemolish O 32 Addition O 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System YES- (Allowable) _V - N lst F1. sq. ft. City Water UBC Occupancy R,,3 M_I 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 70/ . On-site well Census Code tar Depth 41 6' On-site sewage SAC Code o? APPROVALS Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS ? Site O Footing O Framing O Insulation O Wallboard ? Final ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit. S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Cop ies Other Total: _ SAC 9G ?f! SAC Units ? veluat;o,: S 187, 0oa . GARAGc IsT 1-LVOra s .---?-.°° ?Sx32= $9` I35?T ; ? I 3'1N ???+tx? r ?? ? (25) . 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RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, 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 CalculaGons • 3 copies of Tree Preservation Pfan if lot platted after 7/1193 . Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE I ? ? d 2 SITE ADDRESS TYPE OF WORI APPLICANT? d5g.7-?; RemodeURecair Reauirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions 8 decks • Indicate if home served by septic system for additions ) VALUATION Ct-,/ c ULTI-FAMILY BLDG _Y "?N FIREPLACE(S) _ 0 _ 1 _ 2 I-P ITY Q- 1'l?-(Oa STATE ZIP FAX#S? STREETADDRESS 5)?") Agqkbd 1,,64 TELEPHONE #K? S6? 06CCELL PHONE # In r-,? r- ,--, f7 rrj?, PjO?PE_RTY OWNER' Ie,, _ Energy Code Category (4 submission type) TELEPHONE # 0 wP Vc PLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ` Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # ree: $70.00 I hereby acknowledge that I have read this application, state that the inform io is orrect, and agree to compiy with ali applicable State of Minnesota Statutes and City of Eagan Orclipernp s Signature of Applicant ..... --...... --............ --........................................................... °.... --------................................... --.... ----...... ------------ OFFICE USE ONLY Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex 0 08 06-plex ? 16 Fireplace ? 09 07-plex 0 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex 0 19 Lower Level 0 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. Alt - SF ? 36 Multi O 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 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 REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof T Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ Siding ? Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall 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 Approved By , Building Inspector PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: g U z L p I NG Eagan, Minnesota 55122-1897 Permit Number: 027522 (612) 681-4675 Date Issued: 0 5/ 10 / 9 6 SITE ADDRESS: 824 QUATL RTpGE RD LOT: 1 BLQCK: 3 THE DAK5 qF BRICICaEWAT ER ZIVD P.I.N.: 10-75836-010--03 DESCRIPTION: FIREPI.ACE ALTEF2ATIQN 434 AL`f. RESTqENTIAL REMARKS: FEE SUMMARY: Base Fee SureMarge 1"otal Fee $25.00 .50 $25. 5P1 ? v?? 3>,' ? ? z ??? ;?'?? *??e i a? CONTRACTOR: - Applicant - sT. LzC,OWNER: FIRESIDE CORNEF2 IIdC 16331942 0001068 PERALA KEVIN 2700 N FAIRVIEW AVE 824 QUATL RIQGE Rp R05EVILLE MN 55113 EAGAN MN 55123 (612) 633-1042 (612)456-0510 RE ISSUED B S ATHREES ' ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: ??L INSTALL NEW FIREPLACE: WOOD BURNING ? GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: Ex'/5 7jAJ-t? Z7rgLe-,I? STREET ADDRESS: 82A ?-? tA 1L^. ?70-(.)C 7F0A'? LOT I_ BLOCK J? SUBD./P.I.D. APPLICANT: (circle one only) OWNER I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER -r 5 %2- ?? Name: I"-=? Phone #: LqST iIRST Signature: - Street Address City: ? Company: ? Signature:4 Z f 4u r4 l L-- KC 4,14 ? ? State: Stree tldress: 385'(6, w 0-/ License #: /0 6$ City?u?'?l S ?l L -?? State: ?N Zip?37 Company: Name: - Signature: Street ? City: _ CONTRACTOR zip: Phone #: ?a- d7? Phone #- State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New o 33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. ?:,?? .+?,, °?-'?,?,°•? ?'`'?°, ?' , ,?r•?:?, = .°'' ::'?r„` ,. FEES Permit Fee Surcharge Other Copies Total: ? ;AP 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsUuction Requirements RemodeVReaair Reauirements 3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addifion - indicate if on-site septic system 3 copies of Tree Preservation Plan ff lot piatted after 7/1/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date Z-e Construction Cost Site Address Unit/Ste # "- jj a Description of Work I? e Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner Telephone # 4f SZ- -- 9-?3 ? ? ) ?? C Contractor • ? ?"^ - Address IllYw /_ ?c ? u'')? f`? City State Zip S-J ( Z Telephone # (6j1) 2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate?ory 1 _ Minnesota Rules 76'72 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor SewerlWater Contractor Telephone # ( Telephone # ( Telephone # ( N If so, 25% plan review 28 7 I hereby apply for a Residential Euilding Permit and acknowledge that the informati n is compretaz:?nd acc ate; that the work will be in conformance with the ordinances and codes of the City of e o MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f lans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement ? Valuation Census Code SAC Units ? # of Units ^ # of Btdgs -' Type of Const ? _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water ? Framing 1 ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 19 Lower Level ? 24 Storm Damage ? Plbg_Y or_ Nx 25 Miscellaneous 5TU? Int Improvement ? 38 Demolish Interior X 44 Siding Move Building 0 42 Demolish Foundation ? 45 Fire Repair Demolish Building* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System '-" Zoning City Water - Stories Booster Pump Sq. Ft. -? PRV - Length - Fire Sprinklered "- Width - Final REQUIRED INSPECTIONS FinaUC.O. Final/No C.O. _ Plumbing HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding Stucco _ Stone _ Brick _ Windows _ Retaining Wall Firep ace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee (/ Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector •------ - P;3 -73 ----------- GGj"J11?XA/>'-Y o?/ p??Ls?1 / j?' r? C??, ?/-'a !? 1 ?v fl1?o rkw f?l%riZri _ C?11. I02acoLvt y? uri>r 12rAd1i? , 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Piease complete for modifications to existing residential dwellings. Date 1 I .44--.0 Unit # Site Street Address ely-A dd4e Apw`f- 9-00F.04t , Property Owner klel Telephone # 40) 4T2 . 73 v Contractor M t Yr ` v ? Telephone #{60 ) 60"2/ 33 Address A%?i A,e City q Statel /t/ Zip The Applicant is: ? Owner _ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section KaRd-check : the- ? appliance(s) you are installing. ?of ? , _Septic System Abandonment ' MAY a N _Water Turnaround (add $130.00 if a 5/8" meter is required) ' h Other: - ?.. Water Softener Water Heater $ 15.00 _ new _ replacement _ Lawn Irrigation RPZ _PVB X-new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $., _6t) I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed ayyd approved. Applicant's Printed Name ApplicanYs Signature 0 q w ? ' -- - 01 ?D ? 3 W? OD ? N ? p- 1 O -'(Jf b N ?N a$ i? .\ ? ? \ \ ? II ? 8867 ? W4TER ELEV ? W I BBFO` 8861 =8774 I l >/ °? \ B ENCH MA RI( ?// / j \ aoO \ 70P OF CIPE ELEV= ? LOT 8838 ? 8B5.9p ? \? . . ;?$ ?? \ \0 / ? N 88629 ? `. 9ap ? O I V 'I :?I // 8861 ?.. O`\ \NO\c . . \ O? } 9 \ ?\.8814 ?10 I Ha \ x \.8816+ 4 \\ s8B61 \ \ ?\ J a \?? ? ' 1 \O 1 881 3 \ I? B °?4560 ? o??? 1` ? eeo e Z ° If) e7e.s ' W \ - I a _ •? ?w x / {S \9 ¢ e76 3 . OOj?__ -9ENCH MAHK . TOP OF PIPE EIEY-. o i0 ¦e7o.? I 111•49'33' ( /` I / \ I / \ / a \ I s °V , I ,-; ? e7o9 . . -? _ -o---- DENOTES PRC1POSf.n SURFAGE DRAINAGF O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FnUND X0000 DENOTES EXISTING ELEVATION v • • ? ? - - u? ?D ? r ? a Wi 3 p N N ? O N?, ? N "? N. p ?s ?M ? m P ., 1I / `? . `\ BB6 7 I? BB6? \ W4TFR EL EV W I BBEO ` \ :e714 BENCH M4RR TOP Oi CIFE ELEV- ?LOT BB38 ? . v ? / ?ry>f' 1686 26'''' ^a 8B5 9 p $ \ O ' ? w a? ?88629 ? cC 9j0 . 1 I ?/ 8961 `i` \, `\NO\ \ \ po y-' ? ? \ \ `\1BB14 I ? ? \ a 886 I BBi6?,? ?• ? \ 8813 10 ?B80 B . 0 mIL _. ? 0 ? J / rn o2 _ ? . ;2 \ 878.3 9 . ? ? I a H • ?p ? / 1"? \ \ b) \a ? 8763. ?BENCH MARI[ , • EOFPIPE EL ' r P 98702 ^ . 411•49'33" ?_liT c= I ( / ( / \ ? a \ J °V '7 \ • eXs. - - '- ? CiNJiES ?ht?t? ktJrt..o.lFt.l f+N r+D : . . . . ,._..u ~ ...t , . _ _ . - ~ - ~ ~ ~VES COT T ~ ROAD ~ ~ _ _ o~ ~ . ~ J ~w N ~ ~ j ~ C/7 • ~ ~ m N89°40~48°W - 29.01 ~ I L11 0 N / ~ ~ ~ W ~t N ~ ~ = CO ~ N ~ ~ . N ~ ~ ~ X Q LL ~0 ~ r ~ ~ 11 O U ~ ~ n O JN ~ c ~ m : ~D Q o , O N ~ o I f> ~1+ ~ ~ N (D ~ ? ^y ~ ~ ~ ~ Q ' ~ 0 ~ o ~ N.aN, , Q~ ? =pn~ ~~ao t~ °°T°_ ~-_-~-o~~ . ~ w°:'°f°'~°~ z , , o ~ ~ a~ o, a~o~E~co~w3c °1 ~an~o~_o. ~ \ Ty a~ ~ o-~ ~ C ~ \ ~ ~ ~ ~ O ~ ~ = O ya3 . ~m*- l > N ,.1 1 = aiON~~N+ N , _ p w. ~ , tn a N a O'O O ~ 1J _ ~~'Emoa~u~ o ma ~ . . \ - _ \ ~ s 11 ° 1 ~ 1~ 8867 ~ ~ ~ 886.i ` ~ , WATER ELEV ~ I 886.0 =8774 ~ ~ \ ~ ~ \ J ~f ~ f ~ ~o ~ : h- ~ ~M ~ ~ ~ J( p/ ~ / M \ ~ ~ ¦o ~ JI ~ Oo ~ . _ ~ ~ ~ ~ , _ _ _ _ _ - . ` _ _ _ , ~ \ U1 B ENCH MA RK ~ ~ / (p., 70P OF PIPE ~ lV ~ / \ ELEV.= LOT I , ~ Lu ~ ~ / ~ \ ~ ~o ~ ~ / oo~,_, ~ Q ~ w ~ p ~ ~ /~15 Q~ 883.8 ~ ~ Z ~ ~ \ i~ ~ Z `~ry ~ / ~1 ~~886. 2\'' Np 885.9zG.~p s- ~i' ~ / ~ ~N ~ 1~ ~ ~y I NI 9~ \ ~f ~ ~ ~ 0 886.2 ~ 2 ~ ~ ~ ~.c ~ .R 7~ ~ ~ ~ ~ I x ~ ~ N J ~ eas.~ ~ \ ~ ~ ~ F- , ~ 60~ z~~ ~ ~ ~ ~1 ~Q 1 m 11 0 / \ 881R 1 88i6 ~ x 886. i U Q x ~p A~ ~ F ~ ~ ~ p ~ ~ ~ \ 88 I.3 ~ V ~ n. 1 ~5 b ' e1 ~0 1 ~ ~ W O,%~~A~ ~ , X880 8 ~ ~ ~ co , , ~ 2~ ~ W ~ ~ z \ 3 p "-'J'' s ! ! ~/,c,l ~ ~ = O ~ Z~ s; 0 323 / o ~ Q w ~ 878.5 ~ Q ~Q i ~ ¦ - C cn J ~ `S~ x / `9 \ M ~ ~ W 1 ~o W ~ ~ ~ e~s.3 x ~1 ~ P~~ ~ ° . ~ t2 . \ r~ ~~W , oFj~ -BENCH hIARK ~ ~ ~ ~ ~ TOP OF PIPE ~u~ ELEV.-~ ~ ~ C~ ~ 00 ~ ~1 ~ 2° ~ , / ~ N ~~~~~g t~ X e ~o. 2 r - ~ ill°49~33~~ ; ~ l i~ i ( / i L_ 0 I TE J ~ ~ ~ \ SEP 0 31992 ~ ~ J~IES ~ Hlu INC. / DRAWN 6Y 2 io ~ SWK s DATE ~ ~ ~ 8-19- 92 1 ' i l1_~ 870.9 x ~ DENOTES PROPOSED SURFACE DRAINAGE REV I S I ONS ;~7U,~,~ 0 DENOTES IRON MONUMENT SET SCALE:1 INCH = 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = g~37~~ FEET 9-3-92MOVE HOU~ X000.0 DENOTES EXISTING ELEVATION PROPOSED LbWEST FLOOR =~~g~3 FEET (OOQ.O} DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK =,P~~~~ ~ FEET ~ WE HEREBY CERTIFY TO R. A. KOT HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY bF THE BOUNDARIES OF: BOOK / PAGE Lot I, Block 3, THE OAKS OF BRIDGEWATER 2ND ADDITION, occording ta NOTE NO SPECIFIC SOfLS INVESTIGA710N jh@ recorded P~Ui thereof, ~4k010 County, Minnesota. 439/50 HAS BEEN COMPLE7E~ ON THIS + ~oT 8Y 7HE SURVEYOR. THE IT DOES NOT PURPORT TO SHOW IMPROVEMEN7S OR ENCROACHMENTS, EXCEPT AS SHOWN. AS PROJECT N0. SUITABILITY OF SOILS 'fU SUPPCRf SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 19TH DAY OF AUGUST ,1992 THE SPECIFlC HOUSE PROPOSED 92477 IS NOT THE RESPONSIBIUTY OF c„nr,~r•fi inA~rc,fi wi r inir~ ~ THE SURVEYOR. vE~v: i hi ic.»m. n L_ L, nvi,. f i , f FILE N0. NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORiZONTAL a VERTICAL LOC- 1-92-I54 B'' aTioN oF sTRUCTURE oNLY. SEE JOHN C. LARSON, LAND SURVEYOR SHEET I OF I~ ARCHITECTUAL PLANS FaR BUILDING a FouNOaTioN oirnENStoNS. MINNESOTA LICENSE NUMBER 19828 • � , Use BLUE or BLACK Ink �----------------- � For Office Use � � r `"� � ' j Permit#:�� C— ! ' I clt� of ���a� � /�j�,�� � Permit Fee: `� � 3830 Pilot Knob Road � � s�1, � I Eagan MN 55122 � Date Received: I � Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I !----------------� ��-� 2015 RESIDENTIAL BUILDING PERMIIT PPLICATION c� ,- �. .�-- I � �y l`� l� � Date. � �� Site Address• ��� ��i��� �G� �� � Unit#: t r � ` ' � �`� Name: �1'' c�ii, � c. I %�►r� Phone: �1��E'�� � ?C�'f�Q�/ �t� � � 1�'� '}�/� F ���,y* "' Address/Ciry/Zip: ,� . ��. , , /'���/. � ���� Applicanf is � Owner �Contractor J t J c., ` Description of work: ,�.�.[ � G>!''' !',� +� t� ��, �s i,�!'�� . �L�- J~c:��,,p���� ����,��� ;. T— ,� Construction Cost: � Multti-Family Building: (Yes /No� � , r_ —�`.. Company: �(`' ���— Contact: c��'��-' ��y�� i 1-r ,J �4�'��C�� Address: � (�`��I I �� ��` ��� Y" _City: �1���'1�d 1 L �-�,. ; State:�Zip: � c���Phone:(�. . CO�;-�� /Em,ail: C.J�-1/�t-��G�����+�'��� �-��'"'\ � / � � '. License#:��.lr���� '�'' � Lead Certi�cate#: If the project is exempt from lead certification, please explain why: (see Pag��3 for additional information) �U�L i i�/ q�, �` COMPLETE THIS AREA ONLY IF CONSTRUCTIN�G A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan ba:sed on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: ��������c������������� k ��� ' ��� . � ���� ��fr��'+�r�t���r�1���►�s�r��6�����6�"���,����it�� r�� +�� � � � ��� � , � ,�� , .r� � � �� �� � �� „� � � �� , �._ � � �, �.,� ��� � � . . � 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. vwvw.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl;ans. Exterior work authorized by a building permit issued in accordance with the Minnesota Sta�te Building Code must be completed within 180 days ot permit issuance. X ��-�� �3 , �� X�� . _ ApplicanYs Printed Name Applicant's Signature Page 1 of 3 w • � � ��j ���►G'< < � ��hC'_.4 � �US � ��, I " DO NOT WRITE BELOW THIS NE �� ;���� `f�' SUB TYPES Foundation Fireplace Porch{3-Season) Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(ScreeMGazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior improvement _ Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior � Alteration _ Fire Repair _ WindowS _ Demolish Foundation _ Replace _ Repair _ Egress Windov+r _ Water Damage _ Retaining Wali *Demolition of entire building—give PCA handout to applicant DESCRIPTION f Valuation �3�" Occupancy Z,�G—/ MCES System Plan Review ,/ Code Edition O/� SAC Units — (25%_100%� Zoning n —f City Water -- Census Code �� Stories � Booster Pump '—' #of Units / Square Feet PRV """ #of Buildings � Length _. Fire Suppression Required " Type of Construction _�_ Width ,— REQUIRED INSPECTIONS Footings(New Building) Meter Size:_ Footings(Deck) Final/C.O. IRequired Footings(Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test�Gas Line Air Test Roof:_Ice&Water _Final Pool:_Fo��tings Air/Gas Tests _Final � Framing Drain Tile _� Fireplace:�Rough In �Air Test _Final Siding:_;>tucco Lath _Stone Lath Brick Insulation Windows Sheathing Retaining W'all:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Coritrol Braced Walls r Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee G �, '� Surcharge Plan Review �O� r-- MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA130185 Date Issued:04/09/2015 Permit Category:ePermit Site Address: 824 Quail Ridge Rd Lot:1 Block: 3 Addition: The Oaks Of Bridgewater 2nd PID:10-75836-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Description:Reroof house 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 - Alan Kinny 824 Quail Ridge Rd Eagan MN 55123 Builder Jones LLC 10301 176th St W Lakeville MN 55044 (952) 378-4122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130570 Date Issued:04/30/2015 Permit Category:ePermit Site Address: 824 Quail Ridge Rd Lot:1 Block: 3 Addition: The Oaks Of Bridgewater 2nd PID:10-75836-03-010 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Alan Kinny 824 Quail Ridge Rd Eagan MN 55123 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130708 Date Issued:05/11/2015 Permit Category:ePermit Site Address: 824 Quail Ridge Rd Lot:1 Block: 3 Addition: The Oaks Of Bridgewater 2nd PID:10-75836-03-010 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Alan Kinny 824 Quail Ridge Rd Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131037 Date Issued:05/29/2015 Permit Category:ePermit Site Address: 824 Quail Ridge Rd Lot:1 Block: 3 Addition: The Oaks Of Bridgewater 2nd PID:10-75836-03-010 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 - Alan Kinny 824 Quail Ridge Rd Eagan MN 55123 (651) 615-2777 Builder Jones Llc 10301 176th St W Lakeville MN 55044 (952) 378-4122 Applicant/Permitee: Signature Issued By: Signature , Use BLUE or BLACK Ink . r________________i I For Office Use � C14Ol �� �11 � Permit#: � �J v� �( �� � � � � �� ; 3830 Pilot Knob Road � Permit Fee: Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 I � � Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with ali commercial applications. Date: Site Address: C,��� Q (.( �` I /`i.�� �Ad-r�'> ! Tenant: Suite#: r ��� ( 1 / � .� vZ7�7 y�� Name: Phone: 10� ! ` �����1�'������1' ��� � �� ,�s Q. ", a ���. : Address/City/Zip: �� �� `���� ��` Name: ) E'��vf (_ �'�t"•� 1'� License#: �;- ��� � - i� �, � /�� �^ r _ %� �' ������ ��� ���F��`� Address: �(� O� ��( r c'� � �� y. t � w1 Cit r->�-�,�`t�l � �,� `�� ��� ��� Phone: C���'`�� [�(Q� _\ � �� u��� � s State: � Zip: �,, �� �' ��� �.. ���. ..�: Contact: � ` J EmaiL Crt�CtG ���� �'.� � � c�"^ � �.�.._ . �, �� � `�e� � �G�� � �. u�F�� ` ����£ `���` �� New ReplacemeM �Additional Alteration Demolition .: F \�' �' fp � � � . /� r` . . �� ������ � Description of work U TS�� D 4' � r� � � �� a��� � � : \ 1 � � : F ���� � �y � ��( /��y F r,�'�'i.M' �y �� W� 3 y a S y+�►�p��3 �y y Y� , . y� �y I � ������y���'4� �4i\R�y����YY ���� _- i�� ���V(�Y��F ��(. y l,,, �; � ..y..: ....; �`�� ��:. ��FY � � ��� `F���'�� .,:: \�� L�1'F�Y�� \i��������k ���Ri����� \: :, . .. :-� .. ,� .,..,,. ,s;��:\q.. ,,,,,., . •a.Fn�..2c.,s,, , ,,,,,,, ,, ;,,,Z,.�., ,.., ;-;::..;v V...c___�xV.�YrsR,... 2��� ��� : . . � . . . ..,, : . . �..�. .. i�; ��� . . . � � . . � � ' �� `;; �� RESIDENTIAL COMMERCIAL \\, �� � � � � i��� ��� _Fumace New Construction Interior Improvement �'n� � ��� '� �.`. � � ' Air Conditioner Install Piping Processed �!1'�\���38��� — � _Air Exchanger �Gas �`4� Exterior HVAC Unit ��� �X ;� _Heat Pump Under/Above ground Tank �Install/_Remove) � / � � Other — RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge" *'If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 **"If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. �, x ����M 1���t J X _.. ApplicanYs Printed N me icanYs ignatu � � � � � � ti� � � � � � � � � � y � � � � ������ �f �� c , `� a��F �''�aa'���a ��� �a�� ���s��c' x y ��,,a� a �°� �, � .,� ��•��. ... : � � ' i �v�.. ������� � � 1 1 � �_ �" � `:F�� ,+�IT1���� �� : � � �v ``�z�. -- .•�:'���`���� �� ������ � � � '��3������f�' ��� � � � y ti� : �� r : � .:'' �r: ��i�� ``^��`a -� \� `�.������� ��'�� " � `� � ti,c,�'� ��. ; � ,. ` :,� � . \� r Tr���! , !1 z�, �'St �Q �as ����\ �.� ��`� � �'Il���� \�� ,. �. ...�... . . � ��r:. �. . ,. .. .� �.. >. ���._... .`����...,. �� ga� ;� CERTIFICATION OF PURPOSE OF SECONDARY KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING I, Subhadani Kinny, duly sworn and under oath, certify that I am the Owner of the one-family detached dwelling as defined in Section 11.30 of the Eagan City Code located at 824 Quail Ridge Rd legally � , described as Lot 1, Block 3, The Oaks of Bridgewater 2"d Addition, PID# 10-75836-03-010. A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel, and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a secondary kitchen within the dwelling. The secondary kitchen facilities to be installed under the building permit are for the sole purpose of` providing cooking and food service facilities for private entertainment of guests by the property owner at the dwelling. I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second complete, independent and separate living and/or housekeeping unit within the dwelling. ^� Dated: August 17, 2015 C�`" Own Signature � Subscribed and sworn to before me this � � day of '� , 201,�� , ` ,� ' '9'='' JULIE ANITA STRID � _ Notary Pubfic-Minnesota P b I iC ���-„„ My Comm�es�on Expires den st,2020 I hereby verify that the above said Certification of Purpose of Seconda Kitchen Fac'lities within Single Family Dwelling was recorded at the County Recorder's Office on '������ , 201�' 5 1 By:�,J �� Its: ��� THIS INSTRUMENT WAS DRAFTED BY: City of Eagan Community Development Department 3830 Pilot Knob Road Eagan, MN 55122 Receipt:#392906 3085568 Ret un to: $46.00 I IIIIII I�III IIIII I�III IIIII IIIII IIIII IIII I CIAY OF EAGAN I�I 3830 PILOT KNOB ROAD Recorded on:8/19/2015 1:08 PM � MUNIqPAL CENTER B TMB,De � � EAGAN MN 55122 Y PutY Office of the County Recorder Dakota County,Minnesota Jcel T.Beckman,County Recorder _ i;