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3139 Quarry CtINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: t1" ra,:, 3830 Pilot Knob Road Permit Number: ?f4 rs I Eagan, Minnesota 55122-1897 Date Issued: •?1 Ar4n (612) 681-4675 SITE ADDRESS: ` T?N ` 10-20969060 01 t t? T : 6 N!, 0i: K:. i;l.a U A R!t Y f t . 1tt1 MWYWifr.'rt:# , APPLICANT: Iat rf t•:?. ?,fittf??:`f i ? ? PERMIT SUBTYPE: TYPE OF WORK: f,a i•A I R 1?I ,, ?: ? t ? ??+r1 i`,• t t,.t Mf} ) Permit No. Permit Holder Date Telephone # ELECTRIC 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 FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ! BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 4' `'" APPLICANT: 1 ii I. ??, !s t t?1. t ,iI?nRRv f_ r PERMIT SUBTYPE: TYPE OF WORK: ,.,, ksltll f)tCJty 0 a1 >tat;ra 0 6 /t4 f9r? I INSPECTION D• . r• Permit No. Permit Holder Date Telephone # ELECTRIC 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 FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ? r1 a ru?, CITY OF EAGAN Remarks Addition Lot 6 aik 1 Parcel ? 20960 060 42=i•! ,. Owner/-:??:L/i r f-`;4Zf• ? t,eet 3139 Quarry Ct. State Eaq?,MN 55121 ?CGLC.>' • ; r r , ^ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 3c STREET RESTOR. 1925 GRADING SAN SEW TRUNK (_, 3 1970 62.80 2.51 ZS C _/ _7 SEWER LATERAL 1975 2278.78 455. 75 5 WATERMAIN ?. WATER LATERAL 1975 S # WATER AREA 1975 5 ?+c STORM SEW TRK 1975 * STORM SEW LAT 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 160.00 0877 5-8-75 BUILDING PER. #3637 ej 877 8-75 sac 425.00 0877 8-8-75 PARK ? F,•?. 2 .?49 * 9 a ? ?,J3 y 4.,., r Jrrf/r 40°? ?°`v ? ? s , • . ,?.,.?._-_J ?- .??; ? accomplished more ecanomically by joint . ? WfiEREAS, a new voting method and c R and WHEREAS, equipment known as Vote-A- advantages for the electian process; aric WHEREAS, such improved election prc housing and operation of a rather expen: electronic/mechanical counter, costinq a NOW THEREFORE BE IT RESOLVED that t each of the above mentioned communities comnitment to a joint-use venture pursua m c a n'7i ro. ' c?L ?- / . ? 7J d -?- O 733? `???-?-?,-------__. ? T-Z; population compared to the tot ` more specifically as per the f - Apple VaLley- 14,C l ? Eagan' 16,C ' Inver Grove Heights 15,6 Mendota Heights 7,2 Rosemount qo7 4. The City of Apple Valley will counter during periods of non- and 'proper diligence for its 5. The Apple Valley Administrator locating the counter in a cent7 manner timely for the necessar5 prior to elections. However, 1 ? to CI'I'?.' OF EAr,AN 3795 Pilot Knob Road Eagan, NIinnesota 55122 PERMIT NO.: 754 The City of Eagan hereby grants to Fred Voc3t& Co. ^ ef 3260 Gorham Ave. So., Mpls., 55425 . a HEATING -?ermit for: (Owner) Creative HousinQ J11711 3159, 3139 and at U4 Quarry oourt , pursuant to application dated 11/5/5 . Fee Paid: $40.00 dated this 7 day of Nov. , 19 75 . 2.00 3/C Building Inspector Mechanical Permits: Bid Total: /6 gDW6 G?D D/ ,00127?y cJ o 0 d CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERNiIT NO.: 612 The City of Eagan hereby grants to Klamm Plumbina C7o. of _ 12409 Co. Rd. #11. Burnsville a__ _l„mhi„s Permit for: (0-,&mer) Creative Housina -- dt alaa, 1AAA 011aar4t-ftpur'suant to application dated 9/24/75 Fee Paid: c6n_nn dated this day of Sebt. , 19 75_. 1.50 s/c Building Inspector Mccha-iiical Pcrmits: B?.c: `i`otal s va LAQE oF EaGaN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1852 Eagae, MN 55122 DATE: 10/2/75 Zoning: IRII No. of Units: I Owner: Zaeco Address: • Site Address• 3139 arry Ct. L6Bl lrl,??f-?'-(9?9P? 6 ?73 ? Connection Chazge: 160. 00 pd &7z=xg o • ?? - Account Deposit: Reader No.: ?Permit Fee: 10.00 pd .50 pd 1 ogree to c mply wi h the Villoge of Eagan Surcharge: Ordinances??S76 Misc. Chazges: 60.00 pd Total: By Date Paid: Date of In p.: Insp.: 1L7LLAe,F,-OF EA13AN SEWER SERVICE PERMIT 3795 Pilor Knob Road PERMIT NO.: 2610 Eogoe, MN 55122 DATE: 1 n42/75 Zoning: Rij No. of Units: 1 Owner: aQ?o Tao, Address: Site Address: 3139 Quarrv Ct. L6B1 Plumber: Klamm plumbing Co. I agree to eomply with tbe Villoge of Eagon Connection Chazge425.00 pd Ordinances. Account Deposit: Permit Fee: 10.00 pd Surchazge: • 50 pd By: Misc. Chazges: Date of Insp.: Total: Insp.: Date Paid: - CITY of EAGAN BUILDING PERMIT owne: ............... ... ......... ............................ ? Address (PI88@!l ......... ••••.? c .... .... .?Y? ... . :.. ........... Builder ...........:..... l ..... .. .: c....: :........_................._. ....... ... Addreas ................ G..,.?%?s.? f DESCRIPTION Zl--'? r. ie N2 _3637 3795 Piloi Knob Road Eagan, Minnesota 55122 454-8100 DateG ??,?z..? .......y ...... .....:..... 6tories To Be Used For Fron! Depth Heigh! Esi. Cos! Permi! Fee Aemarks -" \ ?/ LOCATION Street, Road or oiher Descaipiion of Locafion I Lo! - dditioa or Trae! ? ?'p / This permit does noi authorize the use ,?4 streets, roads, alleys or sidewalks nor does it -0-th wnes or his agea! !he right to creaYe any siluation which is a nuisance or which presents a haaard to !he health, safve! , convenieace and general welfare 2o anyone in !he community. THIS PERMIT MUST BE K T ON THEPREMISE WHILE THE WORK IS IN PROGRE S. , that.,.... This is !o certify _c e??1...a??=.-:...............has permission !o erect a. ?, . ......1!.. ... .... ..upoA the above described premi subject to the provisions of all applicable Ordinances f e Cit?of Eaga?. ...._._....---•--- ...... .............. .••-••---. • .................. Per •-•••-•-•....._................----....... . . ....---°??°?? ........ ---•. .. Mayor BuildinQ pector ? Stk 5O, 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 lot, sq. ft. of house; and ali 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 platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE CO) '100Z I -') t6 D_'__ . RemodellReoair Reuuirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 7sK, U- SITE ADDRESS 6l J? 02_?-YYU CA. MULTI-FAMILY BLDG _ Y V N TYPE OF WORK _t__o' F FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS \Q? CITY STATMA,NLZIPSS O TELEPHONE # ?J2 13$• Z000CELL PHONE # FAX # btZ- ?22-1 C)00 PROPERTY OWNER ?e,V?evS , C°1aYY?? TELEPHONE# 6S ? ` 4?52° A76_7 -------------------------------------------------------- ------------------- -------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • ff?AUG 4e lJo?h?t • Energy Envelope Calculations Submitted 1 2 2002 Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: Y Air Conditioning Heat Recovery System Phone # Phone # ree: $70.00 --------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eaga IF Signature of Appiicant ? Water Softener _ Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths ? OrFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 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 REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ 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 Approved By , Building Inspector 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 _ PERMIT # RECEIPT DATE: ? -/5 10! USIDENTIAL PLiT1VIBINfi PERIVIIT ?PPLICATION CITY OF F-A6AN 3$30 PILOT KNOS itD f:AfiAK, MN 5518E 65 Y -6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: MEYERS, GARRETT/SHIRLEY 3139 QUARRY COURT I EAGAN, MN 55121 OWNER NAME: : (651) 452-4767 I?- - - --- -- ELEPHONE #: ' (AREA CODE) INSTALLER NAME: rNOrIn1 O114 PI UAAPING TELEPHONE #: (AREACODE) .[612) v,?7_^0v,3 STREET ADDRESS: F P965 ' ' i M. + '. io. CITY: LT4?????QL1Sa PJcl?..I .,,?', 54!li3 STATE: ZIP: Place a check mark next to the permit work type _ New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ V? • lawn irrigation system • water turnaround " () Nature of work: Lq, C -l. el t Septic System, new/refurbished - $ 225.00 ` ircludes Cc,unty & Consu,tirg {nspector fees • requires MPC license State Surcharge I In I C I', .50 1'_? ? ?' MAY 1 5 Total i ,50 2(?1 ?- ? i_? ? Reminder: Be sure to schedule inspections of alterations, i.e. water hea?ers, water softeners, etc. By I hereby acknowledge tnat I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. 5 l10 / ol SIGN T RE OF PERMITTEE Updated 1l01 _ ? ?•3CL- ;ti `,;.i ? ? ? 'D . a v?' J r?? I . . i ^ , .. ? ? /e . rC; ?- t-? 9?17Z 0 ---- ZPI. ?/s ? s Jo 0-' ?o.. ? OFFICE OF COITIJ7.'X AUDITOR Dal:o ta Count,y H3.sting; , Minne, ota City of Eagan 3795 Pi1ot Knob Road Eagan, MN 55122 Dear Sir: March 21, 1978 Datc ? Your taxes lave been cha.nged. Enclosed please fin3 for 1978 for the fo7lowing reason: ( ) Added As OmittEd Property (x) Correction Form Per Assessor ( ) Cliange In VaIuation ( } Property Erroneous7,y `Classified () Penalty and Interest t*aived if paid within 30 days from date of this 1eti;er. LegaZ Description: 10 20960 060 0t -- Tax Rr:duced From $298.28 to __ Exempt for 1978 TaxPs Tax Increased From to Last Hal.f I1i.1.1 Le Refund of $ Very truly yolirs, . ?, x? _? 11 v Carl D. 0«ischulc Dakota County 11uditar -0- EAGAN "P P? FtPXR?P 3830 Pot nob Ro ad Eagan, Minnesota 55122-1897 (612) 681-4675 ? PERMIT ? ?5 ????' PERMIT TYPE: BuIL pING Permit Number: 027881 Date Issued: 0 6/ 14 / 9 6 SITE ADDRESS: 3139 QUARRY C"f LOT: 6 BLOCKa 1 pqNNYW00D P.I.N.: 10-20960-060-01 DESCRIPTION: sF (MZSC.) FtEpAIR 434 ALT. RESIpENTIAL ?? ?? ? ? .? ? A? ? 4 WI? ? , I i REMARKS: FEE SUMMARY: (szoxNG) ermit Type s?k Type vALuATxoN a??? ??? $124.75 Surcharge 3.50 7ota], Fee $128.25 a $7,900 n CONTRACTOR: APPLICANT/PERMITEE SIGNATURE OWNER: - Appl.i.cant - P9EYER5 GARRETT 3139 QUARF2Y GT EAGAN MN 55121 (612)452-4767 ?- 11SLIF15 BY: IG URE New Construction Reauirements ? ? ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 3 registered site surveys 2 copies of plans (inciude beam & window sizes; poured fnd. design; etc.) 1 energy calculations 3 copies of tree preseroation plan ff lot platted after 7/1/93 required: _ Yes _ No DATE: Remodel/Repair Reauirements ? 2 copies of plan ? 2 site surveys (exterior additions 8 decks) ? 1 energy catculations for heated additions CONSTRUCTION COST: 7 ? DESCRIPTION OF WORK: STREET ADDRESS: LOT ? BLOCK . 6 1 D / ^t r, + T" 1 ?"` ? ?I, 3IS S' j/ ~ y C' fi SUBD./P.I.D. #: n "oo( PROPERTY Name: /? e v Q vS C?-'z vJ- e Phone #: OWNER • `"S' `I"5' f Street Address: City: sT.'?;' z State:^ " .V) Zip: CONTRACTOR Company: Dd 14-4- /3 vce' Phone #: V37- ??G 3 Street Address: 9. A-' s r License #: O° G Lx 77 City: ?j4 , State: Y1 ,Zip: ? S?G3 ? ARCHITECT/ Company: ENGINEER Name: State: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. Phone #: Registration #: Zip: Penalty applies when address change and lot I hereby acknowtedge that I have read this application and state that the information is correct and gree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No BUILDING PERMIT T1fPE 0 01 Foundation ? 06 Dupiex 0 02 SF Dwelling o 07 4-plex ? 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 0 31 New o 33 Alterations 0 32 Addition a 34 Repair GENERAL INFORMAT(ON OFFICE USE ONLY r ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory o 20 Public Facility 0 14 Fireplace a 21 Miscellaneous 0 15 Deck ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permi# S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units PFP' : CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.T.N.: 1e-20960-060-01 DESCRIPTION: REMARKS: FEE SUMMARY: Base Fee Surcharge Tntal Fee I.VIV 1 1'iHlr 1 VFt: $45. e0 .50 $45.50 PERMIT PERMIT TYPE: Permit Number: Date Issued: 3139 QuARRY cr LpT: 6 BLQCK: 1 qqNPlYWOQCI ??PLAcE ExzsrtxNG srmi't Type I]ECK Qr{c Type RERAIF2 434 AL.T. RESICIEN'fIAL ?* ?? .. ?6?? Mo?fr? 99 BurLoxNG 027868 06/14/96 Vwlvtts: Appiicant -- MEYERS • GARRETT 3139 QUARRY CT EAGAN MN (612)452-4767 APPLICANT/PERMITEE SIGNATURE ISSUE : SIG TUR , CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? ?? 1996 BUILDING PERMIT APPLFCATION (RESIDENTIAL) 681-4675 New Construction Reg,uirements Remodel/Repair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 capies of tree preservation plan if tot platted afler 7!1/93 required: _ Yes No DATE: b ( ?/`? CG CONSTRUCTION COST: DESCRIPTION OF WORK: T ? `-'-L S EET ADDRESS: " A:_ , LOT (U BLOCK I SUBD./P.I.D. • -r- N?? 1v N?! wbo d PROPERTY OWNER Name: M6?c"-'-wS OQim?c r-T^ US R5 Street Address• 3j3q &ulhav EL City: CONTRACTOR Company: Street Address: City: ARCHITECTI Company: ENGINEER Name: Street Address: City: Phone #: _ License #: Phone #: Registration #: State: Zip: Sewer & water {icensed plumber: . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agre omply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received State: Zip: State: Yes No Yes No Phone #: 7 Zip: OFFICE USE ONLY BUtLDiNG PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basemen# Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pooi ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous a 05 SF Misc. ? 10 _-plex 5 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? . 32 Addition ?34 ? 37 Demolition Repair?`tG ? GENERAL INFORMATION Const. (Actual) (AIlowable) UBC Occupancy Zoning # of Stories Length Depth A1'FRVVHLj Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance / d Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unii Park Ded. Trails Ded. Other Copies Totat: Valuation: $ % SAC SAC Units . • • ! ;?I 4-1 J - 1. ? r ?.• -., u ? y M ' ? ? ? ` •J ? ?? Q' ,? ? ` : `` ' ? ?.et ty •?` 7Y J ;? : -? •? t? ??` v ° G: x `yc M1? L?•c• \\ v+ ' .c ? . / 1 \ s Date: City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Fpr Offlc ;;-Use Permit # I/ qoD Permit Fee: / 0 0 Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 3t3gOvary CA l A,niAl y Suite #: iJov 6 oqi Tenant: Site Address: RESIDENT / OWNER Name: k tf-r( 4 S FFft le l,t y Address/City/Zip: 313e c.xua-rr (.'t' - Applicant is: Owner Contractor / Phone: cosi -LfSZ_'!74,7 n '"'try 5312 TYPE OF WORK Description of work: Construction Cost: 4 N/ OQO i��ws MA/4; j2o"- lcui rI %'__ it_ (3 ' f i n �1.� Multi -Family Building: (Yes / No %V CONTRACTOR Name: Address: City: (114x4e-r 6- D i j- - f -1,c• +i3et I Sad ,4a l L ()i ,IIjm ( License #: e wrecd be. State: M/) Phone: (,SI-2-Lf8- qi 1 o Contact Person: ac)3a073 7 Zip: S `f 2S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to', conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina -s and co' -s 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 • -rmit; that th work will be in accordance with the approved plan in the case of work which requires a review and approvklPpsSns. FiskAY-171"L Ra -$4,%-, 6 Applicants Printed Name Applicants Signature J 7 J 3 2 City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 1/ Tenant: r Use BLUE or BLACK Ink FDIVIt Permit #: ` d c; Permit Fe /6 d Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION 3/3 y OCV>r9 d Site Address: Suite #: RESIDENT / OWNER Name: -5-' r4 ,/ lE Phone. II ✓ L Address / City / Zip: 3/.S " au_cf(: CONTRACTOR Name: .f .I� 9 �< f) /, °` License #: :2- 'c- d' - Address: /72 -Fc 2// //, v ,1 City: 4 State: / A) Zip: $� 3P / J Phone: 01- YK ` 0,4,-2-7 Contact Person: d(J 4 TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. — Description of work: i/ l _ , L I WE- PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main - Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $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* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ rod -0 CALL BEFORE YOU DIG. CaII 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 ormance with ' e ordinances and codes of the City of Eagan; that derstand this is not a permit, but only an application for a permit, and ork is, not to start' ithout a permit; that the work will be in accordan w the approvedpi2F i the case of work which requires a review and ap oval of,plans. x a/6 Applicant's Printed Name pplicant's Si ature FOR OFFICE USE Required Inspections. Under Ground Rough -In Air Test Gas Test Fina CARBON MONOXIDE ALARM INSTALLED IN ALL NEW SINGLE FAMILY AND MULTI FAMILY DWELLING UNITS. kt Y .\*R‘f 44,,W1 tAN ..--.*AANSAAAAPAADIKAAA694A.AAAAR. sU" A ir # 5 (IL 4 04,flew, li$6 4. V)ott:K 44 4 4 ( 4 I V# aL44 4„A, 4, t,k3k-k.Lik \J .4k4 +e‘ /. V. ItiON ALANIVi INSTALLED IN IN ALL NEW SINGLE FAMILY AND MULTI FAMILY DWELLING UNITS. I. I C (0541-1- ko.„ rt. A 44"1, dlAa L' e I A PKITECIELCOMMISSEALEL_I VAPOR BARRIER REO'D. HERE SEPARATE PERMITS ARE REQUIRED FOR ANY OR PLUMBING WORK. EAGAN REVIEWED A.'PROVED PLANS: MJT TNIAUNI ON JOB SITE' otot• — —,TIONS DIVISION Use BLUE or BLACK Ink r-- ----i I For ffice Us�e�j �/" City I Permit#: C. ( / E I `�_ O Ea �� I Permit Fee: / ��` I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: r v k Name: el' s /� P�'S Phone:'I �j��^ r 7�� Address/City/Zip: q C c4ak-r C ':. Applicant is: Owner Contractor Description of work: e o 'uVc�r ZN. 01 Construction Cost: Multi-Family Building:(Yes /No y ) Company: "� r "� erd f�,P s ��t?`,rcv Contact: S �� Address: City. �t/v�-�:�c0�ril ontrc or *5'$i State:M� Zip:-5-300 / Phone: 9�d Email: n �C 170�6`{ 10 3 ?6 _ 1 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI DING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master Ian? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: Flans and tnforrna#ion m i#'.. n public ifY ,: P cliiF d rrn�lt he Ctf v , � 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.00pherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. } x S f,,, 1 (��ta q( x Applicant's Printed Name A licant's SignIature Page 1 of 3