The URL can be used to link to this page

2078 Quartz LaneC!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Tenant: RECEIVED MAR 0 3 2011 Use BLUE or BLACK Ink Date Received: Staff: J 2011 MECHANICAL PERMIT APPLICATION Site Address: 00 -7K RESIDENT 1 OWNER Name i k v-� I- 0-2-`0 , Address / G ,' CONTRACTOR Suite #: C( jZ d Pon s"1 - I7 Name: Dan Wohlers Southside Htg. & A/C =_ttc:15isell R\L- 7 q E7 Address: _ State: Contact: 1\ 1 l �' 6950 W. 146th St., #106 Apple Valley, MN 55124 __ City: (952) 431-7099 Email: WO -lye,- s 1- ide cern r TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: e' iC e e )—C -L ,rr o PERMIT TYPE RESIDENTIAL Furnace Air Conditioner _ Air Exchanger _ Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed _ Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x 1% $55.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 wit 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. ad_ L i(ers Applicant's Printed Name x Applicant's Signature CfTY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5144 ' PHONE: 4548100 BUILDING PERMIT ReceiPt # To be used for ?j? Est. Value 5'otDate 19 79 . Site Address ?07S 0?' Erect ? Occupancy Lot yBlock 5 Sec/Sub. C22-Ir it4 Alter ? Zoning Parce1 # Repair ? Fire Zone R7.d?c ??? t•k ? _?"i._. r a Enlarge ? Type of Const. ?a.. ty Name Move ? $k Stories Z . , ` ?:3E?1"t:? .. Demolish ? Front ft. Address 2077 Grade ? Depth ft. 9 Cit ?`?ay Phone ?r?p? N ame q??l APProvals Fees o"p Address uH r:... ',t, PdLLl ',,4.r7-r)0:3-1_ Name _ Address I hereby ocknowledge 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.. ,.- f Assessment Water & Sew. Police Fire Eng. Planner Counci I Bldg. Off. APC Permit Surcharge ' Plan check SAC Water Conn. Woter Meter Total Signature of Permittee on the express condition that A Building Permit is issued to: all work shall be done in occordance with all applicable State of Minnesota Stotutes and City of Eagan Ordinonces. Building Official ' . Pemi+ # I oore iav.a I PenniM« Rough-In I Pinai Date I Insp. Date I Irup. CITY OF EAGAN Remarks * Cedar Grove Acrxuisition Addition CEDAR GROVE #4 Lot 24 Blk 5 Parcel 10 16703 240 05 Owner " 'Street 2078 Qua1^tz Lane State Eaqan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL ( 1972 1,304.00 52.16 25 Paid WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK ? [? 9 CITY Of EAGAN _ 8 _ • 9795 Pilot Knob Rood Eogoe, MN 55122 " ? PHONE: 454-8100 BUILDING PERMIT Receipt RL--ROOI'I'iG $?350.00 October 4 !3? To be used fo? Est. Volue Dote _, 19 Site Address 2078 Qusrtz L:ane 24 S Cedar Grove 4th Erect ? Occuponcy Lot Block Sec/Sub. Alter :9 Zoning Parcel # 10-16703-•240-05 Repair ? Fire Zone . C ri8 &. Enlorge ? Type of Const. W Nome Move 2078 uartz Lan?a ? # Srories Z Address Demolish p Length ? Ci Esgan 55122 Phone 4 54- 8817 Grode Q Depth Sq. Ft. ? p Name Owner Approvals Fees o" Assessment Permit lb . VU u? Address 50 Cit Phone Water 8 Sew. Surchorge • ? ? Police Plen check F Z Name Fire SAC ?? Addreu Eng. Woter Conn. <W Ci Phone Plonner Woter Meter Council Road Unit I hereby acknowledge that I hove read this applicotion ond stote that gldg. Off. the information is correct and agree to comply with all appiicable It) . State of Minnesoto $totutes.grnd City of Eogan Ordinonces. ?pC ? Total i? Signature of Permittee N Building Permit is issued to: ? on the express tondition thnt all work sholl be done in accordonce with all opplicable State of Minn esota Statutos ond City of Eopon Ordinancea. • Buildinp Officiol E Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Electric Inapection Date Insp. Other Footings Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC 0 Final Water ID"aibe Location: YVetl Sewer Pr. Disp. CITY OF ,EAGAN 3795 Pilot Knob Raad Eagan, MN 55122 Ng 5144 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # 13767 To be used for Garage esr. vaiue $5,000 Date 4-3 , 19_79__ _ Site Address 2078 4L'artZ Ic1rie Erect ? Occupancy R3 Lot 24 Block 5 Sec/Sub. Cedar Grove #4 Alter ? Zoning Rl Parce1 # Repoir ? Fire Zone 3 RiC?la1? M. II1St?.d Enlarge ? Type of Const. ?1 ? Name Move Q. #? Stories Z 2078 Quartz Lane 26 n. ? Address Demolish {] Front ? Ci Eagan Phone 454-8817 Grade ? Depth .24 ft. , APProvals Fees ? Name SL1SSEl -- ?? Address 1850 Comc? Ave. t- St. Paul ct,?.,p 645-0331 Name Address Phone Assessment Water & Sew. Potice _ Fire Eng. Planner Counci I Permit --a . vu _ Surcharge 2.50 Plan check SAC Wuter Conn. Water Meter i hereby acknowledge that I have read this application and stote that gldg. Off. the information is correct ond agree to comply with all applicobie APC 7otal 20.50 $tate of Ivlinnesota Statutes and Ci of Eo?n Ordi nce , Signature of Permittee - A Building Permit is issued to• Richard M EI7.Stdd on the express conditlon that uli work shcll be done in accordance with all appljspble State of+innesoto Statutes and Ciry of Eogon Ordinances. Building Officiul EAG.AN TO\ll/N S H 1 P BUIL-DING PERMIT Owner --- &4??.???-- - -- • -------- .............. Address (Present) __..._.?-=•--..?1-:-••- - -------- Builder ---••--•••-.?!?-.---•---........................................... --•- ..................... -........................ .. .. DESCRIPTION N° 827 Eagan Township Town Hall Date s-/.!t5??_.2 ----------•------- Stories To Be Used For Front Depth Heigh# Est. Cost Permii Fee Remarks - ? LOCATION Street, Road or ofher Desczipiion of L:ocation Lo3 Block Addition or Trac! Y- - J 16 3 .- _S- 7 --i.3 This, permii does not authorize the use of streets, roads, alleps or sidewalks nor does it give the owner or his agen2 ihe righ! !o cresie ,any siiuation which is a nuisance or which presents a.hazard to the health, safety, convenience. and general welfare !o anyone in the communitp. THIS PERMIT MUST BE ?KrEPT ON THE PRE ISE WHILE THE WORK IS IN PROGRESS.` ' This is to ceriify, fhat____4_:_.___r------------- has permission to erect a_._____: -------------•--._...-•-•-• •--=---•• - uPon. !he above dE ibed premise su ject to the provisions of the Building Ordinance for Eagan Township a pied April 11, 1955. n ? •----•-•-:•••••••----•........................ --•--?..???-.-••--------:••--•. Per .............. ---- -?A ?i? '--•- •- -----------•-•---•-/---•--------------------•-----.:.. Chairman of,? ???rd Building Inspector /3 ? CITY OF EAGAN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/el.evations & 1 set of ener_c7 cal.culations. To Be Used For A q' Valuation ? g SC) Date 10 lo Site Address : ? O`? G,A z Lri, OFFICE USE ONLY Lot Block Sec. /Sub . C?&& Erect Occupancy _ Parcel # : l? ^ ? (9 Z (? ?[ '' T^,?ter ? Zoning Repair Fire Zone _ Owner: ?rl-4a CQ Enlarge 'I'ype of Cons Move # Stories Address : (A ytZ, ?. ? Demolish Front ? . -L71A ?? Grade Depth City/Zip e. \ S Phone # H-k ? 1 ? APPROVALS Contractor: Jfs ?? ??/l.? ? sessments Address : ater/Sewer Police City/Zip Code: ?-e 1/;4 -P r'v ?'l L Fire Phone # : ? - ?g 3 C Eng' Planner Arch./Eng.: Council Bldg. Off. Address: /' ' APC City/Zip Code: ft. Pezmit -0 0 Surcharge r 5c:> Plan Check SAC Water Conn. Water Meter Road Unit Phone # : '?? ? / IV ' S-0 . CITY OF EAGAN Np 8??? '? . 3795 Pilot Knob Raad Eogoe, MN SS122 PHONE: 454-8100 ?v BUILDING PERMIT Receipt # To be uied for ?-ROOFING Est. Value $850.00 paLe October 4 _ 19 83 Site Address 2078 Quartz Lane Erect ? Occuponcy Lot 24 Block 5 Sec/Sub Cedar Grove 4th Alter ? Zoning Parcel # 10-16703-240-05 Repoir p Fire Zone Enlorge p Type of Const. ae Name Dick Enstad Move ? # Stor?es ? 2078 uartz Lane Address Q Demolish Q Length C? Eagan 55122 Pho? 454-8817 Grode ? Depth Sq. Ft. ? Name Owner Approvols Fees ,o u Address Assessment Permit ?-6• ?? ? ~ Water & Sew. Surchurge .50 Cit Phone ? °C Police Plan check Name F,"'„ Fire SAC ?? Address Eng. Water Conn. <W Ci Phone Planner Woter Meter Council Road Unit I hereby acknowledge that I have read this,?opplication ond stote that Bldg. Off. the intormation is correct and o ee to comply with I opplicable !/ ? ? f M d ' E O i S $ C Totol $?6 .5? r n c. tate o innesota tatute ty o? Qan ? (? ?? `? ? U? - -'`?'? /h..iY-f?? - Signoture of Permittee ? ic ns?adT?' . /1 Building Permit Is issued to: on the express condition tha? all work shall be done in occordance with nll applicob ? te of totute nd City of Eagan Ordinonces. Building Officiol r'? Uz.ooo?a? K 5 413 7 J ? R uest ate ' - ] _?j Z Fire No. Rough-in Inspection Required? ?XReady Now f7 Will Notify Inspector < < ? Yes &Uo When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or oute No.) +2 ? ?IB ? Cjt?.• ?? ?,t ? Section No. Township Name or No. Range No. C u?+ty + ^ , <J w Occu a {PRIN ) J C_ k Phone No. _ . a- Power Supplfer Address Ele al Contractor (Company Name) Contractor's License No. ?Z- Mailing Add s fContractor or O er Making Installation? 1u_ Auth C Si naWre (C nir tor/Owner Making Installati n) Phone N er C,.L_CM.V`?'?,---? MINNESOTA STATE BD OF ?RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. om S- BE ACCEPTED BY THE STA7E BOARD 1821 University Ave., Paul, MN 55104 UNLESS PROPEFi INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?? EB-00001-08 ? See instyuctions for completing this form on back of yellow copy. ?3` K 54137 . ? x" Below Work Covered by This Request ,? ? w Add Rep. TypeofBuildi ng AppliancesWired EquipmentWired Home Range : Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheF--(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: ? ??1 x-"--? ? rf (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 Special I nspection O Alarm/Communication EEREDD THIS INSTALLATION MAY BE OR NECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final N Dat ?? A OFFICE USE ONLY This request void 18 months from CA04-11) r - - - - - - - - - - - - - - - - - I For £)?ce?Use ? ? Permit #: ? I ? I I Permit Fee: I ? ? Date Received: I ;? I I Staff: I ? I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ?? . Date: Site Address: Tenant: Suite #: RESIDENT / OWNER I Name: Phone: Address / City / Zip: ? C9,?fl Applicant is: Owner j? Contractor TYPE OF WORK Description ofwork: Q-R Yoo ? n 4 Construction Cost: ?S 7ioo? Multi-Family Building: (Yes / No ? CONTRACTOR I Name: A50is )-•-Ip License#: Address: _;), 0<?) U\ u City: State: N yi_ Zip: 5-,36o)- Phone: tP ? C? 7 ?l 2 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateqorV 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) ? Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: I hereby acknowledge that this information is complete and accurate; that tlie work will be in conf ce 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 ork ' art without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro X e?o??s ???h X ApplicanYs Printed Name A ' ant's Signature Page 1 of 3 ?s RESIDENTIAL ? -- ? BUILDING PERMIT APPLICATION CITY OF EAGAN ? 7 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements RemodeUReoair Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of pian (20% maximum lot coverage allowed) . • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Ind'icate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 11?7D- d 60 y VALUATION JOB SITE ADDRESS Z 07 6 C? 4.I I (i ? Z L11 iq c IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER R IGH ft?'?O L tV5 ?lI-d TYPE OF WORK G/aRA4-'E ProUi 7dAl FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ??GMH-?? ? 14 571:0 PHONE# C5'1-1r4-E390 ADDRESS Z07 6 Q ktlgIz- LAa E ZIP CODE `-S( L Z PAGER # CELL PHONE # NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Water Softener ? Y Water Heater ? No. of Baths Air Conditioning Heat Recovery System Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # Fee: $70.00 Phone # _ FAX # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the informati with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcant Certificates of Survey Received _ nnA . correct, and agreb4? comply Tree Preservation Plan Received _ Not Required Z Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex Nr17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous •"t'R r 0 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* O 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant V l aluation ? Occupancy eMC/ES System ? Census Code Jiwa &I 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) A A FinaUNo C.O. Footings (addirion) . Pluxnbing ? 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 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 --------------------------- --------------------------------------------------------------- ??? 7y- y? q , ,??,?, ? - ? --- w ? i 1- ? r ti ???`Y N'R{? . s 77 a"y?_.??"???? 1 s .?r ?c ?? C?? j? ? k ? ., .. 1 ?° ??, ,?x?s? , ?' : r , i ' . t •, .?„a-_. , 1?.?'??a?"?t?',??}G ? ?1 1J ?': FY?c? ... .. ?. ._.. . _ G .. .... -,,.. ?c? ' _. . . ?.. . :,k . ?'^?• ? . . . ;. ? b•, .s'.., ., ? . ?. . .. ' ` . ,. ? 4 , `?.,t... . }.? , .: ??.r .?.. . r. , . _ ... ... _: .?,.. " . . a.. ., . .., .. ...: . ... . _:. . . ?. . . . _ .. ...', ..:- . . ' . : . ?? . . . " . i - .: ,. . . . .Ci: . . ? ?.. , . , F ????,«_ 5?.s.,,'. , .....;:. . ?., .. . ,. .... ?.. .?r-, ......--.L... ,.-.. .?ti?. ..?..?,?. . ?e x3 . ... _ . .° .. . ... .` ... '_ ' '.•. ? .. ::r'. . . _ ? j . ...? ? . , ,.._. ?. ,..' :. . ..., . . ,.. . .? . . .' . • T . . . .. - ? ., F J . .' p- ' . ." [^. . . "v . . ? • x. ? 4`-?°Y ^,?. i 4 .. ; . . . ? ? . . ? i. ? ? ... '???: ? . . . ? . . . ' " ... <, ` ;?y?? S. .. . - . . ... . __. _ . ... - 1: ... _ j . . . . . . . . ? . . ? ; ' . ?. . . .. . .:... ..,„._ . ,. . ....? _._. ' . . . . . . ?-. - .. _ . ' . ' _ - ..l . . . : . .. y ? . . ...... ? .. . ._ .. ,. . . . r ? ' . ? . ? ? ? . - ' . . - r - . ? F . '?... . ; . . ? . -. ... *Y ? . . '' _. . . ? : . .. -- . . .. ,. ? . . . . . , . , i. - . ? . .. , . ? - 4 _ •-. - r ? - ,y: _ ?S rr? ?(` ? . + p^?- . ,. ?. .._ ._.... ' _ ': . . _ . ? .: . . . {-..., _ _ . ._. _ ? . ? . . ? . . . _ _' ..:. . . .? . ^. ?`S?NL .f, . . . . • . , t ! +. .y f i n'?j. .. . . _ f.... 4 1 -?.._. _ _ _ . - ?- -- - . r ` __ _ . . _. __... _ _.. ° . '? ._--;2 ? - ? - - -- - .....__'.'? ...... y-... . t { _... .. ?... "._.? . ?. , . ..,., .... . _.,, .. ?-?_ . ....-.. s ?. ' . ? -? ? ? ? . . ? . ' ? ? . j . ' . . _ ?_. . i- .S > . .__..? . _. .. _..__ ._ : ._.__ . . ? .. , .. ! . 1 _ .._.. ._...?....? _ ...... ?_ ? `___ _ : . , , . . .-?. l? ?....._ _ _ _ ' . .._.. ..... "_ " '_ '. ? .. ? i? .. ??_ } I 5 ? • . ' ? { . i _ . ..._ . . _ . _ . .. ?._?. . . ? , ??+- - . _ _."'? .? . _ 1 { ? • i f L t t ' " , E } _ .. ._ . . .. .. .. .., ._..... ? -??. ...:.`. - .? , _ " " ':.+' ?. ? 4?.. ,; . ; ,? ., ?? •?'?-- ? ? + r ? 7 w"77y?..-+k? 3< . , . .. ?._. ? ? . , . . : ._ . .?.. . _ _. ' . . ?- . '. . , -- -. . , ? . -- - - " - t • ? 1.. ? y . M ? ? i ? '?? , • , .._ ; .. ._ r .. .. r ?? i f ., '?"" t ? 'r ? D § ??t S• ?' ??-- ? ? :; I t + ? , ? ? ? ??- a ?? . . ... .;. . -' .,. , . . t? • ..,. ...<. „ ,,, ?y; a . . ...,-• ,. ,, ',:?.. ?. , a? : f f'?:x `s- . . E . ` ? i . ? ? 4 ?• ?- #=`+y ?,t? ? ' "„r<a ?w.r -'"r" aYs ?." •?a ? $ ? -? ..i , a' " ? ? t? ?,f'? nr? ? a"'Ya`; R 2T 2?`_ ? , . , ,.. . . . . .. • ,?.;-. ?Y,. ?_ -.. RESIDENTIAL r , r?k-- PERMIT APPLICATION q ? ` ? CITY OF EACAN ,? 1 3830 PILOT KNOB RD, EAGAN MN 55122 ? v 651-681•4675 New Construction ReQUirements • 3 registered site surveys showing sq. ft. of !ot, sq. ft. of house; and all roofed areas (20°io maximum Iot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 set of Energy Calculations • 3 copies of Tree PreseNation Plan if lot platted after 711193 • Rim Joist Oetail Options selection sheet (bldgs with 3 or less units) DATE -7 fli /0 SITE ADDRESS TYPE OF WORK_ APPLICANT STREET ADDRESS _ TELEPHONE #?? PROPERTY OWNER IULTI-FAMILY BLDG _ Y S,N FIREPLACE(S) _ 0 -a)_ 2 TELEPHONE # V?!? ZI P -ff (JI _ 4/sl _ s , ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ?IINNl:S01':1 RULES 7670 C_1TEGORl' 1 NIIVNES01'A 12I;LLS 7672 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _v__ Plumbing system includes: Mechanical Contractor: _ NIcchiuiic?il systcm includes: Sewer/Water Contractor: Air Conditioning Heal Rccovcr}• Systciti Phone # I'ee: $90.00 1?Rn Phone # jj?j • I I II 0 5_?OOz , I hereby acknowledge that I have read this appiication, state tha ormation is c?y bffect, and?gre o o ply with all applicable State of Minnesota Statutes and City of Eag n Ordin n es. Signature of Applicant --------------------------------------------------------------------------------------------------------------------------------------------------------------w?w OFFICE USE ONLY _ Water Softener Water Heater No. oF Baths _ Phone # Lawn Sprinkler No. of R.I. Baths RemodeVReaair 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 '7-jDd' 0 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 ? 31 New ? 32 Addition ? 33 Aiteration 0 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Foorings (addition) Foundation Drain Tile ? 07 05-plex O 13 16-plex ? 08 06-plex ? 16 Fireplace 0 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex 0 19 Lower Level ? 12 12-plex Plbg_Y or _ N Occupancy Zoning Stories Sq. Ft. Length W idth ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* O 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant 0 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) 0 24 Storm Damage El 25 Miscellaneous MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AirrGas Tests _ Final _ Siding Stucco _ Stone Roof _ Ice & Water _ Final _ Framing _ Fireplace _ R.I. Insulation Air Test _ Final _ Windows (new!replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector a?P BL'ILDItiG PE2MIT AP?LICaTIOti naTE Include ? sets of plans, 1 site plan w/elevations and I set of energy caicuations. To be used f.or ?-q t Valuation Site Address: tot Block Sec./Sub. y?, ?C , ct?R?. G-Rv vC Q- Parcel `ur.:ber Owne T Address 20)e 42 ?. ??i! L L?t t FA lrA'»1 SS 1 Z L Telephone 4 S?y' - 9 0 i 7 Contractor 5C, 5 S&-L Telephone Address (())iv 60"^0 ST.PN 1- Arch/Eng. Telephone Address OFFICE L'SE 0!JI.Y c 4 5--0,?-? / Erect Occupancy Alter Zoning Repair Fire Zone ? Enlarge Type of Const. ? Move 0 of Stories Demolish Front Grade Depth Date of Approval and Initial ' . Fees . .. . ... ; . :: : . ._ _. _ rg .?-? ?_ . .._ Assessment - --- . ._. ..._. ,__.. _ _ _ . . ..__ ._? . Permit . . ?? Water/Sewer Surcharge Police Plan Check Fire ? SAC Engineer Water Connection Planner Water Meter Council Bldg. Off. ? ? A. P. C. TOTAL - - --, ?. ;?? ?: x `; ? ? ? ? _{ Use BLUE or BLACK Ink r----------------'� I For Office Use 4 � I t � l� � I C�+ O� jl� �� j Permit#: � � I � �+�'�' i d 1J � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ��G�� I� Phone: �� '� ��`� g� Res�dent/_ � � � (}yy�� Address/City/Zip: �� Applicant is: Owner �Contractor T�/�� 0�1NOrk. Description of work:��1 �I) �}` �Q�n�� N Q�1,5`�' CpQY(�`� � �� ' Construction Cost: Multi-Family Building: (Yes /No� Company: ��1�j(�� Contact: G �/�1� I/ �,��'�� , C�.ntraC�OC Address: ��-� � � � City: � ; State:�Zip. r Phone: ° - � �IEmail: 1"r l�� ' (� / !; License#:�5� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I�C ly � �"��'�-A(, 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: N�?TE:Plans and supporting:docr�men#s th�t yc�u�ubmif are corrsi�iersd#n b�pu61f��nforrnativn, Portic�ns c�f '. the infcirmation:m�y be cl�s�ified a's�nr�r�p�bli�;if y�u prc��r�d�sp�c�f�c;reasons t'hat wvuld permit th�City#o �� ortc�t��l�#��#�ttt� :are��°rad"e'se�rets.- ��.. 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.qopherstateonecall.org � 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 'I accordance with the approved plan in the case of work which requires a review and approv I f ns. Exterior work authorized by a building permit issued in accordance with the Minne e Building Code must be completed within 780 I days of permit issuance. x � ' X App i nt rinted Name lic nt's Signature Page 1 of 3